Cutaneous Leishmaniasis Leishmania tropica Oriental Sore

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Cutaneous Leishmaniasis Leishmania tropica
Oriental Sore
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Cutaneous Leishmaniasis

• Found in arid regions (Mediterranean, Middle
  East).

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Cutaneous Leishmaniasis

• Found in arid regions (Mediterranean, Middle
  East).
• Vector is Phlebotomus sergenti.
• Lives in more barren/sandy areas
• Needs moisture during mating
• Will hide in cracks

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Cutaneous Leishmaniasis

• Incubation is a month or two.

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Cutaneous Leishmaniasis

• Incubation is a month or two.
• Then an open sore occurs ? Size of a quarter
  anywhere on the body.

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Cutaneous Leishmaniasis

• Incubation is a month or two.
• Then an open sore occurs ? Size of a quarter
  anywhere on the body.
• Will heal up spontaneously within a year.

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Cutaneous Leishmaniasis

• Can be transmitted by touch and flies to other
  open wounds etc.

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Cutaneous Leishmaniasis

• Can be transmitted by touch and flies to other
  open wounds etc.
• Penastan is drug of choice.

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Cutaneous Leishmaniasis

• Can be transmitted by touch and flies to other
  open wounds etc.
• Penastan is drug of choice.
• Can get vaccinated for in the Middle East!

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Chiclero Ulcer Leishmania mexicana and Leishmania
tropica
Yucatan Peninsula and Central America. Sand flies
in the genus Lutzomyia serve as vectors.
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Mucocutaneous Forms

• Espundia.

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Espundia Leishmania braziliensis
Most common in Brazil Sand flies in the genus
Lutzomyia serve as vectors.
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Espundia Leishmania braziliensis

• Die because of difficulty of breathing, eating
  and bacterial infections.

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Espundia Leishmania braziliensis

• Die because of difficulty of breathing, eating
  and bacterial infections.
• Can also localize in larynx? loss of voice.

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Espundia Leishmania braziliensis

• Die because of difficulty of breathing, eating
  and bacterial infections.
• Can also localize in larynx? loss of voice.
• Pentastam? drug of choice, however most people
  are not treated.

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Espundia Leishmania braziliensis

• Die because of difficulty of breathing, eating
  and bacterial infections.
• Can also localize in larynx? loss of voice.
• Pentastam? drug of choice, however most people
  are not treated.
• Reconstructive surgery.