01113nas a2200169   4500000000100000008004100001653001100042653002800053653001800081653003900099100001400138700001400152700001400166245005000180520069900230022001400929       2018                            d10aBelize10aCutaneous leishmaniasis10aLeishmaniasis10aNeglected tropical diseases (NTDs)1 aPollack K1 aFlowers R1 aZlotoff B00aCutaneous leishmaniasis in a boy from Belize.3 a<p>A 9-year-old boy from Belize presented with a 3-month history of enlarging plaques on his arm. Originating as papules, the lesions had progressed despite treatment with topical mupirocin, oral amoxicillin, and cephalexin. At presentation, physical examination revealed 2 well-circumscribed, round plaques with rolled borders and central erosion on the right forearm (<strong>Figure 1</strong>). A previous biopsy demonstrated amastigotes within histiocytes, consistent with a diagnosis of cutaneous leishmaniasis. Repeat biopsy sent for polymerase chain reaction, conducted by the Centers for Disease Control and Prevention (CDC), confirmed infection by <em>Leishmania mexicana</em>.</p>
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