Document Type : Case report
Authors
1 Laboratory Science Expert, Laboratory of Health Deputy, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran
2 Assistant Profssor, Faculity Member, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran
Abstract
Background and purpose: Cutaneous leishmaniasis is one of important diseases that is endemic in some areas in iran. Leishmaniasis causes by leishmania parasite and can transmit by sand fly. The aim of this study was report of a cutaneous disseminated leishmaniasis case caused by corticosteroid injection after incorrect microscopic diagnosis.
Materials and methods: Patient was a 55 years old man who referred to the physician by a painful and wet papule on nose skin. The initial diagnosis of lupus was considered. Prednisone as a corticosteroid had been injected by physician and after a few months several painful nodular and papular lesions were appeared on patient's face, so that the simple cutaneous lishmaniasis became a Cutaneous disseminated leishmaniasis. It should be noted that the immune system of patient was normal. The patient's hom is an endemic area of the disease and the patient's wounds can be suspected of contamination with leishmaniasis. For this purpose, the patient was introduced to the laboratory and Giemsa sampling and staining were carried out.
Results : After sampling and microscopic examination leishman bodies were observed in the all samples of wounds. lishmaniasis was diagnosed and then systemic treatment with glucantime was initiated immediately.
Conclusion : It is proposed that in negative clinical diagnosis, the microscopic exam and high sensitive standard molecular detection tests, such as quantitative and qualitative PCR can be useful.
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