LARYNGEAL LEISHMANIASIS IN A 46-YEAR-OLD ETHIOPIAN PATIENT

Riyad Ibrahim Abdella, Admasu Tena, Abdulsemed Mohammed, Tewodros Tesfaye, Wale Limenh, Helina Fikre

Abstract


Leishmaniasis is a vector-borne zoonotic disease caused by intracellular protozoa of the genus Leishmania. Leishmania species produce widely varying clinical syndromes ranging from self-healing cutaneous ulcers to fatal visceral disease. Clinical presentations of Leishmania infection include visceral (most common form), cutaneous, mucocutaneous, mucosal and post-kala-azar dermal leishmaniasis. Mucosal form of leishmaniasis mostly involves oral and nasal mucosa. Rarely, laryngeal and pharyngeal mucosa may also be involved.

In this presentation, we report a 46-year-old male patient, from Gondar, Northern Ethiopia. He developed progressive hoarseness, dysphagia, loss of appetite and weight loss over eight months duration. He had swelling of the upper lip and splenomegaly. Cervical CT showed laryngeal mass and biopsy from the mass revealed Donovan bodies. The patient was treated with standard anti-leishmania regimen, and showed significant clinical improvement.

 

Keywords: Leishmaniasis, Splenomegaly, Dysphonia, Kala-azar

 


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