Visceral Leishmaniasis‐Associated Hemophagocytic Lymphohistiocytosis in a Traveler Returning From a Pilgrimage to the Camino de Santiago. Issue 6 (21st August 2014)

• Record Type: Journal Article
• Authors: Watkins, Emily R.; Shamasunder, Sriram; Cascino, Thomas; White, Kristie L.; Katrak, Shereen; Bern, Caryn; Schwartz, Brian S.
• Is Part Of: Journal of travel medicine. Volume 21:Issue 6(2014)
• Page Start: 429
• Page End: 432
• Publication Date: 2014-08-21
• Subjects: Communicable diseases -- Prevention -- Periodicals; Medicine, Preventive -- Periodicals; Travel -- Periodicals; 613.6805
• DOI: 10.1111/jtm.12145
• Languages: English
• ISSNs: 1195-1982

Abstract

Abstract : We report the case of a 73‐year‐old American traveler who presented with 3 weeks of fatigue, fevers, chills, and pancytopenia. Clinical and laboratory findings were consistent with hemophagocytic lymphohystiocytosis (HLH) and bone marrow biopsy revealed amastigotes consistent with visceral leishmaniasis. The range of endemic visceral leishmaniasis transmission now extends into northern Spain and travelers to this region should use personal protective measures against sand fly exposure.