TY - JOUR T1 - Cold cellulitis. An unusual presentation of cutaneous leishmaniasis JF - Saudi Medical Journal JO - Saudi Med J SP - 1002 LP - 1004 VL - 23 IS - 8 AU - Hamdi H. Shelleh AU - Sarosh A. Khan AU - Abdul M. Al-Shayeb AU - Hussni Al-Hateeti AU - Latif A. Khan AU - Mohammad N. Kasabah Y1 - 2002/08/01 UR - http://smj.org.sa/content/23/8/1002.abstract N2 - 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. ER -