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Cutaneous Leishmaniasis

Nickens CMN - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Cutaneous Leishmaniasis

History: A 25yo AD man, recently returned to the U.S. from deployment in Iraq, presented with a 3 month history of a non-healing lesion on his right calf. He noted a “pimple” like lesion on the right calf 3 months ago while he was embedded with the Iraqi forces. He denied any insect bites, though did recall living in unsanitary conditions and exposure to contaminated water from the Euphrates River. He had taken a course of cephalexin without resolution of his lesion. He was on clarithromycin at the time of presentation.

Findings: Punch biopsy of the right medial calf revealed a granulomatous dermatitis with organisms morphologically consistent with Leishmaniasis; special stains for fungal elements, acid-fast mycobacteria, and atypical mycobacterial were negative.

Exam: A 1.0 x 1.0 cm erythematous, firm plaque without ulceration, crust, or scale was noted on the right medial calf. No sporotrichoid spread. No popliteal or inguinal lymphadenopathy. No mucosal lesions. Bacterial, mycobacterial, fungal cultures negative to date

No MeSH data available.


Punch biopsy of the right medial calf revealed a granulomatous dermatitis with organisms morphologically consistent with Leishmaniasis; special stains for fungal elements, acid-fast mycobacteria, and atypical mycobacterial were negative.
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MPX1577_synpic36740: Punch biopsy of the right medial calf revealed a granulomatous dermatitis with organisms morphologically consistent with Leishmaniasis; special stains for fungal elements, acid-fast mycobacteria, and atypical mycobacterial were negative.


Cutaneous Leishmaniasis

Nickens CMN - MedPix (2007)

Punch biopsy of the right medial calf revealed a granulomatous dermatitis with organisms morphologically consistent with Leishmaniasis; special stains for fungal elements, acid-fast mycobacteria, and atypical mycobacterial were negative.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1577&req=5

MPX1577_synpic36740: Punch biopsy of the right medial calf revealed a granulomatous dermatitis with organisms morphologically consistent with Leishmaniasis; special stains for fungal elements, acid-fast mycobacteria, and atypical mycobacterial were negative.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Cutaneous Leishmaniasis

History: A 25yo AD man, recently returned to the U.S. from deployment in Iraq, presented with a 3 month history of a non-healing lesion on his right calf. He noted a “pimple” like lesion on the right calf 3 months ago while he was embedded with the Iraqi forces. He denied any insect bites, though did recall living in unsanitary conditions and exposure to contaminated water from the Euphrates River. He had taken a course of cephalexin without resolution of his lesion. He was on clarithromycin at the time of presentation.

Findings: Punch biopsy of the right medial calf revealed a granulomatous dermatitis with organisms morphologically consistent with Leishmaniasis; special stains for fungal elements, acid-fast mycobacteria, and atypical mycobacterial were negative.

Exam: A 1.0 x 1.0 cm erythematous, firm plaque without ulceration, crust, or scale was noted on the right medial calf. No sporotrichoid spread. No popliteal or inguinal lymphadenopathy. No mucosal lesions. Bacterial, mycobacterial, fungal cultures negative to date

No MeSH data available.