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- Title
A case report of cutaneous leishmaniasis: a misleading clinical presentation.
- Authors
Vanlier, Corentine; Marot, Liliane; Laranaga, Eva; D'abadie, Philippe; Yombi, Jean-Cyr; Yildiz, Halil; Baeck, Marie
- Abstract
Background: The diagnosis of cutaneous leishmaniasis (CL) is often difficult because of the diversity of clinical presentations, its often-misleading appearance and the very long incubation period (time between the endemic stay and the onset of skin lesions). Case: We report the case of an otherwise healthy 67-year-old man who presented with inflammatory skin lesions on the scalp and face for the past 7 years. The lesions were first mistaken as cutaneous sarcoidosis, mycobacterial infection, and cutaneous lymphoma. Finally, the diagnosis was made by RT-PCR analysis on a punch-biopsy specimen, which was positive for Leishmania infantum. Discussion and conclusion: To date, the choice of treatment for complex cutaneous leishmaniases is based on the Leishmania species. Our patient successfully responded to liposomal amphotericin B.
- Subjects
LEISHMANIASIS diagnosis; AMPHOTERICIN B; BIOPSY; CUTANEOUS manifestations of general diseases; DIFFERENTIAL diagnosis; INFLAMMATION; LEISHMANIASIS; POLYMERASE chain reaction
- Publication
Infection, 2021, Vol 49, Issue 1, p177
- ISSN
0300-8126
- Publication type
Article
- DOI
10.1007/s15010-020-01517-1