Leishmaniasis is a parasitic disease caused by the protozoan Leishmania, transmitted by female phlebotomine sandfly. The disease spectrum ranges from limited cutaneous plaques to disseminated nodules, and may involve viscera including liver, spleen and bone marrow. Concurrent occurrence of various patterns of the disease in a single patient is rare. Here, we report a patient with leishmania recidivans and mucocutaneous disease alongwithinvolvement of multiple bones, a combination that has not been reported in Pakistan.