{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:01:23Z","timestamp":1777593683729,"version":"3.51.4"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,6,7]]},"abstract":"<jats:p>We present a case of a man in his late 60s, who had spent 3\u20134\u2005months of the year in rural Spain, presenting with intermittent hoarseness of voice. He had a background of asthma and bronchiectasis, and was taking inhaled corticosteroids. His dysphonia was initially managed as bronchiectasis with little improvement. Bronchoscopy revealed a cystic lesion on his left vocal fold, and tissue biopsy revealed<jats:italic>Leishmania<\/jats:italic>amastigotes. This confirmed a diagnosis of laryngeal leishmaniasis. We propose that this is likely secondary to his inhaled corticosteroid therapy. The infection was treated with a 30-day course of miltefosine, and at most recent follow-up the patient was deemed free from leishmanial infection.<\/jats:p>","DOI":"10.1136\/bcr-2016-215444","type":"journal-article","created":{"date-parts":[[2016,6,22]],"date-time":"2016-06-22T18:34:29Z","timestamp":1466620469000},"page":"bcr2016215444","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Laryngeal leishmaniasis in a patient taking inhaled corticosteroids"],"prefix":"10.1136","volume":"2016","author":[{"given":"Rachel Margaret","family":"Roberts","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayanta","family":"Mukherjee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Phillips","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,6,21]]},"reference":[{"key":"2025042703365288000_2016.jun21_1.bcr2016215444.1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23141"},{"key":"2025042703365288000_2016.jun21_1.bcr2016215444.2","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1111\/j.1365-3156.1997.tb00153.x","article-title":"Laryngeal involvement during post kala-azar dermal leishmaniasis in India","volume":"2","author":"Nandy","year":"1997","journal-title":"Trop Med Int Health TM IH"},{"key":"2025042703365288000_2016.jun21_1.bcr2016215444.3","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1017\/S0022215100128968","article-title":"Laryngeal leishmaniasis","volume":"108","author":"Grant","year":"1994","journal-title":"J Laryngol Otol"},{"key":"2025042703365288000_2016.jun21_1.bcr2016215444.4","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1017\/S002221510012897X","article-title":"Laryngeal leishmaniasis as initial opportunistic disease in HIV infection","volume":"108","author":"C\u00e1novas","year":"1994","journal-title":"J Laryngol Otol"},{"key":"2025042703365288000_2016.jun21_1.bcr2016215444.5","doi-asserted-by":"publisher","DOI":"10.4103\/0971-4065.101259"},{"key":"2025042703365288000_2016.jun21_1.bcr2016215444.6","first-page":"118","article-title":"[Recidivant laryngeal leishmaniasis: an unusual case in an immunocompetent patient treated with corticosteroids]","volume":"42","author":"Casero","year":"2010","journal-title":"Rev Argent Microbiol"},{"key":"2025042703365288000_2016.jun21_1.bcr2016215444.7","doi-asserted-by":"publisher","DOI":"10.1007\/BF01974645"},{"key":"2025042703365288000_2016.jun21_1.bcr2016215444.8","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1017\/S002221510012643X","article-title":"Isolated laryngeal leishmaniasis in an immunocompetent patient: successful treatment with surgery","volume":"108","author":"Navarro Cunchillos","year":"1994","journal-title":"J Laryngol Otol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-215444","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:37:00Z","timestamp":1745750220000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-215444"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,21]]},"references-count":8,"alternative-id":["10.1136\/bcr-2016-215444"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-215444","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,21]]}}}