Two patients from the gold mines of Bolivar State, Venezuela, presenting cutaneous leishmaniasis in the genital region, an unusual location, are described. The first patient showed an ulcerated lesion of the glans penis. Leishmanin skin test was positive. A biopsy specimen revealed a granulomatous infiltrate containing Leishmania parasites. In the second patient, Leishmanin skin test was positive, HIV and VDRL were negative. Leishmania parasites were present in a biopsy of an ulcerated lesion in the scrotum, with an indurated base, infiltrative borders with an yellowish exudate. Patients were treated with meglumine antimoniate and the lesions healed.
São descritos os casos de dois pacientes procedentes do Estado de Bolívar, Venezuela. Ambos apresentavam leishmaniose cutânea na região genital, uma rara localização desta parasitose. O diagnóstico foi confirmado em ambos os casos pela histopatologia que demonstrou presença de amastigotas. Após tratamento com antimoniato de meglumina, as lesões cicatrizaram.