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01.10.2018 | case report | Ausgabe 4/2018

memo - Magazine of European Medical Oncology 4/2018

A rare parasitic infection: visceral leishmaniasis case after gastric cancer treatment

Zeitschrift:
memo - Magazine of European Medical Oncology > Ausgabe 4/2018
Autoren:
Res. Ass. Alkim Yolcu, Ass. Prof. Ahmet Dirican, Prof. Gamze Göksel Ozturk, Prof. Cigdem Banu Cetin, Prof. Ismet Aydogdu

Summary

We present a case of Visceral Leishmaniasis (VL) in a patient with gastric cancer treated with chemoradiotherapy. A 69-year-old man with gastric carcinoma had been treated with total gastrectomy, lymphadenectomy and postoperative radiotherapy with chemotherapy. Then 3 years after treatment, due to pancytopenia with progressive trombocytopenia and splenomegaly, bone marrow examination was performed and Leishmania spp. amastigotes were diagnosed. When antibiotherapy was completed, splenomegaly was eliminated and the laboratory results became normal. VL should be kept in mind in the differential diagnosis of patients, even adults, with splenomegaly, trombocytopenia and a history of contact with dogs in endemic countries such as Turkey.

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