Case Report
Copyright ©The Author(s) 2021.
World J Clin Infect Dis. Jan 15, 2021; 11(1): 19-26
Published online Jan 15, 2021. doi: 10.5495/wjcid.v11.i1.19
Figure 1
Figure 1 Physical examination. A: Skin ulcer with tracking nodules on admission; B and C: Skin ulcer after antibiotics for cellulitis.
Figure 2
Figure 2 Computer tomography scan of left lower extremity, cross sectional view showing phlegmon and ulcerated skin (orange arrows).
Figure 3
Figure 3 Histopathology was compatible with leishmaniasis amastigotes. A: Reactive squamous epithelium with mixed superficial and deep inflammatory infiltrate (hematoxylin-eosin staining, original magnification × 40); B: Organisms compatible with Leishmania amastigotes (hematoxylin-eosin staining, original magnification × 1000). Location within histiocytes is obscured by marked acute inflammatory infiltrate; C: Parasitized histiocytes with staining of Leishmania amastigotes (PAS, original magnification × 1000); and D: Parasitized histiocytes with staining of Leishmania amastigotes (Giemsa, original magnification × 1000).
Figure 4
Figure 4 Report from centers for disease control and prevention.
Figure 5
Figure 5 Patient followed up with dermatology and infectious diseases clinic at several occasions, and then visited at approximately 11 mo with a healed ulcer. A: Skin ulcer after 13 d of 28 d treatment with miltefosine; B: After 5 mo of treatment; and C: After 11 mo of treatment.