El Fékih N, Sliti N, Kharfi M, Trabelsi S, Khaled S, Fazaa B, Kamoun M R
Service de dermatologie, Hôpital Charles Nicolle, Tunis, Tunisie.
Med Trop (Mars). 2008 Dec;68(6):634-6.
Three clinical forms of cutaneous leishmaniasis can be found in Tunisia, i.e. the sporadic form due to Leishmania infantum in the North, the zoonotic epidemic form due to Leishmania major in the center and Southwest, and the chronic cutaneous form due to Leishmania tropica in the South. Unlike cutaneous forms, mucosal involvement is uncommon. The purpose of this report is to describe another case of mucosal leishmaniasis due to contiguity with a skin lesion in a 54-years-old woman. The patient responded well to treatment with meglumine antimoniate.
在突尼斯可发现三种皮肤利什曼病的临床形式，即北部由婴儿利什曼原虫引起的散发型，中部和西南部由大利什曼原虫引起的人畜共患流行型，以及南部由热带利什曼原虫引起的慢性皮肤型。与皮肤型不同，黏膜受累并不常见。本报告的目的是描述另一例54岁女性因皮肤病变蔓延而导致黏膜利什曼病的病例。该患者接受葡甲胺锑酸盐治疗后反应良好。
