A 25-year-old man from Peru is diagnosed with New World cutaneous leishmaniasis. PCR identifies L. braziliensis. Why is systemic treatment mandatory r...

Question

A 25-year-old man from Peru is diagnosed with New World cutaneous leishmaniasis. PCR identifies L. braziliensis. Why is systemic treatment mandatory rather than local treatment for L. braziliensis CL?

Accepted Answer

L. braziliensis has the highest risk of mucocutaneous dissemination (MCL) among New World species; systemic treatment reduces this risk

Answer

L. braziliensis CL always self-heals

Answer

Local treatment is more expensive

Answer

All CL must be treated with IV amphotericin B

Answer

L. braziliensis only causes visceral disease

uk-dtmh MCQ (SBA): Systemic Treatment for L. braziliensis

A 25-year-old man from Peru is diagnosed with New World cutaneous leishmaniasis. PCR identifies L. braziliensis. Why is systemic treatment mandatory rather than local treatment for L. braziliensis CL?