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Additionally, the patient had chronic anemia (9.4\u00a0g\/dl), lymphopenia and neutrophilia (lymphocytes 13.1%, neutrophils 84.4%), and co\u2010infections by fungi (yeasts and hyphae) and Gram\u2010negative bacteria (multidrug\u2010resistant <jats:italic>Proteus mirabilis<\/jats:italic> and <jats:italic>Escherichia coli<\/jats:italic>) leading to sepsis and subsequent death of the patient.<\/jats:p>","DOI":"10.1002\/ccr3.6220","type":"journal-article","created":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T01:51:10Z","timestamp":1660528270000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Severe mucosal leishmaniasis with torpid and fatal evolution"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6910-9341","authenticated-orcid":false,"given":"Jes\u00fas Rojas","family":"Jaimes","sequence":"first","affiliation":[{"name":"Faculty of Health Universidad Privada del Norte  Lima Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,8,14]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"37","article-title":"Current approaches to leishmaniasis","volume":"16","author":"Lee M","year":"1999","journal-title":"Infect Med"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1086\/524042"},{"key":"e_1_2_12_4_1","first-page":"143","volume-title":"Diseases of the tropics New York 1951","author":"Shattuck G","year":"1951"},{"issue":"35","key":"e_1_2_12_5_1","first-page":"1939","article-title":"La leishmaniose Americanie et les leshmanioses en Amerique","volume":"22","author":"Escomel E","year":"1939","journal-title":"Bull Soc Path Exot"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(52)90072-7"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.7705\/biomedica.v29i1.35"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.1997.00188.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X1994000800014"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.17-0831"},{"key":"e_1_2_12_11_1","unstructured":"World Health Organization [WHO].2017.\u201cMalnutrition\u201d. 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