title: Mucocutaneous leishmaniasis as presentation of HIV infection in Sardinia, insular Italy.
abstract: Leishmaniasis is endemic in Sardinia but only cutaneous and visceral cases have been reported to date. We report a case of mucocutaneous leishmaniasis as presentation of HIV infection in a Sardinian patient who had never visited endemic areas. Serological and clinical diagnosis was cytologically and histopathologically confirmed. The patient had a good response to treatment with liposomal amphotericin combined with highly active antiretroviral therapy without recurrences after four years. Our case report highlights the need to better assess the circulation of species, risk factors and clinical spectrum of Leishmania infection in the Italian Mediterranean islands.
authors.affiliation: Department of Clinical and Experimental Medicine, University of Sassari, Italy. Electronic address: giordano.madeddu@uniss.it.
authors.forename: Giordano
authors.initials: G
authors.lastname: Madeddu
authors.forename: Maria Laura
authors.initials: ML
authors.lastname: Fiori
authors.forename: Pasquale
authors.initials: P
authors.lastname: Ena
authors.forename: Francesco
authors.initials: F
authors.lastname: Riu
authors.forename: Carla
authors.initials: C
authors.lastname: Lovigu
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Nunnari
authors.forename: Paola
authors.initials: P
authors.lastname: Bagella
authors.forename: Ivana
authors.initials: I
authors.lastname: Maida
authors.forename: Sergio
authors.initials: S
authors.lastname: Babudieri
authors.forename: Maria Stella
authors.initials: MS
authors.lastname: Mura
mesh_terms: D000328:Adult; D015658:HIV Infections / Q000150:complications* / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D007558:Italy / Q000453:epidemiology; D007897:Leishmaniasis, Mucocutaneous / Q000150:complications* / Q000453:epidemiology; D008297:Male
keywords: HIV; Italy; Mucocutaneous leishmaniasis