Scope A, Trau H, Bakon M, Yarom N, Nasereddin A, Schwartz E
Department of Dermatology, The Chaim Sheba Medical Center, Sackler School of Medicine, Tel Hashomer, 52621, Israel.
Clin Infect Dis. 2003 Sep 15;37(6):e83-7. doi: 10.1086/377045. Epub 2003 Aug 28.
We report a case of mucosal leishmaniasis in a traveler returning from South America. The traveler developed nasal symptoms 2 months after the appearance of cutaneous ulcers. Diagnosis of mucosal Leishmania viannia braziliensis infection was made 5 years later. The clinical presentation and diagnosis for the patient are reported, and previous cases in travelers are reviewed. We recommend that mucosal examination should be part of follow-up for L. viannia braziliensis infection in travelers. Mucosal leishmaniasis should be part of the differential diagnosis of mucosal lesions in patients with a history of travel to South America, however remote the likelihood of infection.
我们报告一例来自南美洲的归国旅行者患黏膜利什曼病的病例。该旅行者在皮肤溃疡出现2个月后出现鼻部症状。5年后确诊为巴西利什曼原虫委内瑞拉亚种黏膜感染。报告了该患者的临床表现及诊断情况，并对既往旅行者中的病例进行了回顾。我们建议，黏膜检查应作为对前往南美洲旅行者感染巴西利什曼原虫委内瑞拉亚种进行随访的一部分。黏膜利什曼病应作为有南美洲旅行史患者黏膜病变鉴别诊断的一部分，无论感染可能性多么微小。
