Article Category:
Short Report

Mucosal Leishmaniasis in Tunisia: Observations from a Rare Case Report

Hamed Chouaieb Laboratory of Parasitology - Mycology, Farhat Hached University Hospital, Sousse, Tunisia;
Parasitology-Mycology Department, Avicenne Hospital, AP-HP, Bobigny, Sorbonne Paris Nord University, Bobigny, France;
Faculty of Medicine, University of Sousse, Sousse, Tunisia;

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Mohammad Akhoundi Parasitology-Mycology Department, Avicenne Hospital, AP-HP, Bobigny, Sorbonne Paris Nord University, Bobigny, France;
Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica), Marseille, France;

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Malika El Omri Faculty of Medicine, University of Sousse, Sousse, Tunisia;
Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia;

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Samar Ismail Laboratory of Parasitology - Mycology, Farhat Hached University Hospital, Sousse, Tunisia;
Faculty of Medicine, University of Sousse, Sousse, Tunisia;

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Imen Khammari Laboratory of Parasitology - Mycology, Farhat Hached University Hospital, Sousse, Tunisia;
Faculty of Medicine, University of Sousse, Sousse, Tunisia;

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Foued Bellazreg Faculty of Medicine, University of Sousse, Sousse, Tunisia;
Department of Infectious Diseases, Farhat Hached University Hospital, Sousse, Tunisia

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Mouna Bellakhdher Faculty of Medicine, University of Sousse, Sousse, Tunisia;
Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia;

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Mohamed Abdelkefi Faculty of Medicine, University of Sousse, Sousse, Tunisia;
Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia;

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Wissem Hachfi Faculty of Medicine, University of Sousse, Sousse, Tunisia;
Department of Infectious Diseases, Farhat Hached University Hospital, Sousse, Tunisia

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Akila Fathallah Laboratory of Parasitology - Mycology, Farhat Hached University Hospital, Sousse, Tunisia;
Faculty of Medicine, University of Sousse, Sousse, Tunisia;

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DOI:
https://doi.org/10.4269/ajtmh.24-0592
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Ahead of Print
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Mucosal leishmaniasis (ML) is a parasitic disease affecting the mucosa of the upper respiratory tract and oral cavity. It is most prevalent in Central and South America, whereas cases in the Old World are relatively rare. Herein, we present the case of an immunocompetent man from Tunisia with a long-delayed diagnosis of ML, characterized by lesions in the nasal mucosa without cutaneous involvement. This report underlines the importance of multidisciplinary care and adherence to follow-up in managing this disease. Clinicians should remain vigilant regarding this parasitosis, its potential complications, and the need for accurate diagnosis and treatment.

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Author Notes

Disclosures: This study was conducted in accordance with the guidelines of the Declaration of Helsinki and was approved by the Institutional Ethics Committee of Avicenne Hospital (protocol code 95/99/AVC/ESA). Informed written consent was obtained from the patient, which included the authorization for the publication of clinical information.

Current contact information: Hamed Chouaieb, Samar Ismail, Imen Khammari, Akila Fathallah, Laboratory of Parasitology - Mycology, Farhat Hached University Hospital, Sousse, Tunisia, E-mails: hamedchouaieb89@gmail.com, samarismail16@yahoo.fr, imenkhammari@yahoo.fr, and fathallahakila@gmail.com. Mohammad Akhoundi, Parasitology-Mycology Department, Avicenne Hospital, AP-HP, Bobigny, Sorbonne Paris Nord University, Bobigny, France, and Unité des Virus Émergents (Aix-Marseille Univ, Università di Corsica), Marseille, France, E-mail: m.akhoundi@yahoo.com. Malika El Omri, Mouna Bellakhdher, and Mohamed Abdelkefi, Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia, E-mails: omri.malika6@gmail.com, mounabelakhdher@yahoo.com, and abdelkefi_mohamed@yahoo.fr. Foued Bellazreg and Wissem Hachfi, Department of Infectious Diseases, Farhat Hached University Hospital, Sousse, Tunisia, E-mails: fouedbellazreg@yahoo.fr and wissemhachfi@gmail.com.

Address correspondence to Mohammad Akhoundi, Parasitology-Mycology Department, Avicenne Hospital, AP-HP, 125, Route de Stalingrad, Bobigny 93009, France. E-mail: m.akhoundi@yahoo.com
Copyright:
© American Society of Tropical Medicine and Hygiene 2025
Received:
04 Sep 2024
|
Accepted:
09 Oct 2024
|
Published Online:
18 Feb 2025
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
Online ISSN:
1476-1645

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