[leish-l] L mexicana in the Caribbean?

[Jeffrey Shaw]

Dear Rob,
    Without details of the primers its difficult to know how likely it  
is that  your are dealing with a lab., error.
   There are records of leishmaniasis on some  of the Carribean islands 
(Guadeloupe, Martinique, Trinidad and  the Dominican Republic) but I 
cannot recall any from Antigua..
   Keep us informed.
All the best
Jeff
Davidson, Robert N wrote:

> Dear Leishmaniacs,
>
>  I have beens asked to give advice on a British patient with skin 
> lesions with a possible diagnosis of CL. The ref. lab in London has 
> said the biopsies have a positive PCR for L mexicana sp complex.
> The patient has no co-morbidity, and is not HIV+.
>
> Travel:
> 1. The patient spent a short time in Antigua, the rest of the time on 
> borad a yacht, and nowhere on the mainland of South or Central 
> America, or even in coastal waters close to land.
> 2. The lesions are numerous and superficial, definitely do not look 
> like DCL and nor much like LCL.
>
> I doubt this is CL, and wonder if this is a lab error. So my question 
> is this:
> Is there leishmaniasis in Antigua, and what is the distribution in the 
> caribbean?
>
> many thanks
> Rob Davidson
>