case_images: PMC2628938_01
case_images: Initial solitary lesion plaque after 5 months of multibacillary multidrug treatment. Reversal reaction: 5 months after initial presentation and commencement of multibacillary multidrug treatment.
case_images: 1752-1947-3-8-1.jpg
case_images: PMC2628938_01_1752-1947-3-8-1.jpg
case_images: F1
case_images: The surface of the lesion was dry and it had a length of approximately 15 cm with raised edge as shown in Figure 1.
case_images: 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.
case_images: 1752-1947-3-8-2.jpg
case_images: PMC2628938_01_1752-1947-3-8-2.jpg
case_images: F2
case_images: 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.