RT Journal Article SR Electronic T1 Cold cellulitis. An unusual presentation of cutaneous leishmaniasis JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1002 OP 1004 VO 23 IS 8 A1 Hamdi H. Shelleh A1 Sarosh A. Khan A1 Abdul M. Al-Shayeb A1 Hussni Al-Hateeti A1 Latif A. Khan A1 Mohammad N. Kasabah YR 2002 UL http://smj.org.sa/content/23/8/1002.abstract AB We describe a case of cutaneous leishmaniasis, which presented as what we call "cold cellulitis". This may be differentiated from classical cellulitis/erysipelas by 1. Lesser local reaction like pain and tenderness 2. No systemic symptoms 3. No leucocytosis 4. Negative bacteriological and serological assay for bacterial cellulitis/erysipelas, 5. Longer course of illness and 6. Failure to respond to antibiotics. However, awareness of this type and frequent skin smears or skin biopsy will settle the right diagnosis. A review of different leishmanial presentations is given for comparison.