Autochthonous Visceral Leishmaniasis in a Human Immunodeficiency Virus (HIV)-Infected Patient: The First in Thailand and Review of the Literature

Chusana Suankratay Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;Department of Medicine and Division of Research Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

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Gompol Suwanpimolkul Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;Department of Medicine and Division of Research Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

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Henry Wilde Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;Department of Medicine and Division of Research Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

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Padet Siriyasatien Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;Department of Medicine and Division of Research Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

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We report a case of visceral leishmaniasis in a human immunodeficiency virus (HIV)-infected 37-year-old Thai fisherman who presented with nephritonephrotic syndrome, fever, anemia, and thrombocytopenia. Bone marrow biopsy revealed many amastigotes within macrophages. Kidney biopsy showed membranoproliferative glomerulonephritis. Polymerase chain reaction (PCR) and nucleotide sequence analysis of the internal transcribed spacer 1 of the small subunit ribosomal RNA gene in blood and kidney biopsy specimens showed Leishmania species previously described in a Thai patient with visceral leishmaniasis. Only four autochthonous cases of leishmaniasis have been reported in Thailand since 1996. To the best of our knowledge, this is the first report of autochthonous visceral leishmaniasis in an HIV-infected Thai. With an increasing number of patients with autochthonous leishmaniasis in association with the presence of potential vector, it remains to be determined whether this vector-borne disease will become an emerging infectious disease in Thailand.

Author Notes

*Address correspondence to Chusana Suankratay, Division of Infectious Diseases, Department of Medicine, Chulalongkorn University Hospital, Bangkok, 10330, Thailand. E-mail: chusana.s@chula.ac.th

Disclaimer: All authors have no conflicts of interest to declare and all have actively contributed to this study and review.

Authors' addresses: Chusana Suankratay and Gompol Suwanpimolkul, Division of Infectious Diseases, Department of Medicine, Chulalongkorn University Hospital, Bangkok, Thailand, E-mail: chusana.s@chula.ac.th. Henry Wilde, Department of Medicine and Division of Research Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Padet Siriyasatien, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

  • 1.

    Desjeux P, 1996. Leishmaniasis: current situation and new perspectives. Comp Immunol Microbiol Infect Dis 27: 305– 318.

  • 2.

    Guerin PJ, Olliaro P, Sundar S, Boelaert M, Croft SL, Desjeux P, Wasunna MK, Bryceson AD, 2002. Visceral leishmaniasis: current status of control, diagnosis, and treatment, and a proposed research and development agenda. Lancet Infect Dis 2: 494–501.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Reithinger R, Dujardin JC, Louzir H, Pirmez C, Alexander B, Brooker S, 2007. Cutaneous leishmaniasis. Lancet Infect Dis 7: 581–596.

  • 4.

    Suttinont P, Thammanichanont C, Chantarakul N, 1987. Visceral leishmaniasis: a case report. Southeast Asian J Trop Med Public Health 18: 103–106.

  • 5.

    Viriyavejakul P, Viravan C, Riganti M, Punpoowong B, 1997. Imported cutaneous leishmaniasis in Thailand. Southeast Asian J Trop Med Public Health 28: 558–562.

  • 6.

