Reply to Torres and Suárez TO THE EDITOR—We appreciate Drs Torres and Suárez’s interest in our article, “High-Dose Oral Fluconazole Therapy Effective for Cutaneous Leish- maniasis Due to Leishmania (Vianna) braziliensis” [1]. They refer to evidence of Leishmania amazonensis isolated from human as well as domestic and wild reservoir hosts from the state of Ceará and suggest it is an important eti- ologic agent of cutaneous leishmaniasis in the region. Concerning human hosts, their statement is based on 2 publica- tions [2, 3] that showed a single isolate of L. amazonensis from only 1 human case of cutaneous leishmaniasis. Both ar- ticles deal with the same parasite grown from a human skin biopsy sample in 1984. Because that event was so rare, the question as to whether it was an import- ed case remains. In respect to domestic and wild reservoirs of L. amazonensis in the state of Ceará, there is no proof of CORRESPONDENCE CID 2012:55 (15 July) 309