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Visceral leishmaniasis in a patient with diabetes mellitus type 2 and discrete bicytopenia.

Verena Schwetz, Christian Trummer, Claudia Friedl, Christine Beham-Schmid, Roman Kulnik, Albert Wölfler, Karl Horvath, Stefanie Wunsch, Jürgen Prattes, Ines Zollner-Schwetz, Thomas R Pieber, Julia K Mader, Robert Krause
Clinical Case Reports 2018 January
An Austrian patient with diabetes mellitus type 2 developed visceral leishmaniasis after trips to Spain and Crete, presenting with slight bicytopenia, later developing severe pancytopenia. Travel history taking is important due to an extended incubation period. Coexistence of diabetes mellitus can impair T lymphocyte function and cause higher relapse rates.

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