Cutaneous leishmaniasis caused by Leishmania infantum in Southern Israel

Shalom Ben-Shimol, Orli Sagi, Amir Horev, Yonat Shemer Avni, Mati Ziv, Klaris Riesenberg

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Cutaneous leishmaniasis (CL) caused by Leishmania major is common in southern Israel, while Leishmania infantum (sub-strain of L. donovani, causing zoonotic visceral leishmaniasis) infections were rarely reported in Israel and only in other regions. We report the first case of L. infantum infection in southern Israel, presented atypically as CL in an immunosuppressed 47-year old male. The patient was treated with liposomal amphotericin-B and recovered, without extra-cutaneous complications. Diagnosis of L. infantum CL was confirmed by microscopic identification of amastigotes in Gimsa-stained smear of skin lesion, positive blood serology and a positive polymerase chain reaction (PCR) amplification of the internal transcribed spacer 1 genes (ITS1) and restriction fragment length polymorphism (ITS1 PCR-RFLP). We also review the medical literature on old-world CL caused by L. infantum. Multiple L. donovani/infantum CL cases were identified in the literature search. These can be divided schematically to two: 1) In several endemic countries, L. infantum strains are the main causative agents of CL; 2) In other regions, CL is almost exclusively caused by L. major or L. tropica, while L. donovani strains CL cases were reported sporadically or as imported disease.

Original languageEnglish
Pages (from-to)855-858
Number of pages4
JournalActa Parasitologica
Volume61
Issue number4
DOIs
StatePublished - 1 Dec 2016

Keywords

  • Cutaneous leishmaniasis
  • Leishmania donovani infantum

ASJC Scopus subject areas

  • Parasitology

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