@article {10.3844/ajidsp.2014.50.55, article_type = {journal}, title = {POST KALA-AZAR DERMAL LEISHMANIASIS WITH ULCERATION ON FOOT: AN ATYPICAL CASE PRESENTATION SUCCESSFULLY TREATED WITH MILTEFOSINE}, author = {Das, Vidyanand Rabi and Singh, Dharmendra and Murti, Krishna and Das, Sushmita and Das, Pradeep and Pandey, Krishna}, volume = {10}, number = {2}, year = {2014}, month = {Apr}, pages = {50-55}, doi = {10.3844/ajidsp.2014.50.55}, url = {https://thescipub.com/abstract/ajidsp.2014.50.55}, abstract = {Visceral Leishmaniasis (VL) or Kala-Azar (KA) is highly endemic in the Indian subcontinent particularly in Bihar. Post Kala-azar Dermal Leishmaniasis (PKDL) is a known reservoir for leishmania parasites for transmission of VL. The kala-azar elimination program was launched by the government of three countries of the Indian subcontinent in the year 2005, which aims to eliminate kala-azar by 2015 and PKDL by 2018. PKDL diagnosis and management has not been addressed properly. In this case report we have described a case of PKDL with ulcer and atypical presentation who was subsequently diagnosed by demonstration of Leishmania donovani bodies in the skin snips through microscopy, kinetoplast-DNA nested PCR and clinically. The patient was treated with miltefosine capsules in the dose of 50 mg twice-a-day for twelve-weeks and responded completely. This case report assumes great importance as prompt diagnosis and treatment of PKDL is essential in the kala-azar elimination program.}, journal = {American Journal of Infectious Diseases}, publisher = {Science Publications} }