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  Indian J Med Microbiol
 

Figure 1: A 20-month-old indigenous female infant with a 5-month history of an ulcerated facial lesion, 9 days of respiratory distress and coughing. The patient also had Down’s syndrome and congenital heart disease (perimembranous interventricular communication). Ulcerated facial lesion in the zygomatic region, which was without secretion and extended to the upper lip, compatible with cutaneous leishmaniasis.

Figure 1: A 20-month-old indigenous female infant with a 5-month history of an ulcerated facial lesion, 9 days of respiratory distress and coughing. The patient also had Down’s syndrome and congenital heart disease (perimembranous interventricular communication). Ulcerated facial lesion in the zygomatic region, which was without secretion and extended to the upper lip, compatible with cutaneous leishmaniasis.