Post-kala-azar dermal leishmaniasis (PKDL) is a complication of visceral leishmaniasis (VL) that most frequently occurs after an episode of VL caused by Leishmania donovani. In this case report, we present a 21-year-old male patient with persistent skin lesions and recurrent visceral leishmaniasis (VL) due to Leishmania infantum. The patient did not respond to multiple lines of anti-leishmanial treatment (including Liposomal amphotericin B and miltefosine) and later died from cerebral lesions presumed to be secondary to persistent VL.

中文翻译：

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具有内脏利什曼病病史的患者的持续性皮肤病变。

黑热病后皮肤利什曼病（PKDL）是内脏利什曼病（VL）的并发症，最常见于多谢利什曼原虫引起的VL发作后。在此病例报告中，我们介绍了一名21岁的男性患者，该患者因婴儿利什曼原虫而持续存在皮肤病变和内脏利什曼病反复发作（VL）。该患者对多系抗leishmanial治疗（包括脂质体两性霉素B和米替福辛）无反应，后来死于假定为持续性VL继发的脑损伤。