A challenging case of cutaneous leishmaniasis with thrombophlebitic complication
Abstract We report a case of cutaneous leishmaniasis caused by Leishmania guyanensis with sporotrichoid lymphocutaneous dissemination of the parasite and thrombophlebitic complication in a 32‐year‐old man who had recently travelled to French Guiana. After initial failure of empirical treatment with...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-12-01
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| Series: | JEADV Clinical Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jvc2.244 |
| _version_ | 1797435285826437120 |
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| author | Antoine Willemart Laura Mengeot Jean‐Cyr Yombi Léo Paul Secco Marie Baeck |
| author_facet | Antoine Willemart Laura Mengeot Jean‐Cyr Yombi Léo Paul Secco Marie Baeck |
| author_sort | Antoine Willemart |
| collection | DOAJ |
| description | Abstract We report a case of cutaneous leishmaniasis caused by Leishmania guyanensis with sporotrichoid lymphocutaneous dissemination of the parasite and thrombophlebitic complication in a 32‐year‐old man who had recently travelled to French Guiana. After initial failure of empirical treatment with amphotericin B, the patient evolved favourably on high doses of intramuscular injections of meglumine antimoniate for 2 months. This case illustrates the existence of lymphocutaneous forms and possible thrombophlebitic complications of leishmaniasis. It also highlights the challenges in the management of leishmaniasis, despite the existence of guidelines and a wide therapeutic arsenal. |
| first_indexed | 2024-03-09T10:45:59Z |
| format | Article |
| id | doaj.art-ece944d0d9a44dac93df1885afab1508 |
| institution | Directory Open Access Journal |
| issn | 2768-6566 |
| language | English |
| last_indexed | 2024-03-09T10:45:59Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | JEADV Clinical Practice |
| spelling | doaj.art-ece944d0d9a44dac93df1885afab15082023-12-01T10:43:27ZengWileyJEADV Clinical Practice2768-65662023-12-012494795010.1002/jvc2.244A challenging case of cutaneous leishmaniasis with thrombophlebitic complicationAntoine Willemart0Laura Mengeot1Jean‐Cyr Yombi2Léo Paul Secco3Marie Baeck4Department of Dermatology, Cliniques universitaires Saint‐Luc Université catholique de Louvain (UCLouvain) Brussels BelgiumDepartment of Dermatology, Cliniques universitaires Saint‐Luc Université catholique de Louvain (UCLouvain) Brussels BelgiumDepartment of Infectious diseases, Cliniques universitaires Saint‐Luc Université catholique de Louvain (UCLouvain) Brussels BelgiumDepartment of Dermatology, Cliniques universitaires Saint‐Luc Université catholique de Louvain (UCLouvain) Brussels BelgiumDepartment of Dermatology, Cliniques universitaires Saint‐Luc Université catholique de Louvain (UCLouvain) Brussels BelgiumAbstract We report a case of cutaneous leishmaniasis caused by Leishmania guyanensis with sporotrichoid lymphocutaneous dissemination of the parasite and thrombophlebitic complication in a 32‐year‐old man who had recently travelled to French Guiana. After initial failure of empirical treatment with amphotericin B, the patient evolved favourably on high doses of intramuscular injections of meglumine antimoniate for 2 months. This case illustrates the existence of lymphocutaneous forms and possible thrombophlebitic complications of leishmaniasis. It also highlights the challenges in the management of leishmaniasis, despite the existence of guidelines and a wide therapeutic arsenal.https://doi.org/10.1002/jvc2.244L. guyanensisLeishmaniasisliposomal amphotericin Bpentavalent antimonialssporotrichoid disseminationthrombophlebitis |
| spellingShingle | Antoine Willemart Laura Mengeot Jean‐Cyr Yombi Léo Paul Secco Marie Baeck A challenging case of cutaneous leishmaniasis with thrombophlebitic complication JEADV Clinical Practice L. guyanensis Leishmaniasis liposomal amphotericin B pentavalent antimonials sporotrichoid dissemination thrombophlebitis |
| title | A challenging case of cutaneous leishmaniasis with thrombophlebitic complication |
| title_full | A challenging case of cutaneous leishmaniasis with thrombophlebitic complication |
| title_fullStr | A challenging case of cutaneous leishmaniasis with thrombophlebitic complication |
| title_full_unstemmed | A challenging case of cutaneous leishmaniasis with thrombophlebitic complication |
| title_short | A challenging case of cutaneous leishmaniasis with thrombophlebitic complication |
| title_sort | challenging case of cutaneous leishmaniasis with thrombophlebitic complication |
| topic | L. guyanensis Leishmaniasis liposomal amphotericin B pentavalent antimonials sporotrichoid dissemination thrombophlebitis |
| url | https://doi.org/10.1002/jvc2.244 |
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