Recidivans cutaneous leishmaniasis unresponsive to liposomal amphotericin B (AmBisome (R))

A 60-year-old woman with thick crusted erythematous plaques on her glabella , apex nasi and left infraorbital region was diagnosed as recidivans cutane ous leishmaniasis. The lesions were resistant to antimonial drugs. Although some response was observed on the infraorbital region, lesions on the glab ella and nose continued to infiltrate despite therapy with liposomal amphot ericin B.