Department of Dermatology, Military Hospital, Utrecht, The Netherlands.
Clin Exp Dermatol. 2009 Dec;34(8):e889-91. doi: 10.1111/j.1365-2230.2009.03658.x.
We report two Dutch infantry soldiers who acquired American cutaneous leishmaniasis (ACL) during military jungle training in Surinam. The lesions had existed for 3 and 5 months, respectively, before the soldiers presented for treatment. The lesions occurred on the head and right thigh, and were small, uncomplicated and symptomless. PCR for Leishmania revealed Leishmania naiffi in both patients. No treatment was given, and the lesions in both men healed spontaneously within 4 and 6 weeks, respectively, after presentation to our clinic. CL is one of the important 'tropical' diseases in The Netherlands, primarily due to the increasing numbers of cases in travellers and in military personnel serving overseas. ACL due to L. naiffi is thought to be a mild expression of CL with a self-limiting nature. Lesions seem to be single, mostly small, ulcerating and usually appear on the hands, arms and legs. No case of mucocutaneous leishmaniasis has yet been attributed to this parasite.
我们报告了两名在苏里南进行军事丛林训练时感染美国皮肤利什曼病（ACL）的荷兰步兵。在士兵接受治疗之前，这些病变分别存在了 3 个月和 5 个月。病变发生在头部和右大腿，病变小，不复杂且无症状。PCR 检测利什曼原虫在两名患者中均发现了纳氏利什曼原虫。未给予治疗，两名患者在就诊后 4 周和 6 周内分别自行愈合。CL 是荷兰的重要“热带”疾病之一，主要是由于旅行者和海外服役的军事人员的病例数量不断增加。据认为，由 L. naiffi 引起的 ACL 是一种具有自限性的轻度 CL 表现。病变通常为单个，大多较小，溃疡性，通常出现在手、臂和腿上。尚未有粘膜皮肤利什曼病病例归因于这种寄生虫。
