Cutaneous leishmaniasis in a 65-year-old North Texas male, treated with cryotherapy: A case report

Abstract

We report a case of a 65-year-old male seen in a North Texas dermatology clinic with three erythematous nodules possessing central ulceration and scaling on the left lateral shoulder, present for months. Head, ears, lips, oral mucosa, and other body surfaces did not reveal similar lesions, and review of systems was negative. Shave biopsy was performed and histopathological findings demonstrated granulomatous inflammation in the dermis and parasitized histiocytes containing peripherally located amastigotes. Leishmaniasis was diagnosed and patient was educated on the disease while communication with the Centers for Disease Control and Prevention was initiated. The patient declined systemic medications from infectious disease specialists and, 3 weeks later, returned for follow-up treatment with cryotherapy.

A rare case of cutaneous leishmaniasis in Kathmandu presenting with features of bacterial skin infection: A case report

“…6 There is not one generalized treatment regimen for CL as therapy should be individualized based on the patient, presentation, and parasite. 3,4 We present a case of a 26-year-old man living in Kathmandu originally from Humla. He was successfully treated with 1 monthly course of oral Miltefosine.…”

“…Thus, the diagnosis of CL should be considered while dealing with common skin lesions, as well as encountering uncommon pathologies 6 . There is not one generalized treatment regimen for CL as therapy should be individualized based on the patient, presentation, and parasite 3,4 . We present a case of a 26‐year‐old man living in Kathmandu originally from Humla.…”

“…It is the most common form in Nepal too, and the number of reported cases is rising in recent years 3 . Cutaneous leishmaniasis is endemic in developed countries, including the United States and other European countries 2,4 …”

“…3 Cutaneous leishmaniasis is endemic in developed countries, including the United States and other European countries. 2,4 Lesions of CL are most commonly present in the exposed areas, and the most familiar morphological type is papulo-nodular. 5 However, CL can manifest with diverse presentations and can be seen in unusual sites or have atypical morphologies.…”

Cutaneous sporotrichoid leishmaniasis: An atypical case caused by Leishmania major

“…Leishmaniasis is a parasitic vector-borne disease, inoculation occurs after a Sandfly bite. The three major clinical types are cutaneous leishmaniasis (CL), mucosal leishmaniasis (ML), and visceral leishmaniasis (VL) [1] .…”