A case of leprosy in an immunocompromised traveller

Sille Pelser, Annemieke Geluk, Wynand H.P.M. Vissers, Nikki Knijn, Colette L.M. Van Hees, Robert Jan Hassing*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Case presentation
A 63-year-old man, born and living in The Netherlands, presented with a one-and-half year history of polyneuropathic burning pain and swelling involving the distal extremities which made walking difficult, development of a pressure ulcer on the fifth toe of the right foot and progressive fatigue and weight loss. He also reported a reddish/purple rash on his trunk and legs which had been present for a few months. He had a medical history of allergic asthma and hypereosinophilic syndrome for which he was using prednisone 10 mg/day for 24 years and mepolizumab, a monoclonal antibody to IL-5, for the last 2 years. The dose of prednisone was recently reduced to 5 mg/day. Furthermore, he had hypopigmentated skin lesions diagnosed as vitiligo nine years previously. The patient’s travel history included two trips to the Moluccas in Indonesia (three and fifteen years ago), visiting friends and relatives. He also travelled for months to several countries in Southern Africa 9 and 11 years ago to play music with a band in rural villages.
Original languageEnglish
Article numbertaae060
JournalJournal of Travel Medicine
Volume31
Issue number4
Early online date11 Apr 2024
DOIs
Publication statusPublished - 1 May 2024

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