01386nas a2200265   4500000000100000008004100001260001300042653001100055653001100066653001200077653001600089653001800105653002900123653002900152100001500181700001700196700002000213700001300233700002500246245008100271300001000352490000700362520073700369022001401106       2011                            d  c2011 Mar10aFemale10aHumans10aleprosy10aMiddle Aged10aMycobacterium10aMycobacterium Infections10aSkin Diseases, Bacterial1 aScollard D1 aStryjewska B1 aPrestigiacomo J1 aGillis T1 aWaguespack-Labiche J00aHansen's disease (leprosy) complicated by secondary mycobacterial infection.  a593-60 v643 a<p>A patient with Hansen's disease received corticosteroids for a type 1 leprosy reaction and subsequently developed a new cutaneous lesion at the original biopsy site from which Mycobacterium fortuitum was cultured. A review of the literature found only two other cases of coinfection with atypical mycobacteria and Mycobacterium leprae, although there are many reports of pulmonary tuberculosis in patients with leprosy. This case highlights the diagnostic difficulties encountered when a patient has two different mycobacterial infections of the skin. The published experience emphasizes that such coinfection is remarkably uncommon in leprosy, despite the frequent use of high doses of corticosteroids for leprosy reactions.</p>  a1097-6787