01373nas a2200205 4500000000100000008004100001260001200042653002100054653002400075653001200099100001400111700001600125700001300141700001100154700001900165700001500184245013400199520082000333022001401153 2023 d c05/202310aErythema Nodosum10aLepromatous Leprosy10aRelapse1 aGaleano J1 aContreras A1 aPabón L1 aRuiz A1 aSerrano-Coll H1 aArboleda M00aCase Report: Necrotizing Erythema Nodosum as a Manifestation of Lepromatous Leprosy Relapse 50 Years after the Initial Infection.3 a
Leprosy is a chronic infection caused by Mycobacterium leprae and Mycobacterium lepromatosis that preferentially compromises peripheral nerve, skin, and mucous membranes. Colombia achieved the goal of leprosy elimination in 1997. However, in Urabá (Colombia), there has been an increase in leprosy cases beginning in 2020. This case report shows a leprosy relapse 5 decades after the initial infection debuted as a necrotizing erythema nodosum leprosum. Therefore, long-term follow-up of patients with risk factors for relapse is emphasized, especially those treated before the standard of multidrug therapy (dapsone, clofazimine, and rifampin). This case report stresses the importance the importance of clinical follow-up and surveillance of patients with these events of interest for the public health.
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