Treatment of Cutaneous Leishmaniasis Caused by Leishmania mexicana

Clinical Scenario

This protocol addresses cutaneous leishmaniasis specifically caused by Leishmania mexicana. The causative species shapes the approach, and not all presentations require the same management strategy.

Treatment Goal

Complete reepithelialization — full healing of the cutaneous lesion.

Management Approach

In patients whose presentation meets specific criteria — relating to lesion count, clinical urgency, and cosmetic impact — a conservative, non-pharmacological approach may be appropriate, given the natural course of this infection.

The complete eligibility criteria, management steps, and follow-up guidance are in the structured protocol below.