{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:51:26Z","timestamp":1792191086096,"version":"4.4.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T00:00:00Z","timestamp":1748044800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>\n                    Leishmaniasis, the third most common parasitic infection in persons living with HIV, typically presents in cutaneous, mucocutaneous, or visceral forms. This case report describes a 24-year-old male with advanced HIV\/AIDS (CD4+ count 3 cells\/mm\n                    <jats:sup>3<\/jats:sup>\n                    ) who presented with neurological deterioration due to cerebral toxoplasmosis. During hospitalization, he developed atypical genital ulcers and persistent pancytopenia. Bone marrow examination revealed amastigotes consistent with\n                    <jats:italic>Leishmania<\/jats:italic>\n                    spp., indicating concurrent visceral and mucocutaneous leishmaniasis. Treatment with liposomal amphotericin B followed by miltefosine resulted in clinical improvement of the genital ulcers. This case highlights the atypical presentation of leishmaniasis in a patient living with HIV, deviating from classic descriptions and underscoring the diagnostic challenges. The presence of\n                    <jats:italic>Leishmania<\/jats:italic>\n                    amastigotes in the bone marrow, coupled with unusual cutaneous manifestations, emphasizes the need for a high index of suspicion for opportunistic infections in patients living with HIV\/AIDS with unexplained findings, even without a history of travel to endemic areas. Timely diagnosis through bone marrow examination and appropriate multi-drug therapy are crucial for managing such complex co-infections.\n                  <\/jats:p>","DOI":"10.1177\/09564624251346029","type":"journal-article","created":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T09:40:59Z","timestamp":1748079659000},"page":"734-737","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Visceral and cutaneous leishmaniasis in a person living with HIV"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9756-0834","authenticated-orcid":false,"given":"Nicolas","family":"Laverde-Sudupe","sequence":"first","affiliation":[{"name":"Pontificia Universidad Javeriana de Cali, Cali, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3310-8718","authenticated-orcid":false,"given":"Angela Lizeth","family":"Giraldo-Serna","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Javeriana de Cali, Cali, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2950-2273","authenticated-orcid":false,"given":"Mariana","family":"Vasquez-Amaya","sequence":"additional","affiliation":[{"name":"Departamento De Medicina Familiar, Programa De Especializacion En Geriatria, Universidad Del Valle, Cali, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6319-9884","authenticated-orcid":false,"given":"Fabi\u00e1n","family":"Carrera-Pati\u00f1o","sequence":"additional","affiliation":[{"name":"Hospital Universitario Del Valle Evaristo Garc\u00eda E.S.E., Cali, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,24]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2012.03.005"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2004.02518.x"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/labmed\/lmac134"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2012.03.001"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2008.08908.x"},{"key":"e_1_3_4_7_2","volume-title":"Informe de evento Leishmaniasis, Colombia, 2022","author":"Instituto Nacional de Salud de Colombia","year":"2023","unstructured":"Instituto Nacional de Salud de Colombia. Informe de evento Leishmaniasis, Colombia, 2022. Bogot\u00e1, Colombia: Instituto Nacional de Salud, 2023."},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-46652013000600004"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2023.1261074"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-28139-5"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-021-06691-7"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2021.669723"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/mph.0b013e31803076a8"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199816000-00009"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjid.2018.03.001"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.2147\/HIV.S143929"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624251346029","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624251346029","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624251346029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:46:40Z","timestamp":1777675600000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624251346029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,24]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/09564624251346029"],"URL":"https:\/\/doi.org\/10.1177\/09564624251346029","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,24]]}}}