Cold cellulitis. An unusual presentation of cutaneous leishmaniasis.
We describe a case of cutaneous leishmaniasis, which presented as what we call "cold cellulitis". This may be differentiated from classical cellulitis/erysipelas by 1. Lesser local reaction like pain and tenderness 2. No systemic symptoms 3. No leucocytosis 4. Negative bacteriological and serological assay for bacterial cellulitis/erysipelas, 5. Longer course of illness and 6. Failure to respond to antibiotics. However, awareness of this type and frequent skin smears or skin biopsy will settle the right diagnosis. A review of different leishmanial presentations is given for comparison.
Shelleh
Hamdi H
HH
Department of Dermatology, Najran General Hospital, Kingdom of Saudi Arabia. hhs_s2000@hotmail.com
Khan
Sarosh A
SA
Al-Shayeb
Abdul M
AM
Al-Hateeti
Hussni
H
Khan
Latif A
LA
Kasabah
Mohammad N
MN
D002481:Cellulitis / Q000150:complications*; D005260:Female; D006801:Humans; D016773:Leishmaniasis, Cutaneous / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged