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Cutaneous Leishmaniasis in an Immigrant Saudi Worker: A Case Report
Cutaneous leishmaniasis (CL), an uncommon disorder in South-East Asia,
including Bangladesh, often presents as granulomatous plaque on the
exposed areas, with a high index of suspicion required for diagnosis.
Here we report the first imported case of CL caused by Leishmania
tropica in a migrant Bangladeshi worker in the Kingdom of Saudi Arabia
(KSA). The case, initially suspected as a case of cutaneous
tuberculosis, arrived at specimens reception unit (SRU) of diagnostic
labs of icddr,b being referred by the physician for ALS testing for
tuberculosis. At his arrival in the SRU, one of the health personnel of
the unit who used to work in KSA suspected him as a case of CL. The
diagnosis was confirmed by smear microscopy which revealed plenty of
amastigotes within macrophages. PCR was performed to confirm the
species. He was treated with sodium stibogluconate at Shahid Suhrawardy
Medical College Hospital, Dhaka