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.
© The American Society of Tropical Medicine and Hygiene.
MeSH terms
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Amphotericin B / administration & dosage
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Amphotericin B / therapeutic use
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Antiprotozoal Agents / administration & dosage
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Antiprotozoal Agents / therapeutic use
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Bangladesh / epidemiology
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Biopsy, Needle
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Child
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Female
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Humans
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Leishmaniasis, Visceral / diagnosis*
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Leishmaniasis, Visceral / drug therapy
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Leishmaniasis, Visceral / epidemiology
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Leishmaniasis, Visceral / pathology
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Male
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Polymerase Chain Reaction / methods*
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Recurrence
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Sensitivity and Specificity
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Spleen / parasitology*
Substances
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Antiprotozoal Agents
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liposomal amphotericin B
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Amphotericin B