Portal hypertension and reactive hemophagocytosis in pediatric visceral leishmaniasis

Authors

  • Suman Das BC Roy post graduate institute of Pediatric sciences, Kolkata
  • Nirmalya Sarkar Apollo Gleangles Hospital, Kolkata
  • Kaushani Chatterjee Calcutta Medical College, Kolkata
  • Bholanath Aich Behrampore Medical College, Behrampore
  • Mala Bhattacharya BC Roy post graduate institute of Pediatric sciences, Kolkata

DOI:

https://doi.org/10.3329/bjms.v14i4.25809

Keywords:

portal hypertension, chronic liver disease, haemophagocytosis, visceral Leishmaniasis, antimony stibogluconate

Abstract

A 10 year old boy suffering from prolonged low grade fever, progressive pallor, one episode of haematemesis and melaena, was found to have hepatospenomegaly, features of portal hypertension on abdominal ultrasound, and grade II varices in upper gastrointestinal endoscopy. During hospital stay for diagnostic workup, he developed features of hepatic failure and pancytopenia. Bone marrow aspirate revealed hemophagocytosis and plenty of Leishman-Donovan bodies. The child received Injection Sodium Stibogluconate to treat leishmaniasis and received supportive therapy for hepatic failure and pancytopenia. The child responded well to treatment.

Bangladesh Journal of Medical Science Vol.14(4) 2015 p.409-412

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Author Biographies

Suman Das, BC Roy post graduate institute of Pediatric sciences, Kolkata

Department of Pediatrics

Nirmalya Sarkar, Apollo Gleangles Hospital, Kolkata

Department of Pediatrics

Kaushani Chatterjee, Calcutta Medical College, Kolkata

Department of Pediatrics

Bholanath Aich, Behrampore Medical College, Behrampore

Department of Pediatrics

Mala Bhattacharya, BC Roy post graduate institute of Pediatric sciences, Kolkata

Department of Pediatrics

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Published

2015-12-11

How to Cite

Das, S., Sarkar, N., Chatterjee, K., Aich, B., & Bhattacharya, M. (2015). Portal hypertension and reactive hemophagocytosis in pediatric visceral leishmaniasis. Bangladesh Journal of Medical Science, 14(4), 409–412. https://doi.org/10.3329/bjms.v14i4.25809

Issue

Vol. 14 No. 4 (2015)

Section

Case Reports

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