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Further promotion of these foods may improve the frequency of their usage. there is a high acceptability of fermented foods for feeding children in this community. Further promotion of these foods may improve the frequency of their usage.Leishmaniasis is a protozoal infection transmitted by a sandfly vector. In Germany, leishmaniasis of the mucous membranes is a rare condition and usually due to extension of local skin disease into the mucosal tissue via direct extension, bloodstream or lymphatics. We report a case of endonasal leishmaniasis in a female Ger