Document Detail

Nonhealing skin lesions in a sailor and a journalist returning from Iraq.
MedLine Citation:
PMID:  15757166     Owner:  NLM     Status:  MEDLINE    
US health care providers who are not familiar with cutaneous leishmaniasis may now begin to encounter more patients with this challenging entity as military personnel return from rotations in Iraq or Afghanistan. Diagnosis requires a skin scraping, aspiration, or biopsy, followed by examination by an experienced microscopist or pathologist. Demonstration of the parasite DNA by PCR or culture in special media can also be used to confirm the diagnosis. Sodium stibogluconate is the mainstay of therapy, but other options for selected cases include topical thermal or cryotherapy treatment and oral triazole compounds. Assistance is available through the CDC and, for Department of Defense beneficiaries, certain military facilities.
Emil P Lesho; Glenn Wortmann; Ronald Neafie; Naomi Aronson
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Cleveland Clinic journal of medicine     Volume:  72     ISSN:  0891-1150     ISO Abbreviation:  Cleve Clin J Med     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-03-10     Completed Date:  2005-05-03     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8703441     Medline TA:  Cleve Clin J Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  93-4, 96, 98-9 passim     Citation Subset:  IM    
Walter Reed Army Medical Center, Washington, DC, USA.
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MeSH Terms
Antimony / therapeutic use
Diagnosis, Differential
Leishmaniasis, Cutaneous / diagnosis*,  physiopathology,  therapy
Military Medicine*
Military Personnel
Reg. No./Substance:
Comment In:
Cleve Clin J Med. 2005 Feb;72(2):81   [PMID:  15757164 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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