Abstract
SKIN lesions containing Leishman–Donovan bodies in kala-azar have been recorded from the Sudan. Kirk and Sati1, and Kirk2, described a leishmanial skin lesion on the cheek which preceded visceral infection, and Petrov3 claimed that, in Uzbekistan, kala-azar in children was preceded by skin ulcers. Little is known about the method of penetration of the body by the Leishmania following the bite of the sandfly, and I would suggest that, in some cases at least, a primary skin lesion does occur at the site of the bite, with lymphatic spread to the regional glands and eventually to the viscera. The following case appears to support my hypothesis.
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References
Kirk, R., and Sati, M. H., Trans. Roy. Soc. Trop. Med. and Hyg., 33, 501 (1940).
Kirk, R., Trans. Roy. Soc. Trop. Med. and Hyg., 32, 2, 271 (1938).
Petrov, V. D., Parasitological symposium of Uzbekistan. Tashkent Inst. Epid. and Microbiol. and Trop. Inst., reviewed by C. A. Hoare, Trop. Dis. Bull., 35, 134 (1938).
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MANSON-BAHR, P. A Primary Skin Lesion in Visceral Leishmaniasis. Nature 175, 433–434 (1955). https://doi.org/10.1038/175433b0
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DOI: https://doi.org/10.1038/175433b0
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