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A Case of Cutaneous Leishmaniasis with Mucosal Involvement in the Northern United States.
- Source :
-
The Journal of emergency medicine [J Emerg Med] 2024 Jun; Vol. 66 (6), pp. e690-e693. Date of Electronic Publication: 2024 Jan 26. - Publication Year :
- 2024
-
Abstract
- Background: Cutaneous leishmaniasis (CL) is a vector-borne parasitic infection endemic to many sub-tropical regions worldwide. In the Americas, Leishmania braziliensis is responsible for most reported CL cases. Variable symptom presentation and susceptibility to secondary infection make diagnosing CL a difficult proposition for physicians who may not encounter cases frequently.<br />Case Report: We present the case of a 50-year-old man with multiple progressive lesions, diagnosed initially as a bacterial infection, who presented to a North American emergency department after several unsuccessful trials of antibiotic therapy. Eventually, polymerase chain reaction testing of a wound biopsy sample confirmed the presence of L. braziliensis. After a complicated course, the patient's infection resolved after tailored antiparasitic therapy. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case highlights the need to include travel history in the evaluation of atypical dermatologic infections.<br />Competing Interests: Declaration of competing interest None.<br /> (Copyright © 2024 Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 0736-4679
- Volume :
- 66
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The Journal of emergency medicine
- Publication Type :
- Academic Journal
- Accession number :
- 38772754
- Full Text :
- https://doi.org/10.1016/j.jemermed.2024.01.015