Padma M N, Premanath M, Desikan K V
Lepr India. 1976 Oct;48(4):413-8.
35 cases of lepromatous and near-lepromatous cases of laprosy in Reaction have been investigated for the presence of acid-fast bacilli in blood at the height of the reaction as well as at its subsidence. Only 3 cases exhibited bacillaemia during reaction. It is therefore unlikely that dissemination of the disease is accentuated during reaction as commonly believed. Further, the immune complexes demonstrated to be circulating during reaction are possibly formed by bacillary products and not by whole or fragmented bacilli.
对35例麻风反应期的瘤型和近瘤型麻风病例,在反应高峰期及消退期检测了血液中的抗酸杆菌。反应期仅有3例出现菌血症。因此,疾病传播在反应期如通常所认为的那样加剧的可能性不大。此外,反应期证明循环存在的免疫复合物可能是由细菌产物形成,而非完整或破碎的杆菌形成。