CASE REPORT


Pediatric Cutaneous Leishmaniasis in a Private Clinic of Abidjan, Ivory Coast: A Case Report



N’da Angbeletchi David AKA1, *, Kalou Dibert Zika2, Gonat Serge Pacôme Dou1, Fatoumata Coulibaly3, Mocket Adolphe Ehouman4, Ibrahima Kone5, Koffi Daho Adoubryn6
1 University Félix Houphouët-Boigny of Abidjan, 01 BP V34 Abidjan, Cocody, Cote D Ivoire
2 Université Alassane Ouattara, BP V18, Bouaké, Cote D Ivoire
1 University Félix Houphouët-Boigny of Abidjan, 01 BP V34 Abidjan, Cocody, Cote D Ivoire
3 Université Pelero Gon Coulibaly, BP 1328, Korhogo, Cote D Ivoire
4 Olopam Pharma and Research & Development, 10 B.P 1274, Abidjan, Cote D Ivoire
5 Groupe Médical et de Consulting BOZOUMA, 01 BP 6648, Abidjan, Cote D Ivoire
6 Université Alassane Ouattara, BP V18, Bouaké, Cote D Ivoire

Article Information


Identifiers and Pagination:

Year: 2021
Volume: 9
First Page: 1
Last Page: 4
Publisher ID: TOPARAJ-9-1
DOI: 10.2174/1874421402109010001

Article History:

Received Date: 30/12/2020
Revision Received Date: 19/4/2021
Acceptance Date: 24/5/2021
Electronic publication date: 07/07/2021
Collection year: 2021

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Creative Commons License
© 2021 David AKA et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at University Félix Houphouët-Boigny of Abidjan, 01 BP V34 Abidjan, Cocody, Cote D Ivoire; Tel: 0022521305118; Fax: 0022521305117: E-mail: akadavid2000@yahoo.fr


Abstract

Introduction:

Cutaneous Leishmaniasis (CL) is a zoonotic disease with global distribution, especially in underdeveloped countries. This parasitic disease is caused by the bite of an infected sandfly.

Case Report:

We report here the first case of cutaneous leishmaniasis discovered incidentally in an 11-year-old child in a private clinic. He is a primarian boy who had a wound located on his left leg. On questioning, we ascertained that the wound was not the first one and had been present for about 2 months. The cutaneous lesion was painless but itchy. The location, the crateriform appearance, and the chronic nature of the wound led us to suspect a case of cutaneous leishmaniasis.

Methods:

Microscopic examination of cutaneous exsudation’s smears of lesions revealed amastigote forms of leishmania, confirming our diagnostic hypothesis. The child was placed under Imidazole-based treatment associate cloxacilline. The child also received local gentamycin-based dressings.

Results:

The child was cured after one month. The diagnostic issues of cutaneous leishmaniasis constitute a great challenge for practitioners in endemic zone. Also, a systematic differential diagnostic should be required in the face of chronic wounds.

Conclusion:

The integration of the screening and management of cutaneous leishmaniasis against Buruli ulcer are eagerly waited as a future work.

Keywords: Cutaneous leishmaniasis, Phlebotomus, Pediatric infection, Zoonosis, Ivory coast, Chronic wounds.