First autochthonous case of cutaneous leishmaniasis from Gujarat-a non-endemic area in India

Cutaneous leishmaniasis is endemic in more than 98 countries, and in India it was described in the Thar Desert in Rajasthan and parts of the Gangetic Plain. Many other states, notably Kerala, Jammu and Kashmir, Himachal Pradesh, and others, have been emerging endemic foci for cutaneous leishmaniasis in India. We are reporting the first autochthonous case of cutaneous leishmaniasis and adding the state of Gujarat to this list of emerging endemic areas for cutaneous leishmaniasis. This case will emphasise the need for clinical suspicion and diagnostic workup in patients presented with plaques over exposed body areas in Gujarat.