title: American cutaneous leishmaniasis associated with HIV infection: report of four cases.
abstract: OBJECTIVE
  A report of four cases of American cutaneous leishmaniasis associated with HIV infection is presented.
  
  
  BACKGROUND
  The association of mucocutaneous leishmaniasis and HIV infection is rare. Only 15 cases have been reported in the literature thus far.
  
  
  METHODS
  Four new cases are described and the differences between the clinical presentation in immunocompromised and immunocompetent patients are emphasized.
  
  
  CONCLUSIONS
  Multiple cutaneous lesions plus mucosal involvement characterize the clinical presentation of American cutaneous leishmaniasis in association with HIV infection in the majority of the cases. A serological investigation for HIV infection is recommended for patients presenting with this type of clinical picture, especially if the patient is a young male.
authors.affiliation: Hospital Evandro Chagas, Instituto Oswaldo Cruz, Fiocruz, Rio de Janeiro, Brazil.
authors.forename: M
authors.initials: M
authors.lastname: Mattos
authors.forename: A
authors.initials: A
authors.lastname: Caiza
authors.forename: O
authors.initials: O
authors.lastname: Fernandes
authors.forename: A J
authors.initials: AJ
authors.lastname: Gonçalves
authors.forename: C
authors.initials: C
authors.lastname: Pirmez
authors.forename: C S
authors.initials: CS
authors.lastname: Souza
authors.forename: M P
authors.initials: MP
authors.lastname: Oliveira-Neto
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000469:parasitology / Q000473:pathology; D000328:Adult; D001938:Brazil; D003937:Diagnosis, Differential; D006801:Humans; D007897:Leishmaniasis, Mucocutaneous / Q000175:diagnosis* / Q000469:parasitology / Q000473:pathology; D008297:Male; D008875:Middle Aged