Cutaneous leishmaniasis acquired during military service in the Middle East.
BACKGROUND
Cutaneous leishmaniasis is endemic in much of the Middle East. Personnel from more than 55 nations are currently participating in Middle East peacekeeping and military activities.


METHODS
Twenty-three Fijian members of a military observational force in Sinai, Egypt, acquired cutaneous leishmaniasis. They were treated successfully with 1-month courses of ketoconazole.


CONCLUSIONS
Soldiers who acquire cutaneous leishmaniasis may return home to nations where cutaneous leishmaniasis is unknown or rarely diagnosed. Cutaneous leishmaniasis, caused by Leishmania major, may be treated with ketoconazole rather than antimonials.
Norton
S A
SA
Logistical Support Unit, Multinational Force and Observers, Sinai, Egypt.
Frankenburg
S
S
Klaus
S N
SN
D000328:Adult; D004197:Disease Reservoirs; D005367:Fiji / Q000208:ethnology; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis / Q000188:drug therapy / Q000635:transmission*; D008297:Male; D008877:Middle East; D008889:Military Personnel
D007654:Ketoconazole