Skip to main content

Cutaneous leishmaniasis: an unusual cause of nasal obstruction


Nasal and sinus-related illnesses are among the most common reasons for appointments to otolaryngologists and allergists. The usual causes include septal deviation, allergic rhinitis, polyps and so on. Apart from the common cold, allergic rhinitis is probably the most common cause of nasal obstruction. Allergic rhinitis is most common during adolescence and improves significantly during middle age and wanes during old age. The anatomical causes including septal deviation and adenoids constitute other common causes of nasal obstruction. The unusual causes include middle turbinate osteoma, concha bullosa of the inferior turbinate, congenital nasal pyriform aperture stenosis, and congenital inferior turbinate hypertrophy. We describe the case of a 44-year-old man with localized cutaneous leishmaniasis, a hitherto unobserved cause of nasal obstruction, cured with intravenous sodium stibogluconate.


  1. 1

    Jessen M, Malm L. Definition, prevalence and development of nasal obstruction. Allergy 1997; 52(Suppl):3–6.

    CAS  Article  Google Scholar 

  2. 2

    Cunningham DD. On the presence of peculiar parasitic organisms in the tissue culture of a specimen of Delhi Boil. Sci Mem Med Off Army India 1885; 1: 21–31.

    Google Scholar 

  3. 3

    Grevelink SA, Lerner EA. Leishmaniasis. J Am Acad Dermatol 1996; 34: 257–272.

    CAS  Article  Google Scholar 

  4. 4

    Whittet HB, Quiney RE. Middle turbinate osteoma; an unusual cause of nasal obstruction. J Laryngol Otol 1988; 102: 359–361.

    CAS  Article  Google Scholar 

  5. 5

    Pittore B, Al Safi W, Jarvis SJ. Concha bullosa of the inferior turbinate: an unusual cause of nasal obstruction. Acta Otorhinolaryngol Ital 2011; 31: 47–49.

    CAS  PubMed  Google Scholar 

  6. 6

    Vercruysse JP, Wojciechowski M, Koninckx M, Kurotova A, Claes J. Congenital nasal pyriform aperture stenosis: a rare cause of neonatal nasal obstruction. J Pediatr Surg 2006; 41: e5–e7.

    Article  Google Scholar 

  7. 7

    Kwok J, Leung MK, Koltai P. Congenital inferior turbinate hypertrophy: an unusual cause of neonatal nasal obstruction. Int J Pediatr Otorhinolaryngol 2007; 2: 26–30.

    Article  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Suchibrata Das MD.

Additional information

Conflicts of interest

None declared.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Ghoshal, L., Das, S., Chowdhury, J. et al. Cutaneous leishmaniasis: an unusual cause of nasal obstruction. Egypt J Otolaryngol 31, 71–72 (2015).

Download citation


  • cutaneous leishmaniasis
  • Leishman-Donovan bodies
  • nasal obstruction
  • unusual cause