Leishmania (Viannia) guyanensis Causing Localized Cutaneous Leishmaniasis in a Traveler

We report on a 66-year-old male who presented for evaluation of rapidly expanding lesions on his lower extremities. He first noticed these lesions following a trip to Costa Rica, in which he was bitten by several unidentified bugs. He was initially treated empirically with antibiotics in the outpati...

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Detalles Bibliográficos
Autores principales: Motie, Ian K, Sia, John, Burns, Katherine, Kraitman, Natan, Mercado, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9390863/
https://www.ncbi.nlm.nih.gov/pubmed/36000119
http://dx.doi.org/10.7759/cureus.27055
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author Motie, Ian K
Sia, John
Burns, Katherine
Kraitman, Natan
Mercado, Roberto
author_facet Motie, Ian K
Sia, John
Burns, Katherine
Kraitman, Natan
Mercado, Roberto
author_sort Motie, Ian K
collection PubMed
description We report on a 66-year-old male who presented for evaluation of rapidly expanding lesions on his lower extremities. He first noticed these lesions following a trip to Costa Rica, in which he was bitten by several unidentified bugs. He was initially treated empirically with antibiotics in the outpatient setting with no improvement of his symptoms. His lesions continued to expand and spread locally which prompted further workup with a biopsy of one of his lesions. He was ultimately found to have Leishmaniasis (Viannis) guyanensis confirmed by microscopy and polymerase chain reaction. He was treated with aggressive wound care and amphotericin B due to the risk of progressing to involve his mucosa. 
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spelling pubmed-93908632022-08-22 Leishmania (Viannia) guyanensis Causing Localized Cutaneous Leishmaniasis in a Traveler Motie, Ian K Sia, John Burns, Katherine Kraitman, Natan Mercado, Roberto Cureus Internal Medicine We report on a 66-year-old male who presented for evaluation of rapidly expanding lesions on his lower extremities. He first noticed these lesions following a trip to Costa Rica, in which he was bitten by several unidentified bugs. He was initially treated empirically with antibiotics in the outpatient setting with no improvement of his symptoms. His lesions continued to expand and spread locally which prompted further workup with a biopsy of one of his lesions. He was ultimately found to have Leishmaniasis (Viannis) guyanensis confirmed by microscopy and polymerase chain reaction. He was treated with aggressive wound care and amphotericin B due to the risk of progressing to involve his mucosa.  Cureus 2022-07-20 /pmc/articles/PMC9390863/ /pubmed/36000119 http://dx.doi.org/10.7759/cureus.27055 Text en Copyright © 2022, Motie et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Motie, Ian K
Sia, John
Burns, Katherine
Kraitman, Natan
Mercado, Roberto
Leishmania (Viannia) guyanensis Causing Localized Cutaneous Leishmaniasis in a Traveler
title Leishmania (Viannia) guyanensis Causing Localized Cutaneous Leishmaniasis in a Traveler
title_full Leishmania (Viannia) guyanensis Causing Localized Cutaneous Leishmaniasis in a Traveler
title_fullStr Leishmania (Viannia) guyanensis Causing Localized Cutaneous Leishmaniasis in a Traveler
title_full_unstemmed Leishmania (Viannia) guyanensis Causing Localized Cutaneous Leishmaniasis in a Traveler
title_short Leishmania (Viannia) guyanensis Causing Localized Cutaneous Leishmaniasis in a Traveler
title_sort leishmania (viannia) guyanensis causing localized cutaneous leishmaniasis in a traveler
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9390863/
https://www.ncbi.nlm.nih.gov/pubmed/36000119
http://dx.doi.org/10.7759/cureus.27055
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