The optimal treatment of cutaneous leishmaniasis is controversial. We report our experience managing Old World cutaneous leishmaniasis in a pediatric refugee clinic. Conventional amphotericin B therapy caused reversible renal failure in 2 of 3 children treated. The choice of treatment for cutaneous leishmaniasis needs to balance the risks of treatment against the likely cosmetic benefits of therapy.
From the *Department of Immunology and Infectious Diseases, Refugee Clinic, The Children's Hospital at Westmead, Westmead, NSW, Australia; and †Discipline of Paediatrics and Child Health, University of Sydney, Sydney, NSW, Australia.
Accepted for publication September 22, 2009.
Address for correspondence: Joanne Crogan, BSc, Clinical Professor David Isaacs, Children's Hospital at Westmead, Locked Bag 4001, Westmead, NSW, 2145, Australia. E-mail: firstname.lastname@example.org.