Otolaryngologic Presentation of Mucosal Leishmaniasis

Journal of Case Reports in Medicine,2013,2,1,1-2.Published:April 2013Type:Case ReportAuthors:Daniel J. Stein, Bharat B. Yarlagadda, and J. Pieter Noordzij Author(s) affiliations:Daniel J. Stein,1 Bharat B. Yarlagadda,2 and J. Pieter Noordzij1,2 1Department of Otolaryngology—Head and Neck Surgery, School of Medicine, Boston University, Boston, MA 02118, USA. 2Department of Otolaryngology—Head and Neck Surgery, Boston Medical Center, Boston University, Boston, MA 02118, USA. Abstract:Mucosal leishmaniasis (ML) is an uncommon complication of a disease seen primarily in the developing world. A 31-year-old previously healthy man presented with six months of nasal congestion, throat pain, hoarseness, and intermittent dysphagia and odynophagia. The leishmania culture was positive, and PCR testing was consistent with Leishmania braziliensis infection. He was treated with liposomal amphotericin B therapy for three weeks. He resolved symptomatically after therapy. This case highlights the necessity of obtaining accurate travel and social history and the often delayed presentation of mucosal leishmaniasis. Keywords:Leishmaniasis; Mucosal leishmaniasis; Dysphagia; Odynophagia; Omega epiglottis; Nasopharyngeal swelling; Oropharyngeal swelling; LeishmaniaView:PDF (653.68 KB) PDF Images Figure 1: Oral cavity showing irregular thickening.