01476nas a2200205   4500000000100000008004100001653001700042653001200059653001000071653001600081653001600097100001300113700001500126700001600141700001400157245004500171490000900216520103100225022001401256       2018                            d10aTuberculosis10aleprosy10aIndia10aCoinfection10aCase report1 aShetty S1 aUmakanth S1 aManandhar B1 aNepali PB00aCoinfection of leprosy and tuberculosis.0 v20183 a<p>Leprosy and tuberculosis (TB) are endemic to India, however, their coinfection is not frequently encountered in clinical practice. Here, we report a 32-year-old female patient who presented with a history of high-grade intermittent fever, cough and painless skin lesions since a month, along with bilateral claw hand (on examination). The haematological profile was suggestive of anaemia of chronic disease, chest radiograph showed consolidation, sputum smears were positive for Mycobacterium tuberculosis, and skin slit smear confirmed leprosy. The patient was prescribed WHO recommended multidrug therapy for multibacillary leprosy with three drugs. Additionally, prednisolone was added to her regimen for 2 weeks to treat the type 2 lepra reaction. For treatment of TB, she was placed on the standard 6-month short course chemotherapy. She was lost to follow-up, and attempts were made to contact her. Later, it came to our notice that she had discontinued medications and passed away 3 months after diagnosis.</p>
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