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J Med Microbiol 57 (2008), 232-235; DOI: 10.1099/jmm.0.47590-0
© 2008 Society for General Microbiology
ISSN 1473-5644

Case Report

Tropical mayhem: a chronic viral disease with superadded parasitic infection

Kaushal Madan1, Sreenivasa Baba Chalamalsetty1, Siddharth Srivastava1, Siddhartha Datta Gupta2, Bijay R. Mirdha3, Govind K. Makharia1, Jyotish C. Samataray3 and Subrat K. Acharya1

1 Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India

2 Department of Pathology, All India Institute of Medical Sciences, New Delhi, India

3 Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India

Correspondence
Subrat K. Acharya
subratacharya2004{at}yahoo.com

Received 26 August 2007
Accepted 27 September 2007

Coexistence of two illnesses in the same patient may result in atypical manifestations of either or both diseases. A case of hepatitis B virus-related cirrhosis in a patient who presented with a pharyngeal mucosal mass lesion as a manifestation of superadded Leishmania infection is presented here. The clue to the diagnosis was the origin of the patient from an area highly endemic for leishmaniasis and the presence of unexplained polyclonal hypergammaglobulinaemia. The patient responded very well to therapy with amphotericin B with complete disappearance of the mucosal lesion.






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