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1.
Reithinger R, Dujardin JC, Louzir H, Pirmez C, Alexander B, Brooker S, 2007. Cutaneous leishmaniasis. Lancet Infect Dis 7: 581–596.
-
2.
Amato VS, Boulos MI, Amato Neto V, Filomeno LT, 1995. The use of a silicone T tube for the treatment of a case of American mucocutaneous leishmaniasis with tracheomalacia. Rev Soc Bras Med Trop 28: 129–130.
-
3.
Amato VS, Tuon FF, Bacha HA, Neto VA, Nicodemo AC, 2008. Mucosal leishmaniasis: current scenario and prospects for treatment. Acta Trop 105: 1–9.
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Marsden PD, 1986. Mucosal leishmaniasis (“espundia” Escomel, 1911). Trans R Soc Trop Med Hyg 80: 859–876.
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Amato VS, Tuon FF, Imamura R, Abegão de Camarago R, Duarte MI, Neto VA, 2009. Mucosal leishmaniasis: description of case management approaches and analysis of risk factors for treatment failure in a cohort of 140 patients in Brazil. J Eur Acad Dermatol Venereol 23: 1026–1034.
-
6.
Amato VS, Andrade HF, Amato Neto V, Duarte MI, 2003. Short report: persistence of tumor necrosis factor-alpha in situ after lesion healing in mucosal leishmaniasis. Am J Trop Med Hyg 68: 527–528.
-
7.
Amato VS, Tuon FF, de Andrade HF, Bacha H, Pagliari C, Fernandes ER, Duarte MI, Neto VA, Zampieri RA, Floeter-Winter LM, Celeste BJ, Oliveira J, Quiroga MM, Mascheretti M, Boulos M, 2009. Immunohistochemistry and polymerase chain reaction on paraffin-embedded material improve the diagnosis of cutaneous leishmaniasis in the Amazon region. Int J Dermatol 48: 1091–1095.
-
8.
Hopkins C, Browne JP, Slack R, Lund V, Brown P, 2007. The Lund-Mackay staging system for chronic rhinosinusitis: how is it used and what does it predict? Otolaryngol Head Neck Surg 137: 555–561.
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Emedicine Web site, 2009. CT Scan, Paranasal Sinuses. Available at: http://emedicinemedscapecom/article/875244-overview. Accessed October 11, 2009.
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Amato VS, de Andrade HF, Duarte MI, 2003. Mucosal leishmaniasis: in situ characterization of the host inflammatory response, before and after treatment. Acta Trop 85: 39–49.
-
11.
Havas TE, Motbey JA, Gullane PJ, 1988. Prevalence of incidental abnormalities on computed tomographic scans of the paranasal sinuses. Arch Otolaryngol Head Neck Surg 114: 856–859.
-
12.
Moser FG, Panush D, Rubin JS, Honigsberg RM, Sprayregen S, Eisig SB, 1991. Incidental paranasal sinus abnormalities on MRI of the brain. Clin Radiol 43: 252–254.
-
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Collins JG, 1997. Prevalence of Selected Chronic Conditions: United States, 1990–1992. Vital Health Statistics 101-89. Atlanta, GA: National Center for Health Statistics.
