[Atypical cutaneous leishmaniasis].
French Guyana is an endemic area for American cutaneous leishmaniasis. At the start, the initial red lesion may be mistaken for a whitlow. Twenty percent of developed forms exhibit a sporotrichosis pattern. The notion of travel to an endemic area is very important for diagnosis. We report the case of a young man from French Guyana presenting with a cutaneous lesion of the finger. After numerous surgical treatments for a "whitlow", the final diagnosis of leishmaniasis was difficult because of local-complications and cutaneous rearrangement. Erroneous initial orientation in a unit unaware of tropical diseases can forestall appropriate care of the patients. Epidemiological, clinical and therapeutic data on American tegument leishmaniasis are discussed.
Lescure
F X
FX
Service de pathologies infectieuses, CHU Nord, Place victor Pauchet, F 80054 Amiens. x_lescure@hotmail.com
Bonnard
P
P
Chandenier
J
J
Schmit
J L
JL
Douadi
Y
Y
D000328:Adult; D003937:Diagnosis, Differential; D005385:Fingers / Q000473:pathology*; D006801:Humans; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D012871:Skin Diseases / Q000175:diagnosis / Q000473:pathology; D014195:Travel