Clinical complexity of Leishmania (Viannia) braziliensis infections amongst travelers

Eichner S, Thoma-Uszynski S, Herrgott I, Sebald H, Debus A, Tsianakas A, Ehrchen J, Harms G, Simon M, Sunderkoetter C, Bogdan C (2013)


Publication Type: Journal article

Publication year: 2013

Journal

Book Volume: 23

Pages Range: 218-223

Journal Issue: 2

DOI: 10.1684/ejd.2013.1934

Abstract

The protozoan parasite Leishmania (Viannia) braziliensis is one of the main causes of cutaneous and mucocutaneous leishmaniasis in South America. Here, we describe three cases of L. (V.) braziliensis infection which were acquired during travelling in Bolivia, Peru or Paraguay and illustrate the phenotypic heterogeneity and therapeutic complexity of the disease. Two patients presented with unusual clinical manifestations, i.e. with prominent regional lymphadenopathy ("bubonic leishmaniasis") and with simultaneously emerged skin and mucosal lesions, respectively. Both patients insufficiently responded to oral treatment with miltefosine; resolution of the lesions was only achieved after a course of intravenous liposomal amphotericin B. Key words cutaneous leishmaniasis, mucosal leishmaniasis, Leishmania (V.) braziliensis.

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APA:

Eichner, S., Thoma-Uszynski, S., Herrgott, I., Sebald, H., Debus, A., Tsianakas, A.,... Bogdan, C. (2013). Clinical complexity of Leishmania (Viannia) braziliensis infections amongst travelers. European Journal of Dermatology, 23(2), 218-223. https://doi.org/10.1684/ejd.2013.1934

MLA:

Eichner, Saskia, et al. "Clinical complexity of Leishmania (Viannia) braziliensis infections amongst travelers." European Journal of Dermatology 23.2 (2013): 218-223.

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