| Past two years | Past Year | Past 30 Days | |
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| Abstract Views | 858 | 754 | 16 |
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Mucosal Leishmaniasis and Abnormalities on Computed Tomographic Scans of Paranasal Sinuses
Raphael A. Camargo
Raphael A. Camargo
Department of Infectious Diseases, Institute of Radiology, and Infectious and Parasitic Diseases Clinic, Hospital das Clínicas, University of São Paulo, Medical School, São Paulo, Brazil; Division of Infectious and Parasitic Diseases, Hospital Universitário Evangélico de Curitiba, Curitiba, Paraná, Brazil
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Felipe F. Tuon
Felipe F. Tuon
Department of Infectious Diseases, Institute of Radiology, and Infectious and Parasitic Diseases Clinic, Hospital das Clínicas, University of São Paulo, Medical School, São Paulo, Brazil; Division of Infectious and Parasitic Diseases, Hospital Universitário Evangélico de Curitiba, Curitiba, Paraná, Brazil
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Daniel V. Sumi
Daniel V. Sumi
Department of Infectious Diseases, Institute of Radiology, and Infectious and Parasitic Diseases Clinic, Hospital das Clínicas, University of São Paulo, Medical School, São Paulo, Brazil; Division of Infectious and Parasitic Diseases, Hospital Universitário Evangélico de Curitiba, Curitiba, Paraná, Brazil
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Eloisa M. Gebrim
Eloisa M. Gebrim
Department of Infectious Diseases, Institute of Radiology, and Infectious and Parasitic Diseases Clinic, Hospital das Clínicas, University of São Paulo, Medical School, São Paulo, Brazil; Division of Infectious and Parasitic Diseases, Hospital Universitário Evangélico de Curitiba, Curitiba, Paraná, Brazil
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Rui Imamura
Rui Imamura
Department of Infectious Diseases, Institute of Radiology, and Infectious and Parasitic Diseases Clinic, Hospital das Clínicas, University of São Paulo, Medical School, São Paulo, Brazil; Division of Infectious and Parasitic Diseases, Hospital Universitário Evangélico de Curitiba, Curitiba, Paraná, Brazil
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Antonio C. Nicodemo
Antonio C. Nicodemo
Department of Infectious Diseases, Institute of Radiology, and Infectious and Parasitic Diseases Clinic, Hospital das Clínicas, University of São Paulo, Medical School, São Paulo, Brazil; Division of Infectious and Parasitic Diseases, Hospital Universitário Evangélico de Curitiba, Curitiba, Paraná, Brazil
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Giovanni G. Cerri
Giovanni G. Cerri
Department of Infectious Diseases, Institute of Radiology, and Infectious and Parasitic Diseases Clinic, Hospital das Clínicas, University of São Paulo, Medical School, São Paulo, Brazil; Division of Infectious and Parasitic Diseases, Hospital Universitário Evangélico de Curitiba, Curitiba, Paraná, Brazil
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Valdir S. Amato
Valdir S. Amato
Department of Infectious Diseases, Institute of Radiology, and Infectious and Parasitic Diseases Clinic, Hospital das Clínicas, University of São Paulo, Medical School, São Paulo, Brazil; Division of Infectious and Parasitic Diseases, Hospital Universitário Evangélico de Curitiba, Curitiba, Paraná, Brazil
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Studies evaluating radiologic aspects, local complications, and structural alterations of the paranasal sinus in patients with mucosal leishmaniasis (ML) are lacking. The aim of this study was to analyze alterations of the paranasal sinuses in patients with ML by using computed tomography (CT) scans. This prospective study evaluated 26 patients in Brazil with ML from December 2008 through June 2009. All patients underwent CT scans of the paranasal sinuses. Paranasal thickening was observed in 25 patients (96%). Nasal perforation was observed in 17 patients (65%). Those patients who received re-treatment showed more abnormalities on CT scan than cured patients (P < 0.05). Complications of ML are not limited to the nasal mucosa but extend to the paranasal sinuses. Mucosal thickening, opacified air cells, bony remodeling, and bony thickening caused by inflammatory osteitis of the sinus cavity walls are CT findings suggestive of chronic sinusitis.
