PT  - JOURNAL ARTICLE
AU  - Shelleh, Hamdi H.
AU  - Khan, Sarosh A.
AU  - Al-Shayeb, Abdul M.
AU  - Al-Hateeti, Hussni
AU  - Khan, Latif A.
AU  - Kasabah, Mohammad N.
TI  - Cold cellulitis. An unusual presentation of cutaneous leishmaniasis
DP  - 2002 Aug 01
TA  - Saudi Medical Journal
PG  - 1002--1004
VI  - 23
IP  - 8
4099  - http://smj.org.sa/content/23/8/1002.short
4100  - http://smj.org.sa/content/23/8/1002.full
SO  - Saudi Med J2002 Aug 01; 23
AB  - We describe a case of cutaneous leishmaniasis, which presented as what we call "cold cellulitis". This may be differentiated from classical cellulitis/erysipelas by 1. Lesser local reaction like pain and tenderness 2. No systemic symptoms 3. No leucocytosis 4. Negative bacteriological and serological assay for bacterial cellulitis/erysipelas, 5. Longer course of illness and 6. Failure to respond to antibiotics. However, awareness of this type and frequent skin smears or skin biopsy will settle the right diagnosis. A review of different leishmanial presentations is given for comparison.