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  #1  
Old 02-11-2010
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Question Skin lesion from Iraq duty!

A US soldier returned from Iraq with a skin lesion on his right upper arm. The lesion was papular then developed into a nodular 4X5 cm crusting with irregular sharp border. Giemsa stain of biopsy showed inclusions with histiocytes. Which is the most likely infecting organism?

A- Leishmania major
B- Strongyloides stercoralis
C- Histoplasma capsulatum
D- Plasmodium vivax
E- Toxoplasma gondii
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Old 02-11-2010
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Leishmania Major- This is a case of cutaneous Leishmaniasis...
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Old 02-12-2010
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Quote:
Originally Posted by tmsid View Post
Leishmania Major- This is a case of cutaneous Leishmaniasis...
I agree with you.
Two bugs are commonly seen in soldiers deployed to Iraq. Leishmania and Strongyloides.
The case is describing cutaneous leishmania. The inclusions in histiocytes are Donovan bodies.
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Old 02-12-2010
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Agreed - none of the others fit. Leishmania it is.
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