Hansen's disease (leprosy) complicated by secondary mycobacterial infection.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20494478.
- Also identified by DOI 10.1016/j.jaad.2009.10.004.
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Abstract
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.
Medical subject headings
- Leprosy
- Mycobacterium Infections
- Skin Diseases, Bacterial