Robust contact tracing and screening needed for leprosy control and protection of vulnerable children.

IF 1.3 Q4 MICROBIOLOGY Iranian Journal of Microbiology Pub Date : 2024-10-01 DOI:10.18502/ijm.v16i5.16808
Khyathi Reddy Pilaka, Michael Sukumar Pallapati, Zakaraiah Jaladi, Kumar Ebineshan
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Abstract

Leprosy in children is considered as an indicator of active disease transmission in the community. We report about a seven-year-old male from Telangana, India, with anesthetic skin lesions and familial leprosy history. Clinical examination revealed multiple, dry, scaly, hypopigmented, well-defined, raised punched out anesthetic skin lesions all over the body with both ulnar nerves enlarged. On clinical and laboratory examination, the child was diagnosed with borderline-borderline (BB), multibacillary (MB) leprosy, and Type-1 reaction. The child received a weight-adjusted MB multidrug therapy regimen and corticosteroids for type-1 reactions. This case emphasizes the need for contact tracing and screening for early diagnosis of child leprosy to prevent complications like leprosy reactions which are the risk factors for disability.

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控制麻风病和保护弱势儿童需要强有力的接触者追踪和筛查。
儿童麻风病被认为是麻风病在社区传播的一个指标。我们报告了一名来自印度特兰甘纳邦的七岁男性患者,他患有麻风性皮损并有家族麻风病史。临床检查发现,患儿全身出现多处干燥、鳞屑、色素减退、界限清楚、隆起的打孔麻风性皮损,两侧尺神经肿大。经临床和实验室检查,患儿被诊断为边缘型(BB)、多脓疱型(MB)麻风病和1型反应。患儿接受了调整体重的MB多药治疗方案和皮质类固醇治疗1型反应。本病例强调了对接触者进行追踪和筛查以早期诊断儿童麻风病的必要性,从而预防麻风反应等并发症,这些并发症是导致残疾的危险因素。
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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
96
审稿时长
12 weeks
期刊介绍: The Iranian Journal of Microbiology (IJM) is an international, multi-disciplinary, peer-reviewed journal that provides rapid publication of the most advanced scientific research in the areas of basic and applied research on bacteria and other micro-organisms, including bacteria, viruses, yeasts, fungi, microalgae, and protozoa concerning the development of tools for diagnosis and disease control, epidemiology, antimicrobial agents, clinical microbiology, immunology, Genetics, Genomics and Molecular Biology. Contributions may be in the form of original research papers, review articles, short communications, case reports, technical reports, and letters to the Editor. Research findings must be novel and the original data must be available for review by the Editors, if necessary. Studies that are preliminary, of weak originality or merely descriptive as well as negative results are not appropriate for the journal. Papers considered for publication must be unpublished work (except in an abstract form) that is not under consideration for publication anywhere else, and all co-authors should have agreed to the submission. Manuscripts should be written in English.
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