Begin  The Authors
 Introduction

Tropical Diseases:

I Leishmaniasis
II Paracoccidioidomycosis
III Blastomycocis
IV Chromoblastomycosis
V Lepra
VI Sporotrichosis
VII Histoplasmosis
VIII Rhinosporidiosis
IX Mycetomas
X Rhinoscleroma
XI Chagasdisease
XII Actinomycosis
XIII Mucormycosis
XIV Amoebiasis
XV Protothecosis
XVI Lobomycosis
XVII Phaeohyphomycosis
XVIII Pruritus actinicus
XIX Bite of snake
XX Coccidioidomycosis

 List of cases

 References
 Contact

I. Leishmaniasis

Case 5: Chronic mucocutaneous Leishmaniasis / Carcinoma

Previus Case 4

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Next Case 6

Chronic mucocutaneous Leishmaniasis

Carcinoma

Click here to see the picture 5-A1
Fig.5-A1
Chronic mucocutaneous Leishmaniasis

A patient from the State Apure of Venezuela, a tropical flat area of this country, came to the physician because he suffered since more than one year a chronic inflammatory process in his oral cavity. Now he can hardly open his mouth. There exist extensive ulcerations of the oral and nasal mucosa.

Click here to see the picture 5-B1
Fig.5-B1
Carcinoma

In the mucosa of the oral cavity of this 64-years old patient from Barinas / Venezuela extensive necrotic areas are found. Furthermore, a skin nodule at the chin is present.

Click here to see the picture 5-A2
Fig.5-A2
Chronic mucocutaneous Leishmaniasis

Histologically a non-specific inflammation of the oral mucosa is seen with the presence of leishmanias laying within some vacuolated histiocytes. With this magnification and in the HE stain the few leishmanias are seen only with difficulties.

Click here to see the picture 5-B2
Fig.5-B2
Carcinoma

The histological examination of the biopsy shows a cornified squamous cell carcinoma of the oral mucosa.

Click here to see the picture 5-A3
Fig.5-A3
Chronic mucocutaneous Leishmaniasis

In other areas of the biopsy slide of the oral mucosa only granulomatous foci with epitheloid cells without parasites are seen.


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Facultad de Medicina
Universidad de Los Andes
Merida - Venezuela