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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

A cluster of four cases of cutaneous leishmaniasis by Leishmania donovani in Cyprus: a case series

Journal of Medical Case Reports > Ausgabe 1/2014
Maria G Koliou, Yiannakis Antoniou, Maria Antoniou, Vasiliki Christodoulou, Apostolos Mazeris, Elpidoforos S Soteriades
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-8-354) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

MGK was responsible for the conception of the case report, acquisition of clinical data and clinical treatment. YA, VC, and AM contributed to the collection of epidemiological data regarding Leishmania donovani. MA performed the laboratory testing and interpreted the results. MGK and ESS drafted the case report. All authors contributed to the writing of the final manuscript. All authors read and approved the final manuscript.



Leishmaniasis is endemic in more than 95 countries and is the only tropical/subtropical vector-borne disease that has been endemic in Southern Europe for decades. To the best of our knowledge, this is the first case of cutaneous leishmaniasis by Leishmania donovani in a child and the first cluster with adult cases reported in Europe.

Case presentation

We describe a familial cluster of four cutaneous leishmaniasis cases among Greek Cypriots caused by L. donovani in a Paphos village, in Cyprus. A 6-year-old boy (Case number 1) had a persistent lesion in the left angle of his upper lip, a 60-year-old woman (Case number 2) presented with a 2cm-diameter glabella lesion on her forehead, a 60-year-old man (Case number 3) developed a lesion on his moustache area and a 40-year-old woman (Case number 4) had a lesion on her neck. In Case number 3 the lesion was self-cured; the other cases recovered after surgical resection followed by liposomal amphotericin B (Case numbers 1 and 4) or thermotherapy and liposomal amphotericin B (Case number 2).


This familial cluster of cutaneous leishmaniasis, due to the anthroponotic L. donovani, shows that the sand fly species responsible for transmitting this parasite species is found in the area around the three neighbouring houses involved. The factors favourable for the survival, spread and contact of the vector with people could be assessed in this area for the establishment of preventative measures to safeguard public health.

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Authors’ original file for figure 1
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