BOF: 7
A soldier returns from
training in Belize. He has developed an ulcer on his right leg that has failed
to heal despite treatment with antibiotics and daily dressings.
Skin biopsy from the edge of the lesion has been examined histologically and
amastigotes have been detected.
Your next course of action would
be.
a) Leave
the lesion alone and await spontaneous healing.
b) Freeze
the lesion with liquid nitrogen
c) Treat
the patient with a twenty-day course of sodium stibogluconate
d) Surgical
excision
e)Intralesional injection of sodium stibogluconate