Case Report: Cutaneous Leishmaniasis

Cutaneous leishmaniasis is a parasitic disease caused by over more than 20 Leishmania species, in both tropical and subtropical regions. There are three main forms of the disease: visceral leishmaniasis (VL), Cutaneous Leishmaniasis (CL) and Mucocutaneous Leishmaniasis (MCL), Leishmania braziliensis predominates in Guatemala. We present a case study of a 15-year-old female patient, referred from the Jutiapa hospital for presenting a lesion in the right ear of 3 months of evolution. When interviewing the patient, she mentions that several months ago she presented a "wheal" on her ear after being bitten by a mosquito, which turned red, grew and then she saw it open and form an ulcer with scabs on the ear. surface, which is not painful. The Giemsa-stained rub revealed the presence of Leishman bodies and the biopsy revealed amastigotes within the histiocytes, thus confirming the initial diagnosis of cutaneous Leishmaniasis. Due to the above, treatment with glucantime was started at a dose of 20mg/kg for 20 days, which improved the condition and resolved it. The patient's sister had the same condition, which was confirmed using the same techniques and is treated with what also resolves it. It is important to take cutaneous leishmania into account as a differential diagnosis in patients who present painless ulcers despite not being in a precisely endemic area.