An outbreak of cutaneous leishmaniasis from Belize in British Army personnel: a prospective clinical analysis

This study characterised the largest outbreak of CL from Belize in British Army personnel for at least 25 y. Aspects of this outbreak were atypical and more research is required to investigate these. A simultaneous testing strategy with histology, microscopy and polymerase chain reaction of biopsy samples was sensitive. Treatment with miltefosine was less effective than expected in L. mexicana infection.