Para-kala-azar dermal leishmaniasis in a patient in Brazil: a case report

Visceral leishmaniasis is common in Brazil and is caused by Leishmania (Leishmania) infantum/chagasi. Post-kala-azar dermal leishmaniasis frequently follows visceral leishmaniasis caused by L. donovani, and para-kala-azar dermal leishmaniasis refers to an uncommon presentation wherein it occurs simu...

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Bibliographic Details
Published in:Revista da Sociedade Brasileira de Medicina Tropical 2018-01, Vol.51 (1), p.105-107
Main Authors: Lindoso, José Angelo Lauletta, Moreira, Carlos Henrique Valente, Celeste, Beatriz Julieta, Oyafuso, Luiza Keiko Matsuka, Folegatti, Pedro Moreira, Zijlstra, Eduard Evert
Format: Article
Language:English
Subjects:
Adult
Antiprotozoal Agents - therapeutic use
Case reports
Dermal leishmaniasis
HIV
Human immunodeficiency virus
Humans
Immunosuppression
Infections
Leishmania
Leishmania infantum
Leishmaniasis, Cutaneous - complications
Leishmaniasis, Cutaneous - drug therapy
Leishmaniasis, Visceral - complications
Leishmaniasis, Visceral - drug therapy
Male
Parasitic diseases
Patients
Skin
TROPICAL MEDICINE
Vector-borne diseases
Vectors (Biology)
Visceral leishmaniasis
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Summary:Visceral leishmaniasis is common in Brazil and is caused by Leishmania (Leishmania) infantum/chagasi. Post-kala-azar dermal leishmaniasis frequently follows visceral leishmaniasis caused by L. donovani, and para-kala-azar dermal leishmaniasis refers to an uncommon presentation wherein it occurs simultaneously along with visceral leishmaniasis. While post-kala-azar dermal leishmaniasis only occurs occasionally in L. infantum/chagasi infections, it frequently occurs in patients with concomitant immunosuppression (HIV co-infection). Here, we describe the first case of para-kala-azar dermal leishmaniasis in Brazil. It is important to raise awareness of post- and para-kala-azar dermal leishmaniasis in L. infantum endemic areas as these patients may contribute to visceral leishmaniasis transmission.
ISSN:0037-8682
1678-9849
1678-9849
DOI:10.1590/0037-8682-0487-2016