Cutaneous Leishmaniasis with Boggy Induration and Simultaneous Mucosal Disease

Steven Mings 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

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Jill C. Beck 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

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Christopher Davidson 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

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Andrew L. Ondo 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

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Stuart D. Shanler 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

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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

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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.

Author Notes

Reprints requests: Steven Mings, 100 Warm Springs Avenue, Boise, ID 83712.
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    Soto J, Toledo J, Valda L, Balderrama M, Rea I, Parra R, Ardiles J, Soto P, Gomez A, Molleda F, Fuentelsaz C, Anders G, Sindermann H, Engel J, Berman J, 2007. Treatment of Bolivian mucosal leishmaniasis with miltefosine. Clin Infect Dis 44 :350–356.

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