Pediatric Old World cutaneous leishmaniasis treated with oral fluconazole: A case series

Andrea Michelerio, Stefania Barruscotti, Grazia Bossi, Valeria Brazzelli

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Cutaneous leishmaniasis has an incidence of 0.7–1.2 million cases per year and represents a growing concern in the outpatient dermatologic practice in Europe because of imported cases due to increased travel to risk areas and to immigration phenomena. When dealing with children, the treatment can be challenging because of side effects and pain of classic antimonial therapy leading to poor rates of course completion and requirement of sedation for several children. Methods: We retrospectively studied three cases of cutaneous leishmaniasis in pediatric patients, between the ages of 3 and 6 years of age, treated with oral fluconazole. We examined the efficacy, the tolerability, the safety profile and the cosmetic result of fluconazole at a dose of 6 mg/kg/daily for 6 weeks. Results: The patients had a complete resolution of their lesions with minimal scarring. No adverse effect was reported. The leishmaniasis species identified were L. major or L. tropica. Conclusion: Considering sides effects and the parents’ and the clinician's concern for systemic treatment in the pediatric population, fluconazole represents a valid, safe and easily manageable option for Old World cutaneous leishmaniasis in pediatric outpatients caused by L. major or L. tropica.

Original languageEnglish
Pages (from-to)384-387
Number of pages4
JournalPediatric Dermatology
Volume35
Issue number3
DOIs
Publication statusPublished - May 1 2018

Keywords

  • infection-protozoa
  • insect bite/bite reactions
  • therapy-systemic

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Dermatology

Fingerprint Dive into the research topics of 'Pediatric Old World cutaneous leishmaniasis treated with oral fluconazole: A case series'. Together they form a unique fingerprint.

Cite this