Case report: visceral leishmaniasis with Salmonella paratyphi and Brucella melitensis coinfection as a cause of persistent fever in a patient from Sudan

Sayda El Safi, Hussam Elshikh, Enaam El Sanousi, Nagwa El Amin, Alfarazdag Mohammed, Kristien Verdonck, Jan Jacobs, Marleen Boelaert, François Chappuis

Research output: Contribution to journalA1: Web of Science-article


We describe the case of a 12-year-old boy from Sudan who presented with fever of 1-week duration, headache, cough, and vomiting. A set of diagnostic tests led to the diagnosis of three infectious diseases: visceral leishmaniasis (probable diagnosis based on positive direct agglutination test), enteric fever (blood culture grown with Salmonella Paratyphi), and brucellosis (blood culture grown with Brucella melitensis). The patient received specific treatment of the three infections and recovered. This case illustrates the occurrence and possible implications of coinfections in patients with persistent fever, including conditions that are hard to diagnose in field settings, such as brucellosis and enteric fever.

Original languageEnglish
JournalAmerican Journal of Tropical Medicine and Hygiene
Issue number5
Pages (from-to)1150-1152
Publication statusPublished - 2018


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