Isolated laryngeal leishmaniasis in a 55-year-old man with dysphonia and rheumatoid arthritis: Case report and literature review

Alessio Strazzulla, Salvatore Cocuzza, Marilia Rita Pinzone, Martines Francesco, Agostino Serra, Stefano Cosentino, Bruno Cacopardo, Giuseppe Nunnari

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Abstract

We describe a case of isolated laryngeal leishmaniasis in an 55-year-old smoker, treated with steroids for rheumatoid arthritis, in the absence of concomitant visceral or cutaneous localizations. Clinical presentation was dominated by dysphonia. Laryngeal biopsy revealed the presence of Leishmania amastigotes, which were characterized by species-specific polymerase chain reaction as L. donovani parasites. In endemic areas, Leishmania infection may present with atypical localizations and it has to be considered as a possible cause of laryngeal symptoms, especially in subjects with known immunosuppressive diseases or under treatment with immunosuppressive drugs.

Original languageEnglish
Pages (from-to)807-810
Number of pages4
JournalActa Medica Mediterranea
Volume29
Issue number4
StatePublished - 2013

Keywords

  • Laryngeal lesion
  • Leishmania
  • Leishmaniasis
  • Rheumathoid arthritis

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