{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:54:11Z","timestamp":1762005251443,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,10,15]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>We report a case of a 76-year-old British man living in Malta who presented with a 7-month history of recurrent epistaxis and an enlarging right nasal vestibular lesion. Of note, his medical history included rheumatoid arthritis for which he was on long-term methotrexate. Blood results were unremarkable other than a mild lymphopaenia. Despite the use of various antibiotics and intranasal steroids, the lesion failed to resolve. This was eventually biopsied, and the histological picture was that of mucosal leishmaniasis. <jats:italic>Leishmania donovani<\/jats:italic> complex was detected by PCR. The patient was treated with liposomal amphotericin B on alternate days for a total of 20 doses. The lesion was found to have healed well at follow-up and the patient denied any further episodes of epistaxis.<\/jats:p>","DOI":"10.1136\/bcr-2020-237687","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T16:05:25Z","timestamp":1604333125000},"page":"e237687","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["<i>Leishmania donovani<\/i> mucosal leishmaniasis in Malta"],"prefix":"10.1136","volume":"13","author":[{"given":"Paula","family":"Grech","sequence":"first","affiliation":[{"name":"Department of General Medicine, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah M","family":"Vella","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tonio","family":"Piscopo","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease, Mater Dei Hospital, Tal Qroqq, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,11,2]]},"reference":[{"key":"2025082709040314000_13.11.e237687.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2013\/805108","article-title":"Mucosal leishmaniasis: an underestimated presentation of a neglected disease","volume":"2013","author":"Strazzulla","year":"2013","journal-title":"Biomed Res Int"},{"key":"2025082709040314000_13.11.e237687.2","doi-asserted-by":"publisher","DOI":"10.1016\/0035-9203(86)90243-9"},{"key":"2025082709040314000_13.11.e237687.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2006.04.003"},{"key":"2025082709040314000_13.11.e237687.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2011.03.012"},{"key":"2025082709040314000_13.11.e237687.5","unstructured":"World Health Organisation . Leishmaniasis, 2020. 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Diagnosis and treatment of leishmaniasis: clinical practice guidelines by the infectious diseases Society of America (IDSA) and the American Society of tropical medicine and hygiene, 2020. Available: https:\/\/www.cdc.gov\/parasites\/leishmaniasis\/health_professionals\/index.html"},{"key":"2025082709040314000_13.11.e237687.11","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-72992007000600016"},{"key":"2025082709040314000_13.11.e237687.12","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-200305000-00001"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237687","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:04:11Z","timestamp":1756310651000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237687"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":12,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11,2]]},"published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1136\/bcr-2020-237687"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237687","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,11]]}}}