What risks are associated with surgical treatment of leishmaniasis?

Updated: Feb 18, 2020
  • Author: Craig G Stark, MD, FACP, FFTM, RCPS(Glasg), FISTM; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Surgical excision to manage leishmaniasis is not usually recommended because of the following risks:

  • Relapse (exacerbation of quiescent disease)

  • Recurrence at the excision site

  • Cosmetic disfigurement

Surgical intervention may be necessary for adjunctive splenectomy in patients with treatment-resistant disease. Patients with severe mucocutaneous leishmaniasis may require orofacial surgery.


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