Leishmaniasis Panamensis Masquerading as Myiasis and Sporotrichosis: A Clinical Pitfall

Peter G. Pavlidakey; Thy Huynh; Kristopher Michael McKay; Naveed Sami

doi:10.1155/2015/949670

Case Reports in Pathology (Jan 2015)

Leishmaniasis Panamensis Masquerading as Myiasis and Sporotrichosis: A Clinical Pitfall

Peter G. Pavlidakey,
Thy Huynh,
Kristopher Michael McKay,
Naveed Sami

Affiliations

Peter G. Pavlidakey: Department of Dermatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA
Thy Huynh: Division of General Pediatrics, Children’s Hospital Los Angeles, Los Angeles, CA 90027, USA
Kristopher Michael McKay: Department of Dermatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA
Naveed Sami: Department of Dermatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA

DOI: https://doi.org/10.1155/2015/949670
Journal volume & issue: Vol. 2015

Abstract

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We report a case of cutaneous leishmaniasis panamensis in nonendemic Costa Rica. A 19-year-old female presented with nonhealing, unilateral eruption of erythematous papules with superficial central ulceration in a sporotrichoid pattern on right upper arm and back. Given the clinical picture and geographic locale, the patient was initially diagnosed with myiasis or human botfly infestation; however, the sporotrichoid pattern of the bites is an unlikely finding in myiasis. Peripheral blood smear, Giemsa stain, and polymerase chain reaction (PCR) were consistent for Leishmania spp. Ulceration resolved with 20-day course of IV sodium stibogluconate.

Published in Case Reports in Pathology

ISSN: 2090-6781 (Print); 2090-679X (Online)
Publisher: Wiley
Country of publisher: United Kingdom
LCC subjects: Medicine: Pathology
Website: https://onlinelibrary.wiley.com/journal/1479

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