[Multilocular mucocutaneous leishmaniasis with perforation of the anterior nasal septum: a rare differential diagnosis].
WHY IT MATTERS
If you have unexplained nasal sores, perforations, or mouth ulcers combined with skin lesions—especially after travel to Central/South America or the Mediterranean—leishmaniasis should be considered and requires coordinated care across multiple medical specialties.
Leishmaniasis is a rare disease caused by tiny parasites that can affect the skin, mouth, and nose. This article describes an unusual case where a patient developed leishmaniasis that ate through the wall between their nostrils (nasal septum). Doctors from different specialties—ear/nose/throat, infectious diseases, and tropical medicine—had to work together to diagnose and treat this rare form of the disease.
[Multilocular mucocutaneous leishmaniasis with perforation of the anterior nasal septum: a rare differential diagnosis]. Abstract: Leishmaniasis, caused by protozoa of the genus Leishmania, comprises visceral, cutaneous, and mucocutaneous forms. It is mainly endemic in South and Central America as well as the Mediterranean region, while being very rare in Europe. Mucocutaneous leishmaniasis may affect the nasal and oral mucosa, and the current case highlights the importance of interdisciplinary collaboration: both cutaneous and mucocutaneous lesions with nasal septum perforation were present. Close cooperation between the departments of otorhinolaryngology, infectious diseases, and tropical medicine are key to ensuring rapid and sufficient treatment. Die Leishmaniose umfasst kutane, mukokutane und viszerale Formen, verursacht durch Protozoen der Gattung Leishmania. Endemisch ist sie vor allem in Süd- und Mittelam Authors: Burkhardt et al. Journal: HNO MeSH: Humans, Nasal Septal Perforation, Leishmaniasis, Mucocutaneous, Diagnosis, Differential, Male, Treatment Outcome, Rare Diseases, Nasal Septum, Female
ASK YOUR DOCTOR
If you have persistent nasal or mouth ulcers with skin lesions and travel history to endemic regions, ask your doctor to consider leishmaniasis and refer you to infectious disease or tropical medicine specialists.