Unusual manifestation of genital cutaneous leishmaniasis in an immunocompetent patient from São Paulo, Brazil: A case report

Rev Soc Bras Med Trop. 2021 Mar 22:54:e0514-2020. doi: 10.1590/0037-8682-0514-2020. eCollection 2021.

Abstract

A 31-year-old male patient developed an ulcer on the glans penis that evolved for three months without healing. We diagnosed it as leishmaniasis using polymerase chain reaction. No immunosuppression or associated diseases were observed. The patient was treated with meglumine antimoniate that cured the lesion in a month post-treatment. Here, we report this case of cutaneous leishmaniasis lesion at the unusual location of glans penis in an immunocompetent individual. The lesion likely developed due to the bite of a vector, highlighting the need for considering cutaneous leishmaniasis among differential diagnosis of sexually transmitted diseases in areas endemic for leishmaniasis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antiprotozoal Agents* / therapeutic use
  • Brazil
  • Genitalia
  • Humans
  • Leishmaniasis, Cutaneous* / diagnosis
  • Leishmaniasis, Cutaneous* / drug therapy
  • Male
  • Meglumine / therapeutic use
  • Meglumine Antimoniate / therapeutic use
  • Organometallic Compounds* / therapeutic use
  • Polymerase Chain Reaction

Substances

  • Antiprotozoal Agents
  • Organometallic Compounds
  • Meglumine
  • Meglumine Antimoniate