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
Leishmania Major- This is a case of cutaneous Leishmaniasis...
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.
Agreed - none of the others fit. Leishmania it is.
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