Diagnosis: Leishmaniasis
Description: Two adjacent nodules
Morphology: Nodule pink
Site: Arm,upper
Sex: M
Age: 46
Type: Clinical
Submitted By: Ted Rosen
Differential DiagnosisHistory: 46 year old American contractor in Iraq during recent military conflict. Returned to USA and developed multiple firm, erythematous nodules, which ulcerated in center. Biopsy + for parasitized histiocytes and CDC grew L. tropica. Patient successfully treated with fluconazole.