0
Clinical Problem Solving: Pathology |

Pathology Quiz Case 1: Diagnosis

Arch Otolaryngol Head Neck Surg. 2012;138(8):778. doi:10.1001/archotol.138.8.778.
Text Size: A A A
Published online

Extract

Diagnosis: Leishmaniasis of the tongue

Leishmaniasis is a vector-borne disease that is transmitted by the female sandfly. According to the World Health Organization, the incidence rate of visceral leishmaniasis (VL) is 500 000 cases per year, with the mortality rate at 60 000 cases annually.1 It can manifest as cutaneous leishmaniasis (skin infections), mucocutaneous leishmaniasis (skin infections with involvement of mucosa of nose, mouth, or throat), or VL (multiorgan infections). There are more than 20 Leishmania species that can cause leishmaniasis. Visceral leishmaniasis is generally transmitted by Leishmania donovani or Leishmania infantum. Leishmania donovani occurs in South Asia or East Africa and affects healthy adults. Leishmania infantum has occurred in the Mediterranean, Middle East, Afghanistan, Pakistan, Iran, and Brazil and has been largely reported to occur in children who are younger than 10 years and who are immunocompromised. Because military personnel that are deployed to endemic regions are at increased risk of acquiring the infection, preventive techniques are taught and used before and during active duty in these areas.2,3

Topics

pathology

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();