Leishmaniasis Cutánea Difusa por Leishmania (Viannia) brasiliensis. A propósito de un caso

Arnaldo Caballero; Jesús Manuel García; Juan Guillermo Aldama; José Pereira

doi:10.18004/

Authors

Arnaldo Caballero 1Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Cátedra de Dermatología. San Lorenzo, Paraguay
Jesús Manuel García Hospital Nacional, Servicio de Dermatología. Itaugua, Paraguay
Juan Guillermo Aldama Hospital Nacional, Departamento de Medicina Interna. Itaugua, Paraguay.
José Pereira Centro de Especialidades Dermatológicas. San Lorenzo, Paraguay.

DOI:

https://doi.org/10.18004/

Keywords:

Diffuse cutaneous leishmaniasis, diffuse cutaneous leishmaniasis due to Leishmania (Viannia) brasiliensis, diffuse cutaneous leishmaniasis in Paraguay, Paraguay

Abstract

Cutaneous or mucocutaneous leishmaniasis presents a variety of clinical forms, the most common being a molded ulcer.
A rare form is the so-called diffuse cutaneous leishmaniasis characterized by presenting papules, tubers, nodules, plaques and infiltration; initially located but with a tendency to progression, and may become widespread. It is a form not reported in Paraguay.
We present the case of an older adult woman, with plaques and nodules on both lower limbs, and whose smear and pathological anatomy confirmed the diagnosis of leishmaniasis. Clinically classified as diffuse cutaneous leishmaniasis, PCR and HRM were shown to be produced by Leishmania (Viannia) brasiliensis.

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