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[A boy with an unexpected souvenir from Morocco]
Colette L M van Hees1, Jaap J van Hellemond, Marijke S den Boer
1Erasmus MC, Rotterdam.
Nederlands Tijdschrift Voor Geneeskunde
|September 18, 2014
Summary
A child contracted cutaneous leishmaniasis after travel to Morocco. Initial treatment failed, and species typing revealed Leishmania infantum, highlighting the need for accurate diagnosis of parasitic skin diseases in travelers.
Area of Science:
- Dermatology
- Infectious Diseases
- Parasitology
Background:
- Cutaneous leishmaniasis is a parasitic skin disease prevalent in tropical and subtropical regions.
- Travelers to endemic areas are at risk of acquiring leishmaniasis.
- Early and accurate diagnosis is crucial for effective treatment and preventing complications.
Observation:
- A 12-year-old boy presented with a persistent skin lesion on his cheek after returning from North Morocco.
- The lesion was characterized as an erythematous, infiltrated plaque with a central crust.
- Initial clinical diagnosis was cutaneous leishmaniasis.
Findings:
- Treatment for the suspected Leishmania major infection was unsuccessful.
- Subsequent PCR (polymerase chain reaction) species typing identified the causative agent as Leishmania infantum.
- This indicated a misdiagnosis of the specific Leishmania species.
Implications:
- This case underscores the importance of considering parasitic skin infections in travelers returning from subtropical regions.
- Accurate species identification of Leishmania is critical, as different species may require different treatment protocols.
- Leishmania species typing is a valuable diagnostic tool for recalcitrant or atypical cases of cutaneous leishmaniasis.
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