Katoch K, Katoch V M, Dutta A K, Sharma V D, Ramu G
Indian J Lepr. 1985 Apr-Jun;57(2):399-403.
Lepromatous leprosy cases may be immunocompromised due to the extensive disease and also because of steroid therapy for repeated reactions. Such patients are likely to be at higher risk for getting opportunistic infection due to various environmental microbes. This paper reports a case of lepromatous leprosy with repeated lepra reaction who was found to have chest infection due to M. fortuitum. It is suggested that mycobacterial culture and sensitivity should be recommended in cases who are immunocompromised and whose pathological specimens contain acid fast bacilli. Species identification and sensitivity can be very helpful in proper management of such cases who will otherwise pass off as tuberculosis.
瘤型麻风病例可能因病情广泛以及反复反应而接受类固醇治疗导致免疫功能受损。这类患者因接触各种环境微生物而感染机会性感染的风险可能更高。本文报告了一例瘤型麻风伴反复麻风反应的病例，该患者被发现患有偶然分枝杆菌引起的胸部感染。建议对免疫功能受损且病理标本中含有抗酸杆菌的病例进行分枝杆菌培养和药敏试验。菌种鉴定和药敏试验对于正确处理这类病例非常有帮助，否则这些病例可能会被误诊为结核病。
