Leishmaniasis Panamensis Masquerading as Myiasis and Sporotrichosis: A Clinical PitfallReportar como inadecuado




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Case Reports in Pathology - Volume 2015 2015, Article ID 949670, 3 pages -

Case Report

Department of Dermatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA

Division of General Pediatrics, Children’s Hospital Los Angeles, Los Angeles, CA 90027, USA

Received 21 June 2015; Accepted 18 August 2015

Academic Editor: Sei-ichiro Motegi

Copyright © 2015 Peter G. Pavlidakey et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of cutaneous leishmaniasis panamensis in nonendemic Costa Rica. A 19-year-old female presented with nonhealing, unilateral eruption of erythematous papules with superficial central ulceration in a sporotrichoid pattern on right upper arm and back. Given the clinical picture and geographic locale, the patient was initially diagnosed with myiasis or human botfly infestation; however, the sporotrichoid pattern of the bites is an unlikely finding in myiasis. Peripheral blood smear, Giemsa stain, and polymerase chain reaction PCR were consistent for Leishmania spp. Ulceration resolved with 20-day course of IV sodium stibogluconate.





Autor: Peter G. Pavlidakey, Thy Huynh, Kristopher Michael McKay, and Naveed Sami

Fuente: https://www.hindawi.com/



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