Coinfection of leprosy and tuberculosis

Shetty, Seema and Umakanth, Shashikiran (2017) Coinfection of leprosy and tuberculosis. BMJ Case Reports. pp. 1-6. ISSN 1757-790X

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Abstract

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.

Item Type: Article
Subjects: Medicine > KMC Manipal > Medicine
Depositing User: KMC Library
Date Deposited: 29 May 2018 11:27
Last Modified: 29 May 2018 11:27
URI: http://eprints.manipal.edu/id/eprint/151194

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