First Cutaneous Leishmaniasis Case Identified in Ordu Province

Abstract

This paper aims to present a cutaneous leishmaniasis (CL) case who attended the Medical Faculty Dermatology Clinic in Ordu province due to a wound that had not healed in six months. After the Medical Faculty Dermatology clinic obtained anamnesis from the patient with a long-term lesion in the facial region, a sample was prepared with fine needle aspiration from the edge of the wound for the parasitology laboratory due to suspected leishmaniasis. After the smear was stained with giemsa, amastigotes were observed during microscopic investigation and diagnosis was confirmed. No growth was observed in culture, with molecular analysis performed for identification of parasite DNA and species differentiation in culture and smears. As a result of the analysis it was found that the agent was L.infantum. The patient was treated with intralesionary meglumine antimoniate once per week for 10 weeks. After treatment the patient's lesion fully healed. Accessible literature information did not encounter any study reporting a CL case in Ordu province. As the study is the first case report from Ordu province, it is presented to attract attention to the fact that the parasite may be observed in non-endemic regions in our country and to create awareness among clinicians. In line with this, wounds that do not heal for a long time in Ordu province and surroundings should be assessed for CL.

Keywords

• cutaneous leishmaniasis
• leishmania
• l. infantum
• ordu