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</o:shapelayout></xml><![endif]--></head><body lang=PT-BR link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span lang=EN-US>Dear Flavio,<o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US><o:p> </o:p></span></p><p class=MsoNormal style='text-indent:35.4pt'><span lang=EN-US>It is possible. In such cases the diagnosis should be made by PCR.<o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US><o:p> </o:p></span></p><p class=MsoNormal><span lang=EN-US>Edgar</span><span lang=EN-US style='font-size:11.0pt'><o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>De:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> leish-l-bounces@lineu.icb.usp.br [mailto:leish-l-bounces@lineu.icb.usp.br] <b>Em nome de </b>Flavio Queiroz Telles<br><b>Enviada em:</b> quinta-feira, 2 de abril de 2015 21:16<br><b>Para:</b> jeffrey shaw; Leish-L<br><b>Assunto:</b> [Leish-l] Auricular leishmaniasis<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal><span style='font-size:10.5pt;font-family:"Calibri","sans-serif";color:black'>Dear All<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.5pt;font-family:"Calibri","sans-serif";color:black'>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?<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.5pt;font-family:"Calibri","sans-serif";color:black'><o:p> </o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.5pt;font-family:"Calibri","sans-serif";color:black'>Regards<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.5pt;font-family:"Calibri","sans-serif";color:black'><o:p> </o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.5pt;font-family:"Calibri","sans-serif";color:black'>Flavio Queiroz telles MD, PhD<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.5pt;font-family:"Calibri","sans-serif";color:black'>Federal University of Parana, Brazil<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.5pt;font-family:"Calibri","sans-serif";color:black'><o:p> </o:p></span></p></div><p class=MsoNormal><span style='font-size:10.5pt;font-family:"Calibri","sans-serif";color:black'><br><br>--<br><i>This email was sent by icb.usp.br </i> ­­ <o:p></o:p></span></p></div></body></html>