Successful treatment of multifocal cutaneous leishmaniasis with miltefosine

We report a 48-year-old immunocompetent male, resident of Central India, who presented with slowly progressive asymptomatic multiple red lesions on different parts of body. On enquiry, the patient gave history of travel to Middle East 6 months back. Examination showed 10 crusted erythematous indurat...

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Main Authors: Bhushan Madke, Vidya Kharkar, Siddhi Chikhalkar, Sunanda Mahajan, Uday Khopkar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2011;volume=56;issue=5;spage=587;epage=590;aulast=Madke
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author Bhushan Madke
Vidya Kharkar
Siddhi Chikhalkar
Sunanda Mahajan
Uday Khopkar
author_facet Bhushan Madke
Vidya Kharkar
Siddhi Chikhalkar
Sunanda Mahajan
Uday Khopkar
author_sort Bhushan Madke
collection DOAJ
description We report a 48-year-old immunocompetent male, resident of Central India, who presented with slowly progressive asymptomatic multiple red lesions on different parts of body. On enquiry, the patient gave history of travel to Middle East 6 months back. Examination showed 10 crusted erythematous indurated plaques and nodules over forearms, left leg, right index finger, left wrist and dorsa of both feet. Histopathological examination of tissue biopsy showed multiple intracellular as well as extracellular leishmania donovan bodies. Keeping in mind the higher rate of side effects to pentavalent antimony, we treated this patient with oral miltefosine 50 mg bid and the lesions showed complete resolution over 4 months of therapy.
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spelling doaj.art-2cbf2347f80449a0b3e2c6b9f153a2c02022-12-21T17:43:14ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112011-01-0156558759010.4103/0019-5154.87165Successful treatment of multifocal cutaneous leishmaniasis with miltefosineBhushan MadkeVidya KharkarSiddhi ChikhalkarSunanda MahajanUday KhopkarWe report a 48-year-old immunocompetent male, resident of Central India, who presented with slowly progressive asymptomatic multiple red lesions on different parts of body. On enquiry, the patient gave history of travel to Middle East 6 months back. Examination showed 10 crusted erythematous indurated plaques and nodules over forearms, left leg, right index finger, left wrist and dorsa of both feet. Histopathological examination of tissue biopsy showed multiple intracellular as well as extracellular leishmania donovan bodies. Keeping in mind the higher rate of side effects to pentavalent antimony, we treated this patient with oral miltefosine 50 mg bid and the lesions showed complete resolution over 4 months of therapy.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2011;volume=56;issue=5;spage=587;epage=590;aulast=MadkeLeishmaniasismiltefosinemultifocal
spellingShingle Bhushan Madke
Vidya Kharkar
Siddhi Chikhalkar
Sunanda Mahajan
Uday Khopkar
Successful treatment of multifocal cutaneous leishmaniasis with miltefosine
Indian Journal of Dermatology
Leishmaniasis
miltefosine
multifocal
title Successful treatment of multifocal cutaneous leishmaniasis with miltefosine
title_full Successful treatment of multifocal cutaneous leishmaniasis with miltefosine
title_fullStr Successful treatment of multifocal cutaneous leishmaniasis with miltefosine
title_full_unstemmed Successful treatment of multifocal cutaneous leishmaniasis with miltefosine
title_short Successful treatment of multifocal cutaneous leishmaniasis with miltefosine
title_sort successful treatment of multifocal cutaneous leishmaniasis with miltefosine
topic Leishmaniasis
miltefosine
multifocal
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2011;volume=56;issue=5;spage=587;epage=590;aulast=Madke
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AT siddhichikhalkar successfultreatmentofmultifocalcutaneousleishmaniasiswithmiltefosine
AT sunandamahajan successfultreatmentofmultifocalcutaneousleishmaniasiswithmiltefosine
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