A case of mucosal leishmaniasis: Mimicking intranasal tumor with perforation of septum


GÜL H. C., Tosun F., Karakas A., KORU Ö., ÖNGÜRÜ Ö., Mert G., ...Daha Fazla

Journal of Microbiology, Immunology and Infection, cilt.49, sa.4, ss.604-607, 2016 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 49 Sayı: 4
  • Basım Tarihi: 2016
  • Doi Numarası: 10.1016/j.jmii.2013.11.007
  • Dergi Adı: Journal of Microbiology, Immunology and Infection
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.604-607
  • Anahtar Kelimeler: Leishmania, Leishmaniasis, Mucosal involvement, Septal perforation, Turkey
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

A 79-year-old male suffering from nasal congestion was referred to our hospital. Endoscopic examination revealed a hyperemic mass obstructing the left nasal passage. The lesion's surface was smooth. The findings of imaging studies were consistent with a benign tumor despite the erosion and perforation of the septum. The lesion originated from the middle concha and was attached to it with a thin stalk. It was removed easily by endoscopic resection. Histopathology revealed significant infiltration of mononuclear inflammatory cells, mostly lymphocytes and histiocytes, into the edematous subepithelial connective tissue. High-power magnification showed numerous Leishmania amastigotes in the cytoplasm of the histiocytes. A polymerase chain reaction experiment for Leishmania also confirmed the morphological diagnosis. No relapse was observed in the 12 months after surgery and the patient was doing well.