Sporotrichoid Cutaneous Leishmaniasis in a Traveler

Jp, Willems; Sm, Schmidt; Ke, Greer; Co, McCall; Rd, Pearson

doi:10.1097/00007611-199703000-00012

Cited by 10 publications

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“…Satellitenknötchen sowie Aussaat entlang der Lymphbahnen mit einem klinischen Bild ähnlich dem unserer Patientin können auftreten [22,23].Die häufigsten Erreger kutaner Leishmaniose im Mittelmeerraum stellen Leishmania (L.) infantum, L. maior und L. tropica dar, wobei Befall mit L. maior oft und mit L. infantum gelegentlich zu furunkuloiden Knoten mit Ulzeration führt. Zwei bis vier Wochen nach dem Biss einer Schmetterlingsmücke entsteht eine langsam wachsende, im Verlauf zentral flach ulzerierende und verkrustete Papel.…”

Section: Introductionunclassified

Sporotrichoide Infektion mit Mycobacterium marinum: Erfolgreiche Therapie mittels interner Tetrazyklingabe

2000

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Section: Introductionunclassified

Sporotrichoide Infektion mit Mycobacterium marinum: Erfolgreiche Therapie mittels interner Tetrazyklingabe

2000

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“…In (Viannia) braziliensis infection (he presented with a cutaneous ulcer and a sporotrichoid nodular pattern on his arm [18]); and an exchange student to Costa Rica who vacationed in a forested area along the Atlantic coast and developed two foot ulcers that revealed amastigotes on smears. The organism was not cultured, but epidemiologic data suggest that it was probably L. (Viannia) panamensis.…”

Section: Introductionmentioning

confidence: 99%

Leishmaniasis at the end of the millennium

Pearson

Lareau

Jerônimo

1999

Curr Infect Dis Rep

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The term leishmaniasis refers to the spectrum of disease caused by Leishmania species. The clinical manifestations of leishmaniasis depend on complex interactions between the virulence characteristics of the infecting Leishmania species and the genetically determined cell-mediated immune responses of its mammalian host. Leishmaniasis comprises three major syndromes: cutaneous, mucosal, and visceral. Variations exist within each syndrome.

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“…7 Several studies on tourists returning home with leishmaniasis within the last 10 years may reflect the recent increase of adventure tourism to endemic areas. 8,9 In one study, 58 travelers returning from Central and South America had been diagnosed with cutaneous leishmaniasis. 2 Eleven of the 12 tourists in that study who had traveled to Peru had been in forest areas in or near Manu National Park or Puerto Maldonado.…”

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Knowledge and Behavior of Tourists to Manu National Park, Peru, in Relation to Leishmaniasis

Bauer

2006

Journal of Travel Medicine

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Travelers to more distant, exotic, and tropical destinations are often exposed to a range of health hazards and need to be advised of the appropriate health issues. Advice on travel health consists mainly of information about appropriate behavior (hygiene, food, sexual encounters) and immunizations/prophylaxis, and concentrates on the prevention of diseases such as gastrointestinal infections, vectorborne infections, sexually transmitted infections/acquired immunodeficiency syndrome or hepatitis. Cutaneous leishmaniasis, a disease with a worldwide annual incidence of 300,000 cases from a population of 200 million at risk, 1 is very rarely included. Endemic in a number of tropical and subtropical areas around the globe, many doctors in the "Western" world (where most tourists come from) do not know and, therefore, do not recognize the disease in returning travelers, 2,3 let alone advise them about prevention. Sometimes, even published health advice 4 does not contain preventive measures. As a result, few tourists are informed about the condition.Leishmaniasis is a parasitic disease transmitted by infected sandflies. After being bitten, an ulcerous skin lesion develops that is usually self-healing after a number of weeks, leaving a typical scar the size of the ulcer. Numerous tourists have returned from overseas trips to endemic areas with such a reminder of their "Aleppo Boil" or "Oriental Sore." Unfortunately, one parasite species, Leishmania braziliensis, can develop a mucocutaneous stage within months, years or even decades after the primary lesion. 5,6 In this stage, individuals harboring the parasite develop mucosal lesions in the nose and mouth and -if untreated -disfiguring tissue destruction. L. braziliensis is prevalent in the rainforests of Central and South America. Coincidentally, these rainforests represent major tourist attractions, such as the national parks in Costa Rica and Peru. 2,7 Although mainly a disease of the local population, visitors to endemic areas (tourists, researchers, military personnel) can become infected rapidly if no precautions are taken, such as the

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Sporotrichoid Cutaneous Leishmaniasis in a Traveler

Cited by 10 publications

References 0 publications

Sporotrichoide Infektion mit Mycobacterium marinum: Erfolgreiche Therapie mittels interner Tetrazyklingabe

Sporotrichoide Infektion mit Mycobacterium marinum: Erfolgreiche Therapie mittels interner Tetrazyklingabe

Leishmaniasis at the end of the millennium

Knowledge and Behavior of Tourists to Manu National Park, Peru, in Relation to Leishmaniasis

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