{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T20:33:25Z","timestamp":1779309205936,"version":"3.51.4"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Leishmaniasis is a parasitic infection that can involve the skin, mucosal membranes, and internal organs. It is endemic to the tropics. A forty-three-year-old male, diagnosed and treated for visceral leishmaniasis 15\u00a0years ago, presented with a complaint of a progressively growing lesion on his face for five years. A detailed history, clinical examination, and histopathological examination were done to reach a diagnosis of cutaneous leishmaniasis (CL). Treatment with oral fluconazole 300\u00a0mg daily for six months, followed by 50\u00a0mg miltefosine three times a day for another two months, led to complete resolution of symptoms, and the lesion on the face was cured. Early diagnosis is crucial to averting unwarranted treatment and potential complications. This case aims to inform clinicians of the high index of suspicion when diagnosing CL; given the delayed presentation, the previous medical history and the natural course of the lesion are of utmost importance.<\/jats:p>","DOI":"10.1093\/omcr\/omad141","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T08:02:17Z","timestamp":1706515337000},"source":"Crossref","is-referenced-by-count":3,"title":["Uncommon presentation of cutaneous leishmaniasis: late-onset facial involvement after a decade\u2014a rare case report"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1220-5500","authenticated-orcid":false,"given":"Amrita","family":"Shrestha","sequence":"first","affiliation":[{"name":"Sukraraj Tropical and Infectious Disease Hospital Department of Dermatology and Venereology, , Kathmandu, Bagmati Province, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3711-4725","authenticated-orcid":false,"given":"Aman","family":"Mishra","sequence":"additional","affiliation":[{"name":"Tribhuvan University Institute of Medicine Maharajgunj Medical Campus, , Kathmandu, Bagmati Province, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5695-0860","authenticated-orcid":false,"given":"Aakash","family":"Mishra","sequence":"additional","affiliation":[{"name":"Kathmandu Medical College Teaching Hospital , Kathmandu, Bagmati Province, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9945-5253","authenticated-orcid":false,"given":"Rojina","family":"Shrestha","sequence":"additional","affiliation":[{"name":"National Academy of Medical Sciences Department of Pharmacology, , Kathmandu, Bagmati Province, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7256-4150","authenticated-orcid":false,"given":"Rabina","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Dhulikhel Hospital , Kavre, Bagmati Province, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,27]]},"reference":[{"key":"2024012908020777500_ref1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.55460\/IMV2-JGWD","article-title":"Cutaneous leishmaniasis","volume":"21","author":"Crecelius","year":"2021","journal-title":"J Spec Oper Med"},{"key":"2024012908020777500_ref2","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.clindermatol.2019.10.008","article-title":"Cutaneous leishmaniasis: a great imitator","volume":"38","author":"Gurel","year":"2020","journal-title":"Clin 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of cutaneous leishmaniasis in an immunocompromised patient in a non-endemic setting","volume":"100","author":"New","year":"2019","journal-title":"Am J Trop Med Hyg"},{"key":"2024012908020777500_ref7","first-page":"7","article-title":"Comparative cellular immune host response in acute vs healed lesions of cutaneous leishmaniasis","volume":"18","author":"Rahman","year":"2006","journal-title":"J Ayub Med Coll Abbottabad"},{"key":"2024012908020777500_ref8","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.idc.2018.10.004","article-title":"Cutaneous leishmaniasis","volume":"33","author":"Aronson","year":"2019","journal-title":"Infect Dis Clin N Am"}],"container-title":["Oxford Medical Case 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