Musso D, Rovery C, Loukil A, Vialette V, Nguyen N L
Unit of Emerging Infectious Diseases, Institut Louis Malardé.
Aix-Marseille Université, IRD, AP-HM, SSA, VITROME, IHU Méditerranée Infection.
New Microbes New Infect. 2019 Feb 7;29:100514. doi: 10.1016/j.nmni.2018.10.010. eCollection 2019 May.
Leprosy is a neglected endemic infectious disease in the Pacific region. In French Polynesia (FP), leprosy is no longer a public health problem at the national level, defined by the World Health Organization as a prevalence rate below 1 case per 10,000 population. However, even if its incidence has dramatically declined in FP in the last decades, leprosy is still endemic at a low level. Here we present a case of leprosy in a 34-year-old man from FP diagnosed in 2018. Clinical and microbiologic examinations, including fluorescence hybridization, led to the diagnosis of a multibacillary leprosy, and multidrug therapy was initiated. There is a need to maintain leprosy surveillance and trained medical staff for the detection and treatment of new cases.
麻风病是太平洋地区一种被忽视的地方性传染病。在法属波利尼西亚（FP），麻风病在国家层面已不再是公共卫生问题，世界卫生组织将其定义为患病率低于万分之一。然而，尽管在过去几十年里FP的麻风病发病率大幅下降，但仍呈低水平地方性流行。在此，我们报告一例2018年确诊的来自FP的34岁男性麻风病病例。临床和微生物学检查，包括荧光杂交，确诊为多菌型麻风病，并开始进行多药联合治疗。有必要维持麻风病监测，并培训医务人员以发现和治疗新病例。
