01648nas a2200217   4500000000100000008004100001653002600042653001200068653005400080653004900134100001200183700001800195700001300213700001500226245008000241856011000321300000900431490000700440520096900447022001401416       2016                            d10aLeprous neuromyositis10aleprosy10aChronic inflammatory demyelinating polyneuropathy10aChronic sensory motor polyradiculoneuropathy1 aMitra S1 aGunasekaran K1 aChacko G1 aHansdak SG00aLeprous neuromyositis: A rare clinical entity and review of the literature.  uhttp://www.ijmm.org/article.asp?issn=0255-0857;year=2016;volume=34;issue=1;spage=95;epage=97;aulast=Mitra  a95-70 v343 a<p>Mycobacterium leprae, the causative agent of leprosy (Hansen's disease), is a slow growing intracellular acid-fast bacillus that affects the skin, peripheral nerves and respiratory tract. In patients with suppressed cell-mediated immunity, the infiltration of the Bacilli can produce disseminated illness such as leprous neuromyositis. We reported a case of 56-year-old gentleman presenting with pyrexia of unknown origin, asymmetric sensory motor axonal polyneuropathy and was on chronic exogenous steroid therapy. On evaluation, his skin, muscle, nerve and bone marrow biopsy showed numerous globi of acid-fast Bacilli suggestive of leprous neuromyositis, a rare form of disseminated Hansen's disease. We reported this case in view of its rarity, atypical manifestation of a relatively rare disease and literature review on poor electrophysiological correlation in the diagnosis of leprous neuromyositis as compared to the histopathological examination.</p>
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