Tumor-like lesion due to Chagas' disease in a patient with lymphocytic leukemia.

Abstract:

:A 73 year-old white male, living in the interior of the state of Mato Grosso do Sul, in central Brazil, after an initial diagnosis of sinusitis was transferred to the neurology service with a 3-day evolution of intracranial hypertension. Exams showed lymphocytic leukemia and a tumor-like lesion, either an expanding inflammatory process such as an abscess or a neoplasm. Treatment with Ceftriaxone and Decadron was started and intracranial hypertension was controlled. Methotrexate was injected on the occasion of the next puncture considering a possible leukemia infiltration. Flagellate forms of T. cruzi were observed in the CSF and treatment with Benznidazole was started. After 4 days the CSF presented fractionated forms of trypomastigotes. The protein level was 27%. Signs of intracranial hypertension ceased. Tomography and magnetic resonance images showed an important reduction of the tumor-like lesion. The clinical condition of the patient improved.

authors

Salgado PR,Gorski AG,Aleixo AR,de Barros EO

doi

10.1590/s0036-46651996000400008

subject

Has Abstract

pub_date

1996-07-01 00:00:00

pages

285-8

issue

4

eissn

0036-4665

issn

1678-9946

journal_volume

38

pub_type

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