case_images: PMC11812455_01
case_images: Leishmaniasis wound at presentation. This is a photograph of the patient's wound at the time of presentation to the emergency department (ED). There is an ulcerated lesion with crusted areas and adjacent soft tissue edema located on the anterior aspect of the left lower shin. There did not appear to be adjacent bony erosion or periosteal reaction to suggest osteomyelitis on same-day x-ray.
case_images: OAEM-17-85-g0001.jpg
case_images: PMC11812455_01_OAEM-17-85-g0001.jpg
case_images: f0001
case_images: A 43-year-old Venezuelan female presented to the ED in Kansas City, Kansas in February of 2024 with a large, ulcerated wound on her lower left shin spanning the width of her ankle (Figure 1). On physical exam the wound was found to have well-demarcated, ulcerated appearing tissue underneath raised, crusted tissue or what was thought to possibly be areas of fungal infection (Figure 1).
case_images: Leishmaniasis Lesion after Skin Autograft. The patient returned to the operating room 10 days after the cadaveric allograft was placed. Plastic surgery removed the allograft and placed an autograft. The patient followed up with plastic surgery 11 days after the autograft placement (image show).
case_images: OAEM-17-85-g0002.jpg
case_images: PMC11812455_01_OAEM-17-85-g0002.jpg
case_images: f0002
case_images: The patient returned to the operating room after ten days for allograft removal and autograft placement (Figure 2).