Coinfection of Leishmania (Viannia) braziliensis and Streptococcus pneumoniae in multiple cutaneous lesions

CORTES P; HERRERO M; ECHENIQUE J; DIB MD; DE PETRIS C; CHIAPELLO L S; NUNCIRA CT

PLOS NEGLECTED TROPICAL DISEASES

PUBLIC LIBRARY SCIENCE

Lugar: San Francisco; Año: 2016

1935-2735

Key learning points- Cutaneous leishmaniasis is the most common clinical disease caused by all the Leishmania species that are pathogenic to humans.- Other bacterial coinfections of Leishmania lesions have been described, but this is the first report of coinfection with Leishmania and S. pneumoniae. - S. pneumoniae is also able to cause skin infections, for that reason the pneumococcal diagnosis could be underestimated in Leishmania lesions coinfected with bacterial pathogens, particularly in endemic areas.- An accurate microbiological diagnosis of Leishmania coinfections is essential for a correct antimicrobial treatment of skin infections. - Pentavalent antimonials, such as meglumine antimoniate, are considered the first-line antimicrobial therapy for the treatment of leishmaniasis