Gordon Anne, Malik Adrienne N
The University of Kansas School of Medicine, Kansas, Kansas, USA.
The University of Kansas Medical Center Emergency Department, Kansas, Kansas, USA.
Open Access Emerg Med. 2025 Feb 7;17:85-89. doi: 10.2147/OAEM.S499748. eCollection 2025.
In this case, we describe a case of cutaneous leishmaniasis, a protozoan disease not typically found in the United States, that presented to our emergency department (ED). The diagnosis was confirmed by the Center for Disease Control and Prevention (CDC) through a polymerase chain reaction (PCR) sample from the presenting skin lesion. The patient was a 43-year-old woman with history of a bite by an unknown organism while traveling by foot through Panama. She presented with a large, ulcerated lesion on her lower left shin. She was admitted on suspicion of leishmaniasis, and physicians of several specialties initiated a broad laboratory workup, collected wound cultures, prescribed antibiotics, and surgically repaired the lesion. The rapid recognition of leishmaniasis allowed for the patient to begin treatment before the definitive diagnosis returned, emphasizing the importance of knowledge of worldwide diseases and their presenting features for the ED physician.
在此病例中，我们描述了一例皮肤利什曼病，这是一种在美国不常见的原生动物疾病，该病例被送至我们的急诊科。疾病控制与预防中心（CDC）通过对患者皮肤病变部位进行聚合酶链反应（PCR）采样确诊了该病。患者为一名43岁女性，有在徒步穿越巴拿马期间被不明生物叮咬的病史。她左小腿下部出现一个巨大的溃疡病灶。她因疑似利什曼病入院，多个专科的医生开展了全面的实验室检查，采集伤口培养样本，开具抗生素，并对病灶进行了手术修复。对利什曼病的快速识别使患者在最终诊断结果出来之前就开始了治疗，这凸显了急诊科医生了解全球疾病及其临床表现特征的重要性。
