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Visceral Leishmaniasis in Honduras

Report of Three Proven Cases and a Suspected Case

Steven P. NuernbergerDepartment of Pathology, St. Louis University School of Medicine, Department of Anatomic Pathology, I.H.S.S. Hospital, Department of Pathology, Faculty of Medical Sciences, Universidad Nacional Autonoma de Honduras, St. Louis, Missouri 63104, Honduras

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Carlos V. RamosDepartment of Pathology, St. Louis University School of Medicine, Department of Anatomic Pathology, I.H.S.S. Hospital, Department of Pathology, Faculty of Medical Sciences, Universidad Nacional Autonoma de Honduras, St. Louis, Missouri 63104, Honduras

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Ramon CustodioDepartment of Pathology, St. Louis University School of Medicine, Department of Anatomic Pathology, I.H.S.S. Hospital, Department of Pathology, Faculty of Medical Sciences, Universidad Nacional Autonoma de Honduras, St. Louis, Missouri 63104, Honduras

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Visceral leishmaniasis was found in three Honduran patients, and in a fourth this diagnosis was suspected because of the clinical presentation and for epidemiological reasons. All four cases originated from the same general area of Honduras. Three patients lived in the same valley approximately 35 km northeast of Tegucigalpa, and were related. Two patients died without the diagnosis having been made; two are responding to specific therapy.

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