American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2014, 2(9), 181-183
DOI: 10.12691/ajmcr-2-9-5
Open AccessCase Report

Laryngeal Leishmaniasis- A Rare Clinical Entity

Chettri ST1, Karki Smriti2, Paudel D1, , Shah BP1, Shah SP1, Manandhar S1 and Jayaswal R1

1Department of Otorhinolaryngology, BPKIHS, Dharan, Nepal

2Department of Pathology, BPKIHS, Dharan, Nepal

Pub. Date: September 11, 2014

Cite this paper:
Chettri ST, Karki Smriti, Paudel D, Shah BP, Shah SP, Manandhar S and Jayaswal R. Laryngeal Leishmaniasis- A Rare Clinical Entity. American Journal of Medical Case Reports. 2014; 2(9):181-183. doi: 10.12691/ajmcr-2-9-5

Abstract

Isolated laryngeal leishmaniasis is a rare condition and we report a 46 years old patient who presented with progressive, non fluctuating hoarseness of voice for 8 months along with foreign body sensation of throat and difficulty in swallowing. Indirect laryngoscopy followed by flexible nasoendoscopy revealed grossly edematous epiglottis, right arytenoid, right aryepiglottic fold and medial wall of the right pyriform sinus. Direct laryngoscope was performed under general anesthesia and biopsy was taken. The histopathology report section revealed numerous extracellular L.D. bodies in an inflammatory milieu comprising of lymphocytes, neutrophils and macrophages set in an edematous subepithelial stroma. He has no other systemic manifestation. He had no HIV infection or immunocompromised condition nor took immunosuppressive drugs. He responded well with liposomal Amphotericin B.

Keywords:
leishmania donovani LD Bodies larynx

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