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TROPICAL/INFECTOPARASITARY DERMATOLOGY • An. Bras. Dermatol. 97 (01) • 2022 • https://doi.org/10.1016/j.abd.2020.11.011   copy

Exuberant case of verrucous cutaneous leishmaniasis* * Study conducted at the Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, BA, Brazil.

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Abstract

Cutaneous leishmaniasis represents a public health problem that affects 85 countries. It is an endemic disease in Brazil, having an important socioeconomic impact. An exuberant case of cutaneous leishmaniasis is reported herein. A 28-year-old male patient with Down syndrome had had verrucous plaques on the back for over a year, with progressive growth. PCR of a lesion sample was positive for Leishmania braziliensis. The patient’s condition was classified as atypical cutaneous leishmaniasis. He was successfully treated with amphotericin B and miltefosine. The treatment remains a challenge, given the toxicity and low cure rate of the currently recommended drugs.

KEYWORDS
Leishmania braziliensis ; Leishmaniasis; cutaneous; Neglected diseases

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