Ano de Publicação: 2019
AUTORIA
Sebastian Vernal[1], Yuri Casal[2], Lucas T. Vieira[1], Valdir S. Amato[1],
María Irma S. Duarte[2] and Ana Catharina S.S. Nastri[1]
[1]. Universidade de São Paulo, Departamento de Doenças Infecciosas e Parasitárias, São Paulo, SP, Brasil.
[2]. Universidade de São Paulo, Departamento de Patologia, São Paulo, SP, Brasil.
RESUMO
Tegumentary leishmaniasis (TL) diagnosis is challenging due to the lack of a gold standard diagnostic tool. The diagnosis is significantly
harder in regions where visceral leishmaniasis (VL) is also prevalent since immunological tests may present cross-reactivity. A cirrhotic
patient from an endemic Brazilian region for TL and VL presented with atypical cutaneous lesions, a usual clinico-laboratory feature of VL
(including a positive rk39 test result), but he was diagnosed with TL histopathologically; VL was ruled out by necropsy. Physicians working
in co-prevalent areas should be aware of atypical features, unusual clinical course, and unexpected laboratory findings of leishmaniasis.