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Weiss F et al. – The authors describe a 17–year–old Afghani girl who had lived in the United States for 4 years and who presented with a 6–month history of pretibial ulcerations, 9.1–kg weight loss, abdominal pain, splenomegaly, and extreme fatigue. Histopathologic examination and culture with isoenzyme electrophoresis speciation of her skin lesions confirmed the presence of L tropica. The patient was treated with a 28–day course of intravenous pentavalent antimonial compound sodium stibogluconate with complete resolution of her systemic signs and symptoms and improvement of her pretibial ulcerations.


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