combined cutaneous and Visceral Forms of Leishmaniasisl

Abstract

This is a three years old child from Himreen rural areas the patient had fever,
pallor, & hepatosplenomegaly and two ulcers on the face. The patient responded to
Pentostam. While we used in Iraq to see leishmaniasis as either pure cutaneous or
pure visceral forms of leishmaniasis, this is a case with combined cutaneous &
visceral forms of leishmaniasis in a patient with normal immune system. Which may
explained by the leishmaniae species that primarily cause cutaneous disease & rurely
cause visceral disease,or by primarily viscerotropic leishmahia that primarily cause
visceral disease which may also cause skin lesions or by mixed infections by two
different species of leishmaniae, one of them is dermatotropic, & the other one is
viscerotropic.