Cutaneous leishmaniasis
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Инфекционные заболевания. Инфекционные лихорадки (585)
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PLĂCINTĂ, Gheorghe, PÂNTEA, Victor, CEBOTARESCU, Valentin, COJUHARI, Lilia, PAVELIUC, Petru, PANASIUC, Alexandru, LUNGU, Victoria, SIMONOV, Ludmila. Cutaneous leishmaniasis. In: Moldovan Medical Journal, 2018, nr. 2(61), pp. 38-42. ISSN 2537-6373. DOI: https://doi.org/10.5281/zenodo.1299030
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Moldovan Medical Journal
Numărul 2(61) / 2018 / ISSN 2537-6373 /ISSNe 2537-6381

Cutaneous leishmaniasis

DOI:https://doi.org/10.5281/zenodo.1299030
CZU: 616.993.162

Pag. 38-42

Plăcintă Gheorghe1, Pântea Victor1, Cebotarescu Valentin1, Cojuhari Lilia1, Paveliuc Petru2, Panasiuc Alexandru2, Lungu Victoria3, Simonov Ludmila2
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Toma Ciorba Clinical Hospital of Infectious Diseases,
3 National Agency for Public Health
 
 
Disponibil în IBN: 12 iulie 2018


Rezumat

Background: Leishmaniasis is a disease caused by parasites of the Leishmania type. Cutaneous leishmaniasis is a neglected worldwide, zoonotic, vectorborne, tropical disease. The clinical spectrum of leishmaniasis ranges from a self-resolving cutaneous ulcer to a mutilating mucocutaneous disease and even to a lethal systemic illness. People who recover from cutaneous leishmaniasis are protected against future infections. The risk of infection is for people of all ages if they live or travel where leishmaniasis is found. Leishmaniasis usually is more common in rural than in urban areas, but it is found in the outskirts of some cities. The transmission risk is highest from dusk to dawn because this is when sand flies generally are the most active. Cutaneous leishmaniasis causes skin lesions, which can persist for months, sometimes years. The skin lesions usually develop within several weeks or months after the exposure but occasionally first appear years later. Presented here is a clinical case of leishmaniasis of the cutaneous form, diagnosed by the microscopic method. The patient was diagnosed, monitored and treated in Clinical Hospital of Infectious Diseases “Toma Ciorbă” from 10.01.2018-09.02.2018. The progression of the disease was favorable following the etiotropic treatment with antimony meglumine (Glucantime), requiring careful monitoring due to adverse reactions. Conclusions: Clinical symptomatology was characteristic for cutaneous leishmaniasis: skin lesions of various pink-cherry sizes, some with ulcers on the body. The first etiotropic treatment with antimony meglumine was effective. Antimonate Meglumine treatment at a dose of 15 ml resulted in adverse reactions: asthenia, fever, myalgia and arthralgia.   

Cuvinte-cheie
cutaneous leishmaniasis, adverse reactions.,

Diagnosis, treatment