Painful and swollen tongue: mucosal leishmaniasis due to Leishmania infantum.
Int J Infect Dis
; 113: 109-112, 2021 12.
Article
in En
| MEDLINE
| ID: mdl-34597767
ABSTRACT
BACKGROUND:
Leishmaniasis is a parasitic disease caused by different Leishmania species. L. infantum is found in the Mediterranean area. It usually causes visceral or cutaneous leishmaniasis, but rarely mucosal leishmaniasis (ML).METHODS:
A 62-year-old man with metastatic non-small-cell lung carcinoma visited the outpatient clinic because of a painful and swollen tongue. Initially, oral candidiasis was suspected and patient was unsuccessfully treated accordingly. Subsequently, a biopsy from the tongue was taken.RESULTS:
Histology of the tongue biopsy showed an inflammation with histiocytes and Leishmania amastigotes. Molecular analysis determined these parasites as L. donovani complex. Based on the patient's travel history, ML caused by L. infantum was diagnosed.CONCLUSION:
ML is an unusual presentation of L. infantum. ML is not only caused by Leishmania species endemic in Latin America, but also should be considered in the differential diagnosis for European patients. A biopsy of the affected location is needed to confirm the diagnosis.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Leishmaniasis, Cutaneous
/
Leishmania infantum
/
Carcinoma, Non-Small-Cell Lung
/
Leishmaniasis, Visceral
/
Lung Neoplasms
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Int J Infect Dis
Journal subject:
DOENCAS TRANSMISSIVEIS
Year:
2021
Document type:
Article