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Gaceta Médica Boliviana

Print version ISSN 1012-2966On-line version ISSN 2227-3662


ROJAS CABRERA, Ernesto; GUZMAN RIVERO, Jose Miguel  and  VERDUGUEZ ORELLANA, Aleida. Leishmaniasis laryngeal mucous without apparent input: a clinical case presentation. Gac Med Bol [online]. 2011, vol.34, n.2, pp.91-93. ISSN 1012-2966.

It has been made evident in Bolivia the circulation of 5 species of Leishmania parasites. L (V)braziliensis, L(V) lainsoniL (V)guyanensis, L (L) amazonensis and Leishmania (L) chagasi. The mucosal involvement is produced mainly by parasites of the Leishmania (Viannia) braziliensis complex, which is usually associated with cutaneousand mucocutaneous lesions. It isdiscussed the case of a malepatient 34 years of age, that worked for someyears in an endemic leishmaniasis area, and heleft the endemic area without history of skin lesions. The report of endoscopy and histopathology did not define the etiologic diagnosis of leishmaniasis, but they provided evidence of granu-lomatous changes in the larynx, ruled out malignancy or tuberculosis. The epidemiological history and the positive intradermal test of Montenegro (IDRM) supported the decision to start a course of treatment with N-methyl-glucamine and demonstrated an excellent clinical improvement in the following 6 months post treatment.

Keywords : leishmania; leishmania braziliensis; laryngeal diseases.

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