Cutaneous leishmaniasis due to Leishmania major in the area of Tamezmoute (Morocco): prospective study of 23 cases

El Mezouari E1, El Farouki A2, Hocar O3, Akhdari N3, Amal S3, Moutaj R1
Page No. 14-18

Cutaneous leishmaniasis (CL) is a human pathology caused by a flagellate protozoan of the genus
Leishmania . It poses a public health problem in Morocco. The objective of this work is to illustrate
the frequency of the CL in the rural town of Tamezmoute in the south east of Morocco through a
prospective conducted between November 7 and December 19/2013. The number of cases
diagnosed was 23 patients with a positive parasitological diagnosis. The average age of our
patients was 7.5 years (range between ages 3.5 and 60 years). There was a female predominance
with a sex ratio of 0.35 (6 men to 17 women). 3 patients have contracted the disease in March 2012
with a stop at the second treatment cure. The average number of lesions per patient was 2 (one to
three) . Facial affect represented 78.26 % of the observed locations. 65.21 % of the cases had a
disease associated with facial affect the upper and / or lower. Positive cases were treated at the
health center in Tamezmoute : N- methylglucamine antimoniate ( Glucantime ® ) administered
intralesional at 0.1 ml per centimeter diameter of the lesion to repeat one or two times a week until
has bleaching injury. The Zagora region still continues to be a rebel home of CL at L. major. The
awareness associated with good management of patients can help eradicate cutaneous
leishmaniasis.
Key words: Cutaneous leishmaniasis, Leishmania major, Morocco