DESPITE the high incidence of American cutaneous leishmaniasis found in the northern part of Guatemala, the reasons for reporting this case are the following: (1) observation of the appearance of multiple skin lesions over different parts of the body (ear, arm, back and buttock) and the rectal mucosa and (2) the fact that in the available statistics on American leishmaniasis, 80 to 90 per cent of the reported cases had single or multiple skin lesions and 10 to 20 per cent of the cases presented the association of mucocutaneous lesions of the face and lesions of the nasopharyngeal mucosa but, so far as I know, there was not another report of a case with lesions of the rectum. Furthermore, the discovery of the mucous membrane lesions was significant, as treatment prevented the development of the serious sequelae which follow the appearance of such ulcers in the bowel.
The incubation period
CORDERO FA. AMERICAN LEISHMANIASIS: Report of a Case with Unusual Mucocutaneous Lesions. Arch Derm Syphilol. 1950;62(3):425–430. doi:10.1001/archderm.1950.01530160079013
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