Abstract
Leishmaniasis may cause visceral, cutaneous and/or mucocutaneous diseases. Cutaneous and mucocutaneous forms are caused by a single celled parasite transmitted by sand fly bites. Although the cutaneous form of the disease is often self-limiting, it results in significant scarring and can spread to more invasive, mucocutaneous disease. Therefore, treatment may be considered to prevent these complications. We describe a case report of cutaneous leishmaniasis contracted in a healthy man in Italy (Emilian Apennines). This cutaneous ulcer healed only with intralesional injection of meglumine antimoniate. After about 18 and 30 months a scar area is still present and no satellite lesion appeared. We have had no side effects or complications due to therapy.
Highlights
Leishmaniasis comprises a number of diseases of the viscera, skin and/or mucous membranes.This disease is transmitted by several genera and species of sand flies.Three major clinical forms of leishmaniasis are recognized: a systemic leishmaniasis caused by L. donovani, the old world cutaneous leishmaniasis caused by L. major, L. tropica and L. aethiopica and the new world or american leishmaniasis caused by L. mexicana and L. braziliensis
We describe a case report of cutaneous leishmaniasis contracted in a healthy man in Italy (Emilian Apennines)
The isolated sand fly bites that occurring frequently during summer does not transmit a parasitic loads that cause lesions; this patient has a very clear and sensible skin to mosquito bites that may have favored this massive attack by sand flies
Summary
Leishmaniasis comprises a number of diseases of the viscera, skin and/or mucous membranes.This disease is transmitted by several genera and species of sand flies.Three major clinical forms of leishmaniasis are recognized: a systemic leishmaniasis caused by L. donovani, the old world cutaneous leishmaniasis caused by L. major, L. tropica and L. aethiopica and the new world or american leishmaniasis caused by L. mexicana and L. braziliensis. This cutaneous ulcer healed only with intralesional injection of meglumine antimoniate. Leishmania tropica causes self-limiting skin ulcers in which the parasites are found within macrophages at the edge of the lesion.
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