Case Report: First Report of Mucocutaneous Leishmaniasis in Algeria: Observations from a Case Report

Nacera Seklaoui Parasitology-Mycology Department, Hospital-University of Nedir Mohammed, Tizi-Ouzou, Algeria;

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Arezki Izri Parasitology-Mycology Department, Avicenne Hospital, Sorbonne Paris Nord University, Bobigny, France;
Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France;

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Islam Tablit Dermatology Department, Hospital-University of Nedir Mohammed, Tizi-Ouzou, Algeria

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Mustapha Chergou Parasitology-Mycology Department, Hospital-University of Nedir Mohammed, Tizi-Ouzou, Algeria;

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Boussad Hamrioui Parasitology-Mycology Department, Hospital-University of Nedir Mohammed, Tizi-Ouzou, Algeria;
Dermatology Department, Hospital-University of Nedir Mohammed, Tizi-Ouzou, Algeria

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Mohammad Akhoundi Parasitology-Mycology Department, Avicenne Hospital, Sorbonne Paris Nord University, Bobigny, France;
Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France;

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ABSTRACT.

We present the first case of mucocutaneous leishmaniasis in Algeria, diagnosed in an immunocompetent 42-year-old man exhibiting an infiltrated and ulcerated plaque leading to macrocheilitis of the entire lower lip. He was a police officer who lived in a village in Ain El Hammam (Kabylie region, known as an active focus of zoonotic visceral leishmaniasis) without any history of travel for the previous 3 years. He suffered from cutaneous lesions for 22 months due to the misdiagnosis of a skin lesion resembling other diseases such as Crohn disease or sarcoidosis. A compilation of clinical, histopathological, parasitological, and molecular examinations revealed Leishmania infantum as the etiologic agent. The patient was treated with meglumine antimoniate, which resulted in the complete disappearance of the lesion 4 months after treatment.

Author Notes

Disclosure: Informed written consent was provided and signed by the patient, including the authorization for publishing the clinical information. The study was conducted according to the guidelines of the Declaration of Helsinki, and approved by the Ethics Committee of Nedir Mohamed Hospital, Algeria (protocol no. 95/99/AVC/ESA).

Current contact information: Nacera Seklaoui and Mustapha Chergou, Parasitology-Mycology Department, Hospital-University of Nedir Mohammed, Tizi-Ouzou, Algeria, E-mails: naceraseklaoui@yahoo.fr, mustafachergou@yahoo.fr. Arezki Izri and Mohammad Akhound, Parasitology-Mycology Department, Avicenne Hospital, Sorbonne Paris Nord University, Bobigny, France, and Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France, E-mails: arezki.izri@aphp.fr and m.akhoundi@yahoo.com. Islam Tablit, Dermatology Department, Hospital-University of Nedir Mohammed, Tizi-Ouzou, Algeria, E-mail: dr_tablit@yahoo.fr. Boussad Hamrioui, Parasitology-Mycology Department, Hospital-University of Nedir Mohammed, Tizi-Ouzou, Algeria, and Dermatology Department, Hospital-University of Nedir Mohammed, Tizi-Ouzou, Algeria, E-mail: hamriouiboussad5@gmail.com.

Address correspondence to Mohammad Akhoundi, Parasitology-Mycology Department, Avicenne Hospital, AP-HP, 125, Route de Stalingrad, 93009 Bobigny cedex, France. E-mail: m.akhoundi@yahoo.com
  • 1.

    Akhoundi M , Kuhls K , Cannet A , Votýpka J , Marty P , Delaunay P , Sereno D , 2016. A historical overview of the classification, evolution, and dispersion of Leishmania parasites and sandflies. PLoS Negl Trop Dis 10: e0004349.

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

    Schönian G , Nasereddin A , Dinse N , Schweynoh C , Schalling HD , Presbe W , Jaffe C , 2003. PCR diagnosis and characterization of Leishmania in local and imported clinical samples. Diag Microbiol Infect 47: 349358.

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

    Eddaikra N , Ait-Oudhia K , Kherrachi I , Oury B , Moulti-Mati F , Benikhlef R , Harrat Z , Sereno D , 2018. Antimony susceptibility of Leishmania isolates collected over a 30-year period in Algeria. PLoS Negl Trop Dis 12: e0006310.

