Article Details

American Tegumentary Leishmaniasis of The Penis: An Atypical Location

[ ISSN : 2573-363X ]

Abstract

Walter Belda Junior* and Carolina Heleno De Carvalho 

Department of Dermatology, University of São Paulo, Brazil

Corresponding Author:

Walter Belda Junior, Department of Dermatology, Faculty of Medicine, University of Sao Paulo, 162 São Paulo, Brazil

Keywords: American cutaneous leishmaniasis; Liposomal amphotericin B; Atypical location; Leishmaniasis in the penis; Differential diagnosis; Treatment.

Abstract

Leishmaniases comprise a heterogeneous and extensive group of infectious and non-contagious diseases caused by protozoa of the genus Leishmania spp. To date, more than 20 species have been identified that can cause visceral or tegumentary impairment in humans. Considered endemic in 92 countries, with around one million new cases of tegumentary forms annually. They have a strict relationship with poverty, environmental changes, population displacements resulting from catastrophes or wars and a lack of public health policies to adequately control them. The World Health Organization considers that more than one billion people are at risk of becoming infected because they live in endemic regions. Classically, the lesions appear in exposed areas of the tegument that have been bitten by the winged vector. In the present report we present a case of a patient with a skin lesion clinically compatible with cutaneous leishmaniasis, in an atypical and rare location on the penis, resulting from the patient’s work habit as he performed his  physiological needs in the forest area, the place where he was probably bitten by the winged agent. The diagnosis was confirmed by histological examination of the lesion, aspiration from the edge with identification of the agent, and the patient was treated with liposomal amphotericin with complete regression of the lesion.

Citation

Belda Junior W, Carvalho CHD (2024) American Tegumentary Leishmaniasis of The Penis: An Atypical Location. SM Trop Med J 6: 3.

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Received: June 24, 2024

Accepted: July 03, 2024

Published: July 05, 2024