Polymerase Chain Reaction in the Diagnosis of Visceral Leishmaniasis Recurrence in the Setting of Negative Splenic Smears

Am J Trop Med Hyg. 2016 Jan;94(1):99-101. doi: 10.4269/ajtmh.15-0136. Epub 2015 Nov 10.

Abstract

This report presents two cases of visceral leishmaniasis (VL) recurrence where the microscopy of the splenic smear failed in diagnosis. However, a strong clinical suspicion compelled further evaluation by polymerase chain reaction (PCR), which validated the etiology. This short report highlights the usefulness of PCR in diagnosing cases of suspected smear-negative VL recurrence.

Publication types

  • Case Reports

MeSH terms

  • Amphotericin B / administration & dosage
  • Amphotericin B / therapeutic use
  • Antiprotozoal Agents / administration & dosage
  • Antiprotozoal Agents / therapeutic use
  • Bangladesh / epidemiology
  • Biopsy, Needle
  • Child
  • Female
  • Humans
  • Leishmaniasis, Visceral / diagnosis*
  • Leishmaniasis, Visceral / drug therapy
  • Leishmaniasis, Visceral / epidemiology
  • Leishmaniasis, Visceral / pathology
  • Male
  • Polymerase Chain Reaction / methods*
  • Recurrence
  • Sensitivity and Specificity
  • Spleen / parasitology*

Substances

  • Antiprotozoal Agents
  • liposomal amphotericin B
  • Amphotericin B