01306nas a2200205   4500000000100000008004100001260001200042653002300054653003000077653002500107100001200132700001100144700001300155700001600168700001600184700001400200245011300214520075900327022001401086       2026                            d  c08/202610aAcid- fast bacilli10aErythema Nodosum Leprosum10aMycobacterium leprae1 aMohod S1 aLade S1 aSharma R1 aChaudhary B1 aPrashanth H1 aAgrawal G00aWhen a Mimicker Is Mimicked: A Case report on Acid-Fast Atypical Lepromatous Leprosy Mimicking Tuberculosis.3 a<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>  a1998-3646