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Bardazzi F., Virdi A., Alessandrini A., Piraccini B.M., Patrizi A.
Dermatology Division, Internal Medicine, Aging and Nephrologic Disease Department, Sant’Orsola - Malpighi Hospital, University of Bologna, Bologna, Italia
In the last two decades the risk of leishmaniasis has increased in some parts of the world for many reasons: the migration of people, the increase in international travelling of humans and domestic dogs, changes in microenvironments causing alteration of vector distribution, HIV/Leishmania coinfection. The current evidence for the treatment of cutaneous leishmaniasis has several limitations and resources for the research into neglected diseases are limited. We report a case of cutaneous leishmaniasis with troublesome management in order to underline the lack of an evidence-based approach for its treatment. In this case we suggest the association of topical paromomycin, intralesional N-methylglucamine antimoniate and short-term itraconazole.