disseminated cutaneous leishmaniasis with ocular involvement in an immunocompromised patient: a case report

purpose : to introduce a case of cutaneous and lid leishmaniasis in an immune suppressed woman case report : we report an unusual clinical course of old world cutaneous leishmaniasis (owcl) in an immune suppressed 51 years old women recipient of kidney transplant. she developed disseminated cutaneous leishmaniasis (dcl) with bilateral upper and lower eye lids lesions. antimoniate compounds were not available and she did not tolerate amphotricin b. after replacing mycophenolate mofetil and cyclosporine by sirolimus, her lesions though partially improved, were still persistent in the last visit after six months. conclusion : ocular leishmaniasis should be considered in the differential diagnosis of modula or ulcerative of the eyelids specially in the endormic cases.    iranian journal of ophthalmology 201325(4):313-316 © 2013 by the iranian society of ophthalmology