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Borderline lepromatous leprosy:A case report

Asian Pacific Journal of Tropical Medicine 2024年第7期17卷 329-332页

作者： Nilshan Fernando Chiranthi Welhenge ranjan premaratna Ahamed Uwyse Registrar in Medicine University Medical UnitColombo North Teaching HospitalRagamaSri Lanka Honorary Consultant Physician in Medicine University Medical UnitColombo North Teaching HospitalRagamaSri Lanka Department of Medicine Faculty of MedicineUniversity of KelaniyaP.O Box 6Thalagolla RoadRagamaSri Lanka Department of Dermatology Colombo North Teaching HospitalRagamaSri Lanka

Rationale:Lepromatous leprosy can have many atypical presentations,obscuring early *** present a case of lepromatous leprosy,presenting with atypical features,which made a diagnostic *** concerns:A 48-year-old man presented with bilateral lower limb oedema and scaly“ichthyosis like”skin rash in both hands and feet,hepatosplenomegaly and pancytopenia,over a course of three months,without any classical features of leprosy.A skin biopsy revealed an unexpected diagnosis of borderline lepromatous ***:Lepromatous ***:Multi-drug regimen treatment with rifampicin,dapsone and clofazimine for lepromatous ***:The patient made a good clinical ***:In endemic settings,clinicians should be aware of similar atypical manifestations of leprosy to face the global challenge of eradicating this chronic deforming disease.

关键词： Lepromatous leprosy Hepatosplenomegaly Hemophagocytosis Pancytopenia Ichthyosis

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Public knowledge,practices and perceptions on typhus fevers in Southern Sri Lanka

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Asian Pacific Journal of Tropical Medicine 2022年第5期15卷 206-212页

作者： Ashani Liyanage Nilmini Chandrasena Nayana Gunathilaka Ruwan Sanjeewa ranjan premaratna Rickettsial Disease Diagnostic and Research Laboratory Faculty of MedicineUniversity of KelaniyaRagama11010Sri Lanka Department of Parasitology Faculty of MedicineUniversity of KelaniyaRagama 11010Sri Lanka Medical Officer of Health ElpitiyaMinistry of HealthcareNutrition and Indigenous Medicine80400Sri Lanka Department of Medicine Faculty of MedicineUniversity of KelaniyaRagama 11010Sri Lanka

Objective:To assess public knowledge,practices and perceptions on typhus fevers in Sri ***:A descriptive study was done in four selected typhus-prone areas in Southern Sri Lanka.A mixed-method was employed using face-to-face interviews and questionnaire-based surveys among confirmed cases of typhus and at-risk populations,***,percentages,and means were used to characterize socio-demography and evaluate disease ***:The lay terms for typhus fevers reported in the studied region were“peacock fever”,“tick fever”and“bird fever”.A total of 499 subjects participated[mean±SD,(45±16)years]in the questionnaire-based survey,and 13.6%(n=68)reported past experience of typhus fever,1.2%(n=6)identified the disease as“typhus”while 58.7%(n=293)and 11.8%(n=59)knew it as‘peacock fever’and‘tick fever’,*** etiological agent was unknown to 95.2%(n=475),but 53.5%(n=267)were aware that it was ***(57.3%,n=286),eschar(35.7%,n=178),headache(22.0%,n=267)and myalgia(19.2%,n=96)were identified as key *** disease experience was significantly associated with higher awareness of the main disease symptoms(fever:χ^(2)=15.713,P<0.001;headache:χ^(2)=19.447,P<0.001;lymphadenopathy:Fisher’s exact test,P=0.023;eschar:χ^(2)=12.049,P<0.001).None knew of any disease prevention *** with a past history of typhus fever had sought treatment at state hospitals(55.9%,38/68)and private sector hospitals(5.9%,4/68).Conclusions:Public awareness on preventive practices for typhus fevers was rare among the participants though vector-borne aspect was known to *** disease awareness was deficient among those without past experience of typhus *** sensitization on vector avoidance strategies is highly recommended.

关键词： Awareness Perceptions Practices Typhus fevers Sri Lanka

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