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  • Title: Asymptomatic visceral leishmaniasis in a child with acute lymphoblastic leukaemia.
    Author: Mehrotra R, Choudhry VP, Saxena R, Kapila K, Saraya AK.
    Journal: J Infect; 1995 Mar; 30(2):157-9. PubMed ID: 7636283.
    Abstract:
    Visceral leishmaniasis was detected incidentally in a patient with acute lymphoblastic leukaemia in remission, during maintenance therapy. Absence of fever, a normal haemogram, normal serum globulins, a negative serology and testicular involvement were the hallmarks of the case. Treatment with sodium stibogluconate (20 mg/kg for 55 days) failed. Subsequent therapy with pentamidine resulted in complete parasite clearance. Prolonged therapy with pentavalent antimony compounds or a higher dose of second line drugs such as pentamidine are recommended for complete clearance.
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