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

Abstract 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 oc...

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Bibliographic Details
Published in:Revista da Sociedade Brasileira de Medicina Tropical
Main Authors: José Angelo Lauletta Lindoso, Carlos Henrique Valente Moreira, Beatriz Julieta Celeste, Luiza Keiko Matsuka Oyafuso, Pedro Moreira Folegatti, Eduard Evert Zijlstra
Format: Article in Journal/Newspaper
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT)
Subjects:
Visceral leishmaniasis
Dermal leishmaniasis
Leishmania infantum
Arctic medicine. Tropical medicine
RC955-962
Arctic
Azar
Online Access:https://doi.org/10.1590/0037-8682-0487-2016
https://doaj.org/article/51dfe9f0dddc44febfe4b8319b74f467
Description
Summary:Abstract 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.

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