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To the Editor.—
The article on Leishmania tropica infections in travellers by Drs Rau, Dubin, and Taylor (112:197, 1976) was an excellent summary of the clinical and pathologic findings of this disease. However, I think that their conclusion not to treat this disease on the basis on four cases and a deficiency in the medical literature should not be left unchallenged.In 1969, I spent three months as a volunteer specialist with Care-Medico in Kabul, Afghanistan, where I had an opportunity to treat several hundred cases of cutaneous leishmaniasis in the Red Crescent Clinic. The Afghan doctors working in this clinic taught me how to treat leishmaniasis, and frankly, I was impressed with the results. Unfortunately, they are overburdened with clinical work and do not pursue and report on large series of patients including double-blind studies.I was very impressed with the results of intralesional instillation of a pentavalent
Long JC. Leishmania tropica Infections. Arch Dermatol. 1977;113(1):108. doi:10.1001/archderm.1977.01640010110020