Universidade de São Paulo, Faculdade de Medicina, Instituto de Medicina Tropical de São Paulo, São Paulo, SP, Brasil.
Secretaria de Saúde do Estado de São Paulo, Instituto de Infectologia Emílio Ribas, São Paulo, SP, Brasil.
Rev Soc Bras Med Trop. 2021 Mar 22;54:e0514-2020. doi: 10.1590/0037-8682-0514-2020. eCollection 2021.
A 31-year-old male patient developed an ulcer on the glans penis that evolved for three months without healing. We diagnosed it as leishmaniasis using polymerase chain reaction. No immunosuppression or associated diseases were observed. The patient was treated with meglumine antimoniate that cured the lesion in a month post-treatment. Here, we report this case of cutaneous leishmaniasis lesion at the unusual location of glans penis in an immunocompetent individual. The lesion likely developed due to the bite of a vector, highlighting the need for considering cutaneous leishmaniasis among differential diagnosis of sexually transmitted diseases in areas endemic for leishmaniasis.
一位 31 岁男性患者的龟头出现一处溃疡，三个月未愈。我们使用聚合酶链反应诊断为利什曼病。未观察到免疫抑制或相关疾病。患者接受葡甲胺锑治疗，治疗一个月后皮损痊愈。在此，我们报告一例免疫功能正常者龟头这一不常见部位的皮肤利什曼病皮损。皮损可能由媒介昆虫叮咬引起，这强调了在利什曼病流行地区，需要将皮肤利什曼病纳入性传播疾病的鉴别诊断。
