Non-responding cellulitis: An unusual presentation of cutaneous leishmaniasis
Publish place: 3rd national congress on clinical case reports
Publish Year: 1398
نوع سند: مقاله کنفرانسی
زبان: English
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شناسه ملی سند علمی:
CCRMED03_066
تاریخ نمایه سازی: 20 بهمن 1398
Abstract:
We describe a case of cutaneous leishmaniasis, which presented as non-responding cellulitis. This may be differentiated from classical cellulitis/erysipelas by 1. Lesser local reaction like pain and tenderness 2. No systemic symptoms 3. No leucocytosis 4. Negative bacteriological and serological assay for bacterial cellulitis/erysipelas, 5. Longer course of illness and 6. Failure to respond to antibiotics. However, awareness of this type and frequent skin smears or skin biopsy will settle the right diagnosis. A review of different leishmanial presentations is given for comparison It is not unusual to find an indurated erythematous margin around a leishmanial lesion. It is usually part of it. To have such a marked erythematous indurated swelling so much so that it obscures partially the features of leishmaniasis, is an abnormal phenomenon. This assumes importance as it may deviate the diagnosis towards bacterial cellulitis. Here we are reporting an intriguing case of cutaneous leishmaniasis (CL) of this type, presenting as cellulitis like lesion .
Authors
Sina Ali Mohammadi
Department of Infectious Disease and Tropical Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Mahnaz Arian,
Department of Infectious Disease and Tropical Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Hamidreza Naderi
Department of Infectious Disease and Tropical Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran