case_images: PMC8723866_01
case_images: Onset lesion of the nasal infection.
case_images: CRIDM2021-3801949.001.jpg
case_images: PMC8723866_01_CRIDM2021-3801949.001.jpg
case_images: fig1
case_images: The disease started around May 2018 with a small localized lesion (Figure 1).
case_images: Erythematous appearance covering the entire lobe of the nose.
case_images: CRIDM2021-3801949.002.jpg
case_images: PMC8723866_01_CRIDM2021-3801949.002.jpg
case_images: fig2
case_images: Four months later, the lesion has spread over the entire lobe of the nose and appeared erythematous (Figure 2).
case_images: CT scan of the facial mass: no destruction of the nasal septum.
case_images: CRIDM2021-3801949.003.jpg
case_images: PMC8723866_01_CRIDM2021-3801949.003.jpg
case_images: fig3
case_images: As for the X-ray results, no lysis of the specific bones of the nose was detected and no damage to the underlying mucosa was observed (Figure 3).
case_images: Inflammatory nasal swelling due to Leishmania tropica.
case_images: CRIDM2021-3801949.004.jpg
case_images: PMC8723866_01_CRIDM2021-3801949.004.jpg
case_images: fig4
case_images: CL. Clinical examination revealed an ulcerative, infiltrated, and poorly limited erythematous placard (Figure 4).
case_images: PCR-RFLP technique used for identification of Leishmania species (enzymatic digestion of PCR fragments by Mn1-I).
case_images: CRIDM2021-3801949.005.jpg
case_images: PMC8723866_01_CRIDM2021-3801949.005.jpg
case_images: fig5
case_images: However, the results showed that the electrophoretic profile was comparable to that of L. tropica (Figure 5).
case_images: Response of the lesion to meglumine antimoniate treatment: one week after beginning of treatment.
case_images: CRIDM2021-3801949.006.jpg
case_images: PMC8723866_01_CRIDM2021-3801949.006.jpg
case_images: fig6
case_images: The initiation of treatment had shown good tolerance and satisfactory results (Figure 6).
case_images: Response of the lesion to meglumine antimoniate treatment: 2 weeks after beginning of treatment.
case_images: CRIDM2021-3801949.007.jpg
case_images: PMC8723866_01_CRIDM2021-3801949.007.jpg
case_images: fig7
case_images: A week later, a clear clinical improvement was noticed and the skin lesion healed completely without relapse (Figure 7).
case_images: Response of the lesion to meglumine antimoniate treatment: stopping treatment.
case_images: CRIDM2021-3801949.008.jpg
case_images: PMC8723866_01_CRIDM2021-3801949.008.jpg
case_images: fig8
case_images: Nevertheless, the patient still retains partial healing of the lesion (Figure 8).