title: Oral mucosal involvement in visceral leishmaniasis.
abstract: Leishmaniasis affects both the visceral and cutaneous tissues in body. Oral Mucosal involvement in leishmaniasis is rare and is often overlooked. We present a case 17 year old boy from the north east region of Bihar who has a history of visceral leishmaniasis one year back, came to the department of oral surgery for treatment of persistent oral ulcers. Oral examination did not give any diagnostic information while systemic examination revealed enlarged spleen and low grade fever. Patient was screened for leishmaniasis by rK39 based immunochromatographic strip test which came to be positive. Biopsy of the ulcer as well as splenic and bone marrow aspirate confirmed the presence of leishmaniasis. Patient was administered Amphotericin B for 20 days following which significant clinical and haematological improvement followed.
authors: Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, India. sunnygarg1987@gmail.com
authors: Sunny
authors: S
authors: Garg
authors: Richik
authors: R
authors: Tripathi
authors: Kamlakar
authors: K
authors: Tripathi
mesh_terms: D000293:Adolescent; D000666:Amphotericin B / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D001853:Bone Marrow / Q000469:parasitology; D002846:Chromatography, Affinity / Q000379:methods; D005334:Fever / Q000209:etiology; D006801:Humans; D007893:Leishmania donovani / Q000302:isolation & purification*; D007898:Leishmaniasis, Visceral / Q000150:complications* / Q000188:drug therapy; D008297:Male; D009061:Mouth Mucosa / Q000469:parasitology* / Q000473:pathology; D019226:Oral Ulcer / Q000209:etiology* / Q000469:parasitology / Q000473:pathology; D013154:Spleen / Q000469:parasitology / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D000981:Antiprotozoal Agents; D000666:Amphotericin B