Title : Piringer kuchinka’s lymphadenitis revealing visceral leishmaniasis in an immunocompetent: A case report
Abstract:
Background: Piringer Kuchinka’s lymphadenitis is a non-specific histological entity with multiple etiologies.
We present an atypical case of visceral leishmaniasis in immunocompetent adult.
A case report: 26-year-old male student in perfect health, living in an urban area, Presents a right inguinal adenopathy slightly painful on palpation. The other gonglioner areas are free, in particular hepatosplenic. Fine needle aspiration’s diagnostic suggests large B-cell lymphoma. The immunohistochemical profile of the excisional biopsy concluded with piringer Kuchinka's lymphadenitis. Multiple etiologies have been
evoked, refuted in front of negative assessments apart from visceral leishmaniasis, which is confirmed by a positive serology with the Western Blot, and a positive PCR on blood and marrow puncture slide. No immunodepression field is found. Treatment with liposomal amphotericin B 04 mg/kg /day for 5 days is received. Evolution is good
Conclusion: The molecular technique remains the cornerstone of the diagnosis of visceral leishmaniasis in
its atypical presentation.
