Clinico-immunological spectrum of American tegumentary leishmaniasis and leprosy coinfection: A case series in Southeastern Brazil

Saved in:
Bibliographic Details
Main Author: Vernal, Sebastian
Publication Date: 2019
Other Authors: Bueno Filho, Roberto, Gomes, Ciro Martins, Roselino, Ana Maria
Format: Article
Language: eng
Source: Repositório Institucional da UnB
Download full: https://repositorio.unb.br/handle/10482/36249
https://doi.org/10.1590/0037-8682-0172-2018
http://orcid.org/0000-0002-2709-1825
Summary: 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.