ABSTRACT
La leishmaniasis es un problema creciente de salud pública, que produce un gran impacto social. La leishmaniasis laríngea y sin puerta de entrada evidente es rara, en especial en pacientes inmunocompetentes. Describimos un caso de leishmaniasis laríngea con extensión traqueal y estenosis secundaria en un adolescente previamente sano y sin factores de riesgo ambiental o personal.
Leishmaniasis is a growing public health problem and it produces a great social impact. Laryngeal leishmaniasis without obvious gateway is rare; especially in immunocompetent patients. We report a case of laryngeal leishmaniasis with tracheal involvement and stenosis on a previously healthy teenager without environmental or personal risk factors.
Subject(s)
Adolescent , Child , Humans , Male , Leishmaniasis , Laryngeal Diseases/parasitology , Nose Diseases/parasitology , Tracheal Diseases/parasitology , Laryngeal Diseases/complications , Leishmaniasis/diagnosis , Mucous Membrane , Nose Diseases/complications , Tracheal Diseases/complicationsABSTRACT
Laryngeal leishmaniasis is extremely rare. We report a case of primary laryngeal leishmaniasis in a 70-year-old male who was admitted with complaints of gradual progressive hoarseness of the voice, dyspnea, cough for the past 3 months and noisy breathing for the past 5 days. An X-ray of the soft tissue of the neck showed a prevertebral soft tissue mass causing narrowing of the airway at the C6-C7 vertebral level. A computerized tomography (CT) scan showed a soft tissue mass in the subglottic region causing significant narrowing of the airway. A direct laryngoscopy showed a pinkish-white, friable mass involving the subglottic region and the anterior half of the vocal cords. With the clinical suspicion of malignancy, an endoscopic biopsy was done. A histopathological examination showed diffuse mixed inflammatory cell infiltrate in subepithelium with numerous Leishmania donovani bodies in the cytoplasm of histiocytes.
Subject(s)
Animals , Biopsy , Humans , Laryngeal Diseases/parasitology , Laryngoscopy , Larynx/pathology , Leishmania donovani/isolation & purification , Leishmaniasis/diagnosis , Male , Neck/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
A case of leech in the Larynx occupying the glottic space is presented. The literature is reviewed