Verruga peruana

Verruga Peruana is a skin condition that is a manifestation of Bartonellosis, a disease caused by the bacterium Bartonella bacilliformis. It is endemic to certain regions of Peru, Ecuador, and Colombia, and is transmitted to humans through the bite of a sandfly of the genus Lutzomyia.

Epidemiology

Verruga Peruana is primarily found in the Andean regions of South America, particularly in Peru, Ecuador, and Colombia. The disease is most prevalent in rural, mountainous areas where the Lutzomyia sandfly is found.

Symptoms

The symptoms of Verruga Peruana typically appear 2-4 weeks after the initial infection with Bartonella bacilliformis. The condition is characterized by the appearance of multiple, small, red-purple nodules on the skin. These nodules, or verrugas, can vary in size from a few millimeters to several centimeters in diameter. They are often painless, but can become painful if they become ulcerated or infected.

Diagnosis

Diagnosis of Verruga Peruana is typically made based on the characteristic appearance of the skin lesions, along with a history of exposure in an endemic area. Laboratory tests, such as blood cultures or PCR, can be used to confirm the presence of Bartonella bacilliformis.

Treatment

Treatment for Verruga Peruana typically involves antibiotics to eliminate the Bartonella bacilliformis infection. The antibiotics Rifampin, Ciprofloxacin, and Erythromycin are commonly used. In severe cases, surgical removal of the verrugas may be necessary.

Prevention

Prevention of Verruga Peruana involves avoiding exposure to the Lutzomyia sandfly in endemic areas. This can be achieved through the use of insect repellent, protective clothing, and bed nets.

See also

• Bartonellosis
• Lutzomyia
• Bartonella bacilliformis