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. 1977 Nov;33(5):607–610.

Morphology of the spleen and lymph nodes in fatal visceral leishmaniasis.

B Veress, A Omer, A A Satir, A M El Hassan
PMCID: PMC1445510  PMID: 590992

Abstract

Histological appearances of the spleen and lymph nodes were analysed in twenty fatal cases of human visceral leishmaniasis from Sudan. Marked atrophy of the splenic white pulp was associated with necrosis and fibrosis of thymus-dependent area, accumulation of parasite-containing histiocytes and plasma cell hyperplasia. Depletion of small lymphocytes in the paracortical areas of the lymph nodes was accomplained by proliferation of plasma cells and histiocytes in the paracortex. Depletion of small lymphocytes in thymus-dependent regions of lymph nodes and spleen is viewed as arising from immune suppression associated with antigen overloading or other factors, which may impair those aspects of lymphocyte-macrophage cooperation that are presumably necessary to kill the invading parasites.

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Selected References

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  1. Bray R. S. Leishmaniasis in the Old World. Br Med Bull. 1972 Jan;28(1):39–43. doi: 10.1093/oxfordjournals.bmb.a070891. [DOI] [PubMed] [Google Scholar]
  2. Bryceson A. D., Bray R. S., Wolstencroft R. A., Dumonde D. C. Immunity in cutaneous leishmaniasis of the guinea-pig. Clin Exp Immunol. 1970 Sep;7(3):301–341. [PMC free article] [PubMed] [Google Scholar]
  3. Bryceson A. D. Diffuse cutaneous leishmaniasis in Ethiopia. 3. Immunological studies. IV. Pathogenesis of diffuse cutaneous leishmaniasis. Trans R Soc Trop Med Hyg. 1970;64(3):380–393. doi: 10.1016/0035-9203(70)90174-4. [DOI] [PubMed] [Google Scholar]
  4. Bryceson A. D. Diffuse cutaneous leishmaniasis in Ethiopia. I. The clinical and histological features of the disease. Trans R Soc Trop Med Hyg. 1969;63(6):708–737. doi: 10.1016/0035-9203(69)90116-3. [DOI] [PubMed] [Google Scholar]
  5. Bryceson A. D., Turk J. L. The effect of prolonged treatment with antilymphocyte serum on the course of infections with BCG and Leishmania enriettii in the guinea-pig. J Pathol. 1971 Jul;104(3):153–165. doi: 10.1002/path.1711040302. [DOI] [PubMed] [Google Scholar]
  6. Carrada-Bravo T. New observations on the epidemiology and pathogenesis of sporotrichosis. Ann Trop Med Parasitol. 1975 Sep;69(3):267–273. doi: 10.1080/00034983.1975.11687010. [DOI] [PubMed] [Google Scholar]
  7. Cooper J. H., Haq B. M., Bagnell H. Intrafollicular hyalinosis and arterial hyalinosis of the spleen: histochemical and immunofluorescence studies. J Pathol. 1969 Jul;98(3):193–199. doi: 10.1002/path.1710980306. [DOI] [PubMed] [Google Scholar]
  8. Farah F. S., Samra S. A., Nuwayri-Salti N. The role of the macrophage in cutaneous leishmaniasis. Immunology. 1975 Oct;29(4):755–764. [PMC free article] [PubMed] [Google Scholar]
  9. Hard R. C., Jr Correlation of immunological function with splenic histopathology during the preclinical stages of host-versus-graft syndrome in parent-F1 mouse chimeral. Transplantation. 1974 Jun;17(6):613–623. doi: 10.1097/00007890-197406000-00011. [DOI] [PubMed] [Google Scholar]
  10. Haugen O. A., Skjorten F., Closs O. Experimental murine leprosy. 8. Ultrastructural features of the inflammatory exudate and bacterial morphology in C3H and C57BL mice after foot-pad inoculation with Mycobacterium lepraemurium. Acta Pathol Microbiol Scand A. 1975 Nov;83(6):693–703. [PubMed] [Google Scholar]
  11. Heyneman D. Immunology of leishmaniasis. Bull World Health Organ. 1971;44(4):499–514. [PMC free article] [PubMed] [Google Scholar]
  12. Horwitz D. A., Cousar J. B. A relationship between impaired cellular immunity humoral suppression of lymphocyte function and severity of systemic lupus erythematosus. Am J Med. 1975 Jun;58(6):829–835. doi: 10.1016/0002-9343(75)90639-7. [DOI] [PubMed] [Google Scholar]
