de Souza e Souza I, Naiff R D, Guimarães T C, Naiff M F, Cupolillo E, Rodrigues W A, Schettini A P
Instituto De Dermatologia Tropical e Venereologia Alfredo Da Matta, Manaus, Amazonas, Brazil.
J Eur Acad Dermatol Venereol. 1998 May;10(3):214-7. doi: 10.1016/s0926-9959(98)00011-7.
The authors present the first report of Leishmania (Viannia) guyanensis (L.(V.) guyanenesis) associated with human immunodeficiency virus (HIV) in a Brazilian heterosexual man. It is also the first case of HIV infection associated with American cutaneous leishmaniasis in Brazilian Western Amazonia. The patient had cutaneous and mucous lesions with a negative Montenegro skin test. Histopathology showed large numbers of amastigotes, even in a lesion which had clinically healed. L.(V.) guyanenesis was typed by an immunoenzymatic technique. Various therapies were attempted, but the patient relapsed after each episode of treatment.
