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Centers for Disease Control and Prevention. Parasite home: leishmaniasis. Epidemiology & risk factors. Available at http://www.cdc.gov/parasites/leishmaniasis/epi.html. Accessed September 8, 2014

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Article

Laryngeal Leishmaniasis- A Rare Clinical Entity

1Department of Otorhinolaryngology, BPKIHS, Dharan, Nepal

2Department of Pathology, BPKIHS, Dharan, Nepal


American Journal of Medical Case Reports. 2014, Vol. 2 No. 9, 181-183
DOI: 10.12691/ajmcr-2-9-5
Copyright © 2014 Science and Education Publishing

Cite this paper:
Chettri ST, Karki Smriti, Paudel D, Shah BP, Shah SP, Manandhar S, 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.

Correspondence to: Paudel  D, Department of Otorhinolaryngology, BPKIHS, Dharan, Nepal. Email: d_pakh @yahoo.com

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.

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