Mucosal Leishmaniasis Due to Leishmania donovani—A Rare Presentation

A 76-year-old man presented with recurrent, mild right-sided epistaxis and nasal obstruction of 8 years duration. The patient had also noticed a small nodular lesion on the soft palate 3 years ago which progressively increased in size and numbers with difficulty in swallowing. Previously he had received empirical antitubercular therapy for 9 months, based on a nasopharyngeal lesion biopsy revealing granulomatous inflammation. However, he continued to have worsening symptoms. He had no known comorbidities and denied any history of trauma.