Open AccessRELAPSING VISCERAL LEISHMANIASIS IN HIV INFECTED PATIENT WITH PERSISTENT LOW TCD4 COUNT: A CASE REPORT
Author(s) -
Mohammed Raiteb,
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Zahid Talibi Alaoui,
Fatima Ihbibane,
R. Moutaj,
N. Tassi,
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AUTHOR_ID,
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Publication year - 2022
Publication title -
international journal of advanced research
Language(s) - English
Resource type - Journals
ISSN - 2320-5407
DOI - 10.21474/ijar01/14106
Subject(s) - visceral leishmaniasis , coinfection , medicine , leishmaniasis , immunology , human immunodeficiency virus (hiv) , leishmania , parasite hosting , world wide web , computer science
Visceral leishmaniasis in HIV-infected patients is marked by a high mortality rate and its frequent relapses. It is characterized by the involvement of organs that are not usually affected in non-immunocompromised patients. We report a case of relapsing visceral leishmaniasis in an HIV-infected patient. HIV infection was discovered simultaneously as the first episode of visceral leishmaniasis. Even after recovery of visceral leishmaniasis and effective antiretroviral treatment with a negative viral load during three years, the TCD4 count remained low, contributing to visceral leishmaniasis relapse. The clinical presentation of the relapse was more severe and atypical, with renal and respiratory involvement leading to his death. Through this case and a literature review, we will discuss the relation between TCD4 count and visceral leishmaniasis in this coinfection.