A case report of cutaneous leishmaniasis: a misleading clinical presentation.

Vanlier, Corentine;Marot, Lilianne;Laranaga, Eva;D'Abadie, Philippe;Baeck, Marie;et.al.
(2021) Infection : journal of infectious disease — Vol. 49, n° 1, p. 177-180 (2021)

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(en) 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.
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Vanlier, C., Marot, L., Laranaga, E., D’Abadie, P., Yombi, J. C., Yildiz, H., & Baeck, M. (2021). A case report of cutaneous leishmaniasis: a misleading clinical presentation. Infection : journal of infectious disease, 49(1), 177-180. https://doi.org/10.1007/s15010-020-01517-1 (Original work published 2021)