Division of Infectious Diseases and Division of Dermatology, Department of Medicine, University of California-San Diego, La Jolla, CA 92093, USA.
Am J Trop Med Hyg. 2011 Jun;84(6):847-50. doi: 10.4269/ajtmh.2011.10-0693.
Cutaneous leishmaniasis (CL) is rarely seen in the United States, and the social and geographic context of the infection can be a key to its diagnosis and management. Four Somali and one Ethiopian, in U.S. Border Patrol custody, came to the United States by the same human trafficking route: Djibouti to Dubai to Moscow to Havana to Quito; and then by ground by Columbia/Panama to the United States-Mexico border where they were detained. Although traveling at different times, all five patients simultaneously presented to our institution with chronic ulcerative skin lesions at different sites and stages of evolution. Culture of biopsy specimens grew Leishmania panamensis. Soon thereafter, three individuals from East Africa traveling the identical route presented with L. panamensis CL to physicians in Tacoma, WA. We document here the association of a human trafficking route and new world CL. Clinicians and public health officials should be aware of this emerging infectious disease risk.
皮肤利什曼病（CL）在美国很少见，感染的社会和地理背景可能是诊断和管理的关键。有 4 名索马里人和 1 名埃塞俄比亚人，被美国边境巡逻队拘留，他们通过同一条人口贩卖路线来到美国：吉布提到迪拜到莫斯科到哈瓦那到基多；然后从哥伦比亚/巴拿马经陆路到美国-墨西哥边境，在那里他们被拘留。尽管旅行时间不同，但所有五名患者同时以不同部位和不同阶段的慢性溃疡性皮肤病变就诊于我们的机构。活检标本的培养结果为巴拿马利什曼原虫。此后不久，另外 3 名来自东非的旅行者也沿着同一路线前往华盛顿州塔科马的医生那里就诊，他们患有 L. panamensis CL。我们在此记录了一条人口贩卖路线和新世界 CL 的关联。临床医生和公共卫生官员应该意识到这种新出现的传染病风险。
