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A rare case of type 1 leprosy reactions following tetanus infection in a borderline tuberculoid leprosy patient and a literature review

Overview of attention for article published in Infectious Diseases of Poverty, June 2018
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Title
A rare case of type 1 leprosy reactions following tetanus infection in a borderline tuberculoid leprosy patient and a literature review
Published in
Infectious Diseases of Poverty, June 2018
DOI 10.1186/s40249-018-0441-4
Pubmed ID
Authors

Chao Shi, Zhi-Chun Jing, De-Gang Yang, Jian-Yu Zhu

Abstract

Type 1 leprosy reaction, also known as "reversal reaction", is related to cellular immune responses to Mycobacterium leprae antigens. The risk factors that trigger type 1 leprosy reactions are poorly understood. Leprosy with concurrent tetanus is rare, and there are no publicly available reports of a leprosy patient infected with tetanus that induced type 1 leprosy reactions. A 56-year-old Chinese Han female presented to our hospital with symptoms of erythematous plaques and pain over her left upper limb for 2 days and foreign object sensation in her throat for 3 days. The patient had a 6-year history of leprosy. Type 1 leprosy reactions were initially considered, followed by treatment with methylprednisolone. Two days later, the patient's symptoms were aggravated, with neck muscle tension and difficulty in opening her mouth, and the erythematous plaques had spread over most of her left upper limb. After further careful examinations, we confirmed the diagnosis of tetanus with concurrent type 1 leprosy reactions. The patient was given anti-tetanus treatment for 12 days and anti-leprosy reaction treatment for 4 months; the diseases were eventually controlled. This report suggests that tetanus infection may be a trigger for type 1 leprosy reactions.

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The data shown below were compiled from readership statistics for 36 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 36 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 14%
Student > Bachelor 3 8%
Student > Master 3 8%
Student > Doctoral Student 2 6%
Student > Postgraduate 2 6%
Other 4 11%
Unknown 17 47%
Readers by discipline Count As %
Nursing and Health Professions 7 19%
Medicine and Dentistry 6 17%
Environmental Science 1 3%
Pharmacology, Toxicology and Pharmaceutical Science 1 3%
Agricultural and Biological Sciences 1 3%
Other 5 14%
Unknown 15 42%