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Cutaneous leishmaniasis in an immigrant Saudi worker: a case report
Journal of Health, Population, and Nutrition
|August 1, 2014
Summary
This case report details the first imported cutaneous leishmaniasis (CL) caused by Leishmania tropica in a Bangladeshi migrant worker returning from Saudi Arabia. Early clinical suspicion and diagnostic confirmation are crucial for this uncommon disorder.
Area of Science:
- Medical Parasitology
- Infectious Diseases Epidemiology
Background:
- Cutaneous leishmaniasis (CL) is rare in South-East Asia, including Bangladesh.
- Diagnosis requires a high index of suspicion, often presenting as granulomatous plaques on exposed skin.
Observation:
- A Bangladeshi migrant worker returning from Saudi Arabia presented with skin lesions initially suspected as cutaneous tuberculosis.
- A health worker with prior experience in Saudi Arabia suspected cutaneous leishmaniasis (CL).
Findings:
- Smear microscopy confirmed Leishmania parasites (amastigotes) within macrophages.
- PCR identified the causative species as Leishmania tropica.
- The patient received treatment with sodium stibogluconate.
Implications:
- Highlights the importance of considering imported CL in returning travelers.
- Emphasizes the role of clinical suspicion and diagnostic tools in identifying rare infectious diseases.
- Contributes to understanding the geographic spread and clinical presentation of Leishmania tropica infections.
