Haroun Zangger, Catherine Ronet, Chantal Desponds, F Matthew Kuhlmann, John Robinson, Mary-Anne Hartley, Florence Prevel, Patrik Castiglioni, Francine Pratlong, Patrick Bastien, Norbert Müller, Laurent Parmentier, Nancy Gore Saravia, Stephen M Beverley, Nicolas Fasel
BACKGROUND: Patients suffering from cutaneous leishmaniasis (CL) caused by New World Leishmania (Viannia) species are at high risk of developing mucosal (ML) or disseminated cutaneous leishmaniasis (DCL). After the formation of a primary skin lesion at the site of the bite by a Leishmania-infected sand fly, the infection can disseminate to form secondary lesions. This metastatic phenotype causes significant morbidity and is often associated with a hyper-inflammatory immune response leading to the destruction of nasopharyngeal tissues in ML, and appearance of nodules or numerous ulcerated skin lesions in DCL...
2013: PLoS Neglected Tropical Diseases