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Previous Volume 350:2313-2314 May 27, 2004 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The medical mystery in the April 1 issue¹ involved a 23-year-old Peace Corps volunteer in Gambia. Painless ulcers developed on his lower legs (Figure 1A) and did not respond to local or systemic antimicrobial therapy.

View larger version (43K): [in this window] [in a new window]   Figure 1. Leishmania in a Peace Corps Volunteer. Panel A shows a painless ulcer on the man's leg. Panel B shows leishmania amastigotes (arrows; Giemsa, x100). Panel C shows the phlebotomus sandfly, the vector of the parasite.

 
A slit-skin smear from the margin of the ulcer showed leishmania amastigotes (Figure 1B). Given the patient's geographic exposure, these parasites were . . . [Full Text of this Article]

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