[Late diagnosis nodular lepromatous leprosy from the Peruvian Amazon, with development of a type 2 reaction]. / Lepra lepromatosa nodular de diagnóstico tardío procedente de la Amazonía peruana, con el desarrollo de una reacción tipo 2.
Rev Chilena Infectol
; 38(5): 707-712, 2021 10.
Article
en Es
| MEDLINE
| ID: mdl-35506839
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.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Lepra Lepromatosa
/
Eritema Nudoso
/
Lepra
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do sul
/
Peru
Idioma:
Es
Revista:
Rev Chilena Infectol
Año:
2021
Tipo del documento:
Article
Pais de publicación:
Chile