Evidence map›Paper›PMID 41978867›Full record

ArticleMaedica2026

Successful Treatment of Cutaneous Leishmania infantum Infection with Immunocryosurgery after Failure of the Respective Monotherapies.

Olga Barakou, Christos Moulias, Konstantina Mavridou, Grigorios Filis, Evangeli Lampri, Ioannis Bassukas, Georgios Gaitanis

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In one paragraph

Article in Maedica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Olga BarakouDepartment of Skin and Venereal Diseases, University General Hospital of Ioannina, Ioannina, Greece.
Christos MouliasDepartment of Skin and Venereal Diseases, University General Hospital of Ioannina, Ioannina, Greece.
Konstantina MavridouDepartment of Skin and Venereal Diseases, University General Hospital of Ioannina, Ioannina, Greece.
Grigorios FilisDELC Clinic, 2502 Biel/Bienne, Switzerland.
Evangeli LampriDepartment of Pathology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
Ioannis BassukasDepartment of Skin and Venereal Diseases, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
Georgios GaitanisDepartment of Skin and Venereal Diseases, University General Hospital of Ioannina, Ioannina, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Herein, we present a case of cutaneous leishmaniasis successfully treated with a modified immunocryosurgery protocol. A 46-year-old male Caucasian presented with two nodules on the forehead of eight-month duration. He reported an unsuccessful attempt to treat the lesions with a session of cryosurgery elsewhere. During the clinical examination, two adjacent hard mobile nodules that did not infiltrate the underlying tissues were notable. Their diameter was 10 mm and 15 mm, respectively. There were no clinical, laboratory or imaging data in favor of a systemic infection. Histology and polymerase chain reaction (PCR) of the tissue confirmed a Leishmania infantum cutaneous leishmaniasis. Therapy with application of 5% imiquimod cream three times per week was initiated. After seven weeks of treatment and despite the substantial local inflammatory reaction, there was no evidence of clinical resolution of the lesions. Treatment was paused and five weeks later the two nodules had merged into a single lesion measuring 40x25 mm. Treatment with three times per week topical imiquimod was reinstated with scheduled cryosurgery sessions, within the context of a modified immunocryosurgery protocol, i.e., cryosurgery sessions during continuous imiquimod application. The patient was treated for a total period of nine weeks. The treatment comprised topical imiquimod and two cryosurgery sessions (open spray liquid nitrogen, two cycles, 15 seconds each) at weeks 3 and 6. At the end of treatment there was complete clinical remission of the lesion leaving an atrophic scar that significantly improved during follow-up. The patient remained disease free for 24 months. The applied modification of the standard immunocryosurgery protocol (three times per week imiquimod application, multiple cryosurgery sessions) achieved treatment of a L. infantum cutaneous leishmaniasis that was refractory to the respective monotherapies.

Indexed as

cutaneous leishmaniasisimmunocryosurgeryLeishmania infantum

Identifiers

PMID41978867
PMCPMC13061432

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