A Patient Presenting with Diffuse Cutaneous Leishmaniasis (DCL) as a First Indicator of HIV Infection in India

Kanika Khandelwal Department of Dermatology, Sardar Patel Medical College, Bikaner, Rajasthan, India; Institute of Pathology, Indian Council of Medical Research, New Delhi, India; Departments of Pathology and Microbiology, Ohio State University, Columbus, Ohio

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Ram Awatar Bumb Department of Dermatology, Sardar Patel Medical College, Bikaner, Rajasthan, India; Institute of Pathology, Indian Council of Medical Research, New Delhi, India; Departments of Pathology and Microbiology, Ohio State University, Columbus, Ohio

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Rajesh Dutt Mehta Department of Dermatology, Sardar Patel Medical College, Bikaner, Rajasthan, India; Institute of Pathology, Indian Council of Medical Research, New Delhi, India; Departments of Pathology and Microbiology, Ohio State University, Columbus, Ohio

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Himanshu Kaushal Department of Dermatology, Sardar Patel Medical College, Bikaner, Rajasthan, India; Institute of Pathology, Indian Council of Medical Research, New Delhi, India; Departments of Pathology and Microbiology, Ohio State University, Columbus, Ohio

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Claudio Lezama-Davila Department of Dermatology, Sardar Patel Medical College, Bikaner, Rajasthan, India; Institute of Pathology, Indian Council of Medical Research, New Delhi, India; Departments of Pathology and Microbiology, Ohio State University, Columbus, Ohio

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Poonam Salotra Department of Dermatology, Sardar Patel Medical College, Bikaner, Rajasthan, India; Institute of Pathology, Indian Council of Medical Research, New Delhi, India; Departments of Pathology and Microbiology, Ohio State University, Columbus, Ohio

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Abhay R. Satoskar Department of Dermatology, Sardar Patel Medical College, Bikaner, Rajasthan, India; Institute of Pathology, Indian Council of Medical Research, New Delhi, India; Departments of Pathology and Microbiology, Ohio State University, Columbus, Ohio

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DOI:
https://doi.org/10.4269/ajtmh.2011.10-0649
Volume/Issue:
Volume 85: Issue 1
Page(s):
64–65
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Opportunistic parasitic infections such as leishmaniasis are common in human immunodeficiency virus (HIV)-infected patients and are usually acquired several days after initial diagnosis of HIV infection. Here, we report on a patient who presented with diffuse cutaneous leishmaniasis (DCL) caused by Leishmania tropica as the first and only clinical manifestation of HIV infection. To the best of our knowledge, this is the first case that illustrates that DCL could be the first clinical indicator of HIV infection. Cutaneous leishmaniasis (CL) and DCL are becoming frequent opportunistic infections in HIV-infected individuals throughout the world. To date, all documented cases of CL and HIV coinfections have been reported in patients who were known cases of HIV and who subsequently developed CL. In this report, we present a case that illustrates that DCL could be the first clinical indicator of HIV infection.

Author Notes

*Address correspondence to Abhay R. Satoskar, Department of Pathology, Ohio State University, 129 Hamilton Hall, 1645 Neil Avenue, Columbus, OH 43210. E-mail: abhay.satoskar@osumc.edu

Authors' addresses: Kanika Khandelwal, Ram Awatar Bumb, and Rajesh Dutt Mehta, Department of Dermatology, Sardar Patel Medical College, Bikaner, Rajasthan, India, E-mails: drkanikakhandelwal@gmail.com, dr_bumb@rediffmail.com, and mehtarddr@yahoo.co.in. Himanshu Kaushal and Poonam Salotra, Institute of Pathology, ICMR, New Delhi, India, E-mails: hkaushal@yahoo.co.in and psalotra@vsnl.net. Claudio Lezama-Davila and Abhay R. Satoskar, Departments of Pathology and Microbiology, Ohio State University, Columbus, OH, E-mails: lezama-davila.1@osu.edu and abhay.satoskar@osumc.edu.

Copyright:
©The American Society of Tropical Medicine and Hygiene 2011
Received:
17 Nov 2010
|
Accepted:
10 Jan 2011
|
Published Online:
01 Jul 2011
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
Online ISSN:
1476-1645
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