Leishmania infantum leishmaniasis in corticosteroid-treated patients

Silvia Pittalis, Emanuele Nicastri, Francesco Spinazzola, Piero Ghirga, Michele De Marco, Maria Grazia Paglia, Pasquale Narciso

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The number of leishmaniasis cases associated with immunosuppression has increased regularly over the past 20 years. Immunosuppression related to HIV infection, immunosuppressive treatment, organ transplantation, and neoplastic diseases increases the risk for Leishmania-infected people to develop visceral illness. Case presentation: Three cases of Leishmania infantum leishmaniasis in corticosteroid (CS)-treated patients are reported: an isolated lingual leishmaniasis in a farmer treated with CS for asthma, a severe visceral leishmaniasis associated with cutaneous lesions in a woman with myasthenia gravis, and a visceral involvement after cutaneous leishmaniasis in a man receiving CS. Conclusion: Physicians should recognise CS-treated patients as a population likely to be immunesuppressed. In immunodeficiency conditions, unusual forms of leishmaniasis can develop and foster the risk of a diagnostic delay and of poor response to therapy.

Original languageEnglish
Article number177
JournalBMC Infectious Diseases
Volume6
DOIs
Publication statusPublished - 2006

ASJC Scopus subject areas

  • Infectious Diseases

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