Inflammatory Nasal Swelling due to Leishmania tropica

Since its discovery in the 19th century, cutaneous leishmaniasis has been a major public health problem, especially with the appearance of more and more unusual cases of cutaneous lesions due to this parasite. Indeed, the present study joins the previous studies and describes a typical case of a nas...

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Main Authors: Hajiba Fellah, Maryam Hakkour, Bouchra Delouane, Asmae Hmamouch, Abdelhakim Bouyahya, Faiza Sebti, Abderrahim Sadak
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2021/3801949
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author Hajiba Fellah
Maryam Hakkour
Bouchra Delouane
Asmae Hmamouch
Abdelhakim Bouyahya
Faiza Sebti
Abderrahim Sadak
author_facet Hajiba Fellah
Maryam Hakkour
Bouchra Delouane
Asmae Hmamouch
Abdelhakim Bouyahya
Faiza Sebti
Abderrahim Sadak
author_sort Hajiba Fellah
collection DOAJ
description Since its discovery in the 19th century, cutaneous leishmaniasis has been a major public health problem, especially with the appearance of more and more unusual cases of cutaneous lesions due to this parasite. Indeed, the present study joins the previous studies and describes a typical case of a nasal lesion due to Leishmania infection. This is a 20-year-old young man, with no particular pathological history, from an epidemic focus who presented with inflammatory nasal swelling similar to a mucocutaneous form. However, the X-ray data showed that no lysis of the bones proper to the nose was detected and no damage to the underlying mucosa was observed. Nevertheless, the parasitological diagnosis confirmed the presence of amastigotes, and the results of the molecular study showed that the electrophoretic profile was comparable to that of L. tropica. After diagnosis and confirmation, treatment with meglumine antimonate at the rate of two ampoules/injection (one ampoule = 5 ml) of antimony salt for one month was administered intramuscularly with favorable outcome. Atypical forms of cutaneous leishmaniasis constitute a rare and unusual entity often leading to diagnostic delay. For this, the clinical examination must take into account both exceptional presentations of Leishmania infection, in particular in subjects living or having stayed in an endemic area, in order to ensure appropriate and early treatment.
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spelling doaj-art-f4f7082b299541a1afdc4c8a8b37e3f72025-02-03T06:45:28ZengWileyCase Reports in Dermatological Medicine2090-64712021-01-01202110.1155/2021/3801949Inflammatory Nasal Swelling due to Leishmania tropicaHajiba Fellah0Maryam Hakkour1Bouchra Delouane2Asmae Hmamouch3Abdelhakim Bouyahya4Faiza Sebti5Abderrahim Sadak6Laboratory of Biodiversity, Ecology and GenomeLaboratory of Biodiversity, Ecology and GenomeNational Reference Laboratory of LeishmaniasisLaboratory of Microbial BiotechnologyLaboratory of Human Pathologies BiologyNational Reference Laboratory of LeishmaniasisLaboratory of Biodiversity, Ecology and GenomeSince its discovery in the 19th century, cutaneous leishmaniasis has been a major public health problem, especially with the appearance of more and more unusual cases of cutaneous lesions due to this parasite. Indeed, the present study joins the previous studies and describes a typical case of a nasal lesion due to Leishmania infection. This is a 20-year-old young man, with no particular pathological history, from an epidemic focus who presented with inflammatory nasal swelling similar to a mucocutaneous form. However, the X-ray data showed that no lysis of the bones proper to the nose was detected and no damage to the underlying mucosa was observed. Nevertheless, the parasitological diagnosis confirmed the presence of amastigotes, and the results of the molecular study showed that the electrophoretic profile was comparable to that of L. tropica. After diagnosis and confirmation, treatment with meglumine antimonate at the rate of two ampoules/injection (one ampoule = 5 ml) of antimony salt for one month was administered intramuscularly with favorable outcome. Atypical forms of cutaneous leishmaniasis constitute a rare and unusual entity often leading to diagnostic delay. For this, the clinical examination must take into account both exceptional presentations of Leishmania infection, in particular in subjects living or having stayed in an endemic area, in order to ensure appropriate and early treatment.http://dx.doi.org/10.1155/2021/3801949
spellingShingle Hajiba Fellah
Maryam Hakkour
Bouchra Delouane
Asmae Hmamouch
Abdelhakim Bouyahya
Faiza Sebti
Abderrahim Sadak
Inflammatory Nasal Swelling due to Leishmania tropica
Case Reports in Dermatological Medicine
title Inflammatory Nasal Swelling due to Leishmania tropica
title_full Inflammatory Nasal Swelling due to Leishmania tropica
title_fullStr Inflammatory Nasal Swelling due to Leishmania tropica
title_full_unstemmed Inflammatory Nasal Swelling due to Leishmania tropica
title_short Inflammatory Nasal Swelling due to Leishmania tropica
title_sort inflammatory nasal swelling due to leishmania tropica
url http://dx.doi.org/10.1155/2021/3801949
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AT maryamhakkour inflammatorynasalswellingduetoleishmaniatropica
AT bouchradelouane inflammatorynasalswellingduetoleishmaniatropica
AT asmaehmamouch inflammatorynasalswellingduetoleishmaniatropica
AT abdelhakimbouyahya inflammatorynasalswellingduetoleishmaniatropica
AT faizasebti inflammatorynasalswellingduetoleishmaniatropica
AT abderrahimsadak inflammatorynasalswellingduetoleishmaniatropica