Acute Fulminant Granulomatosis Infection in an Immunocompetent Person: Case Report

Document Type : Case Report

Authors

1 َAssistan Professor, Department of Infectious Diseases and Tropical Medicine, School of Medicine AND Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Department of Infectious Diseases and Tropical Medicine, School of Medicine AND Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

3 Resident, Department of Internal Medicine, School of Medicine, Yasouj University of Medical Sciences, Yasouj, Iran

4 Resident, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Balantidiasis is a disease can be manifested with acute clinical presentations which mimic lymphoma. In this article, we have been reported balantidiasis in a young immunocompetent person suspicious to lymphoma. This may be the first reported case of balantidiasis in an immunocompetent person in Iran.Case Report: In an 18-years-old man, the disease was initiated with abdominal pain and weight loss. His abdominal pain was associated with fever, chills, dysentery and tenesmus. Bone marrow aspiration and biopsy was done with suspicion to lymphoma. There was not any presentation of malignancy in his aspiration and biopsy. With these findings, he became candidate for diagnostic laparatomy and biopsy of affected tissues. Balantidiasis was considered according to the pathologic report of parasitic granulomatosis infection and his dramatic response to doxycycline.Conclusion: This case, and the same, previously reported cases, suggest that parasitic granulomatosis infection-like balantidiasis should be considered as other differential diagnosis particularly in patients with complaint of fever, hepatosplenomegaly, weight loss and lymphadenopathy.

Keywords

References

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Journal of Isfahan Medical School
Volume 31, Issue 243 - Serial Number 243
May and June 2013
Pages 1033-1037

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History

  • Receive Date: 01 November 2012
  • Revise Date: 27 May 2024
  • Accept Date: 06 April 2022

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