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Am. J. Trop. Med. Hyg., 27(2), 1978, pp. 357-359
Copyright © 1978 by The American Society of Tropical Medicine and Hygiene

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Clinical and Histological Kidney Involvement in Human Kala-Azar*

José R. Weisinger, Atahualpa Pinto, Gastón A. Velazquez, Isidoro Bronstein, Jean J. Dessene, Juan F. Duque, Juan Montenegro, Francisco Tapanes AND Ana Recagno de Rousse
Departments of Medicine and Pathology, Cátedra de Clínica y Terapéutica Médica "A," Hospital Universitario de Caracas, Universidad Central de Venezuela, Caracas, Venezuela

A 19-yr-old woman developed prolonged fever, weight loss, hepatosplenomegaly, anemia, leukopenia, and hyperglobulinemia. Appropriate tests indicated that she had visceral leishmaniasis (kala-azar). Urinalysis demonstrated significant proteinuria and microhematuria with the presence of red cell casts. A kidney biopsy was performed. Light microscopy showed a slight mesangial thickening and segmental mesangial proliferation. Immunofluorescence demonstrated deposits of immunoglobulins A and M, complement, and fibrinogen. Electron microscopy showed subendothelial and intramembranous deposits. After treatment with N-methylglucamine antimonate the proteinuria and microhematuria disappeared and the patient recovered uneventfully.

Accepted for publication October 8, 1977.


* Address reprint requests to: Dr. José R. Weisinger, Catédra de Medicina 1, Hospital Universitario de Caracas, Los Chaguaramos, Caracas, Venezuela.




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Copyright © 1978 by the American Society of Tropical Medicine and Hygiene.