Mucosal relapse of visceral leishmaniasis in a child treated with anti-TNFα

Visceral leishmaniasis is an enzootic parasitosis present across the Mediterranean Basin. Some consider it an opportunistic parasite. We report the case of a girl treated with anti-tumour necrosis factor alpha (anti-TNFα) for juvenile idiopathic arthritis who had previously presented with visceral l...

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Main Authors: E. Jeziorski, J. Dereure, G. Mac Bullen, C. Blanchet, C. Ludwig, V. Costes, M. Rodière
Format: Article
Language:English
Published: Elsevier 2015-04-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971214017548
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author E. Jeziorski
J. Dereure
G. Mac Bullen
C. Blanchet
C. Ludwig
V. Costes
M. Rodière
author_facet E. Jeziorski
J. Dereure
G. Mac Bullen
C. Blanchet
C. Ludwig
V. Costes
M. Rodière
author_sort E. Jeziorski
collection DOAJ
description Visceral leishmaniasis is an enzootic parasitosis present across the Mediterranean Basin. Some consider it an opportunistic parasite. We report the case of a girl treated with anti-tumour necrosis factor alpha (anti-TNFα) for juvenile idiopathic arthritis who had previously presented with visceral leishmaniasis. Two and a half years later, she presented a tumour-like mass in the nasal mucous membrane caused by Leishmania parasites. Leishmania infantum is classically responsible for visceral leishmaniasis, but pure mucocutaneous leishmaniasis has also been described. To our knowledge, this is the first observation of a recurrence of visceral leishmaniasis in the mucocutaneous form. The occurrence of atypical forms and presentations in those on anti-TNF therapy should be considered.
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spelling doaj.art-f0ff390567bc4af6a09700cc10e3488b2022-12-22T00:27:13ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112015-04-0133C13513610.1016/j.ijid.2014.12.036Mucosal relapse of visceral leishmaniasis in a child treated with anti-TNFαE. Jeziorski0J. Dereure1G. Mac Bullen2C. Blanchet3C. Ludwig4V. Costes5M. Rodière6Centre Hospitalier Régional Universitaire de Montpellier, Hôpital Arnaud de Villeneuve, Service de Pédiatrie Générale et Infectiologie et Immunologie Clinique, 371, avenue du Doyen Gaston Giraud, 34295 Montpellier cedex 5, FranceCentre Hospitalier Régional Universitaire de Montpellier, Laboratoire de Parasitologie-Mycologie, Montpellier, FranceCentre Hospitalier Régional Universitaire de Montpellier, Hôpital Lapeyronnie, Service des Urgences Pédiatriques, Montpellier, FranceCentre Hospitalier Régional Universitaire de Montpellier, Hôpital Gui de Chauliac, Service d’Oto-Rhino-Laryngologie, Montpellier, FranceCentre Hospitalier Régional Universitaire de Montpellier, Hôpital Arnaud de Villeneuve, Service de Pédiatrie Générale et Infectiologie et Immunologie Clinique, 371, avenue du Doyen Gaston Giraud, 34295 Montpellier cedex 5, FranceCentre Hospitalier Régional Universitaire de Montpellier, Hôpital Gui de Chauliac, Service d’Anatomopathologie, Montpellier, FranceCentre Hospitalier Régional Universitaire de Montpellier, Hôpital Arnaud de Villeneuve, Service de Pédiatrie Générale et Infectiologie et Immunologie Clinique, 371, avenue du Doyen Gaston Giraud, 34295 Montpellier cedex 5, FranceVisceral leishmaniasis is an enzootic parasitosis present across the Mediterranean Basin. Some consider it an opportunistic parasite. We report the case of a girl treated with anti-tumour necrosis factor alpha (anti-TNFα) for juvenile idiopathic arthritis who had previously presented with visceral leishmaniasis. Two and a half years later, she presented a tumour-like mass in the nasal mucous membrane caused by Leishmania parasites. Leishmania infantum is classically responsible for visceral leishmaniasis, but pure mucocutaneous leishmaniasis has also been described. To our knowledge, this is the first observation of a recurrence of visceral leishmaniasis in the mucocutaneous form. The occurrence of atypical forms and presentations in those on anti-TNF therapy should be considered.http://www.sciencedirect.com/science/article/pii/S1201971214017548LeishmaniasisAnti-TNF therapeutic
spellingShingle E. Jeziorski
J. Dereure
G. Mac Bullen
C. Blanchet
C. Ludwig
V. Costes
M. Rodière
Mucosal relapse of visceral leishmaniasis in a child treated with anti-TNFα
International Journal of Infectious Diseases
Leishmaniasis
Anti-TNF therapeutic
title Mucosal relapse of visceral leishmaniasis in a child treated with anti-TNFα
title_full Mucosal relapse of visceral leishmaniasis in a child treated with anti-TNFα
title_fullStr Mucosal relapse of visceral leishmaniasis in a child treated with anti-TNFα
title_full_unstemmed Mucosal relapse of visceral leishmaniasis in a child treated with anti-TNFα
title_short Mucosal relapse of visceral leishmaniasis in a child treated with anti-TNFα
title_sort mucosal relapse of visceral leishmaniasis in a child treated with anti tnfα
topic Leishmaniasis
Anti-TNF therapeutic
url http://www.sciencedirect.com/science/article/pii/S1201971214017548
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