American cutaneous leishmaniasis triggered by electrocoagulation

Abstract

Cutaneous leishmaniasis is usually transmitted by infected phlebotomine sand fly bites that initiate local cutaneous lesions. Few reports in the literature describe other modes of transmission. We report a case of a previously healthy 59-year-old woman who underwent electrocoagulation to remove seborrheic keratosis confirmed by dermatoscopy. Three months later, a skin fragment tested positive for Leishmania culture; the parasite was identified as L. (V.) braziliensis. Trauma may generate inflammatory cascades that favor Leishmania growth and lesion formation in previously infected patients. American cutaneous leishmaniasis is a dynamic disease with unclear pathophysiology because of continually changing environments, demographics, and human behaviors.

Mucocutaneous leishmaniasis in a cocaine user: diagnostic and therapeutic knowledge

“…This trauma generates an inflammatory cascade that could favor Leishmania dissemination and lesion formation in previously infected patients. This hypothesis is supported by the local release of immunosuppressive cytokines and transforming growth factor-p, which exacerbates lesion development 6 .…”

Clinical Manifestation of Cutaneous Leishmaniasis Following a Mechanical Trauma

“…For example, Martins et al reported on a patient in whom cutaneous leishmaniasis was triggered by electrocoagulation. 17 In other cases, minor traumas, like manipulating a pimple, a bee sting, or a submucosal nasal resection, were also sufficient to elicit the development of a Leishmania ulcer. 12,18 Long 19 reported a case of a 24-year-old North American Veteran, who was admitted with an enlarging Leishmania sore at the forehead, after having been to the Panama Canal Zone on duty with the US army.…”

COLETA DE RESÍDUOS: UM OLHAR SOBRE OS RISChttps://www.atenaeditora.com.br/post-ebook/3663OS A SAÚDE DOS CATADORES

“…A Leishmaniose Tegumentar Americana (LTA) é uma doença endêmica cujo agente etiológico é o protozoário Leishmania que é inoculado no indivíduo sadio por meio da picada do mosquito da família flebotomíneos e é considerada um grande problema de saúde pública no Brasil (SILVEIRA et al, 2008). A forma clínica na qual a doença se manifesta depende da espécie de leishmania envolvida e do tipo de resposta imune do hospedeiro, além de ser uma doença dinâmica com fisiopatologia pouco clara (ALECRIM et al, 2014;MARTINS et al, 2017).…”