case_images: PMC4804557_01
case_images: - (A) Initial lesion (one-month-old) on the right back of the
  patient. (B) Positive direct parasite search with characteristic amastigotes
  (arrow). (C) The lesion after meglumine antimoniate (120 ampoules),
  pentamidine, and amphotericin B treatments.
case_images: 0036-4665-rimtsp-00020-gf01.jpg
case_images: PMC4804557_01_0036-4665-rimtsp-00020-gf01.jpg
case_images: f01
case_images: The patient reported that the lesion had been present for approximately one month (Fig. 1A). The performed tests showed a positive Montenegro skin test (MST) with an induration of 10 mm and indirect immunofluorescence (IIF) positive for anti-Leishmania IgG antibodies, reaching a titer of 80.Leishmania amastigotes were detected in the material obtained by scraping of the lesion stained by Giemsa (Fig. 1B) and cultured in blood base agar (BBA). The lesion was an ulcerated plaque with erythematous fibrous bottom and verrucous edges, surrounded by a lichenification area in the right scapular region and posterior region of the right arm (Fig. 1C).