title: Cutaneous leishmaniasis in Cuban immigrants to Texas who traveled through the Darién Jungle, Panama.
abstract: Cutaneous leishmaniasis is rarely seen in the United States. Four Cuban immigrants traveled along the same route at different times from Cuba to Ecuador, then northward, including through the Darién Jungle in Panama. These patients had chronic ulcerative non-healing skin lesions and were given a diagnosis of leishmaniasis.
authors.affiliation: Medical Scientist Training Program, Interdepartmental Program in Translational Biology and Molecular Medicine, Department of Dermatology, Department of Pathology and Immunology, Department of Pediatrics, National School of Tropical Medicine, and Department of Medicine, Baylor College of Medicine, Houston, Texas; Department of Dermatology, University of Texas Health Science Center, Houston, Texas mabarry@bcm.edu.
authors.forename: Meagan A
authors.initials: MA
authors.lastname: Barry
authors.affiliation: Medical Scientist Training Program, Interdepartmental Program in Translational Biology and Molecular Medicine, Department of Dermatology, Department of Pathology and Immunology, Department of Pediatrics, National School of Tropical Medicine, and Department of Medicine, Baylor College of Medicine, Houston, Texas; Department of Dermatology, University of Texas Health Science Center, Houston, Texas.
authors.forename: Misha V
authors.initials: MV
authors.lastname: Koshelev
authors.affiliation: Medical Scientist Training Program, Interdepartmental Program in Translational Biology and Molecular Medicine, Department of Dermatology, Department of Pathology and Immunology, Department of Pediatrics, National School of Tropical Medicine, and Department of Medicine, Baylor College of Medicine, Houston, Texas; Department of Dermatology, University of Texas Health Science Center, Houston, Texas.
authors.forename: Grace S
authors.initials: GS
authors.lastname: Sun
authors.affiliation: Medical Scientist Training Program, Interdepartmental Program in Translational Biology and Molecular Medicine, Department of Dermatology, Department of Pathology and Immunology, Department of Pediatrics, National School of Tropical Medicine, and Department of Medicine, Baylor College of Medicine, Houston, Texas; Department of Dermatology, University of Texas Health Science Center, Houston, Texas.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Grekin
authors.affiliation: Medical Scientist Training Program, Interdepartmental Program in Translational Biology and Molecular Medicine, Department of Dermatology, Department of Pathology and Immunology, Department of Pediatrics, National School of Tropical Medicine, and Department of Medicine, Baylor College of Medicine, Houston, Texas; Department of Dermatology, University of Texas Health Science Center, Houston, Texas.
authors.forename: Charles E
authors.initials: CE
authors.lastname: Stager
authors.affiliation: Medical Scientist Training Program, Interdepartmental Program in Translational Biology and Molecular Medicine, Department of Dermatology, Department of Pathology and Immunology, Department of Pediatrics, National School of Tropical Medicine, and Department of Medicine, Baylor College of Medicine, Houston, Texas; Department of Dermatology, University of Texas Health Science Center, Houston, Texas.
authors.forename: A Hafeez
authors.initials: AH
authors.lastname: Diwan
authors.affiliation: Medical Scientist Training Program, Interdepartmental Program in Translational Biology and Molecular Medicine, Department of Dermatology, Department of Pathology and Immunology, Department of Pediatrics, National School of Tropical Medicine, and Department of Medicine, Baylor College of Medicine, Houston, Texas; Department of Dermatology, University of Texas Health Science Center, Houston, Texas.
authors.forename: Carina A
authors.initials: CA
authors.lastname: Wasko
authors.affiliation: Medical Scientist Training Program, Interdepartmental Program in Translational Biology and Molecular Medicine, Department of Dermatology, Department of Pathology and Immunology, Department of Pediatrics, National School of Tropical Medicine, and Department of Medicine, Baylor College of Medicine, Houston, Texas; Department of Dermatology, University of Texas Health Science Center, Houston, Texas.
authors.forename: Kristy O
authors.initials: KO
authors.lastname: Murray
authors.affiliation: Medical Scientist Training Program, Interdepartmental Program in Translational Biology and Molecular Medicine, Department of Dermatology, Department of Pathology and Immunology, Department of Pediatrics, National School of Tropical Medicine, and Department of Medicine, Baylor College of Medicine, Houston, Texas; Department of Dermatology, University of Texas Health Science Center, Houston, Texas.
authors.forename: Laila
authors.initials: L
authors.lastname: Woc-Colburn
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D003462:Cuba; D054242:Emigrants and Immigrants; D005260:Female; D006801:Humans; D018334:Leishmania guyanensis / Q000187:drug effects / Q000502:physiology*; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology*; D008297:Male; D008875:Middle Aged; D010176:Panama; D014195:Travel; D014481:United States
chemical_list: D000981:Antiprotozoal Agents; C068538:liposomal amphotericin B; D000666:Amphotericin B