First Case of Visceral Leishmaniasis Caused by Leishmania martiniquensis

Bernard Liautaud Department of Tropical and Infectious Disease, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Department of Tropical and Infectious Disease, University Hospital of Avicenne, Bobigny, France; Parasitology and Mycology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Unit, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; University Hospital of Montpellier, Unité Mixte de Recherche 5290, French National Reference Center for Leishmaniasis, Montpellier, France; Faculté des Antilles et de la Guyane, Institut National de la Santé et de la Recherche Medicale CIC1424 and EA4537, Martinique, French West Indies

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Nicolas Vignier Department of Tropical and Infectious Disease, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Department of Tropical and Infectious Disease, University Hospital of Avicenne, Bobigny, France; Parasitology and Mycology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Unit, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; University Hospital of Montpellier, Unité Mixte de Recherche 5290, French National Reference Center for Leishmaniasis, Montpellier, France; Faculté des Antilles et de la Guyane, Institut National de la Santé et de la Recherche Medicale CIC1424 and EA4537, Martinique, French West Indies

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Charline Miossec Department of Tropical and Infectious Disease, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Department of Tropical and Infectious Disease, University Hospital of Avicenne, Bobigny, France; Parasitology and Mycology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Unit, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; University Hospital of Montpellier, Unité Mixte de Recherche 5290, French National Reference Center for Leishmaniasis, Montpellier, France; Faculté des Antilles et de la Guyane, Institut National de la Santé et de la Recherche Medicale CIC1424 and EA4537, Martinique, French West Indies

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Yves Plumelle Department of Tropical and Infectious Disease, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Department of Tropical and Infectious Disease, University Hospital of Avicenne, Bobigny, France; Parasitology and Mycology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Unit, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; University Hospital of Montpellier, Unité Mixte de Recherche 5290, French National Reference Center for Leishmaniasis, Montpellier, France; Faculté des Antilles et de la Guyane, Institut National de la Santé et de la Recherche Medicale CIC1424 and EA4537, Martinique, French West Indies

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Moumini Kone Department of Tropical and Infectious Disease, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Department of Tropical and Infectious Disease, University Hospital of Avicenne, Bobigny, France; Parasitology and Mycology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Unit, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; University Hospital of Montpellier, Unité Mixte de Recherche 5290, French National Reference Center for Leishmaniasis, Montpellier, France; Faculté des Antilles et de la Guyane, Institut National de la Santé et de la Recherche Medicale CIC1424 and EA4537, Martinique, French West Indies

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Delphine Delta Department of Tropical and Infectious Disease, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Department of Tropical and Infectious Disease, University Hospital of Avicenne, Bobigny, France; Parasitology and Mycology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Unit, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; University Hospital of Montpellier, Unité Mixte de Recherche 5290, French National Reference Center for Leishmaniasis, Montpellier, France; Faculté des Antilles et de la Guyane, Institut National de la Santé et de la Recherche Medicale CIC1424 and EA4537, Martinique, French West Indies

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Christophe Ravel Department of Tropical and Infectious Disease, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Department of Tropical and Infectious Disease, University Hospital of Avicenne, Bobigny, France; Parasitology and Mycology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Unit, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; University Hospital of Montpellier, Unité Mixte de Recherche 5290, French National Reference Center for Leishmaniasis, Montpellier, France; Faculté des Antilles et de la Guyane, Institut National de la Santé et de la Recherche Medicale CIC1424 and EA4537, Martinique, French West Indies

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André Cabié Department of Tropical and Infectious Disease, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Department of Tropical and Infectious Disease, University Hospital of Avicenne, Bobigny, France; Parasitology and Mycology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Unit, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; University Hospital of Montpellier, Unité Mixte de Recherche 5290, French National Reference Center for Leishmaniasis, Montpellier, France; Faculté des Antilles et de la Guyane, Institut National de la Santé et de la Recherche Medicale CIC1424 and EA4537, Martinique, French West Indies

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Nicole Desbois Department of Tropical and Infectious Disease, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Department of Tropical and Infectious Disease, University Hospital of Avicenne, Bobigny, France; Parasitology and Mycology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Laboratory, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; Hematology Unit, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies; University Hospital of Montpellier, Unité Mixte de Recherche 5290, French National Reference Center for Leishmaniasis, Montpellier, France; Faculté des Antilles et de la Guyane, Institut National de la Santé et de la Recherche Medicale CIC1424 and EA4537, Martinique, French West Indies

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We report the first case of visceral leishmaniasis (VL) caused by Leishmania martiniquensis in the Caribbean, which until now, was known only to cause cutaneous leishmaniasis. The disease presented with fatigue, anemia, and hepatosplenomegaly in a 61-year-old man with human immunodeficiency virus (HIV) infection who was receiving antiretroviral therapy. Diagnosis was made by bone marrow biopsy. VL is life-threatening, and its emergence in the Caribbean is of concern.

Author Notes

* Address correspondence to Nicolas Vignier, Department of Infectious and Tropical Diseases, University Hospital of Fort-de-France, 97200 Fort-de-France, Martinique, French West Indies. E-mail: vigniernicolas@yahoo.fr

Authors' addresses: Bernard Liautaud and Nicolas Vignier, Department of Infectious and Tropical Diseases, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies, E-mails: Bliautaud1@gmail.com and vigniernicolas@yahoo.fr. Charline Miossec and Nicole Desbois, Department of Parasitology and Mycology, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies, E-mails: charlinemiossec@hotmail.fr and nicole.desbois@chu-fortdefrance.fr. Yves Plumelle, Moumini Kone, and Delphine Delta, Department of Hematology, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies, E-mails: yves.plumelle@chu-fortdefrance.fr, mt.kone@chu-fortdefrance.fr, and delphine.delta@gmail.com. Christophe Ravel, Université Montpellier 1, Montpellier, France, and Regional University Hospital of Montpellier, UMR5290, French National Reference Center for Leishmaniasis University, Hospital of Montpellier, Montpellier, France, E-mail: christophe.ravel@univ-montp1.fr. André Cabié, Department of Infectious and Tropical Diseases and Inserm CIE802, University Hospital of Fort-de-France, Fort-de-France, Martinique, French West Indies, E-mail: andre.cabie@chu-fortdefrance.fr.

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