<div dir="ltr">Dear Flavio,<div>was the secondary lesion distant to the primary? or was the secondary lesion over or close to the primary one?</div><div><br></div><div>Additionally, I'd like to know what was the histopathologic patter of the secondary lesion.</div><div><br></div><div>Best regards,</div><div>Braulio</div><div class="gmail_extra"><br></div><div class="gmail_extra"><br></div><div class="gmail_extra">-- <br><div class="gmail_signature">++++++++++++++++++++++++++++++++++++++++++++++++++<br>Braulio M. Valencia, MD, MSc<br>Associated Clinical Researcher / Investigador Clínico Asociado<br>Leishmaniasis Working Group / Grupo de Investigacion de Leishmaniasis<br>Institute of Tropical Medicine "Alexander von Humboldt" / Instituto de Medicina Tropical "Alexander von Humboldt"<br>Universidad Peruana Cayetano Heredia<br>Phone: (51-1) 482-7739 / 623-4519<br>Cellphone: (51-1) 98662-9409 / Nextel: 99-404*8555</div></div><div class="gmail_extra"><br></div><div class="gmail_extra"><br><div class="gmail_quote">2015-04-02 19:16 GMT-05:00 Flavio Queiroz Telles <span dir="ltr"><<a href="mailto:queiroz.telles@uol.com.br" target="_blank">queiroz.telles@uol.com.br</a>></span>:<br><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left-width:1px;border-left-color:rgb(204,204,204);border-left-style:solid;padding-left:1ex"><div style="word-wrap:break-word;color:rgb(0,0,0);font-size:14px;font-family:Calibri,sans-serif"><div>Dear All</div><div>I have a patient who presented proved cutaneous leishmaniasis 3 years ago. He was successfully treated with meglumine but after 3 years he presented a secondary auricular lesion. Biopsy did not show amastigotes but histology like leishmaniasis (no parasites). Anew meglumine course was effective. Considering L. braziliensis braziliensis is the only species identified in the state of Parana, South of Brazil, is this feasible?</div><div><br></div><div>Regards</div><div><br></div><div>Flavio Queiroz telles MD, PhD</div><div>Federal University of Parana, Brazil</div><div><br></div><br><br>--<br>
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