[Complex cutaneous leishmaniasis with bone involvement].

Dermatologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-06-25 DOI:10.1007/s00105-024-05355-2
G A Hübner, W Prüßmann, N Jossifov, A Mischnik, P Terheyden
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Abstract

We report an immunocompromised patient with a complex cutaneous leishmaniasis (CL) who suffered from singular bone involvement of the little left toe due to Leishmania (L.) infantum infection. The diagnosis was confirmed by positive polymerase chain reaction (PCR) testing in skin and bone tissue. The patient was successfully treated with miltefosine. In immunocompromised patients with CL, extracutaneous manifestations should always be ruled out. This is the first case report describing osseous involvement in CL due to Leishmania infantum.

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[复杂性皮肤利什曼病伴骨受累]。
我们报告了一名患有复杂皮肤利什曼病(CL)的免疫功能低下患者,该患者因感染婴儿利什曼原虫(L. infantum)而导致左脚小趾骨骼受累。皮肤和骨组织的聚合酶链反应(PCR)检测结果呈阳性,确诊了该病。患者成功接受了米替福新治疗。对于免疫力低下的 CL 患者,应始终排除皮肤外表现。这是首例描述婴儿利什曼原虫引起的CL骨受累的病例报告。
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