American cutaneous leishmaniasis.
A lesion of New World leishmaniasis, evident on the palm of the hand, a rare and unusual location, is described. Routine investigations for bacteria and mycobacteria were misleading. Specific culture for Leishmania led to the correct diagnosis. Successful treatment was achieved with a pentavalent antimonial (sodium stibogluconate). The authors suggest various patient management precautions for patients with active lesions.
D000328:Adult; D006801:Humans; D007896:Leishmaniasis / Q000175:diagnosis / Q000628:therapy* / Q000635:transmission; D008297:Male