Leprosy or Hansen's disease is one of the classic neglected diseases that still persists in Peru. The infection is caused by Mycobacterium leprae. The disease varies in a wide range of manifestations from tuberculoid (paucibacillary) to lepromatous (multibacillary) leprosy. We present the case of a 55-year-old man, farmer and wood extractor, from the Peruvian Amazon with old infiltrating cutaneous lesions on the face, neck, thorax, abdomen and extremities. The smear and biopsy examinations confirm the presence of acid-alcohol-resistant bacilli compatible with leprosy. It is concluded, with a long delay, it was a case of nodular lepromatous leprosy. He received therapy with rifampicin, dapsone and clofamizine for two years with slow progressive improvement; however, he presented an erythema nodosum leprosum (type 2 reaction) with response to corticosteroids and thalidomide.
BT - Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia C1 -https://www.ncbi.nlm.nih.gov/pubmed/35506839
DA - 10/2021 DO - 10.4067/s0716-10182021000500707 IS - 5 J2 - Rev Chilena Infectol LA - spa N2 -Leprosy or Hansen's disease is one of the classic neglected diseases that still persists in Peru. The infection is caused by Mycobacterium leprae. The disease varies in a wide range of manifestations from tuberculoid (paucibacillary) to lepromatous (multibacillary) leprosy. We present the case of a 55-year-old man, farmer and wood extractor, from the Peruvian Amazon with old infiltrating cutaneous lesions on the face, neck, thorax, abdomen and extremities. The smear and biopsy examinations confirm the presence of acid-alcohol-resistant bacilli compatible with leprosy. It is concluded, with a long delay, it was a case of nodular lepromatous leprosy. He received therapy with rifampicin, dapsone and clofamizine for two years with slow progressive improvement; however, he presented an erythema nodosum leprosum (type 2 reaction) with response to corticosteroids and thalidomide.
PY - 2021 SP - 707 EP - 712 T2 - Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia TI - [Late diagnosis nodular lepromatous leprosy from the Peruvian Amazon, with development of a type 2 reaction]. UR - https://www.scielo.cl/pdf/rci/v38n5/0716-1018-rci-38-05-0707.pdf VL - 38 SN - 0717-6341 ER -