Gnathostomiasis and cutaneous leishmaniasis: a possible co-infection
DOI:
https://doi.org/10.5935/2764-734X.e202203009Keywords:
Leishmaniasis, Cutaneous, Helminths, Skin UlcerAbstract
Gnathostomiasis is a zoonosis transmitted to humans by eating raw or undercooked foods contaminated with the larvae of Gnathostoma sp. The clinical manifestations of gnathostomiasis vary according to the species, parasite load and affected tissues. Skin lesions are mainly characterized by nodules or areas of edema that affect any topography of the body. Cutaneous leishmaniasis is mainly characterized by a single ulcerated skin lesion caused by different species of Leishmania. In this article we present a case report of Gnasthostoma and Leishmania co-infection, with clinical presentation of an ulcerated skin lesion in the triceps region of the right upper limb that appeared during a trip to Peru. A diagnosis of leishmaniasis was made by detection of amastigotes and at the beginning of treatment, there was an exit of helminth characterized with Gnasthostoma by stereomicroscope. He received treatment with albendazole, and the lesion healed. This is the first report of Gnasthostoma and Leishmania co-infection described in the literature.
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