Author Notes
Authors' addresses: Raphael A. Camargo, Rui Imamura, and Antonio C. Nicodemo, Department of Infectious Diseases, University of São Paulo, Medical School, São Paulo, Brazil. Felipe F. Tuon, Department of Infectious Diseases, University of São Paulo, Medical School, São Paulo, Brazil and Division of Infectious and Parasitic Diseases, Hospital Universitário Evangélico de Curitiba, Curitiba, Paraná, Brazil. Daniel V. Sumi, Eloisa M. Gebrim, and Giovanni G. Cerri, Institute of Radiology, Hospital das Clínicas, University of São Paulo, Medical School, São Paulo, Brazil. Valdir S. Amato, Infectious and Parasitic Diseases Clinic, Hospital das Clínicas, University of São Paulo, Medical School, São Paulo, Brazil.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Reithinger R, Dujardin JC, Louzir H, Pirmez C, Alexander B, Brooker S, 2007. Cutaneous leishmaniasis. Lancet Infect Dis 7: 581–596.
-
2.
Amato VS, Boulos MI, Amato Neto V, Filomeno LT, 1995. The use of a silicone T tube for the treatment of a case of American mucocutaneous leishmaniasis with tracheomalacia. Rev Soc Bras Med Trop 28: 129–130.
-
3.
Amato VS, Tuon FF, Bacha HA, Neto VA, Nicodemo AC, 2008. Mucosal leishmaniasis: current scenario and prospects for treatment. Acta Trop 105: 1–9.
-
4.
Marsden PD, 1986. Mucosal leishmaniasis (“espundia” Escomel, 1911). Trans R Soc Trop Med Hyg 80: 859–876.
-
5.
Amato VS, Tuon FF, Imamura R, Abegão de Camarago R, Duarte MI, Neto VA, 2009. Mucosal leishmaniasis: description of case management approaches and analysis of risk factors for treatment failure in a cohort of 140 patients in Brazil. J Eur Acad Dermatol Venereol 23: 1026–1034.
-
6.
Amato VS, Andrade HF, Amato Neto V, Duarte MI, 2003. Short report: persistence of tumor necrosis factor-alpha in situ after lesion healing in mucosal leishmaniasis. Am J Trop Med Hyg 68: 527–528.
-
7.
Amato VS, Tuon FF, de Andrade HF, Bacha H, Pagliari C, Fernandes ER, Duarte MI, Neto VA, Zampieri RA, Floeter-Winter LM, Celeste BJ, Oliveira J, Quiroga MM, Mascheretti M, Boulos M, 2009. Immunohistochemistry and polymerase chain reaction on paraffin-embedded material improve the diagnosis of cutaneous leishmaniasis in the Amazon region. Int J Dermatol 48: 1091–1095.
-
8.
Hopkins C, Browne JP, Slack R, Lund V, Brown P, 2007. The Lund-Mackay staging system for chronic rhinosinusitis: how is it used and what does it predict? Otolaryngol Head Neck Surg 137: 555–561.
-
9.
Emedicine Web site, 2009. CT Scan, Paranasal Sinuses. Available at: http://emedicinemedscapecom/article/875244-overview. Accessed October 11, 2009.
-
10.
Amato VS, de Andrade HF, Duarte MI, 2003. Mucosal leishmaniasis: in situ characterization of the host inflammatory response, before and after treatment. Acta Trop 85: 39–49.
-
11.
Havas TE, Motbey JA, Gullane PJ, 1988. Prevalence of incidental abnormalities on computed tomographic scans of the paranasal sinuses. Arch Otolaryngol Head Neck Surg 114: 856–859.
-
12.
Moser FG, Panush D, Rubin JS, Honigsberg RM, Sprayregen S, Eisig SB, 1991. Incidental paranasal sinus abnormalities on MRI of the brain. Clin Radiol 43: 252–254.
-
13.
Collins JG, 1993. Prevalence of Selected Chronic Conditions: United States, 1986–88. Vital Health Statistics 101-87. Atlanta, GA: National Center for Health Statistics.
-
14.
Collins JG, 1997. Prevalence of Selected Chronic Conditions: United States, 1990–1992. Vital Health Statistics 101-89. Atlanta, GA: National Center for Health Statistics.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 858 | 754 | 16 |
| Full Text Views | 297 | 5 | 0 |
| PDF Downloads | 95 | 7 | 0 |