Cutaneous Leishmaniasis Due to Leishmania Tropica in the Area of Ouezzane (North-Western, Morocco)

The purpose of this work is to bring some clinical, diagnostic, therapeutic and evolutive and identify risk factors for cutaneous Leishmaniasis, observed Teroual (district of Ouezzane). We report an outbreak of 55 cases of indigenous cutaneous Leishmaniasis of Leishmania tropica occurred in 2005. The epidemiological situation has taken a more breadth and become epidemic in rural areas with 75% were women and 25% of men, 62% were between 0 and 15 years. The evolutionary stage of the lesions were classified into early lesions (26 cases including 12 with nodules and papules with 14) and advanced lesions (29 cases). The type of diagnostic certainty based on parasitological examination (73% positive) and clinical criteria. The increase in the incidence of leishmaniasis in this region is due to several reasons including the influx of unimmunized population arriving in homes natural transmission, changes in the ecology of vectors, host reservoir, improved diagnosis and reporting of positive cases.