Leprosy and ganglionar tuberculosis coinfection in an adult

Authors

  • María Elena Tablada Robinet Hospital General Docente “Dr. Juan Bruno Zayas Alfonso”, Universidad de Ciencias Médicas, Santiago de Cuba
  • Haidee Marrero Rodríguez Hospital General Docente “Dr. Juan Bruno Zayas Alfonso”, Universidad de Ciencias Médicas, Santiago de Cuba
  • Natacha López Pupo Hospital General Docente “Dr. Juan Bruno Zayas Alfonso”, Universidad de Ciencias Médicas, Santiago de Cuba

Keywords:

leprosy, Hansen disease, ganglionar tuberculosis, extrapulmonary tuberculosis, lymph node chains.

Abstract

The case report of a 34 year-old patient is described who came to the Dermatology Service due to disseminated pruritic erythematous stains. After 3 months with specific treatment he began to present evening low fevers and painful cervical adenopathies, reason why a baciloscopy was indicated in both elbows and ear pavilions, but the Mycobacterium leprae was not found; besides aspiration biopsy with fine needle of a cervical ganglion was also carried out, which result revealed a ganglionar tuberculosis. Finally a leprosy and tuberculosis ganglionar coinfection was diagnosed, two diseases emerging due to the Mycobacterium, which coexistence is strange.

Downloads

Download data is not yet available.

References

1. Benedek TG. The history of gold therapy for Lepra. J Hist Med Allied Sci. 2014; 59: 50-89.
2. Organización Panamericana de la Salud. Tuberculosis y Lepra en las Américas. Mortalidad y morbilidad. Ciudad de Guatemala: OPS; 2013. p. 27-29.
3. Perner W. Epidemiology of tuberculoses. Atlanta: Centre for Disease Control and Prevention; 2002.
4. Gonzales Ochoa E, Armas Pérez L. Tuberculosis y lepra. Procedimientos para la vigilancia y control. La Habana: ECIMED; 2014.
5. Giménez Arnau MJ. Líneas actuales de la intervención terapéutica en Tuberculosis. Novartis institute for Tropicals desease (NITD, Singapur). Rev Enfermedades. 2015; 7(4); 175-81.
6. Ministerio de Salud de la República de Haití. Manual de normas del programa nacional de lucha contra la Tuberculosis. Puerto Príncipe: MSPP; 2013.
7. Gutierrez MC, Brisse S, Brosch R, Fabre M, Omaïs B, Marmiesse M, et al. Ancient origin and gene mosaicism of the progenitor of Mycobacterium tuberculosis y Leprae. PLos Pathog. 2005 [citado 22/02/2017]; 1(1): 5. Disponible en: http://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.0010005
8. González E, Armas L, Llanes M J, Borroto S, Sánchez L. Prioridades territoriales para la tuberculosis y la Lepra en Cuba: alternativas de estratificación con indicador único. Rev Esp Salud Pública. 2002 [citado 22/02/2017]; 76(2): 149–51. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57272002000200008
9. Asuquo Out A. Is the directly observed therapy short course (DOTS) an effective strategy for tuberculosis control in a developing country? Asian Pac J Trop Dis. 2013; 3(3): 227–31.

Published

2018-08-14

How to Cite

1.
Tablada Robinet ME, Marrero Rodríguez H, López Pupo N. Leprosy and ganglionar tuberculosis coinfection in an adult. MEDISAN [Internet]. 2018 Aug. 14 [cited 2025 Jun. 4];22(7). Available from: https://medisan.sld.cu/index.php/san/article/view/1712

Issue

Section

Case Reports