Cutaneous schistosomiasis and leishmaniasis coinfection: a case report

Journal of the European Academy of Dermatology and Venereology : JEADV
A W GregorioJ Tomimori

Abstract

The polymorphic clinical presentations of schistosomiasis and leishmaniasis allow their inclusion in the differential diagnoses of several conditions. Although an overlap in distribution of these diseases has been reported in endemic areas, coinfection with cutaneous schistosomiasis and cutaneous leishmaniasis in the same patient is rare. We report an unusual case of concomitant cutaneous schistosomiasis and cutaneous leishmaniasis. Actions for the management and diagnosis were proposed. A patient presented with cutaneous lesions on the abdomen and left elbow. The presence of degenerated ova of Schistosoma mansoni in the skin biopsy led to perform a complementary investigation with immunohistochemical techniques, rectal biopsy and abdominal ultrasonography. After the left elbow lesions had failed to improve after several weeks of standard treatment, a new biopsy was performed and led to diagnosis of another infection. The patient lived in an endemic area for two infectious diseases (schistosomiasis and leishmaniasis). Biopsies revealed chronic granulomatous dermatitis. Degenerated S. mansoni eggs were found in the abdominal lesion and in a rectal biopsy specimen. Ultrasonography revealed hepatic involvement. Despite combination...Continue Reading

References

Mar 22, 2001·Clinical and Experimental Dermatology·J A LemanM J Tidman
Mar 14, 2007·Clinics in Dermatology·Mark S Bailey, Diana N J Lockwood
Nov 6, 2009·Dermatologic Therapy·Consuelo V David, Noah Craft
Jul 13, 2011·Nature Reviews. Microbiology·Paul Kaye, Phillip Scott
Jul 23, 2016·Current Infectious Disease Reports·Vicente BelizarioMaureen Reyes
Aug 30, 2017·PLoS Neglected Tropical Diseases·Luz H PatinoJuan David Ramírez

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Citations

Jul 28, 2019·Experimental Parasitology·Christopher Khayeka-WandabwaChristopher O Anjili
Jan 15, 2022·Journal of the European Academy of Dermatology and Venereology : JEADV·Á Prados-CarmonaF J Navarro-Triviño

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