title: Progressive Perforation of the Nasal Septum Due toLeishmania major: A Case of Mucosal Leishmaniasis in a Traveler.
abstract: This report describes a case of mucosal leishmaniasis caused byLeishmania majorwith destructive perforation of the nasal septum illustrating the diagnostic challenges of a rare clinical presentation ofL. majorinfection in a traveler. The atypical presentation may have been associated with the use of cortisone as a potential trigger for the progressive destruction of the nasal septum.
authors.affiliation: Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
authors.forename: Nicole
authors.initials: N
authors.lastname: Harrison
authors.affiliation: Institute for Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Vienna, Austria.
authors.forename: Julia
authors.initials: J
authors.lastname: Walochnik
authors.affiliation: Department for Otorhinolaryngology-Head and Neck Surgery, Medical University of Vienna, Vienna, Austria.
authors.forename: Reinhard
authors.initials: R
authors.lastname: Ramsebner
authors.affiliation: Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
authors.forename: Luzia
authors.initials: L
authors.lastname: Veletzky
authors.affiliation: Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
authors.forename: Heimo
authors.initials: H
authors.lastname: Lagler
authors.affiliation: Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany.|Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
authors.forename: Michael
authors.initials: M
authors.lastname: Ramharter
mesh_terms: D061605:Administration, Intravenous; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D006801:Humans; D018320:Leishmania major / Q000302:isolation & purification*; D007897:Leishmaniasis, Mucocutaneous / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D009300:Nasal Septum / Q000469:parasitology* / Q000473:pathology*
chemical_list: C068538:liposomal amphotericin B; D000666:Amphotericin B