Case Report: Old World Mucosal Leishmaniasis: Report of Five Imported Cases to the Hospital for Tropical Diseases, London, United Kingdom

Trupti A. Patel Hospital for Tropical Diseases, University College London Hospitals NHS Foundation Trust, London, United Kingdom;

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Glenis K. Scadding Royal National Throat, Nose and Ear Hospital, University College London Hospitals NHS Foundation Trust, London, United Kingdom;

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David E. Phillips Department of Ear, Nose and Throat Surgery, Warwick Hospital, Warwick, United Kingdom

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Diana N. Lockwood Hospital for Tropical Diseases, University College London Hospitals NHS Foundation Trust, London, United Kingdom;

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Old World species of Leishmania typically cause visceral and cutaneous leishmaniasis. Mucosal involvement is typically seen with infection by Leishmania species found in South America, usually after the healing of cutaneous leishmaniasis. We present five imported cases of mucosal leishmaniasis caused by Old World Mediterranean Leishmania infantum exclusively affecting the nasal mucosa or vocal cord. In only one case was there a recollection of a preceding cutaneous lesion compatible with cutaneous Leishmaniasis. Of significance was that four out of five cases were receiving local corticosteroids for chronic lung disorders and four were systemically immunosuppressed. This report highlights the importance of considering mucosal leishmaniasis in the differential diagnosis in those presenting with upper respiratory tract mucosal lesions with a relevant travel history to the Mediterranean and in whom malignancy has been excluded.

Author Notes

Address correspondence to Trupti A. Patel, Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, UK. E-mail: truptipatel1@nhs.net

Authors’ addresses: Trupti A. Patel and Diana N. Lockwood, Hospital for Tropical Diseases, University College London Hospitals NHS Foundation Trust, London, UK, E-mails: truptipatel1@nhs.net and diana.lockwood@lshtm.ac.uk. Glenis K. Scadding, Royal National Throat, Nose and Ear Hospital, University College London Hospitals NHS Foundation Trust, London, UK, E-mail: gscadding@gmail.com. David E. Phillips, Department of Ear, Nose and Throat Surgery, Warwick Hospital, Warwickshire, UK, E-mail: david.phillips@swft.nhs.uk.

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