Unusual presentation of cutaneous Leishmaniasis in pregnancy: A case report

Chakiri, Radia; Gallouj, S.; Mernissi, F.Z.; Rimani, M.

doi:10.7241/ourd.20174.122

Cited by 1 publication

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It was assumed that CL cases in Colombia during pregnancy do not represent any important risk for the mother or the fetus, and there is no congenital transmission of the disease. The behavior of the disease matches with the fact that immune response decreases during pregnancy, that is, lesions are not so aggressive or exuberant, and parasites are scanty [31].…”

Section: A B Cmentioning

confidence: 59%

Severe Inflammatory and Disseminated Cutaneous Leishmaniasis in a Pregnant Woman: A Case Report from Portoviejo, Ecuador

Gómez L.,

Velez N.,

Coello Peralta

et al. 2024

Am J Case Rep

View full text Add to dashboard Cite

Patient: Female, 25-year-old Final Diagnosis: Severe inflamatory and disseminated cutaneous leishmaniasis Symptoms: Difficulty performing normal activities • erythema • inflammation • injuries to other parts of your body with pain and burning sensation • nodules • papules • ulcer with thick edges Clinical Procedure: Clinical criteria • epidemiological criteria • laboratory criterion • local treatment with liquid nitrogen • topical anti-inflammatory ointment was used • topical triple antibiotic ointment Specialty: Laboratory Diagnostics • Infectious Diseases • Microbiology and Virology • Public Health • Tropical Medicine Objective: Rare coexistence of disease or pathology Background: Leishmaniasis is a zoonosis with worldwide prevalence that causes dermal lesions and can be serious in humans. This report presents a case of cutaneous leishmaniasis (CL) that was apparently associated with a zoonotic transmission in a peri-urban area of the city of Portoviejo, Ecuador, close to mountainous and forested sites. Case Report: For 37 years, we have studied transmission of leishmaniasis in Ecuador, and have seen a wide variety of clinical presentations of the disease caused by different strains of the parasite Leishmania in patients, including pregnant women, without marked difference among them. CL without complications causes painless lesions of different clinical aspect. The present study reports a case of a 25-year-old woman presenting with severely inflamed, disseminated, and painful lesions of CL. The patient was not given antimonial treatment; however, local cryotherapy was given, together with topical anti-inflammatory and antibiotic ointment. All the lesions were observed to heal, and no amastigotes were found in smear stains after clinical healing. Since there was no reactivation after 1.5 years of follow-up, conventional antileishmanial treatment with meglumine antimoniate was not given to the patient. Conclusions: This report shows the importance of a properly done epidemiological and clinical presumtive diagnosis, followed by parasitological confirmation, and the benefit of using an alternative treatment for vulnerable patients, such as this pregnant woman, for whom the therapy with pentavalent antimonials is not indicated. All observed lesions healed and no amastigotes were found in the smears after clinical healing.

show abstract

Section: A B Cmentioning

confidence: 59%