Abstract
Cutaneous leishmaniasis (CL), a common condition in many parts of the world, is being increasingly encountered in non-endemic countries secondary to immigration. The clinical manifestations and course can vary substantially, with appropriate management ranging from observation for self-healing lesions to urgent treatment to prevent damaging anatomical and cosmetic sequelae. While there are now several effective medications, optimal therapy is not well defined, and decision-making can be challenged by the location of lesions and various drug issues, including availability, mode of delivery and adverse effects. A 7-year-old Afghani boy who presented shortly after arriving in the United States with a rapidly progressing crusting and ulcerative facial rash caused by Leishmania tropica is described. The various drugs currently available for CL and experience of using liposomal amphotericin B specifically are reviewed.
TY - JOUR
T1 - Rapidly progressing facial leishmaniasis: effective treatment with liposomal amphotericin B and a review of the management of Old World cutaneous leishmaniasis.
A1 - Islam,Shamim,
Y1 - 2017/03/10/
PY - 2017/3/11/pubmed
PY - 2018/11/13/medline
PY - 2017/3/11/entrez
KW - Cutaneous leishmaniasis
KW - Leishmania tropica
KW - immigrant and refugee health
KW - liposomal amphotericin B (L-Amb)
SP - 158
EP - 161
JF - Paediatrics and international child health
JO - Paediatr Int Child Health
VL - 38
IS - 2
N2 - Cutaneous leishmaniasis (CL), a common condition in many parts of the world, is being increasingly encountered in non-endemic countries secondary to immigration. The clinical manifestations and course can vary substantially, with appropriate management ranging from observation for self-healing lesions to urgent treatment to prevent damaging anatomical and cosmetic sequelae. While there are now several effective medications, optimal therapy is not well defined, and decision-making can be challenged by the location of lesions and various drug issues, including availability, mode of delivery and adverse effects. A 7-year-old Afghani boy who presented shortly after arriving in the United States with a rapidly progressing crusting and ulcerative facial rash caused by Leishmania tropica is described. The various drugs currently available for CL and experience of using liposomal amphotericin B specifically are reviewed.
SN - 2046-9055
UR - https://www.unboundmedicine.com/medline/citation/28281913/Rapidly_progressing_facial_leishmaniasis:_effective_treatment_with_liposomal_amphotericin_B_and_a_review_of_the_management_of_Old_World_cutaneous_leishmaniasis_
L2 - https://www.tandfonline.com/doi/full/10.1080/20469047.2017.1296216
DB - PRIME
DP - Unbound Medicine
ER -