RT Journal Article
SR Electronic
T1 Cold cellulitis. An unusual presentation of cutaneous leishmaniasis
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1002
OP 1004
VO 23
IS 8
A1 Shelleh, Hamdi H.
A1 Khan, Sarosh A.
A1 Al-Shayeb, Abdul M.
A1 Al-Hateeti, Hussni
A1 Khan, Latif A.
A1 Kasabah, Mohammad N.
YR 2002
UL http://smj.org.sa/content/23/8/1002.abstract
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.