AMERICAN CUTANEOUS LEISHMANIASIS ASSOCIATED WITH HIV-INFECTION - REPORT OF 4 CASES

Objective A report of four cases of American cutaneous leishmaniasis a ssociated with HIV infection is presented. Background The association of mucocutaneous leishmaniasis and HIV infection is rare. Only 15 case s have been reported in the literature thus far. Subjects Four new cas es are described and the differences between the clinical presentation in immunocompromised and immunocompetent patients an emphasized.Concl usions Multiple cutaneous lesions plus mucosal involvement characteriz e the clinical presentation of American cutaneous leishmaniasis in ass ociation with HIV infection in the majority of the cases. A serologica l investigation for HIV infection is recommended for patients presenti ng with this type of clinical picture, especially if the patient is a young male. (C) 1998 Elsevier Science B.V.