title: Laryngeal leishmaniasis: case report of a rare infection.
abstract: BACKGROUND
  We report a case of laryngeal leishmaniasis in a United Kingdom (UK) resident who lived in Spain for 5 years.
  
  
  RESULTS
  The patient presented with a history of hoarseness. He had returned to the UK after spending 5 years in Spain as a retiree. His past medical history includes chronic obstructive pulmonary disease (COPD). Histology of a vocal cord biopsy was suggestive of leishmaniasis and polymerase chain reaction (PCR) test was positive for Leishmania donovani. His use of steroid inhaler probably contributed to his acquiring this extremely unusual infection. He was successfully treated with intravenous amphotericin.
  
  
  CONCLUSIONS
  Laryngeal leishmaniasis is an extremely rare infection and is rarely reported in the UK. The ease of travel ensures that many tropical infections may present to UK clinicians.
authors.affiliation: Oral and Maxillofacial Surgery, Maxillofacial Unit, Bradford Teaching Hospitals, National Health Service Foundation Trust, Bradford, UK. trevor.teemul@nhs.net
authors.forename: Trevor A
authors.initials: TA
authors.lastname: Teemul
authors.forename: Montserrat
authors.initials: M
authors.lastname: Giles-Lima
authors.forename: John
authors.initials: J
authors.lastname: Williams
authors.forename: Shane E
authors.initials: SE
authors.lastname: Lester
mesh_terms: D000369:Aged, 80 and over; D000666:Amphotericin B / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D016054:DNA, Protozoan / Q000235:genetics; D006801:Humans; D007818:Laryngeal Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology; D007893:Leishmania donovani / Q000235:genetics / Q000302:isolation & purification*; D007898:Leishmaniasis, Visceral / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology; D008297:Male; D058069:Neglected Diseases; D016133:Polymerase Chain Reaction; D014195:Travel
chemical_list: D000981:Antiprotozoal Agents; D016054:DNA, Protozoan; D000666:Amphotericin B