Mucocutaneous leishmaniasis in a cocaine user: diagnostic and therapeutic knowledge

Abstract Mucocutaneous leishmaniasis (MCL) is a chronic infection that can affect the skin and mucous membranes. We report a case of oral, nasopharyngeal, and penile lesions in a 35-year-old cocaine user. The patient presented with ulcerated lesions in 2014. Histopathologic analysis revealed amastigotes, and serological test results were positive for leishmaniasis. Systemic therapy with meglumine antimoniate was administered; however, the patient failed to present for follow-up. In 2018, he returned with nasal collapse, and another histopathologic test confirmed MCL. This case illustrates the importance of careful differential diagnosis of skin and mucous ulcers to identify the particular pathology.

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Main Authors: Sbroglio,Lissiê Lunardi, Maiolini,Viviane Maria, Rabelo,Irene Machado Moraes Alvarenga, Giraldelli,Gabriela Almeida, Tuccori,Luciana Patrícia, Cunha,Rodrigo Guimarães
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Medicina Tropical - SBMT 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100714
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spelling oai:scielo:S0037-868220200001007142020-06-18Mucocutaneous leishmaniasis in a cocaine user: diagnostic and therapeutic knowledgeSbroglio,Lissiê LunardiMaiolini,Viviane MariaRabelo,Irene Machado Moraes AlvarengaGiraldelli,Gabriela AlmeidaTuccori,Luciana PatríciaCunha,Rodrigo Guimarães Mucocutaneous Leishmaniasis Cocaine related disorders Infectious Disease Medicine Abstract Mucocutaneous leishmaniasis (MCL) is a chronic infection that can affect the skin and mucous membranes. We report a case of oral, nasopharyngeal, and penile lesions in a 35-year-old cocaine user. The patient presented with ulcerated lesions in 2014. Histopathologic analysis revealed amastigotes, and serological test results were positive for leishmaniasis. Systemic therapy with meglumine antimoniate was administered; however, the patient failed to present for follow-up. In 2018, he returned with nasal collapse, and another histopathologic test confirmed MCL. This case illustrates the importance of careful differential diagnosis of skin and mucous ulcers to identify the particular pathology.info:eu-repo/semantics/openAccessSociedade Brasileira de Medicina Tropical - SBMTRevista da Sociedade Brasileira de Medicina Tropical v.53 20202020-01-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100714en10.1590/0037-8682-0040-2020
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language English
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author Sbroglio,Lissiê Lunardi
Maiolini,Viviane Maria
Rabelo,Irene Machado Moraes Alvarenga
Giraldelli,Gabriela Almeida
Tuccori,Luciana Patrícia
Cunha,Rodrigo Guimarães
spellingShingle Sbroglio,Lissiê Lunardi
Maiolini,Viviane Maria
Rabelo,Irene Machado Moraes Alvarenga
Giraldelli,Gabriela Almeida
Tuccori,Luciana Patrícia
Cunha,Rodrigo Guimarães
Mucocutaneous leishmaniasis in a cocaine user: diagnostic and therapeutic knowledge
author_facet Sbroglio,Lissiê Lunardi
Maiolini,Viviane Maria
Rabelo,Irene Machado Moraes Alvarenga
Giraldelli,Gabriela Almeida
Tuccori,Luciana Patrícia
Cunha,Rodrigo Guimarães
author_sort Sbroglio,Lissiê Lunardi
title Mucocutaneous leishmaniasis in a cocaine user: diagnostic and therapeutic knowledge
title_short Mucocutaneous leishmaniasis in a cocaine user: diagnostic and therapeutic knowledge
title_full Mucocutaneous leishmaniasis in a cocaine user: diagnostic and therapeutic knowledge
title_fullStr Mucocutaneous leishmaniasis in a cocaine user: diagnostic and therapeutic knowledge
title_full_unstemmed Mucocutaneous leishmaniasis in a cocaine user: diagnostic and therapeutic knowledge
title_sort mucocutaneous leishmaniasis in a cocaine user: diagnostic and therapeutic knowledge
description Abstract Mucocutaneous leishmaniasis (MCL) is a chronic infection that can affect the skin and mucous membranes. We report a case of oral, nasopharyngeal, and penile lesions in a 35-year-old cocaine user. The patient presented with ulcerated lesions in 2014. Histopathologic analysis revealed amastigotes, and serological test results were positive for leishmaniasis. Systemic therapy with meglumine antimoniate was administered; however, the patient failed to present for follow-up. In 2018, he returned with nasal collapse, and another histopathologic test confirmed MCL. This case illustrates the importance of careful differential diagnosis of skin and mucous ulcers to identify the particular pathology.
publisher Sociedade Brasileira de Medicina Tropical - SBMT
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100714
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