Begin  The Authors
 Introduction

Tropical Diseases:

I Leishmaniasis
II Paracoccidioidomycosis
III Blastomycocis
IV Chromoblastomycosis
V Lepra
VI Sporotrichosis
VII Histoplasmosis
VIII Rhinosporidiosis
IX Mycetomas
X Rhinoscleroma
XI Chagasdisease
XII Actinomycosis
XIII Mucormycosis
XIV Amoebiasis
XV Protothecosis
XVI Lobomycosis
XVII Phaeohyphomycosis
XVIII Pruritus actinicus
XIX Bite of snake
XX Coccidioidomycosis

 List of cases

 References
 Contact

I. Leishmaniasis

Case 8: Chronic mucocutaneous Leishmaniasis / Lethal midline granuloma

Previus Case 7

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Next Case 9

Chronic mucocutaneous Leishmaniasis

Lethal midline granuloma

Click here to see the picture 8-A1
Fig.8-A1
Chronic mucocutaneous Leishmaniasis

A coffee farmer of the Venezuelan Andes presents a huge skin defect of the nose accompanied by a destruction of the nasal partition. The diseases started 10 years ago.

Click here to see the picture 8-B1
Fig.8-B1
Lethal midline granuloma

In this the nose is completely destroyed and necrotic. The disease developed seven months earlier with a rhinitis. Later, bleedings and ulcers started, without any response to the medical therapy. After being hospitalized heavy bleedings occurred and the patient died. No autopsy could be performed.

Click here to see the picture 8-A2
Fig.8-A2
Chronic mucocutaneous Leishmaniasis

After the diagnosis was made by biopsy, the specific treatment was performed and the patient improved constantly. Only a small skin defect remained and required final surgical treatment.

Click here to see the picture 8-A3
Fig.8-A3
Chronic mucocutaneous Leishmaniasis

Leishmanias can be seen histologically in some histiocytes.

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Facultad de Medicina
Universidad de Los Andes
Merida - Venezuela