AMERICAN CUTANEOUS LEISHMANIASIS DUE TO LEISHMANIA (VIANNIA) GUYANENSIS AS AN INITIAL CLINICAL PRESENTATION OF HUMAN-IMMUNODEFICIENCY-VIRUSINFECTION

The authors present the first report of Leishmania (Viannia) guyanensi s (L.(V.) guyanenesis) associated with human immunodeficiency virus (H IV) in a Brazilian heterosexual man. It is also the first case of HIV infection associated with American cutaneous leishmaniasis in Brazilia n Western Amazonia, The patient had cutaneous and mucous lesions with a negative Montenegro skin test. Histopathology showed large numbers o f amastigotes, even in a lesion which had clinically healed. L.(V.) gu yanenesis was typed by an immunoenzymatic technique. Various therapies were attempted, but the patient relapsed after each episode of treatm ent. (C) 1998 Elsevier Science B.V.