Esionova E V
Research Center of Dermatology and Venereology, Uzbekistan
Title: Title: Cutaneous leishmaniasis: Two case reports
Biography
Biography: Esionova E V
Abstract
Background: Cutaneous leishmaniasis is an endemic transmissible disease, which often occurs in country with hot climate. Transmitter of this disease is phlebotomine sandflies.
Purpose: The purpose is to present the case reports of 2 patients with cutaneous leishmaniasis.
Materials & Methods: Two patients with cutaneous leishmaniasis were taken for this study.
Results: A 4-year-old boy presented with a 1-month history of non-painful ear ulcer. 4 month prior to development of the ulcer, the patient and his family had travelled to one of the province in Uzbekistan. After that a lesion appeared on his ear. He was treated with antibiotic (erythromycin 0.25) as a pioderma without any effect. Then, he was recommended to apply prednisolone ointment twice a day, but vegetation appeared on the ulcer. When he was hospitalized in our department, Leishmania was found from his ulcer. The
patient was treated with oral Terbinafine, Zinci hyaluronas for quick epithelization. The second patient was a 58-year-old woman, who had a lesion on her right foot. She was bitten by insect 2 months ago. A small ulcer was noticed on her foot. She was successfully treated with Terbinafine. For local wound care solution of Zinci hyaluronas was used. After one course of treatment in the both cases the ulcers became flatter, was cleaned from pus.
Conclusion: To diagnose and treat cutaneous leishmaniasis, dermatologist must have a good knowledge and experience because ulcers in leishmaniasis are mimickers. We observe successful treatment of cutaneous leishmaniasis by Terbinafine and solution of Zinci hyaluronas.