The management of cutaneous leishmaniasis from Belize

We report 20 patients who contracted cutaneous leishmaniasis in Central and South America, 18 of them in Belize. The diagnosis was confirmed by the polymerase chain reaction (PCR) in 79% of those tested; the corresponding figure for histology was 62%, touch smear 46%, and culture 11%. Results of PCR...

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Veröffentlicht in:Clinical and experimental dermatology 2001-01, Vol.26 (1), p.16-20
Hauptverfasser: Palmer, R. A., Tran, D., Hepburn, N. C., Ashton, R. E.
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container_title Clinical and experimental dermatology
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creator Palmer, R. A.
Tran, D.
Hepburn, N. C.
Ashton, R. E.
description We report 20 patients who contracted cutaneous leishmaniasis in Central and South America, 18 of them in Belize. The diagnosis was confirmed by the polymerase chain reaction (PCR) in 79% of those tested; the corresponding figure for histology was 62%, touch smear 46%, and culture 11%. Results of PCR can be falsely positive, so treatment should not be based on PCR alone. Of the 20 cases 18 were healed 6 weeks after intravenous sodium stibogluconate 20 mg/kg per day for 20 days. We present a management protocol.
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subjects Adolescent
Adult
Antimony Sodium Gluconate - administration & dosage
Antiprotozoal Agents - therapeutic use
Biological and medical sciences
Human protozoal diseases
Humans
Infectious diseases
Leishmaniasis, Cutaneous - diagnosis
Leishmaniasis, Cutaneous - drug therapy
Leshmaniasis
Medical Records
Medical sciences
Middle Aged
Parasitic diseases
Polymerase Chain Reaction
Protozoal diseases
Retrospective Studies
Treatment Outcome
Tropical medicine
title The management of cutaneous leishmaniasis from Belize
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