PDF(Pubmed)
Abstract：
Leprosy is a chronic cutaneous infection. It is usually characterized by thickened nerves and maculo-anesthetic patches. Leprosy often has an unusual presentation, which is a diagnostic challenge. In this case report, we present a case of an elderly male who presented with fever and chronic pus-draining axillary, cervical, and inguinal lymph nodes. He also had a weak left foot for the previous 5 months. During his hospital stay, he developed additional papular lesions over his extremities. We performed fine needle aspiration from the lymph nodes and skin biopsy, which were suggestive of lepromatous leprosy. We initiated him on antileprosy medication. On follow-up, he was responsive to therapy. Although skin and nerve involvement in leprosy is common, this case had an atypical presentation of discharging lymph nodes.
摘要：
麻风病是一种慢性皮肤感染。它通常以神经增厚和黄斑麻醉斑块为特征。麻风病经常有不寻常的表现，这是一个诊断挑战。在这个案例报告中,我们介绍了一个老年男性，他表现为发烧和慢性脓液排出腋窝，子宫颈,腹股沟淋巴结.在过去的5个月中，他的左脚也很弱。在他住院期间，他的四肢出现了额外的丘疹性病变。我们进行了淋巴结细针抽吸和皮肤活检，提示麻风病。我们让他服用了抗麻风病药物。关于后续行动，他对治疗有反应。尽管麻风病的皮肤和神经受累很常见，该病例有不典型的淋巴结排出。
