The Open Parasitology Journal
2021, 9 : 1-4Published online 2021 July 07. DOI: 10.2174/1874421402109010001
Publisher ID: TOPARAJ-9-1
CASE REPORT
Pediatric Cutaneous Leishmaniasis in a Private Clinic of Abidjan, Ivory Coast: A Case Report
*Address correspondence to this author at University Félix Houphouët-Boigny of Abidjan, 01 BP V34 Abidjan, Cocody, Cote D Ivoire; Tel: 0022521305118; Fax: 0022521305117: E-mail: akadavid2000@yahoo.fr
ABSTRACT
Introduction:
Cutaneous Leishmaniasis (CL) is a zoonotic disease with global distribution, especially in underdeveloped countries. This parasitic disease is caused by the bite of an infected sandfly.
Case Report:
We report here the first case of cutaneous leishmaniasis discovered incidentally in an 11-year-old child in a private clinic. He is a primarian boy who had a wound located on his left leg. On questioning, we ascertained that the wound was not the first one and had been present for about 2 months. The cutaneous lesion was painless but itchy. The location, the crateriform appearance, and the chronic nature of the wound led us to suspect a case of cutaneous leishmaniasis.
Methods:
Microscopic examination of cutaneous exsudation’s smears of lesions revealed amastigote forms of leishmania, confirming our diagnostic hypothesis. The child was placed under Imidazole-based treatment associate cloxacilline. The child also received local gentamycin-based dressings.
Results:
The child was cured after one month. The diagnostic issues of cutaneous leishmaniasis constitute a great challenge for practitioners in endemic zone. Also, a systematic differential diagnostic should be required in the face of chronic wounds.
Conclusion:
The integration of the screening and management of cutaneous leishmaniasis against Buruli ulcer are eagerly waited as a future work.