Atypical presentation of cutaneous leishmaniasis in a pregnant woman

Authors

  • Mariana Lanna Magalhães Instituto de Infectologia Emilio Ribas - São Paulo - SP - Brasil
  • Daniela Costa Anastácio Instituto de Infectologia Emilio Ribas - São Paulo - SP - Brasil
  • Lívia Vieira de Almeida Instituto de Infectologia Emilio Ribas - São Paulo - SP - Brasil
  • Rosely Antunes Patzina Hospital das Clínicas da USP, Instituto Central - São Paulo - SP - Brasil
  • José Angelo Lauletta Lindoso Universidade de São Paulo, Instituto de Medicina Tropical - São Paulo - SP - Brasil

DOI:

https://doi.org/10.5935/2764-734X.e20240541

Keywords:

Cutaneous leishmaniasis, Amphotericin B, Meglumine antimoniate, Pregnancy complications, Infections, Case report

Abstract

Cutaneous leishmaniasis most commonly presents as a single cutaneous ulcer, but there are less common clinical presentations. Here we report a rare manifestation of cutaneous leishmaniasis diagnosed in a 37-year-old pregnant woman who presented with an infiltrative, erythematous, raspberry-like lesion on the nasal dorsum of three months’ duration. No mucosal involvement was noted, but the patient complained of local pain and paresthesias. There was no history of immunosuppression or other comorbidities. Initially treated with amphotericin B, the patient experienced a relapse after eight months, at which time we decided to restart treatment with pentavalent antimonial. The delay in diagnosis caused by the atypical presentation of the disease led to a delay in treatment. We emphasize the importance of including cutaneous leishmaniasis in the differential diagnosis of any skin lesion in endemic areas.

References

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Published

2024-06-20

How to Cite

Magalhães, M. L., Anastácio, D. C., Almeida, L. V. de, Patzina, R. A., & Lindoso, J. A. L. (2024). Atypical presentation of cutaneous leishmaniasis in a pregnant woman. Infections in Evidence, 3, e20240541. https://doi.org/10.5935/2764-734X.e20240541

Issue

Vol. 3 (2024)

Section

Case Reports

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