General
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• Parasites may continue in lymph nodes after clinical cure (J Infect 2003;47:77)

Case reports
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• 8 year old boy with atypical presentation with hepatitis and adenopathy in disseminated disease (Trans R Soc Trop Med Hyg 2006;100:79)

Micro description
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• Granulomas with abundant plasma cells, focal fibrosis, variable necrosis, leishmanian amastigotes (by immunostain, Am J Clin Pathol 1994;102:11)

Micro images
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Adrenal gland

Liver

Small bowel

Site unknown

Cytology description
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• Polymorphous lymphocytes, histiocytes, plasma cells, giant cells and tingible body macrophages
• Amastigote forms within histiocytes and multinucleated giant cells and extracellularly (Acta Cytol 2005;49:286)

Electron microscopy images
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Amastigote of Leishmania

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