期刊论文详细信息
Revista da Sociedade Brasileira de Medicina Tropical
American cutaneous leishmaniasis: presentation and problems of patient management
Jeffrey D. Chulay1  Charles N. Oster1  Patrick B. Mcgreevy1  Larry D. Hendricks1  Richard D. Kreutzer1 
关键词: American cutaneous leishmaniasis;    Diagnosis;    Treatment;    Prognosis;    Clinical Pathology;    Leishmaniose tegumentar americana;    Diagnóstico;    Tratamento;    Prognóstico;    Patologia Clínica;   
DOI  :  10.1590/S0037-86821988000400002
来源: SciELO
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【 摘 要 】

We report our experience with the diagnosis and treatment of 60 patients with American cutaneous leishmaniasis. They were infected in Panama (55), Brazil (4) or Colombia (I). Among 35 patients with a 3 week exposure in Panama, the mean maximum incubation period was 33 days (range 4-81 days). Diagnosis was delayed an average of 93 days after onset of skin lesions, due to the patient's delay in seeking medical attention (31 days), medical personnel's delay in considering the diagnosis (45 days), and the laboratory's delay in confirming the diagnosis (17 days). Forty-four patients (73%) developed ulcers typical of cutaneous leishmaniasis. Sixteen additional patients (27%) had atypical macular, papular, squamous, verrucous or acneiform skin lesions that were diagnosed only because leishmanial cultures were obtained. Of the 59 patients treated with pentavalent antimonial drugs, only 34 (58%) were cured after the first course of treatment. Lesions which were at least 2 cm in diameter, ulcerated, or caused by Leishmania braziliensis were less likely to be cured after a single course of treatment than were lesions smaller than 2 cm, nonulcerated or caused by Leishmania mexicana or Leishmania donovani.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License

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