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Amputation of a type II diabetic patient with cutaneous leishmaniasis due to Leishmania major

Article scientifique 2021 Anglais

Résumé

BACKGROUND: Leishmaniases are neglected tropical diseases of public health concern in Algeria. The immunocompromised patients with HIV, autoimmune diseases, or chronic alcohol abuse are at a higher risk of leishmaniasis. Herein, we present the case of an immunocompetent diabetic patient infected by Leishmania major, leading to life-threatening consequences. CASE PRESENTATION: An Algerian diabetic patient developed a cutaneous lesion with large polymorphous inflamed granuloma and pyoderma gangrenosum in the left foot, following L. major infection. A delayed follow-up led to a treatment failure, resulting in the amputation. CONCLUSIONS: This report highlights the absence of timely treatment of Leishmania infection as a life-threatening point among high-risk diabetic patients. Clinicians should be aware of this parasitosis leading to severe complications in diabetic patients.

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Izri, A., Bendjaballah-Laliam, A., Séréno, D., Djenad, I., Harrat, Z., Akhoundi, M. (2021). Amputation of a type II diabetic patient with cutaneous leishmaniasis due to Leishmania major. https://doi.org/10.1186/s12879-021-06909-8

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