American cutaneous leishmaniasis: presentation and problems of patient management
We report our experience with the diagnosis and treatment of 60 patients with American cutaneous leishmaniasis. They were infected in Panama (55), Brazil (4) or Colombia (I). Among 35 patients with a 3 week exposure in Panama, the mean maximum incubation period was 33 days (range 4-81 days). Diagnos...
Published in: | Revista da Sociedade Brasileira de Medicina Tropical |
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Sociedade Brasileira de Medicina Tropical (SBMT)
1988
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ftdoajarticles:oai:doaj.org/article:d93996c4884b4a86a9e25698a2ed5fc6 2023-05-15T15:05:58+02:00 American cutaneous leishmaniasis: presentation and problems of patient management Jeffrey D. Chulay Charles N. Oster Patrick B. McGreevy Larry D. Hendricks Richard D. Kreutzer 1988-12-01T00:00:00Z https://doi.org/10.1590/S0037-86821988000400002 https://doaj.org/article/d93996c4884b4a86a9e25698a2ed5fc6 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86821988000400002&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/S0037-86821988000400002 https://doaj.org/article/d93996c4884b4a86a9e25698a2ed5fc6 Revista da Sociedade Brasileira de Medicina Tropical, Vol 21, Iss 4, Pp 165-172 (1988) Leishmaniose tegumentar americana Diagnóstico Tratamento Prognóstico Patologia Clínica Arctic medicine. Tropical medicine RC955-962 article 1988 ftdoajarticles https://doi.org/10.1590/S0037-86821988000400002 2022-12-30T21:27:05Z We report our experience with the diagnosis and treatment of 60 patients with American cutaneous leishmaniasis. They were infected in Panama (55), Brazil (4) or Colombia (I). Among 35 patients with a 3 week exposure in Panama, the mean maximum incubation period was 33 days (range 4-81 days). Diagnosis was delayed an average of 93 days after onset of skin lesions, due to the patient's delay in seeking medical attention (31 days), medical personnel's delay in considering the diagnosis (45 days), and the laboratory's delay in confirming the diagnosis (17 days). Forty-four patients (73%) developed ulcers typical of cutaneous leishmaniasis. Sixteen additional patients (27%) had atypical macular, papular, squamous, verrucous or acneiform skin lesions that were diagnosed only because leishmanial cultures were obtained. Of the 59 patients treated with pentavalent antimonial drugs, only 34 (58%) were cured after the first course of treatment. Lesions which were at least 2 cm in diameter, ulcerated, or caused by Leishmania braziliensis were less likely to be cured after a single course of treatment than were lesions smaller than 2 cm, nonulcerated or caused by Leishmania mexicana or Leishmania donovani. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 21 4 165 172 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Leishmaniose tegumentar americana Diagnóstico Tratamento Prognóstico Patologia Clínica Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Leishmaniose tegumentar americana Diagnóstico Tratamento Prognóstico Patologia Clínica Arctic medicine. Tropical medicine RC955-962 Jeffrey D. Chulay Charles N. Oster Patrick B. McGreevy Larry D. Hendricks Richard D. Kreutzer American cutaneous leishmaniasis: presentation and problems of patient management |
topic_facet |
Leishmaniose tegumentar americana Diagnóstico Tratamento Prognóstico Patologia Clínica Arctic medicine. Tropical medicine RC955-962 |
description |
We report our experience with the diagnosis and treatment of 60 patients with American cutaneous leishmaniasis. They were infected in Panama (55), Brazil (4) or Colombia (I). Among 35 patients with a 3 week exposure in Panama, the mean maximum incubation period was 33 days (range 4-81 days). Diagnosis was delayed an average of 93 days after onset of skin lesions, due to the patient's delay in seeking medical attention (31 days), medical personnel's delay in considering the diagnosis (45 days), and the laboratory's delay in confirming the diagnosis (17 days). Forty-four patients (73%) developed ulcers typical of cutaneous leishmaniasis. Sixteen additional patients (27%) had atypical macular, papular, squamous, verrucous or acneiform skin lesions that were diagnosed only because leishmanial cultures were obtained. Of the 59 patients treated with pentavalent antimonial drugs, only 34 (58%) were cured after the first course of treatment. Lesions which were at least 2 cm in diameter, ulcerated, or caused by Leishmania braziliensis were less likely to be cured after a single course of treatment than were lesions smaller than 2 cm, nonulcerated or caused by Leishmania mexicana or Leishmania donovani. |
format |
Article in Journal/Newspaper |
author |
Jeffrey D. Chulay Charles N. Oster Patrick B. McGreevy Larry D. Hendricks Richard D. Kreutzer |
author_facet |
Jeffrey D. Chulay Charles N. Oster Patrick B. McGreevy Larry D. Hendricks Richard D. Kreutzer |
author_sort |
Jeffrey D. Chulay |
title |
American cutaneous leishmaniasis: presentation and problems of patient management |
title_short |
American cutaneous leishmaniasis: presentation and problems of patient management |
title_full |
American cutaneous leishmaniasis: presentation and problems of patient management |
title_fullStr |
American cutaneous leishmaniasis: presentation and problems of patient management |
title_full_unstemmed |
American cutaneous leishmaniasis: presentation and problems of patient management |
title_sort |
american cutaneous leishmaniasis: presentation and problems of patient management |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
1988 |
url |
https://doi.org/10.1590/S0037-86821988000400002 https://doaj.org/article/d93996c4884b4a86a9e25698a2ed5fc6 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 21, Iss 4, Pp 165-172 (1988) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86821988000400002&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/S0037-86821988000400002 https://doaj.org/article/d93996c4884b4a86a9e25698a2ed5fc6 |
op_doi |
https://doi.org/10.1590/S0037-86821988000400002 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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21 |
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