| Title |
FIRST REPORT OF CUTANEOUS LEISHMANIASIS CAUSED BY Leishmania (Leishmania) infantum chagasi IN AN URBAN AREA OF RIO DE JANEIRO, BRAZIL
|
|---|---|
| Published in |
Revista do Instituto de Medicina Tropical de Sao Paulo, January 2015
|
| DOI | 10.1590/s0036-46652015000500016 |
| Pubmed ID | |
| Authors |
Marcelo Rosandiski Lyra, Maria Inês Fernandes Pimentel, Maria de Fátima Madeira, Liliane de Fátima Antonio, Janine Pontes de Miranda Lyra, Aline Fagundes, Armando de Oliveira Schubach |
| Abstract |
American tegumentary leishmaniasis (ATL) is an infectious disease caused by protozoa of the genus Leishmania, and transmitted by sandflies. In the state of Rio de Janeiro, almost all of the cases of American tegumentary leishmaniasis (ATL) are caused by Leishmania (Viannia) braziliensis, while cases of visceral leishmaniasis (VL) are caused by Leishmania (Leishmania) infantum chagasi. The resurgence of autochthonous VL cases in Rio de Janeiro is related to the geographic expansion of the vector Lutzomyia longipalpis and its ability to adapt to urban areas. We report the first case of leishmaniasis with exclusively cutaneous manifestations caused by L. (L.) infantum chagasi in an urban area of Rio de Janeiro. An eighty-one-year-old woman presented three pleomorphic skin lesions that were not associated with systemic symptoms or visceromegalies. Multilocus enzyme electrophoresis identified L. (L.) infantum chagasi, but direct smear and PCR of bone narrow were negative for Leishmania sp. (suggesting exclusively cutaneous involvement). We discuss the different dermatological presentations of viscerotropic leishmaniasis of the New and Old World, and the clinical and epidemiological importance of the case. Etiologic diagnosis of ATL based upon exclusive clinical criteria may lead to incorrect conclusions. We should be aware of the constant changes in epidemiological patterns related to leishmaniases. |
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This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 December 2015.
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#22,760,732
of 25,374,917 outputs
Outputs from Revista do Instituto de Medicina Tropical de Sao Paulo
#643
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of 359,530 outputs
Outputs of similar age from Revista do Instituto de Medicina Tropical de Sao Paulo
#36
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