Volume 91, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Cutaneous leishmaniasis is rarely seen in the United States. Four Cuban immigrants traveled along the same route at different times from Cuba to Ecuador, then northward, including through the Darién Jungle in Panama. These patients had chronic ulcerative non-healing skin lesions and were given a diagnosis of leishmaniasis.


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  • Received : 27 Feb 2014
  • Accepted : 22 Apr 2014

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