A case of periocular plaque-type cutaneous leishmaniasis successfully treated with intralesional amphotericin B

Leishmaniasis is still an endemic infectious disease in many areas of the world. The two most typical clinical forms of localized cutaneous leishmaniasis are the papulo-nodular plaque type and the ulcerative type. Periocular involvement is present in only 2-5% of localized cutaneous leishmaniasis, mainly in papular and nodulo-ulcerative forms. A case of periocular plaque-type localized cutaneous leishmaniasis in a 38-year-old Tunisian man successfully treated with intralesional deoxycholate amphotericin B is reported. This treatment, sporadically reported in other infectious skin diseases (chromoblastomycosis, chromomycosis, alternariosis, Candida granuloma, lymphocutaneous sporotrichosis), have never been suggested for localized cutaneous leishmaniasis.