Disseminated cutaneous leishmaniasis in a field clinic in Bahia, Brazil: a report of eight cases.

Costa, J M; Marsden, P D; Llanos-Cuentas, E A; Netto, E M; Carvalho, E M; Barral, A; Rosa, A C; Cuba, C C; Magalhães, A V; Barreto, A C

Costa, J M; Marsden, P D; Llanos-Cuentas, E A; Netto, E M; Carvalho, E M; Barral, A; Rosa, A C; Cuba, C C; Magalhães, A V; Barreto, A C.

J Trop Med Hyg ; 89(6): 319-23, 1986 Dec.

Article em En | MEDLINE | ID: mdl-3806749

RESUMO

Eight Bahian patients with cutaneous leishmaniasis who had 20 or more ulcerative lesions of short duration are described. Of five identifications of isolated parasites, four were Leishmania braziliensis braziliensis and one was L. mexicana amazonensis. All but one had positive Montenegro tests initially, and all did after treatment. All had circulating anti-leishmanial antibodies and five responded well to glucantime therapy suggesting a functioning immune response. This is quite different to the anergic hansenoid leishmaniasis seen with L. mexicana amazonensis infections in Brazil. Possible reasons for the occurrence of this type of leishmaniasis are briefly discussed.

Assuntos

Leishmaniose/patologia; Meglumina; Compostos Organometálicos; Adolescente; Adulto; Idoso; Antimônio/uso terapêutico; Antiprotozoários/uso terapêutico; Brasil; Humanos; Leishmaniose/tratamento farmacológico; Leishmaniose Mucocutânea/tratamento farmacológico; Leishmaniose Mucocutânea/patologia; Antimoniato de Meglumina

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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Compostos Organometálicos / Leishmaniose / Meglumina Limite: Adolescent / Adult / Aged / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: J Trop Med Hyg Ano de publicação: 1986 Tipo de documento: Article País de publicação: Reino Unido

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