Mucocutaneous leishmaniasis presenting as facial cellulitis.
We report a case of mucocutaneous leishmaniasis caused by Leishmania viannia braziliensis. Despite several courses of both oral and intravenous antibiotics no improvement was seen. This case highlights the importance of taking a thorough history, including details of recent travel, and considering rarer causes when no improvement with antibiotics is seen. Our patient was infected with a particularly virulent strain and destruction of the mucous membranes is not uncommon. Rapid diagnosis and treatment are therefore crucial.
Clayton
Rima
R
Amersham Hospital, Whielden Street, Amersham, Buckinghamshire, UK. r.clayton@doctors.org.uk
Grabczynska
Sophie
S
D000293:Adolescent; D000818:Animals; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000188:drug therapy / Q000469:parasitology* / Q000473:pathology; D005148:Facial Dermatoses / Q000188:drug therapy / Q000469:parasitology* / Q000473:pathology; D005260:Female; D006801:Humans; D007892:Leishmania braziliensis / Q000302:isolation & purification; D007897:Leishmaniasis, Mucocutaneous / Q000150:complications* / Q000188:drug therapy; D009296:Nasal Cavity / Q000469:parasitology; D016896:Treatment Outcome
D000890:Anti-Infective Agents