American cutaneous leishmaniasis associated with HIV infection: report of four cases

J Eur Acad Dermatol Venereol. 1998 May;10(3):218-25.


Objective: A report of four cases of American cutaneous leishmaniasis associated with HIV infection is presented.

Background: The association of mucocutaneous leishmaniasis and HIV infection is rare. Only 15 cases have been reported in the literature thus far.

Subjects: Four new cases are described and the differences between the clinical presentation in immunocompromised and immunocompetent patients are emphasized.

Conclusions: Multiple cutaneous lesions plus mucosal involvement characterize the clinical presentation of American cutaneous leishmaniasis in association with HIV infection in the majority of the cases. A serological investigation for HIV infection is recommended for patients presenting with this type of clinical picture, especially if the patient is a young male.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • AIDS-Related Opportunistic Infections / diagnosis*
  • AIDS-Related Opportunistic Infections / parasitology
  • AIDS-Related Opportunistic Infections / pathology
  • Adult
  • Brazil
  • Diagnosis, Differential
  • Humans
  • Leishmaniasis, Mucocutaneous / diagnosis*
  • Leishmaniasis, Mucocutaneous / parasitology
  • Leishmaniasis, Mucocutaneous / pathology
  • Male
  • Middle Aged