Clinico-biological presentation: (A) numerous local reactions to insect bites on the patient’s legs in Bolivia; (B–G) 15 lesions were distributed all over the body on the face, ear, upper and lower limbs in addition to an ulcerated lesion of the left tonsil; (B–D) papular and pustular and ulcerated skin lesion before treatment; (E and F) ulcerated skin lesions on initial presentation after failure of the first line of therapy; (G) ulcerated lesion of the right tonsil (arrow head); (H and I) healed lesions on the forehead (6 cm) after completion of the treatment with LAB; (J) evolution of total lymphocyte count (blue) and CD4+ T cell count (red) before and after completion of the treatment with LAB.