Cutaneous leishmaniasis in a 65-year-old North Texas male, treated with cryotherapy: A case report.

Division

North Texas

Hospital

Medical City Weatherford

Document Type

Case Report

Publication Date

2-7-2020

Keywords

Leishmania, cutaneous leishmaniasis, cryotherapy, protozoan infections

Disciplines

Dermatology | Infectious Disease | Internal Medicine | Parasitic Diseases | Skin and Connective Tissue Diseases

Abstract

We report a case of a 65-year-old male seen in a North Texas dermatology clinic with three erythematous nodules possessing central ulceration and scaling on the left lateral shoulder, present for months. Head, ears, lips, oral mucosa, and other body surfaces did not reveal similar lesions, and review of systems was negative. Shave biopsy was performed and histopathological findings demonstrated granulomatous inflammation in the dermis and parasitized histiocytes containing peripherally located amastigotes. Leishmaniasis was diagnosed and patient was educated on the disease while communication with the Centers for Disease Control and Prevention was initiated. The patient declined systemic medications from infectious disease specialists and, 3 weeks later, returned for follow-up treatment with cryotherapy.

Publisher or Conference

SAGE Open Medical Case Reports

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