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British Journal of Radiology (2005) 78, 158-160
© 2005 British Institute of Radiology
doi: 10.1259/bjr/33263789
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Case report

Visceral leishmaniasis: diagnosis by ultrasound-guided fine needle aspiration of an axillary node

M Reus, MD, PhD 1 B García, MD, PhD 2 V Vázquez, MD 1 D Morales, MD 1 M Fuster, MD 1 and J Sola, MD 3

Departments of 1 Radiology, 2 Internal Medicine and 3 Cytology, Hospital Universitario "Virgen de la Arrixaca", 30120 El Palmar (Murcia), Spain

A 77-year-old woman presented with fever up to 39°C and acute pain in the left upper quadrant and renal fossa. Full blood count and biochemical screen revealed a haemoglobin (Hb) of 9.8 g dl–1, an increased erythrocyte sedimentation rate and an elevated lactate dehydrogenase, all other parameters were normal. Thoracic and abdominal CT demonstrated two enlarged lymph nodes in the left axilla, and splenic infarcts. Ultrasound-guided fine needle aspiration of one of the axillary lymph nodes revealed macrophages filled with leishmanias.






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