PMC3534205_01
Generalized multiple erythematous, pustular plaques, papules, and nodules preexisting since several years in an HIV-positive patient with cutaneous and visceral L. donovani/infantum complex infection.
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fig1
In June 2009, a 37-year-old man presented at our out-patient clinics with generalized multiple erythematous, pustular plaques, papules, and nodules preexisting since several years (Figure 1).
(a) Skin biopsy demonstrating a dense infiltrate of histiocytic cells with Donovan bodies. (b) Donovan bodies in bone marrow aspiration.
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fig2
A skin biopsy revealed a dense infiltrate of histiocytic cells with Donovan bodies compatible with cutaneous leishmaniasis (Figure 2(a)). In addition to cutaneous leishmaniasis, bone marrow aspiration showed infiltration with Leishmania confirming visceral leishmaniasis (Figure 2(b)).