Clinical Microbiology: Open Access

Abstract

Cutaneous Leishmaniasis with Long Duration and Bleeding Ulcer

Marco Manfredi, Silvia Iuliano, Barbara Bizzarri, Alessandro Fugazza, Pierpacifico Gismondi and Gian Luigi de’Angelis

Leishmaniasis may cause visceral, cutaneous and/or mucocutaneous diseases. Cutaneous and mucocutaneous forms are caused by a single celled parasite transmitted by sand fly bites. Although the cutaneous form of the disease is often self-limiting, it results in significant scarring and can spread to more invasive, mucocutaneous disease. Therefore, treatment may be considered to prevent these complications. We describe a case report of cutaneous leishmaniasis contracted in a healthy man in Italy (Emilian Apennines). This cutaneous ulcer healed only with intralesional injection of meglumine antimoniate. After about 18 and 30 months a scar area is still present and no satellite lesion appeared. We have had no side effects or complications due to therapy.