Erysipeloid Leishmaniasis of the Upper Limb

We report the case of a 24-years-old Tunisian man, active military, with no medical history, how was admitted to our department for suspicion of erysipelas of the upper limb.
The somatic examination noted an infiltrated, erythematous, and extensive plaque of the left forearm associated to a small central ulcerative and cribriform lesion, andleft arm lymphangitis. Basic biological tests were within normal limits and the search for anti-streptolysin O antibodies was negative.Central lesion smears confirmed the diagnosis of cutaneous leishmaniasis. The outcome was rapidly favorable after systemic meglumine antimoniate treatment.

Keywords: Cutaneous leishmaniasis, Erysipeloid leishmaniasis, Atypical presentation, Leishmaniasis.