title: A patient presenting with diffuse cutaneous leishmaniasis (DCL) as a first indicator of HIV infection in India.
abstract: Opportunistic parasitic infections such as leishmaniasis are common in human immunodeficiency virus (HIV)-infected patients and are usually acquired several days after initial diagnosis of HIV infection. Here, we report on a patient who presented with diffuse cutaneous leishmaniasis (DCL) caused by Leishmania tropica as the first and only clinical manifestation of HIV infection. To the best of our knowledge, this is the first case that illustrates that DCL could be the first clinical indicator of HIV infection. Cutaneous leishmaniasis (CL) and DCL are becoming frequent opportunistic infections in HIV-infected individuals throughout the world. To date, all documented cases of CL and HIV coinfections have been reported in patients who were known cases of HIV and who subsequently developed CL. In this report, we present a case that illustrates that DCL could be the first clinical indicator of HIV infection.
authors: Department of Dermatology, Sardar Patel Medical College, Bikaner, Rajasthan, India. drkanikakhandelwal@gmail.com
authors: Kanika
authors: K
authors: Khandelwal
authors: Ram Awatar
authors: RA
authors: Bumb
authors: Rajesh Dutt
authors: RD
authors: Mehta
authors: Himanshu
authors: H
authors: Kaushal
authors: Claudio
authors: C
authors: Lezama-Davila
authors: Poonam
authors: P
authors: Salotra
authors: Abhay R
authors: AR
authors: Satoskar
mesh_terms: D000328:Adult; D005260:Female; D015658:HIV Infections / Q000209:etiology*; D006801:Humans; D007194:India; D016773:Leishmaniasis, Cutaneous / Q000150:complications*