SIMULTANEOUS INTESTINAL LEISHMANIASIS AND MYCOBACTERIAL INVOLVEMENT IN A PATIENT WITH ACQUIRED-IMMUNE-DEFICIENCY-SYNDROME

Gastrointestinal involvement is reported in approximately 50% to 93% o f patients with human immunodeficiency virus. It is frequently the res ult of coinfection with several microoganisms. Selective Leishmania in testinal involvement presents with atypical symptoms for visceral leis hmaniasis, and may appear as a relapse or as the first manifestation o f the disease. The authors present a patient with acquired immune defi ciency syndrome who has a history of treated leishmaniasis and gastroi ntestinal infection by showed Mycobacterium avium intracellulare (MAI) . After the new onset of abdominal pain, an intestinal biopsy showed t he presence of both MAI and Leishmania in duodenum. Intestinal infecti on by Leishmania must be included in the differential diagnosis in pat ients with a previous history of leishmaniasis or travel to an endemic area.