Cutaneous leishmaniasis: surgical management of a case with unusual clinical and histological features

Our case of cutaneous leishmaniasis clinically resembles the atypical form "infiltrees en nappes" that was described by Photinos in 1930. A subsequent biopsy of the lesion was performed more than one year after its onset and after a full course of stibogluconate sodium and the specimen showed multiple organisms in multinucleated giant cells as well as in histiocytes. Electrodesiccation and curettage of the lesion resulted in complete healing with minimal scarring.