We report a refractory and relapsed visceral leishmaniasis case in a child male patient followed from 2016 to 2020, whose clinical isolates from multiple relapses were analyzed at genome level. To the best of our knowledge, it is the first report that both visceral leishmaniasis and non-ulcerated cutaneous leishmaniasis have concomitantly manifested in the same patient. Importantly, sequence analysis revealed that the patient was co-infected with Leishmania infantum and a Crithidia-related parasite, which was previously found in a fatal case of visceral leishmaniasis from the same endemic region.
|Journal||International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases|
|Publication status||Accepted/In press - 9 May 2023|