Combined Cutaneous & Visceral Forms of Leishmaniasis; Case Report

Abstract

This is a three years old child from Himreen rural areas the patient had fever, pallor, & hepatosplenomegaly and two ulcers on the face. The patient responded to Pentostam. While we used in Iraq to see leishmaniasis as either pure cutaneous or pure visceral forms of leishmaniasis, this is a case with combined cutaneous & visceral forms of leishmaniasis in a patient with normal immune system. Which may explained by the leishmaniae species that primarily cause cutaneous disease & rarely cause visceral disease or by primarily viscerotropic leishma'nia that primarily cause visceral disease which may also cause skin lesions or by mixed infections by two different species of leishmaniae, one of them is dermatotropic, & the other one is viscerotropic.