Occurrence of two autochthonous cases of American cutaneous leishmaniasis in the neighborhood of Caju, city of Rio de Janeiro, Brazil

Abstract

American cutaneous leishmaniasis is in full geographic expansion in Brazil and it is considered among the infectious and parasitic diseases of utmost importance worldwide, not only by its frequency, but mainly by therapeutic difficulties, deformities and sequelae that may result. In the state of Rio de Janeiro, the first autochthonous case of American cutaneous leishmaniasis was registered by Rabello in 1913. The authors report two cases of the disease in the region around the Cemetery São Francisco Xavier, in the Caju neighborhood, Rio de Janeiro city, and emphasize the need for actions that aim to early diagnosis and treatment of American cutaneous leishmaniasis cases.

Impact of environmental changes on Dermatology

“… 45 , 46 Deforestation and the depletion of natural reservoirs is the main explanation for the occurrence of autochthonous cases of ATL in metropolitan areas, Chagas disease and (human) rabies caused by attacks of hematophagous bats in cities. 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 …”

Disseminated cutaneous leishmaniasis: ulcerovegetative and ulcero-crusted lesions

“…A negative serology for L. donovani came as no surprise, as this agent causes visceral leishmaniasis, with rare cases of skin lesions described in the literature. 1 , 2 Currently considered an emerging form of the disease, 3 disseminated leishmaniasis should be detected early, recognizing its clinical spectrum and disabling potential.…”

A novel case of human visceral leishmaniasis from the urban area of the city of Rio de Janeiro: autochthonous or imported from Spain ?

“…In contrast, in the State of Rio de Janeiro, almost all cases of American tegumentary leishmaniasis (ATL) are caused by Leishmania ( Viannia ) braziliensis 12 . It is remarkable that soon after our first report of autochthonous VL from an urban area of the city of Rio de Janeiro 3 , two cases of ATL were diagnosed from the same Cajú neighborhood 13 , but the species could not be identified. Interestingly, this was followed by the first report of ATL caused by Leishmania ( Leishmania ) infantum in an urban area of Rio de Janeiro 14 .…”