title: Cold cellulitis. An unusual presentation of cutaneous leishmaniasis.
abstract: 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.
authors.affiliation: Department of Dermatology, Najran General Hospital, Kingdom of Saudi Arabia. hhs_s2000@hotmail.com
authors.forename: Hamdi H
authors.initials: HH
authors.lastname: Shelleh
authors.forename: Sarosh A
authors.initials: SA
authors.lastname: Khan
authors.forename: Abdul M
authors.initials: AM
authors.lastname: Al-Shayeb
authors.forename: Hussni
authors.initials: H
authors.lastname: Al-Hateeti
authors.forename: Latif A
authors.initials: LA
authors.lastname: Khan
authors.forename: Mohammad N
authors.initials: MN
authors.lastname: Kasabah
mesh_terms: D002481:Cellulitis / Q000150:complications*; D005260:Female; D006801:Humans; D016773:Leishmaniasis, Cutaneous / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged