We report for the first time the occurence of post kala-azar dermal leishmaniasis (PKDL) after successful treatment of visceral leishmaniasis (VL) with a combination of miltefosine and paromomycin. This 10-year-old male patient from Bihar, India developed maculopapular lesions on the face and trunk one year after successful treatment of VL. PKDL was confirmed by parasitological diagnosis (slit skin smear) of skin lesions for Leishmania donovani. He was treated with amphotericin B deoxycholate injections for PKDL and recovered completely.
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