American mucocutaneous leishmaniasis.

Presented is a well-documented, autochthonous case of mucocutaneous leishmaniasis, a protozoan disease endemic to Asia, Africa, Southern Europe, South America, and Central America, which until recently was not found in North America. Diagnosis is made by positive culture on NNN media, positive serodiagnosis, positive Montenegro skin test, the presence of Leishman-Donovan bodies on Giemsa stain with light microscopy, and the presence of the kinetoplast within the organism on electron microscopy. The recommended treatment is sodium antimony gluconate given intramuscularly, 600 mg daily for seven to ten days.