Misdiagnosis and Mistreatment of Post-Kala-Azar Dermal Leishmaniasis
Joint Authors
Ahmed, Mogtaba Elsaman
Khalil, Eltahir Awad Gasim
Elamin, Waleed Mohamed
El Hassan, Ahmed Mohamed
Musa, Ahmed Mudawi
El Hassan, Lamyaa Ahmed Mohamed
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-21
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Post-kala-azar dermal leishmaniasis (PKDL) is a known complication of visceral leishmaniasis (VL) caused by L.
donovani.
It is rare in VL caused by L.
infantum and L.
chagasi.
In Sudan, it occurs with a frequency of 58% among successfully treated VL patients.
In the majority of cases, PKDL can be diagnosed on the basis of clinical appearance, distribution of the lesions, and past history of treated VL.
The ideal diagnostic method is to demonstrate the parasite in smears, by culture or PCR.
Diagnosis is particularly difficult in patients who develop PKDL in the absence of previous history of visceral leishmaniasis.
We describe a case of cutaneous leishmaniasis misdiagnosed as PKDL and 3 cases of PKDL who were either misdiagnosed or mistreated as other dermatoses.
This caused exacerbation of their disease leading to high parasite loads in the lesions and dissemination to internal organs in one of the patients, who was also diabetic.
The latter patient had L.
major infection.
A fourth patient with papulonodular lesions on the face and arms of 17-year duration and who was misdiagnosed as having PKDL is also described.
He turned out to have cutaneous leishmaniasis due to L.
major.
Fortunately, he was not treated with steroids.
He was cured with intravenous sodium stibogluconate.
American Psychological Association (APA)
El Hassan, Ahmed Mohamed& Khalil, Eltahir Awad Gasim& Elamin, Waleed Mohamed& El Hassan, Lamyaa Ahmed Mohamed& Ahmed, Mogtaba Elsaman& Musa, Ahmed Mudawi. 2013. Misdiagnosis and Mistreatment of Post-Kala-Azar Dermal Leishmaniasis. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-465031
Modern Language Association (MLA)
El Hassan, Ahmed Mohamed…[et al.]. Misdiagnosis and Mistreatment of Post-Kala-Azar Dermal Leishmaniasis. Case Reports in Medicine No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-465031
American Medical Association (AMA)
El Hassan, Ahmed Mohamed& Khalil, Eltahir Awad Gasim& Elamin, Waleed Mohamed& El Hassan, Lamyaa Ahmed Mohamed& Ahmed, Mogtaba Elsaman& Musa, Ahmed Mudawi. Misdiagnosis and Mistreatment of Post-Kala-Azar Dermal Leishmaniasis. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-465031
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-465031