Visceral Leishmaniasis Treated with Antimonials/Paromomycin followed by Itraconazole/Miltefosine after Standard Therapy Failures in a Human Immunodeficiency Virus–Infected Patient

Patricia Barragán Infectious Disease Service, Hospital Universitari de Bellvitge, L'Hospitalet, Barcelona, Spain; Tropical Medicine and Clinical Parasitology, Infectious Diseases Department, Ramón y Cajal Hospital, Madrid, Spain

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Rogelio López-Velez Infectious Disease Service, Hospital Universitari de Bellvitge, L'Hospitalet, Barcelona, Spain; Tropical Medicine and Clinical Parasitology, Infectious Diseases Department, Ramón y Cajal Hospital, Madrid, Spain

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Montserrat Olmo Infectious Disease Service, Hospital Universitari de Bellvitge, L'Hospitalet, Barcelona, Spain; Tropical Medicine and Clinical Parasitology, Infectious Diseases Department, Ramón y Cajal Hospital, Madrid, Spain

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Daniel Podzamczer Infectious Disease Service, Hospital Universitari de Bellvitge, L'Hospitalet, Barcelona, Spain; Tropical Medicine and Clinical Parasitology, Infectious Diseases Department, Ramón y Cajal Hospital, Madrid, Spain

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Visceral leishmaniasis is an opportunistic infection that affects human immunodeficiency virus–infected persons in leishmaniasis-endemic areas. The standard treatment may not be effective and relapses are common. We report the case of a human immunodeficiency virus-1–infected patient who had several relapses of visceral leishmaniasis after treatment with standard therapies and responded to a combined therapy.

Author Notes

*Address correspondence to Patricia Barragán, Infectious Disease Service, Hospital Universitari de Bellvitge, c/Feixa Llarga s/n. L'Hospitalet (08907), Barcelona, Spain. E-mail: pbarragan@bellvitgehospital.cat

Authors' addresses: Patricia Barragán, Montserrat Olmo, and Daniel Podzamczer, Infectious Disease Service, Hospital Universitari de Bellvitge, L'Hospitalet, Barcelona, Spain. Rogelio López-Velez, Tropical Medicine and Clinical Parasitology, Infectious Diseases Department, Ramón y Cajal Hospital, Madrid, Spain

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