A Rare Case of Isolated Pulmonary Leishmaniasis

Nicolas Degand Laboratoire de Biologie, Centre Hospitalier d’Antibes-Juan les Pins, Antibes, France;

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Louis Dan Medioni Laboratoire d’Anatomie Pathologique Medipath, Mougins, France;

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Bethan Eveleigh Parasitology Mycology Laboratory of the Teaching Hospital of Nice, Nice, France;

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Johanna Laurent Parasitology Mycology Laboratory of the Teaching Hospital of Nice, Nice, France;

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Tomy Anfrie Parasitology Mycology Laboratory of the Teaching Hospital of Nice, Nice, France;

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Nouhaila Fadil Parasitology Mycology Laboratory of the Teaching Hospital of Nice, Nice, France;

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Sidali Benyoussef Service de Pneumologie, Centre Hospitalier d’Antibes-Juan les Pins, Antibes, France;

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Olivier Raguin Service de Pneumologie, Centre Hospitalier d’Antibes-Juan les Pins, Antibes, France;

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Josephine Dorin Laboratoire de Biologie, Centre Hospitalier d’Antibes-Juan les Pins, Antibes, France;

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Veronique Blanc Laboratoire de Biologie, Centre Hospitalier d’Antibes-Juan les Pins, Antibes, France;

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Christophe Ravel CNR des Leishmanies, Montpellier, France;

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Christelle Pomares Parasitology Mycology Laboratory of the Teaching Hospital of Nice, Nice, France;
Inserm U1065, Mediterranean Center for Molecular Medicine (C3M), Côte d’Azur University, Nice, France

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Leishmaniasis caused by Leishmania infantum is endemic in the south of France. Here, we report a case of isolated pulmonary leishmaniasis in a patient with chronic obstructive pulmonary disease. In November 2023, the patient underwent a transbronchial biopsy, which resulted in a histopathological diagnosis of leishmaniasis. This finding was confirmed by polymerase chain reaction (PCR) testing targeting Leishmania species on the biopsy tissue and positive serology, although the results of PCR testing on peripheral blood were negative. These results supported a diagnosis of isolated pulmonary leishmaniasis. Additionally, no clinical or biological indicators of visceral leishmaniasis were identified. Atypical forms of leishmaniasis are rare and often lead to delayed diagnosis. In cases with unusual clinical presentations and a history of exposure in an endemic area, evaluation for leishmaniasis should include a comprehensive assessment of all potentially affected organs, regardless of the patient’s immune status.

Author Notes

Current contact information: Nicolas Degand, Josephine Dorin, and Veronique Blanc, Laboratoire de Biologie, Centre Hospitalier d’Antibes-Juan les Pins, Antibes, France, E-mails: nicolas.degand@ch-antibes.fr, josephine.dorin@ch-antibes.fr, and veronique.blanc@ch-antibes.fr. Louis Dan Medioni, Laboratoire d’Anatomie Pathologique Medipath, Mougins, France, E-mail: d.medioni@medipath.fr. Bethan Eveleigh, Johanna Laurent, Tomy Anfrie, Nouhaila Fadil, and Christelle Pomares, Parasitology Mycology Laboratory of the Teaching Hospital of Nice, Nice, France, E-mails: bethan.eveleigh@orange.fr, johanna.laurent@outlook.com, tomylebo@hotmail.fr, nouhailafadil97@gmail.com, and pomares.c@chu-nice.fr. Sidali Benyoussef and Olivier Raguin, Service de Pneumologie, Centre Hospitalier d’Antibes-Juan les Pins, Antibes, France, E-mails: sidali.benyoussef@ch-antibes.fr and olivier.raguin@ch-antibes.fr. Christophe Ravel, CNR des Leishmanies, Montpellier, France, E-mail: christophe.ravel@umontpellier.fr.

Address correspondence to Christelle Pomares, Hôpital de l’Archet, 151 Route de Saint Antoine de Ginestière, CS 23079 06202 Nice 3, France. E-mail: pomares.c@chu-nice.fr
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