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  In this article
   Abstract
   Introduction
   Case Report
   Discussion
   Acknowledgement
   References
   Article Figures

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CASE REPORT
Year : 1996  |  Volume : 62  |  Issue : 1  |  Page : 40

Cutaneous leishmaniasis in Assam




Correspondence Address:
B R Baishya


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Source of Support: None, Conflict of Interest: None


PMID: 20947966

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  Abstract 

A case of cutaneous leishmaniasis is being reported from Assam, a North Eastern state of India. Clinical feature and direct smear examination of the case confirmed the diagnosis. Dramatic resolution of the lesions with sodium antimony gluconate during 10 days of therapy was achieved.


Keywords: Cutaneous leishmaniasis, Sodium antimony gluconate


How to cite this article:
Baishya B R, Hazarika N K. Cutaneous leishmaniasis in Assam. Indian J Dermatol Venereol Leprol 1996;62:40

How to cite this URL:
Baishya B R, Hazarika N K. Cutaneous leishmaniasis in Assam. Indian J Dermatol Venereol Leprol [serial online] 1996 [cited 2019 Apr 25];62:40. Available from: http://www.ijdvl.com/text.asp?1996/62/1/40/4304



  Introduction Top


Cutaneous leishmaniasis, also known as oriental sore or Delhi boil, is a specific cutaneous granuloma caused by Leishmania tropica. The lesions are commonly seen on the exposed parts of the body. Kubba et al1 viewed that cutaneous leishmaniasis is nonexistent in Assam and North East part of India. This report indicates possibility of cutaneous leishmaniasis in hot, humid climate like Assam.


  Case Report Top


A 66-year-old man from a village of Assam developed a solitary nodule on the dorsum of the right hand above the third metacarpophalangeal joint. The lesion was progressive in nature and became a plaque with ulceration. The lesion was annular, 5 cm in diameter, infiltrated and had erythematous border. A similar small ulcer of 1 cm diameter developed on the dorsum of left little finger [Figure - 1].

Direct smear from the edge of the ulcer, stained with Leishman stain revealed LD bodies. On histopathological examination, the tissue section from the edge of the ulcer showed granuloma.

A diagnosis of cutaneous leishmaniasis was made and the patient was put on sodium antimony gluconate 500 mg injection daily intramuscularly. The lesions showed resolution within a period of ten days. After twelve injections the lesions healed [Figure - 2]. Two intralesional injections were also given in the edge of the plaque and faster resolution was seen.


  Discussion Top


Case of cutaneous leishmaniasis is very rare in this part of the country. We did not notice any side effect of sodium antimony gluconate during twelve days of treatment. This report indicates need of an epidemiological study in the locality of the patient (located near the neighbouring state Arunachal Pradesh) to find out any case of cutaneous leishmaniasis in Assam or neighbouring state.


  Acknowledgement Top


Sincere thanks to Albert David Ltd for making sodium antimony gluconate available in Guwahati, Assam[1].

 
  References Top

1.Kubba R. Dermal leishmaniasis. In: Behl P N, ed. Practice of dermatology. 5th edn. Calcutta: Allied Book Agency, 1982:218.  Back to cited text no. 1    


    Figures

[Figure - 1], [Figure - 2]



 

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Online since 15th March '04
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