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October 1960

Further Observations on Leishmaniasis Americana of the Upper Respiratory Passages in Panama

Author Affiliations

Almirante, Panama
From the hospital of the United Fruit Company (Chiriqui Land Company, Bocas Division).

Arch Otolaryngol. 1960;72(4):464-470. doi:10.1001/archotol.1960.00740010474007

In a former contribution1 to this publication I reported on eight cases of nasal leishmaniasis americana in Panama; apparently these were the first observations from this country which have been published by an otolaryngologist. Authorities like Johnson2 believe that the disease may spread in Panama as a consequence of cultivation of virgin land. The prevention of American mucocutaneous leishmaniasis continues to be an unsolved problem. Three more cases have been reported from the temperate zone in former residents of South America.3-5 Therefore, further reports from our area may be warranted.

Etiology, pathology, geographical distribution, and clinical diagnosis have been discussed in my former article and do not require repetition. They have also been described in my contribution to Coates', Schenck's, and Miller's "Otolaryngology."6

My method of treatment has remained the same: Stibophen, N. F., a trivalent antimony compound, (Neoantimosan, Fuadin, Repodral) is used in all cases.

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