Managing two decades of visceral leishmaniasis and HIV co-infection: a case report that illustrates the urgent research needs in the field
Melissa L. Kelly A E , Angie N. Pinto A B , Dan Suan A , Debbie Marriott A , David A. Cooper A B and Sarah L. Pett A B C DA HIV, Immunology & Infectious Diseases Service, St Vincent’s Hospital, 390 Victoria Street, Darlinghurst, NSW 2010, Australia.
B Kirby Institute, University of NSW, High Street, Kensington, NSW 2052, Australia.
C MRC CTU at UCL, University College London, London, WC2B 6NH, UK.
D Clinical Research Group, Infection and Population Health, UCL, London, WC1E 6JB, UK.
E Corresponding author. Email: Melissa_kelly_@hotmail.com
Sexual Health 14(3) 286-288 https://doi.org/10.1071/SH16036
Submitted: 3 March 2016 Accepted: 16 November 2016 Published: 9 January 2017
Abstract
Visceral leishmaniasis and HIV co-infection presents diagnostic, monitoring and treatment challenges. This is a report of a co-infected patient who developed multiple complications and treatment side-effects, including renal and liver failure, pancytopenia with recurrent sepsis, along with anal cancer, depression and poor quality-of-life spanning over two decades. Urgent research specific to this cohort is needed.
Additional keywords: Kala-azar, opportunistic infection.
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