Coinfection of Leishmania (Viannia) braziliensis and Streptococcus pneumoniae in multiple cutaneous lesions

CORTES PAULO R; LAURA CHIAPELLO; DAVID DIB; JOSE ECHENIQUE

PLOS NEGLECTED TROPICAL DISEASES

PUBLIC LIBRARY SCIENCE

Lugar: San Francisco; Año: 2016 vol. 10

1935-2735

12-year-old girl was seen by a physician in Frias (Santiago del Estero Province, northernArgentina region) due to a lesion in her left leg that presented a painless papule, which laterbecame ulcerative. The mother referred that the first lesion appeared after an insect bite in theleft leg of her daughter, but she did not remember any febrile episode. She reported no othersymptoms or past medical history associated with skin ulcerations, diabetes, recurrent earinfections, or chronic diseases. In a few days, new lesions with similar characteristics appearedon her arms and legs. The first clinical impressions were ulcers caused by group A beta-hemolyticstreptococci or staphylococci. No bacteriological cultures or other microbiological studieswere performed to determine the putative cause of those lesions. Nevertheless, she received anempirical antibiotic treatment, such as topical rifampicin (3 applications/day of a 100 mg/mlsolution) concomitantly with penicillin G benzathine (1,200,00