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MAJ Scott A. Norton, MC; Shoshana Frankenburg, PhD; Sidney N. Klaus, MD

Arch Dermatol. 1992;128(1):83-87.

Abstract
• Background.—
Cutaneous leishmaniasis is endemic in much of the Middle East. Personnel from more than 55 nations are currently participating in Middle East peacekeeping and military activities.

Observations.—
Twenty-three Fijian members of a military observational force in Sinai, Egypt, acquired cutaneous leishmaniasis. They were treated successfully with 1-month courses of ketoconazole.

Conclusions.—
Soldiers who acquire cutaneous leishmaniasis may return home to nations where cutaneous leishmaniasis is unknown or rarely diagnosed. Cutaneous leishmaniasis, caused by Leishmania major, may be treated with ketoconazole rather than antimonials.

(Arch Dermatol. 1992;128:83-87)

Author Affiliations
USA

From the Logistical Support Unit, Multinational Force and Observers, Sinai, Egypt (Dr Norton), and the Department of Dermatology, Hadassah University Hospital, Jerusalem, Israel (Drs Frankenburg and Klaus). Dr Norton is now with the Fitzsimons Army Medical Center, Aurora, Colo.

Footnotes
Accepted for publication July 16, 1991.

The opinions or assertions contained herein are the views of the authors and are not to be considered as reflecting the views of the Department of the Army or the Department of Defense.

Reprint requests to the Dermatology Service, Fitzsimons Army Medical Center, Aurora, CO 80045-5001 (Dr Norton).

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