|Description:||This image depicts an elderly male patient in a clinical setting who’d tilted his head backwards, and with assistance from the medical professional, who’d retracted the tip of the patient’s nose, revealed the nasal interior, and the destruction of the nasal septum, in a case of mucocutaneous leismaniasis (MCL), also referred to as “tapir nose”. See PHIL 15065, for a lateral view of the patient’s nasal deformation.|
Leishmaniasis includes two major diseases, cutaneous Leishmaniasis (CL) and visceral Leishmaniasis (VL), caused by more than 20 different leishmanial species.
CL, the most common form of the disease, causes skin ulcers. VL causes a severe systemic disease that is usually fatal without treatment. Mucocutaneous Leishmaniasis (MCL) is a rare but severe form affecting the nasal and oral mucosa.
Leishmaniasis is transmitted by the bite of small insects called sand flies. Many leishmanial species infect animals as well as humans. The distribution is world-wide, but 90% of visceral leishmaniasis cases occur in India, Bangladesh, Nepal, Sudan, Ethiopia and Brazil, while 90% of cutaneous leishmaniasis cases occur in Afghanistan, Algeria, Iran, Saudi Arabia, Syria, Brazil, Colombia, Peru and Bolivia.