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外来入侵者?原发性黏膜利什曼病病例报告。

A trespasser from a foreign land? A case report of primary mucosal leishmaniasis.

机构信息

Faculty of Dental Medicine, Hebrew University of Jerusalem, PO Box 12272, Jerusalem, 9112102, Israel.

Department of Oral and Maxillofacial Surgery, Hadassah Medical Center, Jerusalem, Israel.

出版信息

BMC Infect Dis. 2022 Mar 3;22(1):212. doi: 10.1186/s12879-022-07169-w.

Abstract

BACKGROUND

We report a clinically challenging and unusual case of L. donovani oral mucosal leishmaniasis.

CASE PRESENTATION

Israeli resident with a former travel to central and North Africa, with no documented or prior cutaneous lesions presented with oral lesions of the maxillary gingiva and the upper lip. A delay in diagnosis and treatment have led to progression of the maxillary gingival lesions towards the hard palatal and the soft palate that could have potentially compromised the upper airway.

CONCLUSIONS

This case highlights the importance of early diagnosis of leishmaniasis in patients with oral lesions and the laboratory workup necessary to appropriately characterize and treat the disease.

摘要

背景

我们报告了一例具有临床挑战性和不寻常的利什曼原虫口腔黏膜病。

病例介绍

这位以色列居民曾前往中北非旅行,没有记录或既往的皮肤病变,表现为上颌牙龈和上唇的口腔病变。诊断和治疗的延迟导致上颌牙龈病变向硬腭和软腭进展,这可能会损害上呼吸道。

结论

本病例强调了对有口腔病变的患者进行早期利什曼病诊断以及进行必要的实验室检查以适当描述和治疗疾病的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ae/8895635/2c3126add4ac/12879_2022_7169_Fig1_HTML.jpg

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