PMC7198908_01
Evolution of CD4 count, spleen size, and Leishmania parasite grade during 7 visceral leishmaniasis (VL) relapses in an HIV co-infected patient. A = L-AmpB; A/M = A and M in combination therapy; A, SSG = first treatment course of L-AmpB followed by treatment with SSG; L-AmpB = liposomal amphotericin B; M = miltefosine; P = pentamidine; PM = paromomycin; SSG = sodium stiboglucinate. The arrow denotes use of antiretroviral treatment (ART).
gr1.jpg
PMC7198908_01_gr1.jpg
fig0001
After receiving 2 months of SSG treatment, he showed clinical improvement (eg, weight gain and spleen regression), the CD4 count increased to 116 cells/microL, there were no parasites in his bone marrow aspiration (spleen was not palpable) (see Figure 1).