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Cutaneous Leischmaniasis

Medical Questions » Cutaneous Leischmaniasis
Name: Cutaneous Leischmaniasis
Also known as: Chiclero' s Ulcers; Oriental Sore; Uta
Ulcerating skin infection caused by a protozoan (single cell animal).
Causes of Cutaneous Leischmaniasis
Infection by the protozoan Leischmania tropica, Leischmania aethiopica, Leisckmania mexicana, ox Leischmania peruviana depending upon the geographic location. Transmitted from one person to another by sandflies. Occurs throughout the tropics in Asia, Africa and particularly America.
Symptoms of Cutaneous Leischmaniasis
Depending upon responsible protozoan may cause a self healing ulcer (Oriental sore), persistent multiple mutilating sores and ulcers (Chiclero' s ulcers), or widespread non-ulcerating plaques on the skin.
Tests for Cutaneous Leischmaniasis
Smears taken from ulcer edge show the protozoan under a microscope. Specific blood tests may be positive.
Treatment for Cutaneous Leischmaniasis
Single ulcers treated with heat packs, cryotherapy (freezing), radiotherapy or specific ointments. Widespread disease is difficult to treat but numerous medications may be tried. Antibiotics are given for secondary infections.
Complications of Cutaneous Leischmaniasis of its treatment
Secondary bacterial infection of sores can allow rapid spread of protozoan and gross disfigurement.
Likely Outcome of Cutaneous Leischmaniasis
Depends on infecting organism and form of disease. Single ulcers often heal after a few months, but widespread disease may be steadily progressive without treatment.
       
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