Case Report: An Atypical Erysipeloid Presentation of Cutaneous Leishmaniasis from the Hilly Region of Nepal

Nepal, Suman

doi:10.4269/ajtmh.20-0595

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…1,4 Oral miltefosine, used as monotherapy 12 or associated with oral fluconazole, was prescribed with a good outcome. 16 Other molecules can be interesting, particularly metronidazole, which is well tolerated. We would emphasize the favorable response to intramuscular MA found in our series.…”

Section: Discussionmentioning

confidence: 99%

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Erysipeloid cutaneous leishmaniasis: a study of 40 cases of an unusual variant

et al. 2022

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Background Erysipeloid cutaneous leishmaniasis (ECL) is known as the chronic form of cutaneous leishmaniasis (CL). However, keeping its clinical presentation in view, there is a need to revisit this form of the disease. Aims To describe ECL in view of clinical features and treatment modalities. Methods We include a case series seen in Sfax (Southern Tunisia) from January 2017 to January 2021. All patients clinically suggestive and laboratory confirmed with a diagnosis of CL were registered. Patients of all age groups and of either gender having cutaneous lesions resembling erysipela on the face were included in the study. Different demographic features of the patients and clinical aspects were identified. Descriptive statistics were used for analysis. Results Of 1300 registered patients with CL, 40 (3%) were diagnosed as ECL. Ages ranged from 15 to 65 years, and duration of lesions varied from 15 to 180 days. All patients had lesions over the face. Clinically, a painful infiltrated inflammatory placard of the central facial area with a butterfly shape was observed in 14 cases, as well as zones of the cheekbone (11 cases), cheekbone and nose (5 cases), cheekbone and eyelid (8 cases), and cheekbone with ear (2 cases). Several therapeutic methods were prescribed with a sufficient result with no recurrence. Conclusion ECL is a rare presentation that typically occurs on the face, looking like erysipelas, in patients who are native from an endemic region of CL.

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Section: Discussionmentioning

confidence: 99%

“…Evolution took less than 1 year without a major aesthetic sequelae 1,4 . Oral miltefosine, used as monotherapy 12 or associated with oral fluconazole, was prescribed with a good outcome 16 . Other molecules can be interesting, particularly metronidazole, which is well tolerated.…”

Section: Discussionmentioning

confidence: 99%

Erysipeloid cutaneous leishmaniasis: a study of 40 cases of an unusual variant

et al. 2022

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“…The erysipeloid form, a rare variant often leading to late diagnosis, could be present in the form of an erythematous indurated plaque [ 160 ], a small ulcerative and cribriform lesion or a papule with redness and induration [ 161 , 162 ]. The erysipeloid form, in which ulcerative erythematous lesions develop, has been previously reported in Pakistan, Nepal, Iran and Turkey [ 157 , 162 , 163 , 164 , 165 , 166 , 167 , 168 , 169 ]. In general, the lesion responds well to antimony treatment [ 168 , 170 ].…”

Section: Atypical Presentations Of Leishmaniasismentioning

confidence: 99%

Unusual Observations in Leishmaniasis—An Overview

et al. 2023

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Leishmaniasis significantly affects the population of the tropics and subtropics. Clinical features and infective species of Leishmania are the primary factors driving the direction of diagnosis. The rise in incidences of atypical presentations present a challenge in patient treatment. Knowledge of unusual/rare presentations can aid in having a broader perspective for including the different aspects during the examination and thus avoid misdiagnosis. A comprehensive literature survey was performed to present the array of atypical presentations confounding clinicians which have been seen in leishmaniasis. Case reports of unusual findings based on the localizations and morphology of lesions and infective species and the predominant geographical sites over almost five decades highlight such presentations in the population. Information regarding the clinical features recorded in the patient and the chosen treatment was extracted to put forward the preferred drug regimen in such cases. This comprehensive review presents various unusual observations seen in visceral leishmaniasis, post-kala-azar dermal leishmaniasis, cutaneous leishmaniasis, and mucocutaneous leishmaniasis. It highlights the need to consider such features in association with differential diagnosis to facilitate proper treatment of the patient.

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Mimickers of erysipelas and cellulitis: A narrative review

Gowda,

Garg,

Behera

et al. 2024

IJDVL

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A diffuse erythematous, edematous tender swelling with a distinct border and local rise in temperature suggest a morphological diagnosis of erysipelas-like eruption. While cellulitis and pseudocellulitis have an ill defined tender erythematous plaque. Erysipelas, and cellulitis are not a straightforward diagnosis as multiple cutaneous eruptions mimic erysipelas. It is important to have comprehensive knowledge about the different causes of erysipelas-like eruptions and pseudocellulitis to reach a diagnosis and treat appropriately. Many infectious diseases such as histoplasmosis, leishmaniasis, dermatophytosis, and infusion of chemotherapeutic agents result in erysipelas-like eruptions and pseudocellulitis. Malignancy-related dermatoses such as carcinoma erysipeloides, erysipeloides melanomatosum, and inflammatory dermatoses such as sweet syndrome, well syndrome, and Crohn’s disease present as erysipelas-like eruption.

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Case Report: An Atypical Erysipeloid Presentation of Cutaneous Leishmaniasis from the Hilly Region of Nepal

Cited by 3 publications

References 20 publications

Erysipeloid cutaneous leishmaniasis: a study of 40 cases of an unusual variant

Erysipeloid cutaneous leishmaniasis: a study of 40 cases of an unusual variant

Unusual Observations in Leishmaniasis—An Overview

Mimickers of erysipelas and cellulitis: A narrative review

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