Mediastinal Lymphadenopathy in Visceral Leishmaniasis

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY

Journal of Digestive Endoscopy Pub Date : 2021-08-16 DOI:10.1055/s-0040-1715983

S. Rana, N. Gupta, R. Sharma, Pankaj Kumar

引用次数: 0

Abstract

Abstract Visceral leishmaniasis (VL) usually presents with malaise, fever, weight loss, and hepatosplenomegaly. Lymphadenopathy is rarely reported in patients with VL from India. We report an interesting case of VL, presenting with malaise, fever and weight loss along with isolated mediastinal lymphadenopathy and mimicked tuberculosis. Absence of spleen because of previous splenectomy for symptomatic portal hypertension led to difficulty in establishing the correct diagnosis that was eventually established by endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA).

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内脏利什曼病的纵隔淋巴结病

内脏利什曼病（VL）通常表现为不适、发烧、体重减轻和肝脾肿大。淋巴结病在来自印度的VL患者中很少报道。我们报告了一个有趣的VL病例，表现为不适、发烧和体重减轻，伴有孤立的纵隔淋巴结病和模拟结核病。由于之前对症状性门静脉高压进行过脾切除术而导致脾脏缺失，导致难以确定正确的诊断，最终通过内镜超声（EUS）引导的细针抽吸（FNA）确定诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

自引率

28.60%

发文量

审稿时长

22 weeks

期刊介绍： The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.