Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek emergency care for difficulty breathing, confusion, fainting, heavy bleeding, vomiting blood, or black stools.
These signs do not prove leishmaniasis, but they can indicate a serious complication requiring immediate care.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical assessment for:
Persistent or recurring fever after relevant travel or residence
Unexplained weight loss, abdominal swelling, or marked tiredness
New nasal blockage, nosebleeds, mouth sores, or hoarseness after a suspected or confirmed skin infection
A treated sore that enlarges, reopens, or fails to heal
New skin patches after treatment for visceral leishmaniasis
Contact the team managing your condition promptly if treatment causes significant vomiting, jaundice, faintness, a new irregular heartbeat, or another worrying reaction.
Severe weakness with breathlessness or a very fast heartbeat also needs urgent assessment.
3
Does any of this apply?
Book an appointment
Arrange a routine medical appointment if you have a skin sore that is not healing and you have lived in or travelled to an area where leishmaniasis occurs.
Mention the travel history even if it was months or years ago.
Every sign above is quoted from the sofidex article on Leishmaniasis. If you are not sure, err upward — it is always reasonable to be checked.