[Nasal leishmaniasis: a case report].
OBJECTIVE
To report a nasal leishmaniasis diagnosed by septal perforation biopsy.


METHODS
We report a case of septal perforation with crusty rhinosinusitis and nasal vestibulitis in a 54-year-old woman with cirrhosis.


RESULTS
Mucocartilaginous biopsy revealed a mucosal leishmaniasis. Biological and radiologic findings were normal. Clinical follow-up with anti-parasitical treatment showed a regression of the patient's muco-cutaneous lesion and regression of her hepatic insufficiency.


CONCLUSIONS
Biopsy of septal perforation is a useful diagnostic tool, advocated for differentiate infectious, neoplasic and inflammatory pathology. Leishmaniasis may be evoked in rhinologic pathology.
Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire de Clermont-Ferrand, BP 69, 63003, Clermont-Ferrand Cedex 1.
J-Fr
JF
Vellin
M
M
Russier
G
G
Mougeot
J-L
JL
Kemeny
L
L
Gilain
D005260:Female; D006801:Humans; D007896:Leishmaniasis / Q000473:pathology; D008875:Middle Aged; D009300:Nasal Septum; D009668:Nose Diseases / Q000469:parasitology / Q000473:pathology