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

    Izri A , Bendjaballah-Laliam A , Sereno D , Akhoundi M , 2021. Updates on geographical dispersion of Leishmania parasites causing cutaneous affections in Algeria. Pathogens 10: 267.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Kharfi M , Benmously R , El Fekih N , Daoud M , Fitouri Z , Mokhtar I , Ben Becher S , Kamoun MR , 2004. Childhood leishmaniasis: report of 106 cases. Dermatol Online J 10: 6.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Kharfi M , Fazaa B , Chaker E , Kamoun MR , 2003. Localisation muqueuse de la leishmaniose en Tunisie: 5 observations [Mucosal localization of leishmaniasis in Tunisia: 5 cases]. Ann Dermatol Venereol 130: 2730.

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

    El Fékih N , Sliti N , Kharfi M , Trabelsi S , Khaled S , Fazaa B , Kamoun MR , 2008. Leishmaniose muqueuse par contiguïté d’une localisation cutanée: à propos d’une nouvelle observation tunisienne [Mucosal leishmaniasis by contiguity with a skin lesion: another case report from Tunisia]. Med Trop (Mars) 68: 634636.

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

    Benmously-Mlika R , Fenniche S , Kerkeni N , Aoun K , Khedim A , Mokhtar I , 2008. Leishmaniose endonasale primitive à Leishmania infantum MON-80 en Tunisie [Primary Leishmania infantum MON-80 endonasal leishmaniasis in Tunisia]. Ann Dermatol Venereol 135: 389392.

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

    Boukhris I , Azzabi S , Cherif E , Kechaou I , 2015. Orofacial granulomatosis: do not forget leishmaniasis. BMJ Case Rep 2015: bcr2015211919.

  • 10.

    Hammami-Ghorbel H , Ben Abda I , Badri T , Chelbi H , Fenniche S , Mokhtar I , Bouratbine A , Benmously-Mlika R , Aoun K , 2015. Mucosal leishmaniasis of the lip: an emerging clinical form in Tunisia. J Eur Acad Dermatol Venereol 29: 12121215.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Meyruey M , Benkiran D , Landon A , 1974. Leishmaniose stomato-pharyngo-laryngée observée au Maroc [Stomato-pharyngo-laryngeal leishmaniasis in Morocco]. Bull Soc Pathol Exot 67: 625632.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Iguermia S , Harmouche T , Mikou O , Amarti A , Mernissi FZ , 2011. Leishmaniose cutanéomuqueuse au Maroc, témoin d’un changement dans l’écologie du parasite? [Mucocutaneous leishmaniasis in Morocco, evidence of the parasite’s ecological evolution?]. Med Mal Infect 41: 4748.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Hocar O , Aboudourib M , Akhdari N , Hamdaoui A , Mouttaki T , Soussi M , Chiheb S , Amal S , Riyad M , 2020. Leishmaniose sublinguale pseudotumorale à Leishmania infantum [Pseudotumoral sublingual leishmaniasis caused by Leishmania infantum]. Ann Dermatol Venereol 147: 383386.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Elfatoiki FZ , Boumezzourh A , Maksouri H , Elkhalfaoui N , Dessay M , Riyad M , Chiheb S , 2020. Leishmaniose cutanée du vermillon avec atteinte muqueuse de la lèvre supérieure [Cutaneous leishmaniasis of the vermilion border of the upper lip extending to the oral mucosa]. Ann Dermatol Venereol 147: 116118.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Elfaituri SS , Matoug I , Elsalheen H , Belrasali Y , Emaetig F , 2015. Mucocutaneous leishmaniasis in an 11-year-old girl with ataxia telangectasia – case report. Libyan J Med 10: 26432.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    van Henten S et al., 2021. Miltefosine for the treatment of cutaneous leishmaniasis-A pilot study from Ethiopia. PLoS Negl Trop Dis 15: e0009460.

  • 17.

    Bastola A , Shrestha M , Chalise BS , Mishra AK , Devkota L , 2019. Miltefosine rescue treatment for visceral leishmaniasis relapse patient. Case Rep Infect Dis 2019: 3634568.

    • PubMed
    • Search Google Scholar
    • Export Citation
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