Volume 85, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



American tegumentary leishmaniasis (ATL) and human immunodeficiency virus (HIV) are both common infectious diseases in the Brazilian Amazon with overlapping expansion areas, which leads to the occurrence of /HIV coinfection. Most ATL/HIV–acquired immunodeficiency syndrome (AIDS) association cases have been reported from areas where () is the main pathogen; this finding is in contrast with the Amazon region, where () is the most implicated agent, implying distinct clinical and therapeutic aspects. We describe 15 cases of ATL/HIV coinfection treated in a tertiary care center in the Brazilian Amazon between 1999 and 2008. Thirteen patients presented with diverse clinical manifestations of cutaneous leishmaniasis, and four of them had disseminated forms; two patients presented with mucosal leishmaniasis (ML). Seven patients required more than one course of treatment. The particularities of ATL/HIV-AIDS association in () -endemic areas require efforts for an increased understanding of its burden and subsequent improvements in case management.


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  • Received : 04 Feb 2011
  • Accepted : 01 Jun 2011
  • Published online : 01 Sep 2011

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