  13. Keller R., Keist R. Protective immunity to Nippostrongylus brasiliensis in the rat. Central role of the lymphocyte in worm expulsion. Immunology. 1972 May;22(5):767–773. [PMC free article] [PubMed] [Google Scholar]
  14. Krupp I. M. Protective immunity to amebic infection demonstrated in guinea pigs. Am J Trop Med Hyg. 1974 May;23(3):355–360. doi: 10.4269/ajtmh.1974.23.355. [DOI] [PubMed] [Google Scholar]
  15. Levene G. M., Turk J. L., Wright D. J., Grimble A. G. Reduced lymphocyte transformation due to a plasma factor in patients with active syphilis. Lancet. 1969 Aug 2;2(7614):246–247. doi: 10.1016/s0140-6736(69)90010-5. [DOI] [PubMed] [Google Scholar]
  16. MANSON-BAHR P. E. East African kalazar with special reference to the pathology, prophylaxis and treatment. Trans R Soc Trop Med Hyg. 1959 Mar;53(2):123–137. doi: 10.1016/0035-9203(59)90060-4. [DOI] [PubMed] [Google Scholar]
  17. MANSON-BAHR P. E. Immunity in kala-azar. Trans R Soc Trop Med Hyg. 1961 Nov;55:550–555. doi: 10.1016/0035-9203(61)90078-5. [DOI] [PubMed] [Google Scholar]
  18. Meleney H. E. The Histopathology of Kala-Azar in the Hamster, Monkey, and Man. Am J Pathol. 1925 Mar;1(2):147–168.11. [PMC free article] [PubMed] [Google Scholar]
  19. Ptak W., Gaugas J. M., Rees R. J., Allison A. C. Immune responses in mice with murine leprosy. Clin Exp Immunol. 1970 Jan;6(1):117–124. [PMC free article] [PubMed] [Google Scholar]
  20. Purtilo D. T., Meyers W. M., Connor D. H. Fatal strongyloidiasis in immunosuppressed patients. Am J Med. 1974 Apr;56(4):488–493. doi: 10.1016/0002-9343(74)90481-1. [DOI] [PubMed] [Google Scholar]
  21. Romhányi G. Selective differentiation between amyloid and connective tissue structures based on the collagen specific topo-optical staining reaction with congo red. Virchows Arch A Pathol Pathol Anat. 1971;354(3):209–222. doi: 10.1007/BF00544254. [DOI] [PubMed] [Google Scholar]
  22. Turk J. L. Cell-mediated immunological processes in leprosy. Bull World Health Organ. 1969;41(6):779–792. doi: 10.5935/0305-7518.19700030. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Turk J. L. Contribution of modern immunological concepts to an understanding of diseases of the skin. Br Med J. 1970 Aug 15;3(5719):363–368. doi: 10.1136/bmj.3.5719.363. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Turk J. L., Waters M. F. Immunological basis for depression of cellular immunity and the delayed allergic response in patients with lepromatous leprosy. Lancet. 1968 Aug 24;2(7565):436–438. doi: 10.1016/s0140-6736(68)90472-8. [DOI] [PubMed] [Google Scholar]
  25. Turk J. L., Waters M. F. Immunological significance of changes in lymph nodes across the leprosy spectrum. Clin Exp Immunol. 1971 Mar;8(3):363–376. [PMC free article] [PubMed] [Google Scholar]
  26. Veress B., Malik M. O., Satir A. A., el Hassan A. M. Morphological observations on visceral leishmaniasis in the Sudan. Trop Geogr Med. 1974 Jun;26(2):198–203. [PubMed] [Google Scholar]
  27. Watson S. R., Sljivić V. S., Brown I. N. Defect of macrophage function in the antibody response to sheep erythrocytes in systemic Mycobacterium lepraemurium infection. Nature. 1975 Jul 17;256(5514):206–208. doi: 10.1038/256206b0. [DOI] [PubMed] [Google Scholar]
  28. Woodruff A. W. Recent work on anaemias in the tropics. Br Med Bull. 1972 Jan;28(1):92–95. doi: 10.1093/oxfordjournals.bmb.a070900. [DOI] [PubMed] [Google Scholar]
  29. van Rooijen N. Immune complexes in the spleen. The difference between competitive inhibition of immune complex trapping in spleen follicles and inhibition by paratyphoid vaccine. Immunology. 1975 Jun;28(6):1155–1163. [PMC free article] [PubMed] [Google Scholar]
  30. van Rooijen N. Mechanism of follicular antigen trapping. Migration of antigen-antibody complexes from marginal zone towards follicle centres. Immunology. 1973 Nov;25(5):847–852. [PMC free article] [PubMed] [Google Scholar]

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