Chronic type 2 reaction in lepromatous leprosy with underlying Plasmodium falciparum infection: A case report

Author:

Sagar Harish Kumar1ORCID,Pawar Harpreet Singh2

Affiliation:

1. Scientist D (Medical), Department of Pathology, ICMR-National JALMA Institute for Leprosy & Other Mycobacterial Diseases, Agra, UP, India

2. Scientist C (Medical), Clinical Division, ICMR-National JALMA Institute for Leprosy & Other Mycobacterial Diseases, Agra, UP, India

Abstract

Tropical diseases prevalent in leprosy-endemic areas may alter the immunological patient response and also complicate the presentation of leprosy reactional episodes. The introduction of anti-malarial drugs in our case produced a subsidence of reaction. With dwindling manpower skilled in leprosy, the reactional episodes are very often treated with non-steroidal anti-inflammatory drugs, steroids and thalidomide, neglecting the possibility of other co-existing infections, tropical or other. Our case emphasises the importance of history, examination and balanced investigation in the context of tropical diseases in endemic areas before injudicious intervention.

Publisher

SAGE Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health

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