Acute kidney injury as initial presentation of visceral leishmaniasis in a young patient- A case report

• DOI: 10.1016/j.amsu.2022.103821
• Publication Date: 2022-05-18T01:58:35Z
• Authors: Abdirashid Hashi ...; Ahmed Muhammad Ba...
• Keywords: Hepatosplenomegaly; Sodium stibogluconate; Acute abdomen; Petechial rash; Rare disease

Introduction: Visceral leishmaniasis is endemic in Somalia and East Africa at large. Clinically, patients present with recurrent fever, weight loss, hepatosplenomegaly pancytopenia. Sometimes, low resource countries no properly functioning primary healthcare facilities may complications. Case presentation: Here, we report a case of 19 years old male patient who presented impaired renal function. After diagnosing VL starting Sodium Stibogluconate, developed acute pancreatitis, that compelled us to shift liposomal amphotericin B, which he responded well finally was discharged within good condition. Clinical discussion: Early diagnosis proper treatment necessary restore the Conclusion: This elaborates some clinical presentations VL, complications encouraging physicians areas keep into their list differential fever hepatosplenomegaly. HIGHLIGHTS presentation dependents on both infecting species Leishmania host's immune response. Persistent splenomegaly pancytopenia are chief characteristicsof visceral leishmaniasis. Renal involvement well-known can as or chronic insufficiency. Although, sodium stibogluconate paromomycin considered safe, pancreatitis one side effects develop during our patient.