01492nas a2200349   4500000000100000008004100001260001300042653000900055653002800064653003100092653003000123653002100153653001100174653002300185653002500208653000900233653003100242653001500273653001100288100001900299700001900318700001900337700001700356700001500373245007800388856005100466300001000517490000700527050003200534520056200566022001401128       2002                            d  c2002 Dec10aAged10aDiagnosis, Differential10aDrug Resistance, Microbial10aDrug Therapy, Combination10aErythema Nodosum10aHumans10aLeprostatic Agents10aLeprosy, lepromatous10aMale10aPatient Education as Topic10aRecurrence10aThorax1 aOliveira M L W1 aPierro A P S M1 aSilveira P A M1 aCampos M M C1 aVilela M F00aRelapse of lepromatous leprosy after WHO/MDT with rapid bacterial growth.  uhttps://leprosyreview.org/article/73/4/38-6388  a386-80 v73  aInfolep Library - available3 a<p>The authors report a case of relapse in a lepromatous patient 6 years after he had been cured by MDT/WHO/24 doses. The atypical aspect emphasized in this case is the bacterial load increase in a short period of time of 1 year after the smear count was negative, and the case reinforces the importance of patient education on release. No leprosy cases were identified in the patient's close contacts. It seems that relapse was a result of bacillary persistence, since a significant improvement was noted in relapsed lesions after two doses of MDT/WHO.</p>  a0305-7518