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<P><FONT SIZE=2>Dear Leishmaniacs,<BR>
<BR>
I have beens asked to give advice on a British patient with skin lesions with a possible diagnosis of CL. The ref. lab in London has said the biopsies have a positive PCR for L mexicana sp complex.<BR>
The patient has no co-morbidity, and is not HIV+.<BR>
<BR>
Travel:<BR>
1. The patient spent a short time in Antigua, the rest of the time on borad a yacht, and nowhere on the mainland of South or Central America, or even in coastal waters close to land.<BR>
2. The lesions are numerous and superficial, definitely do not look like DCL and nor much like LCL.<BR>
<BR>
I doubt this is CL, and wonder if this is a lab error. So my question is this:<BR>
Is there leishmaniasis in Antigua, and what is the distribution in the caribbean?<BR>
<BR>
many thanks<BR>
Rob Davidson<BR>
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