Case Reports: Late Emergence of Cutaneous Leishmaniasis in an Immunocompromised Patient in a Non-Endemic Setting

David New Infectious Diseases Department, Monash Health, Melbourne, Australia;

Search for other papers by David New in
Current site
Google Scholar
PubMed
Close
and
Benjamin A. Rogers Infectious Diseases Department, Monash Health, Melbourne, Australia;
Monash Centre for Inflammatory Diseases, Monash University, Melbourne, Australia

Search for other papers by Benjamin A. Rogers in
Current site
Google Scholar
PubMed
Close
Restricted access

We report a case of reactivation of cutaneous leishmaniasis caused by Leishmania major in a 40-year-old man from Afghanistan, in the context of immune suppression. His last potential exposure was 7 years before the clinical presentation. To our knowledge, this is the most temporally distant reactivation of cutaneous leishmaniasis reported in a non-endemic country.

    • Supplemental Materials (JPG 1087 KB)

Author Notes

Address correspondence to David New, Infectious Diseases Department, Monash Health, 246 Clayton Rd., Clayton, Victoria 3168, Australia. E-mail: david.new@monashhealth.org

Authors’ addresses: David New, Infectious Diseases Department, Monash Health, Clayton, Melbourne, Australia, E-mail: david.new@monashhealth.org. Benjamin A. Rogers, Infectious Diseases, School of Clincal Sciences, Monash Health, Monash University, Clayton, Melbourne, Australia, E-mail: ben.rogers@monash.edu.

  • 1.

    Alvar J, Vélez ID, Bern C, Herrero M, Desjeux P, Cano J, Jannin J, den Boer M; WHO Leishmaniasis Control Team, 2012. Leishmaniasis worldwide and global estimates of its incidence. PLOS One 7: e35671.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Rose K, Curtis J, Baldwin T, Mathis A, Kumar B, Sakthianandeswaren A, Spurck T, Low Choy J, Handman E, 2004. Cutaneous leishmaniasis in red kangaroos: isolation and characterisation of the causative organisms. Int J Parasitol 34: 655–664.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Dougall AM, Alexander B, Holt DC, Harris T, Sultan AH, Bates PA, Rose K, Walton SF, 2011. Evidence incriminating midges (Diptera: Ceratopogonidae) as potential vectors of Leishmania in Australia. Int J Parasitol 41: 571–579.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    van Griensven J, Carrillo E, López-Vélez R, Lynen L, Moreno J, 2014. Leishmaniasis in immunosuppressed individuals. Clin Microbiol Infect 20: 286–299.

  • 5.

    Mortazavi H, Salehi M, Kamyab K, 2014. Reactivation of cutaneous leishmaniasis after renal transplantation: a case report. Case Rep Dermatol Med 2014: 251423.

  • 6.

    Tuon FF, Bombonatto GM, Battaglin ER, Sakumoto MH, Amato VS, de Camargo RA, Nicodemo AC, 2014. Reactivation of mucosal and cutaneous leishmaniasis in a renal transplanted patient. Am J Trop Med Hyg 91: 81–83.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Tuon FF, Sabbaga Amato V, Floeter-Winter LM, de Andrade Zampieri R, Amato Neto V, Siqueira França FO, Shikanai-Yasuda MA, 2007. Cutaneous leishmaniasis reactivation 2 years after treatment caused by systemic corticosteroids–first report. Int J Dermatol 46: 628–630.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Mirzabeigi M, Farooq U, Baraniak S, Dowdy L, Ciancio G, Vincek V, 2006. Reactivation of dormant cutaneous Leishmania infection in a kidney transplant patient. J Cutan Pathol 33: 701–704.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Mendonça MG, de Brito ME, Rodrigues EH, Bandeira V, Jardim ML, Abath FG, 2004. Persistence of Leishmania parasites in scars after clinical cure of American cutaneous leishmaniasis: is there a sterile cure? J Infect Dis 189: 1018–1023.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Mandell MA, Beverley SM, 2017. Continual renewal and replication of persistent Leishmania major parasites in concomitantly immune hosts. Proc Natl Acad Sci USA 114: E801–E810.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 412 332 23
Full Text Views 1132 11 2
PDF Downloads 144 10 0
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save