Department of Medicine, All India Institute of Medical Sciences, Bhopal, India.
Department of Dermatology, All India Institute of Medical Sciences, Bhopal, India.
Am J Trop Med Hyg. 2023 May 15;109(1):50-52. doi: 10.4269/ajtmh.22-0513. Print 2023 Jul 5.
Leprosy is a chronic cutaneous infection. It is usually characterized by thickened nerves and maculo-anesthetic patches. Leprosy often has an unusual presentation, which is a diagnostic challenge. In this case report, we present a case of an elderly male who presented with fever and chronic pus-draining axillary, cervical, and inguinal lymph nodes. He also had a weak left foot for the previous 5 months. During his hospital stay, he developed additional papular lesions over his extremities. We performed fine needle aspiration from the lymph nodes and skin biopsy, which were suggestive of lepromatous leprosy. We initiated him on antileprosy medication. On follow-up, he was responsive to therapy. Although skin and nerve involvement in leprosy is common, this case had an atypical presentation of discharging lymph nodes.
麻风病是一种慢性皮肤感染。它通常表现为神经增厚和斑片状感觉丧失。麻风病的表现常常不典型，这是一个诊断上的挑战。在本病例报告中，我们介绍了一位老年男性患者，他因发热和慢性脓性腋窝、颈部和腹股沟淋巴结炎就诊。他还在前 5 个月出现左脚无力。在住院期间，他的四肢出现了更多的丘疹性病变。我们对淋巴结和皮肤活检进行了细针抽吸，提示为瘤型麻风。我们开始为他使用抗麻风药物。随访时，他对治疗有反应。尽管麻风病常累及皮肤和神经，但本例的表现为有分泌物的淋巴结，不典型。
