Croft A M, Lestringant G G, Baker B C
Headquarters, British Forces Germany Health Service, Wegberg, D-41179 Mönchengladbach, Allemagne.
Med Trop (Mars). 2006 Apr;66(2):185-8.
Cutaneous leishmaniasis (CL) is a parasitic disease of the tropics and subtropics, transmitted by bites of infected female phlebotonine sandflies. Although CL lesions are normally self-healing they may be disfiguring or potentially disabling, and in field conditions may become secondarily infected; clinical intervention is appropriate in these circumstances. We describe two soldiers normally stationed in British Forces Germany who following deployment to Iraq presented with Leishmania tropica infection. The primary prevention of CL is discussed, together with the epidemiology of the disease, and its treatment under deployed conditions. Old World CL rarely requires aggressive antimonial terapy. Antiiosis with or without curettage is a simple, safe and effective field treatment.
皮肤利什曼病(CL)是一种热带和亚热带的寄生虫病,通过受感染的雌性白蛉叮咬传播。虽然CL病变通常可自愈,但可能会毁容或导致潜在残疾,在野外条件下还可能继发感染;在这些情况下进行临床干预是合适的。我们描述了两名通常驻扎在德国英军基地的士兵,他们在被部署到伊拉克后出现了热带利什曼原虫感染。文中讨论了CL的一级预防、疾病的流行病学及其在部署条件下的治疗。旧大陆CL很少需要积极的锑剂治疗。采用或不采用刮除术的抗生疗法是一种简单、安全且有效的野外治疗方法。