AI Article Synopsis

  • - Leishmaniasis is a parasitic infection affecting skin, mucosal membranes, and internal organs, primarily seen in tropical regions.
  • - A 43-year-old man, who had visceral leishmaniasis treated 15 years prior, developed a facial lesion over five years, diagnosed as cutaneous leishmaniasis after thorough exams.
  • - Successful treatment involved six months of oral fluconazole followed by two months of miltefosine, completely resolving the lesion; early diagnosis is key to preventing complications.

Article Abstract

Leishmaniasis is a parasitic infection that can involve the skin, mucosal membranes, and internal organs. It is endemic to the tropics. A forty-three-year-old male, diagnosed and treated for visceral leishmaniasis 15 years ago, presented with a complaint of a progressively growing lesion on his face for five years. A detailed history, clinical examination, and histopathological examination were done to reach a diagnosis of cutaneous leishmaniasis (CL). Treatment with oral fluconazole 300 mg daily for six months, followed by 50 mg miltefosine three times a day for another two months, led to complete resolution of symptoms, and the lesion on the face was cured. Early diagnosis is crucial to averting unwarranted treatment and potential complications. This case aims to inform clinicians of the high index of suspicion when diagnosing CL; given the delayed presentation, the previous medical history and the natural course of the lesion are of utmost importance.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10823326PMC
http://dx.doi.org/10.1093/omcr/omad141DOI Listing

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