1921
Volume 75, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

A patient with an ulcerated cutaneous leishmaniasis of the pinna had suppurative otochondritis after a first unsuccessful course of treatment with meglumine antimoniate. Although the ulceration healed after a second course of meglumine antimoniate, and despite three oral dicloxacillin or pristinamycin courses, the otochondritis extended and an abscess developed. Pus from the abscess revealed a pure culture of Five days of oral ciprofloxacin plus rifampin led to a marked improvement. The isolate was sensitive to ciprofloxacin but fully resistant to rifampin. Healing with minimal mutilation was obtained at the end of a six-week course of multiple antibiotic therapy. otochondritis was a co-factor of cartilage mutilation in this patient. Thus, infection with should be promptly treated when present in tender cutaneous or mucosal leishmaniasis lesions near cartilaginous areas.

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  • Received : 30 Dec 2005
  • Accepted : 23 Mar 2006

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