Cutaneous Leishmaniasis Presenting As Macrocheilitis In A Post Liver Transplant Pediatric Patient.

J. Menon, N. Shanmugam, M. Vij, M. Reddy, M. Rela
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引用次数: 1

Abstract

A 3-year-old boy, who underwent living donor liver transplantation at 1-year age for biliary atresia presented during his routine follow-up with painful perioral swelling of 2 months’ duration (Fig. 1). He was on a standard tacrolimus-based immunosuppression along with oral prednisolone 1 mg/day. Considering cellulitis, he was treated with intravenous antibiotics for 5 days, but with little improvement. Kaposi sarcoma was considered in immunosuppressed patient and lip biopsy was done, which suggested Leishmaniasis (Fig. 2; arrow showing amastigote). Liposomal Amphotericin 5 mg/kg was given for 7 days. Lesion showed progressive response with complete resolution in a month.
儿童肝移植后皮肤利什曼病表现为大颊炎。
一名3岁男孩,因胆道闭锁在1岁时接受活体供肝移植,在常规随访中出现持续2个月的疼痛口周肿胀(图1)。他接受标准的他克莫司免疫抑制治疗,同时口服强的松龙1mg /天。考虑蜂窝织炎,给予静脉抗生素治疗5天,但无明显改善。免疫抑制患者考虑卡波西肉瘤,唇活检提示利什曼病(图2;箭头显示无纺线)。两性霉素脂质体5 mg/kg给予7 d。病变呈进行性反应,1个月完全消退。
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