PMC2628938_01
Initial solitary lesion plaque after 5 months of multibacillary multidrug treatment. Reversal reaction: 5 months after initial presentation and commencement of multibacillary multidrug treatment.
1752-1947-3-8-1.jpg
PMC2628938_01_1752-1947-3-8-1.jpg
F1
The surface of the lesion was dry and it had a length of approximately 15 cm with raised edge as shown in Figure 1.
Microscopic observation of acid fast bacilli (red rods) in the slit skin smear fluid from the solitary lesion in the initial presentation of the patient.
1752-1947-3-8-2.jpg
PMC2628938_01_1752-1947-3-8-2.jpg
F2
Slit skin smear examination for M. leprae from the lesion revealed a Bacterial Index (BI) of 4+ (10-100 acid fast bacilli per oil immersion microscopic field on Ridley's logarithmic scale) as shown in Figure 2 while it was negative from the routine sites of the ear lobes, thigh and arm.