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Recurrent cutaneous leishmaniasis Leishmaniose recidiva cútis

By Ciro Martins Gomes, Fabiana dos Santos Damasco, Orlando Oliveira de Morais, Carmen Déa Ribeiro de Paula and Raimunda Nonata Ribeiro Sampaio

Abstract

We present a case of an 18-year-old male patient who, after two years of inappropriate treatment for cutaneous leishmaniasis, began to show nodules arising at the edges of the former healing scar. He was immune competent and denied any trauma. The diagnosis of recurrent cutaneous leishmaniasis was made following positive culture of aspirate samples. The patient was treated with N-methylglucamine associated with pentoxifylline for 30 days. Similar cases require special attention mainly because of the challenges imposed by treatment.<br>Paciente do sexo masculino, 18 anos. Dois anos ap&#243;s tratamento insuficiente para leishmaniose tegumentar americana, apresentou, na mesma localiza&#231;&#227;o, les&#227;o formada por cicatriz atr&#243;fica central e n&#243;dulos verrucosos na periferia. Era imunocompetente, h&#237;gido e negava qualquer trauma local. O diagn&#243;stico de leishmaniose recidiva cutis foi feito atrav&#233;s de cultura do aspirado da les&#227;o. Realizou tratamento com N-metilglucamina (20mgSbV/kg/dia) associado &#224; pentoxifilina (1200mg/dia) durante 30 dias alcan&#231;ando cura cl&#237;nica. Os casos semelhantes requerem aten&#231;&#227;o diferenciada pela dificuldade ao tratamento

Topics: Leishmaniose, Leishmaniose mucocutânea, Pentoxifilina, Recidiva, Terapêutica, Leishmaniasis, Leishmaniasis, mucocutaneous, Pentoxifylline, Recurrence, Therapeutics, Dermatology, RL1-803, Medicine, R, DOAJ:Dermatology, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: Sociedade Brasileira de Dermatologia
Year: 2013
OAI identifier: oai:doaj.org/article:09f0ed2349bd4d92b7f73a26693aecce
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