A female pat .age 8 year old having these lesion on forearm unilateral for 6 month
Dx.?
Cut leishmaniasis
but ther is no such history
No such history of what?
Leishmania is one of the possiple diagnosis of sych chronic case like this
ecthyma caused by Streptococcus pyogenes and Staphylococcus aureus .
The treatment include:-
1/ good hygiene
2/ topical antiseptic as povodine and antibiotic as fusidin ointment or mupirocin
3/ oral systemic antibiotic ( the best is penicillin) if topical treatment is failed or there are complications of ecthyma
Do Vss in meantime. Cultures and biopsy if doesn’t respond
*Leishmaniasis
*Ecthyma
*Ecthyma Gangrenosum