Non-responding cellulitis: An unusual presentation of cutaneous leishmaniasis

We describe a case of cutaneous leishmaniasis, which presented as non-responding cellulitis. This may be differentiated from classical cellulitis/erysipelas by 1. Lesser local reaction like pain and tenderness 2. No systemic symptoms 3. No leucocytosis 4. Negative bacteriological and serological assay for bacterial cellulitis/erysipelas, 5. Longer course of illness and 6. Failure to respond to antibiotics. However, awareness of this type and frequent skin smears or skin biopsy will settle the right diagnosis. A review of different leishmanial presentations is given for comparison It is not unusual to find an indurated erythematous margin around a leishmanial lesion. It is usually part of it. To have such a marked erythematous indurated swelling so much so that it obscures partially the features of leishmaniasis, is an abnormal phenomenon. This assumes importance as it may deviate the diagnosis towards bacterial cellulitis. Here we are reporting an intriguing case of cutaneous leishmaniasis (CL) of this type, presenting as cellulitis like lesion .

کلیدواژه ها:

Non-responding cellulitis ، cutaneous leishmaniasis ، leishmanial cold cellulitis