Page 112 - LECTURE NOTES

b) Leshmania brasiliensis

c) Leshmania mexicana
d) Leshmania aethiopica

But mucocutaneous leishmaniasis is caused by leishmania viannia, agroup of organism

called leishviabraziliensis found in central & South America.

a) Reservoir – Animal (rats, wild rodent domestic animals like dog, cat) and infected

human
b) Incubation period – from a day to months

c) Clinical picture

The first lesion start with a papule it can grow to nodules or it can be ulcerated and
can be covered with crust.

Lesions are small papules that develop in to non-ulcerated dry plaques or large

encrusted ulcers with well-demarcated raised and indurate margin.
¾ The lesion may be single, multiple or diffuse may be self limiting or can be

chronic
¾ If it is mucocutaneous the lesion appears as single or multiple papules. The

lesion first is nodular and then becomes ulcerated and wart like that can be
painful. Some times the lesion appears as single nodule but later on can be

indurate and involve on nasal mucosa and skin and lead to destructions.

¾ In case of diffuse cutaneous leishmania which is caused by L-Mexican and L.
aethiopica, the multiple modules lesion is a non ulcering lesion, and occurs on

the entire body
¾ Involvement of lesion in naso -pharyngeal tissue, is severely disfiguring and

often fatal
Mucocutaneous leishmaniasis causes extensive destruction of the soft tissue &

cartilage of the nose, oral cavity and lip and extends to the larynx & pharynx.

d) Management and nursing intervention

No effective treatment exists but the following can be used

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