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Leishmaniasis recidiva cutis: an unusual two steps recurrence

Leishmaniasis recidiva cutis (LRC) is an unusual complication of acute cutaneous leishmaniasis. A 68-year-old woman with LRC is reported. Recurrence of cutaneous leishmaniasis occurred in the same area as a previous acute lesion that apparently healed in two separate steps: the first step was following neurosurgery for cranial osteoma and the second step was following a coronary artery bypass for acute heart failure. Pathogenetic hypotheses are discussed.