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Title: Recurrent cutaneous leishmaniasis
Other Titles: Leishmaniose recidiva cútis
Authors: Gomes, Ciro Martins
Damasco, Fabiana dos Santos
Morais, Orlando Oliveira de
Paula, Carmen Dea Ribeiro de
Sampaio, Raimunda Nonata Ribeiro
Assunto:: Leishmaniose
Pentoxifilina
Recidiva
Terapêutica
Leishmaniose mucocutânea
Issue Date: Jun-2013
Publisher: Sociedade Brasileira de Dermatologia
Citation: GOMES, Ciro Martins et al. Recurrent cutaneous leishmaniasis. Anais Brasileiros de Dermatologia, Rio de Janeiro, v. 88, n. 3, p. 462-464, jun. 2013. DOI: http://dx.doi.org/10.1590/abd1806-4841.20131885. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000300462&lng=en&nrm=iso. Acesso em: 04 dez. 2020.
Abstract: Paciente do sexo masculino, 18 anos. Dois anos após tratamento insuficiente para leishmaniose tegumentar americana, apresentou, na mesma localização, lesão formada por cicatriz atrófica central e nódulos verrucosos na periferia. Era imunocompetente, hígido e negava qualquer trauma local. O diagnóstico de leishmaniose recidiva cutis foi feito através de cultura do aspirado da lesão. Realizou tratamento com N-metilglucamina (20mgSbV/kg/dia) associado à pentoxifilina (1200mg/dia) durante 30 dias alcançando cura clínica. Os casos semelhantes requerem atenção diferenciada pela dificuldade ao tratamento.
Abstract: We present a case of an 18-year-old male patient who, after two years of inappropriate treatment for cutaneous leishmaniasis, began to show nodules arising at the edges of the former healing scar. He was immune competent and denied any trauma. The diagnosis of recurrent cutaneous leishmaniasis was made following positive culture of aspirate samples. The patient was treated with N-methylglucamine associated with pentoxifylline for 30 days. Similar cases require special attention mainly because of the challenges imposed by treatment.
Licença:: Anais Brasileiros de Dermatologia - This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY NC 3.0). Fonte: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000300462&lng=en&tlng=en. Acesso em: 04 dez. 2020.
DOI: https://dx.doi.org/10.1590/abd1806-4841.20131885
Appears in Collections:FMD - Artigos publicados em periódicos e preprints

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