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Arch Dermatol. 2003;139:1075-1080.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Localized cutaneous leishmaniasis.

MICROSCOPIC, RADIOLOGIC, AND LABORATORY FINDINGS AND CLINICAL COURSE

Histologic examination revealed a dense dermal infiltrate composed predominantly of histiocytes and lymphocytes with scattered plasma cells forming, in areas, an ill-defined granulomatous component. Within histiocytes, there were occasional intracytoplasmic 2- to 4-µm organisms consistent with Leishmania species (Figure 3). A computed tomographic scan revealed a left lower thoracic lymphatic cord and a 2.5-cm left inguinal lymph node. Culture on Novy-MacNeal-Nicolle medium from the Centers for Disease Control and Prevention confirmed the species as Leishmania viannia panamensis (formerly known as Leishmania braziliensis panamensis).

Figure appears in full text version. Figure 3.

Our patient received 3 days of treatment with liposome-encapsulated amphotericin B before therapy with the pentavalent ammonial compound sodium stibogluconate (Pentostam) was initiated, with the intent to treat at a dosage of 1600 mg/d for 20 days. A response to treatment was evident by day 4 of the sodium stibogluconate therapy, with a decrease in the erythema and induration of the skin . . . [Full Text of this Article]

DISCUSSION

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Arch Dermatol. 2003;139(8):1075-1080.
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