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A 61-year-old man presented with erysipelas-like cutaneous leishmaniasis. Case synopsisA 61-year-old man presented with a three-month history of a slowly enlarging lesion on the right temple that had become progressively painful and spread to involve the right eyelid. He had been on holiday in Ibiza five weeks before the onset of symptoms. Figure 1. An erythematous, edematous plaque with central crust and superficial ulceration on the right temple and prominent periorbital edema

of infections and other pathologies they may experience. Even distant travel experiences may be relevant, and histoplasmosis should be borne in mind as it can remain latent in granulomas and recur years down the line. It is always worth reminding surgeons to send specimens for microbiological investigation. It is also worth persevering in the treatment of HIV of those who appear unable to comply-you never know what experiences might make them have a change of heart and behaviour!

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