American tegumentary leishmaniasis: an uncommon clinical and histopathological presentation

We report a case of an unusual presentation of American Tegumentary Leishmaniasisinvolving a male patient with a solitary lesion on the ear lobe, persisting withminimal increase for at least six months without ulceration or related symptoms. Thehistological sections showed epithelial atrophy and a large number of structuresconsistent with Leishmania sp. amastigotes within macrophages. Treatment commencedwith meglumine antimoniate resulting in regression of the condition. This report isof importance given the unusual clinical manifestation and histopathological findingsin this case and the fact that there was low correlation with the extended durationof the disease.