Multibacillary Leprosy in a Child

Arridha Hutami Putri, Mila Darmi, Ramona Dumasari Lubis

2019

Abstract

This manuscript aims to review the cutting-edge developments regarding the diagnosis, management, and prevention of leprosy in children. Where leprosyinchildren is a robust indicator of the active source of infection in the community, we reported a case of borderline lepromatous leprosy in a 14-year-old boy. He came with the chief complaint of swelling of left little finger since one month ago. The patient also complaint blackish patch with loss of sensations on the left hand since two years ago. After one year, there was an appearance of papules on the ears and sparse eyebrows followed by swelling of left little finger one month ago. His father was already diagnosed as multibacillary leprosy eight years ago and had completed the treatment. There is no history of BCG vaccination. Physical examination revealed sparse eyebrows (madarosis), dermatological examination revealed diffuse hyperpigmentation macular with anesthesia on the left hand, papules and infiltrate on the ear lobes. Sensibility examination revealedanesthesia on the left hand, which is innervated by the ulnar and median nerve.Thickened and tenderness found on the ulnar nerve and muscle weaknessgrade 3 was found on the left hand, which is innervated by the ulnar nerve.Ziehl-Neelsen staining of slit skin smear revealed acid-fast bacilli with Bacteriological Index 4+. The patient was diagnosed as multibacillary leprosy then prescribed with multi-drug therapyand advice on daily care routinely. The prognosis of the patient is good since no disabilities.Early diagnosis and treatment is a fundamental strategy to prevent leprosy transmission.

Paper Citation

in Harvard Style

Putri A., Darmi M. and Lubis R. (2019). Multibacillary Leprosy in a Child.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 407-410. DOI: 10.5220/0009990304070410

in Bibtex Style

@conference{ictromi19,
author={Arridha Hutami Putri and Mila Darmi and Ramona Dumasari Lubis},
title={Multibacillary Leprosy in a Child},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={407-410},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009990304070410},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Multibacillary Leprosy in a Child
SN - 978-989-758-469-5
AU - Putri A.
AU - Darmi M.
AU - Lubis R.
PY - 2019
SP - 407
EP - 410
DO - 10.5220/0009990304070410