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Laryngeal leishmaniasis

Published online by Cambridge University Press:  29 June 2007

Alison Grant*
Affiliation:
Hospital for Tropical Diseases, 4 St Pancras Way, London NW1 OPE.
P. D. R. Spraggs
Affiliation:
Royal Ear Hospital, Middlesex Hospital Outpatients Department, Cleveland Street, London W1P 5FU.
H. R. Grant
Affiliation:
Royal Ear Hospital, Middlesex Hospital Outpatients Department, Cleveland Street, London W1P 5FU.
A. D. M. Bryceson
Affiliation:
Hospital for Tropical Diseases, 4 St Pancras Way, London NW1 OPE.
*
Dr Alison Grant, Projet RETRO-CI, 01 B.P. 1712, Abidjan 01, Côte d'lvoire. Fax: +225 242926

Abstract

A patient suffering from persistent hoarseness was eventually shown to have laryngeal leishmaniasis. The incubation period for the disease must have been at least 16 years, following infection in Southern Europe. Mucosal leishmaniasis is rare in the Eastern hemisphere, and laryngeal leishmaniasis has not previously been reported in the UK. Previous Mediterranean cases have run a similar chronic course and have caused diagnostic difficulty, in particular being mistaken for malignancy. Treatment with aminosidine was ineffective, but the patient responded to liposomal amphotericin.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1994

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