Abstract

doi:10.5152/tjh.2010.36 We report the case of Leishman-Donovan (LD) bodies in the bone marrow biopsy of an Iraqi adult male with acquired immunodeficiency syndrome (AIDS). The patient was working in a United States military camp in Baghdad, Iraq. He was diagnosed as having human immunodeficiency virus (HIV) infection within only a few days of diagnosis of visceral leishmaniasis (kala-azar). Visceral leishmaniasis is one of the opportunistic infections in AIDS patients. The interesting point of this case is that the finding of LD bodies in the bone marrow biopsy is rare. In this case, the bone marrow aspirate was diluted, and this caused us to miss the diagnosis of visceral leishmaniasis. However, when we examined the biopsy slides, the diagnosis was clear. A

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