Atypical nasal cutaneous leishmaniasis due to Leishmania major: Case report of a 13-year-old child in Burkina Faso

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Résumé

Cutaneous leishmaniasis (CL) is a vector-borne disease primarily caused by Leishmania major in Burkina
Faso. The nasal location is atypical, and clinical forms are increasingly atypical in endemic areas. The
present report describes a case of atypical CL in a 13-year-old girl in Burkina Faso. The observed case
presented with a skin lesion on the tip of the nose, in the form of an erythematous, infiltrated, and well
circumscribed plaque with crusts suggestive of impetigo. Parasitological examination revealed
amastigote forms of Leishmania spp., and the species L. major was identified by Polymerase Chain
Reaction (PCR). Treatment with 1.5 g of meglumine antimoniate injected intralesionally at a dose of 1 ml
twice a week for four weeks resulted in complete healing without any scarring.

Mots-clés

Cutaneous leishmaniasis, Leishmania major, nose, meglumine antimoniate Burkina Faso