@article{103875,
  keywords = {Acid- fast bacilli, Erythema Nodosum Leprosum, Mycobacterium leprae},
  author = {Mohod S and Lade S and Sharma R and Chaudhary B and Prashanth H and Agrawal G},
  title = {When a Mimicker Is Mimicked: A Case report on Acid-Fast Atypical Lepromatous Leprosy Mimicking Tuberculosis.},
  abstract = {<p>Leprosy is caused by Mycobacterium leprae, may mimic tuberculosis. We describe a 22year old woman with prolonged fever and cervical and inguinal lymphadenopathy. Initial lymph node aspirate from an outside centre showed acid fast bacilli on ZN staining using 20% sulfuric acid, leading to a diagnosis of tuberculosis and initiation of anti-tubercular therapy. Additionally, she developed ulcerative lesions over the feet after six weeks.At our centre,lesion pus revealed abundant AFB with differential decolorization. CBNAAT for tuberculosis was negative. Slit-skin smears, Fite Faraco stain and PCR confirmed multibacillary leprosy erythema nodosum leprosum. Multidrug therapy resulted in clinical improvement, highlighting diagnostic challenges.</p>},
  year = {2026},
  journal = {Indian journal of medical microbiology},
  month = {08/2026},
  issn = {1998-3646},
  doi = {10.1016/j.ijmmb.2026.101243},
  language = {ENG},
}