Case of Dr A Almuslehi

This patient 20 years old from rural area 100 miles northeast Baghdad-Iraq
came with 1 month duration painless biol
THE SECOND IMAGE AFTER 3 SESSIONS OF PENTOSTAM
AND THE LAST IMAGE AFTER 4 SESSIONS

Bites of the female sandfly transmit this intracellular Protozoa to humans. Various animals can be hosts for the sandfly. The size and degree of inflammation depend on the virulence of the parasite and the host immune response. The incubation time averages about 2 months so the patient may not present with a lesion until some time after they return from overseas. Sporotrichoid spread ie spread along lymphatics can occur with this condition. Intralesional sodium stibogluconate is still the preferred treatment. Some lesions will ultimately resolve on there own but they leave a depressed scar.