{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T07:03:42Z","timestamp":1771657422787,"version":"3.50.1"},"reference-count":15,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J R Army Med Corps"],"accepted":{"date-parts":[[2015,11,10]]},"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>In the Netherlands, cutaneous leishmaniasis is most commonly seen in military personnel deployed on a mission or training abroad. The treatment of two Dutch soldiers who acquired cutaneous leishmaniasis with oral miltefosine was evaluated. Adverse effects were monitored and the improvement of skin lesions was assessed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case reports<\/jats:title>\n                  <jats:p>A military nurse with a painless Chiclero's ulcer due to <jats:italic>Leishmania (Viannia) braziliensis<\/jats:italic> acquired in Belize and a military physical training instructor with itchy swelling and small ulcer of the back of his left elbow due to <jats:italic>L. donovani\/infantum<\/jats:italic> complex acquired in Ibiza were treated with oral miltefosine 50\u2005mg three times a day for 28\u2005days.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Both patients responded well to oral miltefosine. Adverse effects were mild. Increase of creatinine levels was seen while liver transaminase levels were unremarkable.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Miltefosine proved to be a convenient, effective and well-tolerated treatment option in the treatment of cutaneous leishmaniasis in Dutch military personnel.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jramc-2015-000530","type":"journal-article","created":{"date-parts":[[2015,12,9]],"date-time":"2015-12-09T22:38:19Z","timestamp":1449700699000},"page":"68-70","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Two cases of cutaneous leishmaniasis in Dutch military personnel treated with oral miltefosine"],"prefix":"10.1136","volume":"163","author":[{"given":"Eric Martin","family":"van der Snoek","sequence":"first","affiliation":[{"name":"Department of Dermatology, Central Military Hospital, Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SM","family":"Couwenberg","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Central Military Hospital, Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Stijnis","sequence":"additional","affiliation":[{"name":"Center for Tropical and Travel Medicine, Academic Medical Center, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LM","family":"Kortbeek","sequence":"additional","affiliation":[{"name":"Laboratory for Infectious Diseases and Perinatal Screening, RIVM, Bilthoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"EM","family":"Schadd","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Central Military Hospital, Utrecht, The 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