Unusual manifestation of genital cutaneous leishmaniasis in an immunocompetent patient from São Paulo, Brazil: A case report

• Published in: Revista da Sociedade Brasileira de Medicina Tropical
• Main Authors: Luiza Campos Reis, José Angelo Lauletta Lindoso, Beatriz Julieta Celeste, Lucia Maria Almeida Braz, Eduardo Milton Ramos-Sanchez, Edite Hatsumi Yamashiro-Kanashiro, Hiro Goto, Luiza Keiko Matsuka Oyafuso
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2021
• Subjects: Cutaneous leishmaniasis; Diagnosis; Genital lesion; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doi.org/10.1590/0037-8682-0514-2020; https://doaj.org/article/86f3d7e210bb4aa0872ad1f8c18d5c43

Abstract A 31-year-old male patient developed an ulcer on the glans penis that evolved for three months without healing. We diagnosed it as leishmaniasis using polymerase chain reaction. No immunosuppression or associated diseases were observed. The patient was treated with meglumine antimoniate that cured the lesion in a month post-treatment. Here, we report this case of cutaneous leishmaniasis lesion at the unusual location of glans penis in an immunocompetent individual. The lesion likely developed due to the bite of a vector, highlighting the need for considering cutaneous leishmaniasis among differential diagnosis of sexually transmitted diseases in areas endemic for leishmaniasis.