From: Imported leishmaniasis cases in Cuba (2006–2016): what have we learned
Case number | Country of exposure Date | Patient Sex/Age | Epidemiological background | Clinical features |
---|---|---|---|---|
Case-1 | Colombia 2006 | M/43 | Foreigner. Frequent travels to rural areas in his country. | Unique typical lesion on the right leg. Elevated and well defined borders, dry lesion, non-ulcerated. CL suspicious. |
Case-2 | Costa Rica 2006 | M/23 | Foreign student in Cuba. Spent holidays in rural areas of Costa Rica two months prior to the appearance of the first lesion. | Three lesions on legs, one in the left arm. Border well defined, slightly ulcerated. Over infected. CL suspicious. |
Case-3 | Venezuela 2007 | M/41 | Cuban civil collaborator working in a periurban area. | Erythematous plaques located near the ankles, in the 6 months prior to admission, and more recently, in the thigh. Diagnosed previously as leishmaniasis at the site of origin. Submitted for confirmation. |
Case-4 | Bolivia 2009 | M/24 | Foreign student in Cuba. Used to live in a rural area before arriving at Cuba, 6 months earlier. | Cutaneous lesions on the external edge of the right arm and forearm. Borders defined, ulcerated. Several lesions already cured. Small new ones appearing. Ganglionar chain inflammation. CL suspicious. |
Case-5 | Venezuela 2009 | M/39 | Cuban civil collaborator working in a rural community. | Lesions on the nose, obstructive, crusty, over infected and exudative. High inflammation during 2 months of evolution. Differential diagnosis of mucosal leishmaniasis. |
Case-6 | Angola 2011 | M/52 | Cuban civil collaborator working in close contact with a variety of vectors. | Hepato and splenomegaly, weakness, high fever. Differential diagnosis of visceral leishmaniasis. |
Case-7 | Venezuela 2011 | F/42 | Cuban civil collaborator working in a rural community. | Unique long-lasting lesion on the cheek, no borders, no crusty, no infected. Differential diagnosis of CL. |
Case-8 | Venezuela 2012 | M/48 | Cuban civil collaborator working in several rural areas. | Previous lesions resembling small furuncles in legs and thigh. Hypochromic, round lesions in both inferior members. Small vesicles. Differential diagnosis of CL. |
Case-9 | Brazil 2012 | M/45 | Cuban civil collaborator working in rural area. | Cutaneous dry lesions on the legs. No borders defined. Some de-pigmented scars. Differential diagnosis of CL. |
Case-10 | Haiti 2012 | F/50 | Cuban civil collaborator working in different rural areas. | Long lasting lesion on left leg. No borders defined ulcer or crust. Sometimes itching. Differential diagnosis of CL. |
Case-11 | Venezuela 2012 | F/41 | Cuban civil collaborator working in rural areas, comprising some periods in the forest. | Five lesions on the face with defined, indurated borders, a few months of evolution. Some over infected. Ulcers. CL suspicious. |
Case-12 | Peru 2013 | M/52 | Foreigner. Frequent traveler to Latin American countries including rural areas. | Disseminated, round and dry lesions along the inferior part of legs, abdomen and torax. Non-ulcerated. Differential diagnosis of CL. |
Case-13 | Equatorial Guinee 2014 | M/22 | Foreign student. Used to live in a rural area. | Hepato-splenomegaly. Splenomegaly very pronounced. Pain in all the abdominal left side. Differential diagnosis of visceral leishmaniasis. |
Case-14 | Venezuela 2014 | F/51 | Cuban civil collaborator working in several areas including rural and remote ones. | Lesion on the upper part of the back. Borders defined, no crust, slightly ulcerated. No over infection. Previously diagnosed at the site of origin. Confirmation of diagnosis. |
Case-15 | Bolivia 2014 | F/40 | Cuban civil collaborator working in rural areas. | Nodular lesion on the left leg, erythematous, crusty. Then appeared purplish, squamous. Small subcutaneous nodules around the lesion. Differential diagnosis of CL. |
Case-16 | Burundi 2016 | F/23 | Foreign student. Used to Live in a peri-urban area with occasional travels to rural ones. | Chronic lesions in the legs, two in the arms. Crusty, slightly exudatives and ulcerated. The patient referred to suffer from these lesions long time ago. Differential diagnosis. |