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.
BT - Leprosy review C1 - http://www.ncbi.nlm.nih.gov/pubmed/12549846?dopt=Abstract CN - Infolep Library - available DA - 2002 Dec IS - 4 J2 - Lepr Rev LA - eng N2 -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.
PY - 2002 SP - 386 EP - 8 T2 - Leprosy review TI - Relapse of lepromatous leprosy after WHO/MDT with rapid bacterial growth. UR - https://leprosyreview.org/article/73/4/38-6388 VL - 73 SN - 0305-7518 ER -