A case report of co-infection of Melioidosis and cutaneous Leishmaniasis

Abstract Background Leishmaniasis and melioidosis are frequently reported from the North Central Province of Sri Lanka. However, only one case of co-infection of the two diseases has been reported to date over the world. This is a case report of a patient who had co-infection with cutaneous leishman...

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Main Authors: Isuru Chamika Indeewara Kahandawaarachchi, Gayani Samadara Premawansa, Wipula Warnasuriya, Malka Dassanayake, Enoka Corea
Format: Article
Language:English
Published: BMC 2017-08-01
Series:BMC Infectious Diseases
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12879-017-2639-7
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author Isuru Chamika Indeewara Kahandawaarachchi
Gayani Samadara Premawansa
Wipula Warnasuriya
Malka Dassanayake
Enoka Corea
author_facet Isuru Chamika Indeewara Kahandawaarachchi
Gayani Samadara Premawansa
Wipula Warnasuriya
Malka Dassanayake
Enoka Corea
author_sort Isuru Chamika Indeewara Kahandawaarachchi
collection DOAJ
description Abstract Background Leishmaniasis and melioidosis are frequently reported from the North Central Province of Sri Lanka. However, only one case of co-infection of the two diseases has been reported to date over the world. This is a case report of a patient who had co-infection with cutaneous leishmaniasis and melioidosis and was successfully treated and recovered from the illness. Case presentation A 61 year old female patient with diabetes mellitus presented with fever for one month’s duration and was found to have hepatosplenomegaly and an ulcer over the left arm. She had elevated inflammatory markers and blood culture grew Burkholderia pseudomallei and serum was highly positive for melioidosis antibodies. A slit skin smear of the ulcer showed Leishmania amastigotes. Conclusion Melioidosis and leishmaniasis are emerging infectious diseases in endemic countries and can be severe. The high prevalence rates in Sri Lanka should keep the treating physicians’ threshold for suspicion low for these two diseases.
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spelling doaj.art-53711f8a45a34e01ab6cfa502b11b4322022-12-22T00:56:54ZengBMCBMC Infectious Diseases1471-23342017-08-011711510.1186/s12879-017-2639-7A case report of co-infection of Melioidosis and cutaneous LeishmaniasisIsuru Chamika Indeewara Kahandawaarachchi0Gayani Samadara Premawansa1Wipula Warnasuriya2Malka Dassanayake3Enoka Corea4North Colombo Teaching HospitalNorth Colombo Teaching HospitalNorth Colombo Teaching HospitalNorth Colombo Teaching HospitalDepartment of Microbiology, Faculty of Medicine, University of ColomboAbstract Background Leishmaniasis and melioidosis are frequently reported from the North Central Province of Sri Lanka. However, only one case of co-infection of the two diseases has been reported to date over the world. This is a case report of a patient who had co-infection with cutaneous leishmaniasis and melioidosis and was successfully treated and recovered from the illness. Case presentation A 61 year old female patient with diabetes mellitus presented with fever for one month’s duration and was found to have hepatosplenomegaly and an ulcer over the left arm. She had elevated inflammatory markers and blood culture grew Burkholderia pseudomallei and serum was highly positive for melioidosis antibodies. A slit skin smear of the ulcer showed Leishmania amastigotes. Conclusion Melioidosis and leishmaniasis are emerging infectious diseases in endemic countries and can be severe. The high prevalence rates in Sri Lanka should keep the treating physicians’ threshold for suspicion low for these two diseases.http://link.springer.com/article/10.1186/s12879-017-2639-7MelioidosisCutaneous leishmaniasisCo-infection
spellingShingle Isuru Chamika Indeewara Kahandawaarachchi
Gayani Samadara Premawansa
Wipula Warnasuriya
Malka Dassanayake
Enoka Corea
A case report of co-infection of Melioidosis and cutaneous Leishmaniasis
BMC Infectious Diseases
Melioidosis
Cutaneous leishmaniasis
Co-infection
title A case report of co-infection of Melioidosis and cutaneous Leishmaniasis
title_full A case report of co-infection of Melioidosis and cutaneous Leishmaniasis
title_fullStr A case report of co-infection of Melioidosis and cutaneous Leishmaniasis
title_full_unstemmed A case report of co-infection of Melioidosis and cutaneous Leishmaniasis
title_short A case report of co-infection of Melioidosis and cutaneous Leishmaniasis
title_sort case report of co infection of melioidosis and cutaneous leishmaniasis
topic Melioidosis
Cutaneous leishmaniasis
Co-infection
url http://link.springer.com/article/10.1186/s12879-017-2639-7
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