Visceral leishmaniasis is characterized by fever, cachexia, hepatosplenomegaly, pancytopenia, and hypergammaglobulinemia.Cough may be a presenting symptom as well.However, pulmonary involvement is considered rare and mainly described in immunocompromised patients.
We describe a case of an immunocompetent adult whose clinical presentation was dominated by cough and hemoptysis.Bronchoscopy revealed hacklinkci.com a discreet polypoid mucosal endobronchial lesion whose biopsy yielded Leishmania amastigotes within histiocytes.Transbronchial needle biopsy of a right paratracheal lymph node was also positive.
Leishmania amastigotes were also found on bone marrow and liver biopsies.Treatment sensationnel kiyari with IV Amphotericin B was successful.In conclusion, cough should not be overlooked as a presenting symptom of visceral leishmaniasis and may be a sign of pulmonary involvement.