PMID: 9534213Apr 16, 1998Paper

New World cutaneous leishmaniasis imported into Australia

Pathology
G P MaguireB J Currie

Abstract

A case of cutaneous leishmaniasis in a traveller from Belize, Central America is reported. Leishmaniasis presents rarely in Australia and delays in diagnosis and treatment often occur. A high index of suspicion in a patient who has returned from an endemic region is required. Subsequent confirmation of a diagnosis of cutaneous leishmaniasis is best achieved by demonstration of the organism on skin biopsy, aspiration or smear. The histology is variable and depends on geographic, parasite species and host factors. Speciation of New World disease as either Leishmania braziliensis or Leishmania mexicana is important to determine the risk of later development of mucosal disease, which normally only occurs with L. braziliensis infection, and for optimal treatment. Several different modes of treatment have been suggested, but antimonials, such as sodium stibogluconate, remain the treatment of choice in New World cutaneous leishmaniasis.

References

Dec 1, 1992·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·P C MelbyF A Neva

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Oct 2, 2002·Arthritis and Rheumatism·Nathalie Busso, John A Hamilton
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May 5, 2010·Scandinavian Journal of Infectious Diseases·Raul Neghina, Adriana M Neghina
Nov 14, 2008·Journal of Travel Medicine·Damien StarkJohn Harkness
Sep 20, 2006·Bioorganic & Medicinal Chemistry Letters·Rameshwar U KadamNilanjan Roy
Feb 11, 2005·Infectious Disease Clinics of North America·Alan J Magill
Apr 1, 2008·Chemical Biology & Drug Design·Rameshwar U KadamNilanjan Roy
Dec 13, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Naomi AronsonAlan Magill
Mar 21, 2007·The Medical Journal of Australia·Pamela Konecny, Damien J Stark
Oct 19, 2004·The Medical Journal of Australia·Oui JuGeoffrey W Dart

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