Spier S, Medenica M, McMillan S, Virtue C
Arch Dermatol. 1977 Aug;113(8):1104-5.
American leishmaniasis that is acquired in Panama may appear clinically as a sporotrichoid eruption. When leisons reminiscent of sporotrichosis are encountered, a careful history of the patient's travels should be made, as well as a search for the organism of leischmaniasis in tissue smears, histopathological sections, and cultured media. We report the case of an American soldier stationed in Panama who had developed an ulcer on the dorsum of his right wrist, and nodules on his right forearm that were arranged in a linear pattern. The initial clinical impression was that of sporotrichosis, but on careful study of the patient's history, and after other appropriate investigations were made, it was discovered that the patient had leishmaniasis.
在巴拿马感染的美洲利什曼病在临床上可能表现为孢子丝菌病样皮疹。当遇到类似孢子丝菌病的皮损时，应详细询问患者的旅行史，并在组织涂片、组织病理学切片和培养基中查找利什曼病病原体。我们报告一例驻扎在巴拿马的美国士兵病例，该患者右手腕背部出现溃疡，右前臂有呈线状排列的结节。最初的临床诊断为孢子丝菌病，但在仔细研究患者病史并进行其他适当检查后，发现该患者患有利什曼病。
