01530nas a2200193   4500000000100000008004100001260000800042653001800050653002200068653001500090100001400105700001200119700001200131700001800143245013900161490000700300520101500307022001401322       2024                            d  bBMJ10aLucio leprosy10a Lucio phenomenon10awound care1 aDaniel SJ1 aRajan M1 aRuba MV1 aAravamuthan R00aNear fatal case of Lucio leprosy with Lucio phenomenon with pleomorphic features and its successful management from a non-endemic area0 v173 a<p>Lucio leprosy is a diffuse non-nodular form of lepromatous leprosy. Lucio phenomenon is a type of reactional state which occurs in untreated cases due to the bacillary invasion of endothelial cells. We hereby describe a histopathologically confirmed case of Lucio leprosy with Lucio phenomenon. The patient presented with pleomorphic clinical features and started taking antileprosy treatment and systemic steroids. After few days of admission, she developed deep ulcers exposing the fascia. She also developed cardiogenic shock secondary to septicaemia. She was managed with inotropes and broad-spectrum antibiotics. The patient was given appropriate wound care and the ulcers healed within a period of 3 months and antileprosy drugs were continued. Our patient is a de novo case of Lucio leprosy with Lucio phenomenon and pleomorphic clinical features who developed near fatal septic shock. She was managed successfully. Despite the extensive disease manifestation, all the wounds healed completely.</p>
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