Summary
This is a case report of kala-azar with cutaneous leishmaniasis. Upon admission, the patient had fever, hepatosplenomegaly and an ulcer on her cheek. The patient responded to Pentostam. Isoenzyme studies of parasite isolates from the the bone marrow and from the cutaneous lesion revealed that these were L. donovani and L. major, respectively. This is the first report in Iraq of a proven concomitant infection with two species of leishmania parasites.
Zusammenfassung
Wir präsentieren eine Fallstudie von Kala-Azar mit gleichzeitiger kutaner Leishmaniose, Die Patientin hatte Fieber, Hepatosplenomegalie und einen Ulcus an der einen Wange. Sie sprach auf Pentostam an. Die Analyse der Isoenzym-Profile der Parasiten aus einer Knochenmarks-Punktion sowie aus dem Ulcus wiesen nach, dass es sich dabei um L. donovani und um L. major handelte. Diese Studie ist die erste Beschreibung einer simultanen Infektion mit L. donovani und mit L. major im Irak.
Résumé
Notre étude rapporte un cas de Kala-Azar accompagné d'une leishmaniose cutanée. La patiente avait la fièvre, une hépatosplénomégalie et un ulcère à une de ses joux. L'infection répondait bien à la Pentostame. L'analyse des isoenzymes montrait que les parasites isolés de la moile osseuse représentaient L. donovani, pendant que ceux de la lésion cutanée représentaient L. major. Notre rapport constitue la première documentation d'un cas d'une infection simultanée par L. donovani et L. major en Iraq.
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Al-Diwany, L.J., Al-Awkati, N.A., Atia, M. et al. Concomitant natural infection with L. donovani and L. major: A case report from Iraq. Soz Präventivmed 40, 234–238 (1995). https://doi.org/10.1007/BF01354478
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DOI: https://doi.org/10.1007/BF01354478