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Am. J. Trop. Med. Hyg., 80(1), 2009, pp. 3-5
Copyright © 2009 by The American Society of Tropical Medicine and Hygiene

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CASE REPORT


Cutaneous Leishmaniasis with Boggy Induration and Simultaneous Mucosal Disease

Steven Mings, Jill C. Beck, Christopher Davidson, Andrew L. Ondo, Stuart D. Shanler, AND Jonathan Berman*
University of Washington School of Medicine, Seattle, Washington; Division of Otolaryngology, St. Luke’s Regional Medical Center, Boise, Idaho; Department of Dermatology, University of New Mexico School of Medicine, Albuquerque, New Mexico; Private Practice, Cliffside Park, New Jersey; Private Practice, Rockville, Maryland

 

ABSTRACT

A woman had cutaneous, mucosal, and possible visceral leishmaniasis simultaneously. Many of her cutaneous lesions consisted of boggy indurations rather than customary papules, nodules, or ulcers. This unusual case was finally cured after four courses of miltefosine, one course of antimony, and two courses of Ambisome.

Received April 23, 2008. Accepted for publication July 29, 2008.

Acknowledgment: We thank the Division of Parasitic Diseases at the Centers for Disease Control and Prevention (Atlanta, GA) for advice and assistance.

* Address correspondence to Jonathan Berman, 6205 Poindexter Lane, Rockville, MD 20852. E-mail: Jbe9320457{at}aol.com

Authors’ addresses: Steven Mings, 100 Warm Springs Avenue, Boise, ID 83712, E-mail: Dermn8r{at}hotmail.com. Jill C. Beck, Division of Otolaryngology, Department of Surgery, St. Luke’s Regional Medical Center, 900 North Liberty, Suite 400, Boise, ID 83704, E-mail: Jillbeck{at}swient.org. Christopher Davidson, Botanical Research Foundation of Idaho, 637 Warm Springs Avenue, Boise, ID 83712, E-mail: cdavidson3{at}juno.com. Andrew L. Ondo, 4351 East Lohman Avenue, Suite 208, Las Cruces, NM 88011, E-mail: andyondo{at}yahoo.com. Stuart D. Shanler, 100 Winston Drive, Cliffside Park, NJ 07010, E-mail: sdsmd{at}yahoo.com. Jonathan Berman, 6205 Poindexter Lane, Rockville, MD 20852, E-mail: Jbe9320457{at}aol.com.

Reprints requests: Steven Mings, 100 Warm Springs Avenue, Boise, ID 83712.






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Copyright © 2009 by the American Society of Tropical Medicine and Hygiene.