1921
Volume 90, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

A 45-year-old otherwise healthy male from an endemic region for infection in Bahia, Brazil, presented with three erosive hemorrhagic infiltrated plaques on the left shin accompanied with lymphadenopathy in the groin since one month ( Figure 1 ). A skin test performed on the left forearm was strongly positive (20 × 18 mm). Two days later, the patient felt sick and feverish. Painful erythematous target lesions developed on the palms and scapula together with conjunctivitis ( Figure 2 ). Histopathology confirmed erythema exsudativum multiforme (EEM) ( Figure 3 ). Both EEM and cutaneous leishmaniasis were successfully treated with a 5-day course of prednisone 20 mg, and a 20-day course of intravenous pentavalent antimony, respectively.

[open-access] This is an Open Access article distributed under the terms of the American Society of Tropical Medicine and Hygiene's Re-use License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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2014-04-02
2017-11-24
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References

  1. Reed SG, Badaró R, Masur H, Carvalho EM, Lorenco R, Lisboa A, Teixeira R, Johnson WD, Jr Jones TC, , 1986. Selection of a skin test antigen for American visceral leishmaniasis. Am J Trop Med Hyg 35: 7985.
  2. Machado P, Araújo C, Da Silva AT, Almeida RP, D'Oliveira A, Jr Bittencourt A, Carvalho EM, , 2002. Failure of early treatment of cutaneous leishmaniasis in preventing the development of an ulcer. Clin Infect Dis 34: E69E73.[Crossref]
  3. Machado PR, Carvalho AM, Machado GU, Dantas ML, Arruda S, , 2011. Development of cutaneous leishmaniasis after Leishmania skin test. Case Rep Med 2011: 631079.
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  • Received : 28 Mar 2013
  • Accepted : 05 Aug 2013

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