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Management of Old World Cutaneous Leishmaniasis in Refugee Children

Crogan, Joanne BSc*†; Gunasekera, Hasantha MB BS, FRACP*†; Wood, Nicholas MB BS, FRACP*†; Sheikh, Mohamud MHSc, MIPH DrPH*; Isaacs, David MD, FRACP*†

Pediatric Infectious Disease Journal: April 2010 - Volume 29 - Issue 4 - pp 357-359
doi: 10.1097/INF.0b013e3181c2a1fd
Instructive Cases

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: davidi@chw.edu.au.

© 2010 Lippincott Williams & Wilkins, Inc.