title: American cutaneous leishmaniasis due to Leishmania (Viannia) guyanensis as an initial clinical presentation of human immunodeficiency virus infection.
abstract: The authors present the first report of Leishmania (Viannia) guyanensis (L.(V.) guyanenesis) associated with human immunodeficiency virus (HIV) in a Brazilian heterosexual man. It is also the first case of HIV infection associated with American cutaneous leishmaniasis in Brazilian Western Amazonia. The patient had cutaneous and mucous lesions with a negative Montenegro skin test. Histopathology showed large numbers of amastigotes, even in a lesion which had clinically healed. L.(V.) guyanenesis was typed by an immunoenzymatic technique. Various therapies were attempted, but the patient relapsed after each episode of treatment.
authors.affiliation: Instituto De Dermatologia Tropical e Venereologia Alfredo Da Matta, Manaus, Amazonas, Brazil. ilner@netium.com.br
authors.forename: I
authors.initials: I
authors.lastname: de Souza e Souza
authors.forename: R D
authors.initials: RD
authors.lastname: Naiff
authors.forename: T C
authors.initials: TC
authors.lastname: Guimarães
authors.forename: M F
authors.initials: MF
authors.lastname: Naiff
authors.forename: E
authors.initials: E
authors.lastname: Cupolillo
authors.forename: W A
authors.initials: WA
authors.lastname: Rodrigues
authors.forename: A P
authors.initials: AP
authors.lastname: Schettini
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000469:parasitology / Q000473:pathology; D000328:Adult; D000818:Animals; D001938:Brazil; D003937:Diagnosis, Differential; D006801:Humans; D018334:Leishmania guyanensis / Q000302:isolation & purification*; D007897:Leishmaniasis, Mucocutaneous / Q000175:diagnosis* / Q000469:parasitology / Q000473:pathology; D008297:Male; D009668:Nose Diseases / Q000175:diagnosis / Q000469:parasitology*