Visceral leishmaniasis is an infectious disease that occurs only rarely in recipients of solid organ grafts but is associated with an elevated mortality rate despite proper treatment. We report five cases diagnosed in our hospital. All the patients were men aged 30 to 60 years who had undergone kidney transplantation (3 patients), heart transplantation (1), or liver transplantation (1). Three of the patients died, one had multiple recurrences, and one developed post-kala-azar cutaneous leishmaniasis. We review the clinical features, treatments, and outcomes of 26 previously reported cases, pointing out the lower cure rate associated with human immunodeficiency virus infection.
Caballerolecythus ibunami n. gen., n. sp. is described from the intestine of 2 species of rodents (Liomys irroratus [Gray, 1868] and Peromyscus difficilis [Allen, 1891]) from Piñonal, El Carmen Tequexquitla, Tlaxcala state, Mexico. These specimens represent a new genus and a new species of Dicrocoeliinae by possession of an extremely short ceca (ending at equatorial level of ovary); vitelline follicles that begin posterior to these structures, without overlapping; and a body that is long and slender (length/width ratio 1:17-21). To the best of our knowledge, this combination of characters has not been reported in other genera of this subfamily (Athesmia Looss, 1899; Unilaterilecithum Oshmarin in Skrjabin and Evranova, 1952; and Pseudathesmia Travassos, 1942).
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