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Mucocutaneous leishmaniasis — DTM&H MCQ

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HardProtozoal infectionsMucocutaneous leishmaniasisDTM&H

A man from Peru has PCR-confirmed Viannia-subgenus leishmaniasis with progressive nasal septal ulceration two years after a cutaneous lesion healed. Which management principle is most important?

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Correct answer: BSystemic antileishmanial therapy selected using species and regional advice

The best answer is “Systemic antileishmanial therapy selected using species and regional advice”. Mucosal disease can be destructive and is not adequately treated with local therapy. Species, geography, host factors and prior treatment influence the choice between systemic agents such as liposomal amphotericin or antimonials, so specialist tropical-infection management is required.

Reference: WHO: Leishmaniasis fact sheet: https://www.who.int/news-room/fact-sheets/detail/leishmaniasis