Mucocutaneous Leishmaniasis with Rare Manifestation in the Nasal Mucosa and Cartilage Bone Septal

Abstract

Backgroud. Leishmaniasis is an infectious disease caused by protozoan of the genus Leishmania that can affect mucosal or cutaneous surfaces. It can manifest via buccal mucosa, associated with a skin lesion or as a secondary effect. Over the last 20 years, the number of cases of this disease is progressively increasing in Brazil. Therefore, the knowledge of this disease by health professionals is important in order to achieve a correct and early diagnosis, manly to prevent the deformities it may cause to the face. Case presentation. The aim of the present study was to report a case of mucocutaneous leishmaniasis with lesions on the palatine and pharyngeal mucosa in a patient with a previous report of rare lesions in the nasal mucosa and cartilage bone septal. Conclusions. We believe that the disclosure of such cases may be important for the correct and early diagnosis of these secondary injuries that may affect the oral mucosa.

Leishmaniasis Mucocutanea Labial en paciente femenina de 18 años. Reporte de Caso

“…La LMC generalmente ocurre después de que se ha resuelto una infección cutánea manifiesta, aunque puede coexistir con lesiones cutáneas, con excepciones que ocurren al mismo tiempo. Las lesiones mucosas suelen aparecer dentro de los 2 años posteriores a la aparición en la piel, pero a veces hasta 30 años después de la aparición en la piel 3 . La LMC resulta de la diseminación localizada de la enfermedad desde la piel al tejido mucoso por extensión directa, flujo sanguíneo o vasos linfáticos.…”

Unusual Observations in Leishmaniasis—An Overview

“…The involvement of oro-facial mucosa [ 216 ], nasal mucosa, uvula and pharyngeal mucosa and cartilage bone septum [ 217 ] are also rare presentations. A relapse of MCL may progress into DCL, with no response to treatment for both SSG mono and SSG and paromomycin combined therapy [ 218 ].…”

Occupational exposure to malaria, leishmaniasis and arbovirus vectors in endemic regions: A systematic review

“…ylephiletor; Lu. yucumensis About 90% of cases occur in Bolivia, Brazil and Peru ( Casalle et al, 2020 ). It is almost always transmitted in a sylvatic transmission cycle.…”