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American cutaneous leishmaniasis due to Leishmania (Viannia) guyanensis as an initial clinical presentation of human immunodeficiency virus infection
Author(s) -
Souza e Souza Iliner,
Naiff Roberto Daibes,
Guimarães Túlio César,
Naiff Marcicleide de Farias,
Cupolillo Elisa,
Rodrigues Wagner de Andrade,
Schettini Antônio Pedro Mendes
Publication year - 1998
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/j.1468-3083.1998.tb00738.x
Subject(s) - medicine , cutaneous leishmaniasis , leishmaniasis , virology , leishmania , human immunodeficiency virus (hiv) , histopathology , dermatology , lesion , coinfection , immunology , pathology , parasite hosting , world wide web , computer science
The authors present the first report of Leishmania (Viannia) guyanensis (L.(V.) guyanenesis ) associated with human immunodeficiency virus (HIV) in a Brazilian heterosexual man. It is also the first case of HIV infection associated with American cutaneous leishmaniasis in Brazilian Western Amazonia. The patient had cutaneous and mucous lesions with a negative Montenegro skin test. Histopathology showed large numbers of amastigotes, even in a lesion which had clinically healed. L.(V.) guyanenesis was typed by an immunoenzymatic technique. Various therapies were attempted, but the patient relapsed after each episode of treatment.