Thomas M, Emmanuel M
Department of Dermatology, Schieffelin Institute of Health Research and Leprosy Center, Karigiri, Vellore-632 106, Tamilnadu, India.
Indian J Lepr. 2009 Apr-Jun;81(2):81-2.
A patient presenting with symptoms and signs of congestive heart failure was incidentally found to be in advanced stage of leprosy. He had multiple lepromatous nodules over the entire body. The oral mucosa was yellowish with a matte appearance and the palate had a site ready to perforate. Nasal cavity revealed a small septal perforation with overlying crusts suggesting advanced rhinitis. Diagnosis of lepromatous leprosy was confirmed on histology. This case report emphasizes the existence of pockets of highly bacilliferous cases that continue to be a source of infection within the community and highlights the need for enhanced health education.
一名出现充血性心力衰竭症状和体征的患者被偶然发现处于麻风病晚期。他全身有多个麻风结节。口腔黏膜呈淡黄色，外观粗糙，上颚有一处即将穿孔的部位。鼻腔可见一个小的鼻中隔穿孔，上面覆盖着痂皮，提示为晚期鼻炎。组织学检查确诊为瘤型麻风。本病例报告强调，存在高菌量病例群体，这些病例仍是社区内的感染源，并突出了加强健康教育的必要性。
