Hemophagocytic Lymphohistiocytosis Associated with Visceral Leishmaniasis in Late Adulthood

Guilherme Grossi Lopes Cançado Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Graduate Program in Infectious Diseases and Tropical Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

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Guilherme Gomes Freitas Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Graduate Program in Infectious Diseases and Tropical Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

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Flavia Helena Fidelis Faria Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Graduate Program in Infectious Diseases and Tropical Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

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Antonio Vaz de Macedo Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Graduate Program in Infectious Diseases and Tropical Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

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Vandack Nobre Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Graduate Program in Infectious Diseases and Tropical Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

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We describe a case of hemophagocytic lymphohistiocytosis related to visceral leishmaniasis in late adulthood. Because clinical features of visceral leishmaniasis can mimic those of hemophagocytic lymphohistiocytosis, diagnosing leishmaniasis as the underlying etiology can be quite challenging. In our case, treatment with amphotericin B resulted in a dramatic resolution of clinical abnormalities.

Author Notes

* Address correspondence to Vandack Nobre, Faculdade de Medicina da Universidade Federal de Minas Gerais, Av. Prof. Alfredo Balena 190, 5°, Andar, Belo Horizonte – MG, Brazil. CEP: 30130-100. E-mail: vandack@gmail.com

Authors' addresses: Guilherme Grossi Lopes Cançado, Guilherme Gomes Freitas, Flavia Helena Fidelis Faria, Antonio Vaz de Macedo, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil, E-mails: guilhermegrossi@terra.com.br, guigomesmed@gmail.com, flahelena@yahoo.com.br, and antoniovmac@hotmail.com. Vandack Nobre, Hospital das Clínicas da Universidade Federal de Minas Gerais, and Graduate Program in Infectious Diseases and Tropical Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil, E-mail: vandack@gmail.com

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