L. (L.) chagasi in AIDS and visceral leishmaniasis (kala-azar) co-infection.
Concomitant skin lesions in visceral leishmaniasis (VL) or kala-azar are rare, being more common the description of post-kala-azar dermal leishmaniasis occurring post treatment of kala-azar. Skin lesions caused by Leishmania donovani are frequently seen in the aids-VL co-infection. In Brazil cutaneous or mucosal forms of tegumentary leishmaniasis concomitant with aids are more commonly registered. Here we present a case of aids-VL co-infection, with unusual cutaneous and digestive compromising attributed to L. (L.) chagasi, with special attention to ecthymatous aspect of the lesion, allied to the absence of parasite on the histological skin biopsy.
Roselino
Ana Maria
AM
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine of Ribeirão Preto/University of São Paulo, Ribeirão Preto, SP, Brasil. amfrosel@fmrp.usp.br
Chociay
Maria Fernanda
MF
Costa
Roberto Silva
RS
Machado
Alcyone Artioli
AA
Figueiredo
José Fernando de Castro
JF
D000328:Adult; D000818:Animals; D017809:Fatal Outcome; D015658:HIV Infections / Q000150:complications* / Q000473:pathology; D006801:Humans; D007893:Leishmania donovani / Q000235:genetics* / Q000302:isolation & purification; D016773:Leishmaniasis, Cutaneous / Q000150:complications* / Q000473:pathology; D007898:Leishmaniasis, Visceral / Q000150:complications* / Q000473:pathology; D008297:Male; D016133:Polymerase Chain Reaction; D012150:Polymorphism, Restriction Fragment Length