Uveitis secondary to leishmaniasis immune reconstitution syndrome in a HIV-positive patient

Int J STD AIDS. 2016 Jun;27(7):598-600. doi: 10.1177/0956462415588444. Epub 2015 May 22.

Abstract

We describe the case of a HIV-positive patient treated for visceral leishmaniasis who developed uveitis as part of a leishmaniasis immune reconstitution syndrome. Visceral leishmaniasis is increasingly found in HIV-positive adults. Its ophthalmic manifestations can range from relatively minor to complicated anterior uveitis, leading to secondary glaucoma and loss of vision. Clinicians caring for people living with HIV should be alert to the complications of leishmaniasis that can occur before and during treatment.

Keywords: AIDS; Europe; HAART; HIV; antifungal; opportunistic infection; treatment; visceral leishmaniasis.

MeSH terms

  • AIDS-Related Opportunistic Infections / complications*
  • Adult
  • Anti-HIV Agents / therapeutic use
  • Fever / etiology
  • HIV Infections / complications*
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy
  • Homosexuality, Male*
  • Humans
  • Immune Reconstitution Inflammatory Syndrome / complications*
  • Leishmania donovani / isolation & purification
  • Leishmaniasis, Visceral / complications*
  • Leishmaniasis, Visceral / diagnosis
  • Leishmaniasis, Visceral / drug therapy
  • Male
  • Splenomegaly / etiology
  • Treatment Outcome
  • Uveitis / diagnosis
  • Uveitis / drug therapy
  • Uveitis / etiology*

Substances

  • Anti-HIV Agents