    Thisyakorn U, Jongwutiwes S, Vanichsetakul P, Lertsapcharoen P, 1999. Visceral leishmaniasis: the first indigenous case report in Thailand. Trans R Soc Trop Med Hyg 93: 23–24.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Kongkaew W, Siriarayaporn P, Leelayoova S, Supparatpinyo K, Areechokchai D, Duang-ngern P, Chanachai K, Sukmee T, Samung Y, Sridurongkathum P, 2007. Autochthonous visceral leishmaniasis: a report of a second case in Thailand. Southeast Asian J Trop Med Public Health 38: 8–12.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Sukmee T, Siripattanapipong S, Mungthin M, Worapong J, Rangsin R, Samung Y, Kongkaew W, Bumrungsana K, Chanachai K, Apiwathanasorn C, Rujirojindakul P, Wattanasri S, Ungchusak K, Leelayoova S, 2008. A suspected new species of Leishmania, the causative agent of visceral leishmaniasis in a Thai patient. Int J Parasitol 38: 617–622.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Maharom P, Siripattanapipong S, Mungthin M, Naaglor T, Sukkawee R, Pudkorn R, Wattana W, Wanachiwanawin D, Areechokchai D, Leelayoova S, 2008. Visceral leishmaniasis caused by Leishmania infantum in Thailand. Southeast Asian J Trop Med Public Health 39: 988–990.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Apiwathnasorn C, Sucharit S, Rongsriyam Y, Leemingsawat S, Kerdpibule V, Deesin T, Surathin K, Vutikes S, Punavuthi N, 1989. A brief survey of phlebotomine sandflies in Thailand. Southeast Asian J Trop Med Public Health 20: 429–432.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Apiwathnasorn C, Sucharit S, Surathin K, Deesin T, 1993. Anthropophilic and zoophilic phlebotomine sand flies (Diptera: Psychodidae) from Thailand. J Am Mosq Control Assoc 9: 135–137.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Polseela R, Apiwathnasorn C, Samung Y, 2007. Seasonal variation of cave-dwelling phlebotomine sandflies (Diptera:Psychodidae) in Phra Phothisat Cave, Saraburi Province, Thailand. Southeast Asian J Trop Med Public Health 38: 1011–1015.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Le Fichoux Y, Quaranta JF, Aufeuvre JP, Lelievre A, Marty P, Suffia I, Rousseau D, Kubar J, 1999. Occurrence of Leishmania infantum parasitemia in asymptomatic blood donors living in an area of endemicity in southern France. J Clin Microbiol 37: 1953–1957.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Uliana SR, Nelson K, Beverley SM, Camargo EP, Floeter-Winter LM, 1994. Discrimination amongst Leishmania by polymerase chain reaction and hybridization with small subunit ribosomal DNA derived oligonucleotides. J Eukaryot Microbiol 41: 324–330.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Alex S, Criado C, Fernández-Guerrero ML, de Górgolas M, Petkov V, Garcia Perez A, Egido J, Barat A, Manzarbeitia F, Caramelo C, Ortiz A, 2008. Nephrotic syndrome complicating chronic visceral leishmaniasis: re-emergence in patients with AIDS. Clin Nephrol 70: 65–68.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Efstratiadis G, Boura E, Giamalis P, Mandala E, Leontsini M, Tsiaousis G, Memmos D, 2006. Renal involvement in a patient with visceral leishmaniasis. Nephrol Dial Transplant 21: 235–236.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Dutra M, Martinelli R, de Carvalho EM, Rodrigues LE, Brito E, Rocha H, 1985. Renal involvement in visceral leishmaniasis. Am J Kidney Dis 6: 22–27.

  • 18.

    Herwaldt BL, 1999. Leishmaniasis. Lancet 354: 1191–1199.

  • 19.

    Rodriguez-Bonfante C, Bonfante-Garrido R, Grimaldi G Jr, Momen H, Cupolillo E, 2003. Genotypically distinct Leishmania colombiensis isolates from Venezuela cause both cutaneous and visceral leishmaniasis in humans. Infect Genet Evol 3: 119–124.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Schallig HD, Schoone GJ, Kroon CC, Hailu A, Chappuis F, Veeken H, 2001. Development and application of ‘simple’ diagnostic tools for visceral leishmaniasis. Med Microbiol Immunol (Berl) 190: 69–71.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Abranches P, Campino L, Santos-Gomes GM, 1998. Canine leishmaniasis. New concepts of epidemiology and immunopathology: their impact in the control of human visceral leishmaniasis. Acta Med Port 11: 871–875.

    • PubMed
    • Search Google Scholar
    • Export Citation
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