A case of mucosal leishmaniasis: Mimicking intranasal tumor with perforation of septum.

Autor: Gul HC; Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Etlik, Ankara, Turkey. Electronic address: hcgul@yahoo.com., Tosun F; Department of Otolaryngology, Gulhane Military Medical Academy and School of Medicine, Etlik, Ankara, Turkey., Karakas A; Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Etlik, Ankara, Turkey., Koru O; Department of Microbiology, Gulhane Military Medical Academy and School of Medicine, Etlik, Ankara, Turkey., Onguru O; Department of Pathology, Gulhane Military Medical Academy and School of Medicine, Etlik, Ankara, Turkey., Mert G; Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Etlik, Ankara, Turkey., Besirbellioglu BA; Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Etlik, Ankara, Turkey., Eyigun CP; Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Etlik, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi [J Microbiol Immunol Infect] 2016 Aug; Vol. 49 (4), pp. 604-7. Date of Electronic Publication: 2013 Dec 31.
DOI: 10.1016/j.jmii.2013.11.007
Abstrakt: A 79-year-old male suffering from nasal congestion was referred to our hospital. Endoscopic examination revealed a hyperemic mass obstructing the left nasal passage. The lesion's surface was smooth. The findings of imaging studies were consistent with a benign tumor despite the erosion and perforation of the septum. The lesion originated from the middle concha and was attached to it with a thin stalk. It was removed easily by endoscopic resection. Histopathology revealed significant infiltration of mononuclear inflammatory cells, mostly lymphocytes and histiocytes, into the edematous subepithelial connective tissue. High-power magnification showed numerous Leishmania amastigotes in the cytoplasm of the histiocytes. A polymerase chain reaction experiment for Leishmania also confirmed the morphological diagnosis. No relapse was observed in the 12 months after surgery and the patient was doing well.
(Copyright © 2013. Published by Elsevier B.V.)
Databáze: MEDLINE