A case report of cutaneous leishmaniasis: a misleading clinical presentation

We report the case of an otherwise healthy 67-year-old man who presented with inflammatory skin lesions on the scalp and face for the past 7  years. The lesions were first mistaken as cutaneous sarcoidosis, mycobacterial infection, and cutaneous lymphoma. Finally, the diagnosis was made by RT-PCR analysis on a punch-biopsy specimen, which was positive forLeishmania infantum.Discussion and  conclusionTo date, the choice of treatment for complex cutaneous leishmaniases is based on theLeishmania species. Our patient successfully responded to liposomal amphotericin B.
Source: Infection - Category: Infectious Diseases Source Type: research