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Neurological involvement in visceral leishmaniasis: case report

2010; Brazilian Society of Tropical Medicine; Volume: 43; Issue: 6 Linguagem: Inglês

10.1590/s0037-86822010000600031

1678-9849

Lílian Martins Oliveira Diniz, Helena Duani, Camila Rodrigues Freitas, Rosângela Maria de Figueiredo, Christovão Castro Xavier,

Trypanosoma species research and implications

Visceral leishmaniasis is a severe and potentially fatal vector-borne disease. The most typical symptoms are fever, hepatosplenomegaly, weight loss, bleeding and bacterial infections. Neurological changes are rarely reported. This paper describes a child who presented with neurological signs as the first symptoms of leishmaniasis; tone was diminished and tremors in the extremities were observed. A diagnosis of visceral leishmaniasis was confirmed by parasite detection in the bone marrow. Symptoms were reversed by specific treatment. The nature of a possible mechanism of neurological involvement in visceral leishmaniasis remains unexplained.