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, RESUME Introduction : La leishmaniose cutanée (LC) amazonienne est principalement associée à L.braziliensis, et L.guyanensis. D'autres espèces sont pathogènes pour l'homme

L. Naiffi and L. Lainsoni, plus divergentes génétiquement du sous genre Viannia, moins fréquentes et moins connues

, Méthode : Nous présentons ici le cas d'un patient ayant présenté une LC due à L.naiffi acquise en Guyane Française (GF), évoluant sur plus de quatre ans et résistante au traitement par Pentacarinat®

, De plus, nous avons récolté auprès du CNR des leishmanioses de Montpellier les cas déclarés (exceptés ceux de l'hôpital de Cayenne) dus à L

, Résultats : Pour ces deux espèces, les lieux de contaminations comprennent le Brésil

G. Française, . Le-suriname, . Le-pérou, L. Equateur, and . Colombie, auxquels se rajoute pour L.lainsoni la Bolivie. Il ne se détache pas de critères cliniques pathognomoniques pour ces deux espèces

L. , L. Psychodopygus-paraensis, P. Squamiventrous, P. Lutzomyia-ayroza, P. Davisi et al., Pressata dysponeta, P.carreira carreira. L'hôte principal

. Quant-À-l.lainsoni, . Lu, L. Ubiquitalis, L. , L. et al.,

, Conclusion : Les LC dues à L.naiffi et L.lainsoni ne présentent pas de caractéristiques cliniques spécifiques permettant de les différencier des autres espèces. Il est donc nécessaire de typer toutes les souches de LC d'Amazonie pour adapter la prise en charge

, De plus, il existe de nombreux vecteurs potentiels susceptibles de faire croître le nombre de cas de LC à L.naiffi et L.lainsoni, d'autant plus que la GF est un territoire français, une destination touristique

. Mots-clés, Leishmania naiffi, Leishmania lainsoni, résistance, traitement, revue, vecteurs, hôte, Amazonie