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Table 1 General data of patients attended at IPK (2006–2016) for leishmaniasis diagnosis purpose

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.