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Clinico-immunological spectrum of American tegumentary leishmaniasis and leprosy coinfection: A case series in Southeastern Brazil
Vernal, Sebastian; Bueno-Filho, Roberto; Gomes, Ciro Martins; Roselino, Ana Maria.
  • Vernal, Sebastian; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Clínica Médica. Ribeirão Preto. BR
  • Bueno-Filho, Roberto; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Clínica Médica. Ribeirão Preto. BR
  • Gomes, Ciro Martins; Universidade de Brasília. Departamento de Dermatologia. Brasília. BR
  • Roselino, Ana Maria; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Clínica Médica. Ribeirão Preto. BR
Rev. Soc. Bras. Med. Trop ; 52: e20180172, 2019. tab, graf
Article in English | LILACS | ID: biblio-1041541
ABSTRACT
Abstract

INTRODUCTION:

American tegumentary leishmaniasis (ATL) and leprosy share common areas of prevalence, but reports of coinfection are scarce.

METHODS:

We report a series of 9 ATL-leprosy cases and discuss the association. An integrative diagram to analyze the clinico-immunological features of coinfection with both diseases.

RESULTS:

Nine patients with leishmaniasis (5 cutaneous, 3 mucocutaneous, 1 disseminated case) exhibited concurrent infection with distinct clinical forms of leprosy. Our diagram-based analysis evidenced a divergent clinico-immunological spectrum for each disease in 8 out of 9 cases.

CONCLUSIONS:

The spectrum of ATL-leprosy comorbidity suggests that the host has a specific immune response against each pathogen.
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Full text: Available Index: LILACS (Americas) Main subject: Leishmaniasis, Cutaneous / Th2 Cells / Th1 Cells / Leprosy Type of study: Risk factors Limits: Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Rev. Soc. Bras. Med. Trop Journal subject: Tropical Medicine Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de Brasília/BR / Universidade de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Leishmaniasis, Cutaneous / Th2 Cells / Th1 Cells / Leprosy Type of study: Risk factors Limits: Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Rev. Soc. Bras. Med. Trop Journal subject: Tropical Medicine Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de Brasília/BR / Universidade de São Paulo/BR