PMC7470402_01
Hypopigmented and anaesthetic patches (yellow circles) on skin over right scapula and left deltoid region.
acmi-1-046-g001.jpg
PMC7470402_01_acmi-1-046-g001.jpg
F1
He had noticed hypo-pigmented patches with loss of sensation on the left forearm about 8 months previously, for which he had been prescribed rifampicin, dapsone and clofazimine by a physician in his home town (Fig. 1).
Sheathed Mf observed in slit-skin smear from ear lobule stained using the Ziehl-Neelsen method with 5 % sulphuric acid as a decolourizer (magnification, 10x).
acmi-1-046-g002.jpg
PMC7470402_01_acmi-1-046-g002.jpg
F2
Initial screening of the slides under a 10x objective led to the incidental finding of sheathed structures resembling Mf on the smear made from ear lobules (Fig. 2).
Mf observed in Giemsa-stained peripheral blood smear. (Magnification, 10x). Note the absence of nuclei at the tail tip.
acmi-1-046-g003.jpg
PMC7470402_01_acmi-1-046-g003.jpg
F3
Microscopic examination of Giemsa-stained smears showed multiple sheathed Mf with an absence of nuclei at the tail tip (Fig. 3).