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Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2009;163(11):1062.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Denouement and Discussion: Cutaneous Leishmaniasis by Leishmania infantum
The histopathologic picture with a mixed granulomatous inflammation suggested an infectious cause. Results of further testing by tissue polymerase chain reaction (PCR) was positive for leishmania, and typing revealed Leishmania infantum as the cause.
Leishmania antibodies were present in serum (titer 1:80). Abdominal ultrasonography and an ear-nose-throat assessment did not reveal visceral or mucocutaneous involvement. Thus, the diagnosis of cutaneous leishmaniasis by L infantum of the left cheek was made. The infection had most likely been acquired during the family vacation in Greece. Treatment was indicated because of the long-standing and nonhealing course of the infection and localization to the face. The species L infantum is known to cause visceral involvement, and although we did not have any evidence of visceral leishmaniasis in our patient, a treatment regimen similar to that for visceral involvement was considered appropriate. Liposomal amphotericin B was administered intravenously at a dose of 3 mg/kg per . . . [Full Text of this Article]
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Arch Pediatr Adolesc Med. 2009;163(11):1061.
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