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Title	Ocular leishmaniasis and HIV a case report
Abstract Nr.	139

Purpose	To report a case of ocular leishmaniasis treated with combined amfotericine B and glucanthime R (meglumine antimoniate).
Methods	A 39- year- old man from Burkina-Fasso known with HIV and cutaneous Leishmaniasis major treated with HAART and amfotericine B presented with a conjunctival red coloured swelling in both eyes since 10 days. Visual acuity was 20/20 in both eyes. There was no corneal involvement and the rest of the ocular examination was within the normal limits. A biopsy revealed a dense inflammatory infiltration of lymphocytes, plasma cells and neutrophils. Many of these inflammatory cells contained typical amastigotes of Leishmania in their cytosols. No malignancy was noticed.
Results	Systemic treatment with combined amfotericine B and glucanthimeR led to improvement of the cutaneous lesions and healing of the conjunctival lesions. Also treated with HAART-therapy Viread 245 mg 1x/dag ,Emtriva 200 mg 1x/dag, Stocrin 600 mg 1x/dag.
Conclusion	Ocular leishmaniasis is a rare and potentially blinding disorder. Combined amfotericine B and glucanthime turned out to be an effective therapy in this particular case.

Author 1

Last name	VAN GRASDORFF
Initials	S
Department	University Hospital
City	Antwerp

Author 2

Last name	De Keizer
Initials	R
Department	University Hospital
City	Antwerp

Author 3

Last name	De Groot
Initials	V
Department	University Hospital
City	Antwerp