Abstract
Leishmaniasis is rare in India except some endemic areas in Orissa, Bihar etc. Although cutaneous and mucocutaneous varieties exist, pure mucosal varieties have been reported very rarely and such an entity has been questioned. But since the spread of AIDS, lots of atypical presentations of various diseases have been reported .Here we report a case of a 27 year old 7 months pregnant female, from Gondia, Maharashtra came with presenting complaints of left buccal mucosal ulcer since 3 months and left sided neck swelling since 2 months. As a routine protocol we checked her serostatus before a biopsy and was found to be HIV ELISA positive. Reports of FNAC from lymph nodal swelling, punch biopsy from ulcerative lesion and cervical lymph node excision biopsy were all consistent with positive for amastigote forms of leishmaniasis. We treated her with inj. sodium stibogluconate and HAART with complete resolution of lesions and improvement in CD4 counts.
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