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Auricular leishmaniasis mimicking squamous cell carcinoma
M-T Khorsandi-Ashtiani1, M Hasibi, N Yazdani
1Department of Otolaryngology, Head and Neck Surgery, Otorhinolaryngology Research Center, Amir-A'lam Hospital, Medical Sciences/University of Tehran, Tehran, Iran.
The Journal of Laryngology and Otology
|October 29, 2008
Summary
This case study highlights a rare instance of auricular leishmaniasis (a parasitic skin infection). Prompt diagnosis and treatment are crucial for managing such lesions, especially in leishmaniasis-endemic regions.
Area of Science:
- Dermatology
- Infectious Diseases
- Parasitology
Background:
- Leishmaniasis is a parasitic disease transmitted by sandflies, often presenting with cutaneous lesions.
- Differential diagnosis of head and neck lesions, particularly auricular ones, requires consideration of infectious etiologies.
Observation:
- A 42-year-old male presented with multiple cutaneous lesions, including a significant plaque on the left auricle and parotid region.
- Initial histopathology was inconclusive, but direct smear microscopy revealed Leishmania amastigotes.
Findings:
- The patient was diagnosed with leishmaniasis involving the auricle.
- Successful treatment led to complete recovery, confirming the diagnosis.
Implications:
- This case underscores the importance of considering leishmaniasis in the differential diagnosis of auricular lesions in endemic areas.
- Thorough investigation of cutaneous head and neck lesions is vital to avoid under- or over-diagnosis of parasitic infections.
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