{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T05:57:10Z","timestamp":1774591030932,"version":"3.50.1"},"reference-count":5,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Tuberculosis and leprosy coinfection is increasingly rare even in endemic areas. We report a 70\u2010year\u2010old male presenting with fever and malaise. Pulmonary tuberculosis was suggested by chest computed tomography scan and confirmed on polymerase chain reaction testing of bronchial wash specimens. Skin punch biopsies were consistent with lepromatous Hansen's disease. After initiating isoniazid, rifampicin, pyrazinamide and ethambutol, he developed new erythematous patches and plaques on the lower extremities and required supplemental oxygen. Erythema nodosum leprosum was diagnosed. Intravenous hydrocortisone, dapsone and clofazimine were started, and clinical improvement and decreased inflammatory markers followed. The patient was discharged with a 20\u2010week course of prednisone and multidrug treatment for drug\u2010susceptible pulmonary tuberculosis and leprosy. Concomitant Hansen's disease should be considered when treating patients for tuberculosis especially in areas where both are prevalent as different long\u2010term multidrug regimens are required.<\/jats:p>","DOI":"10.1002\/rcr2.70527","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:00:06Z","timestamp":1772989206000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Type 2 Lepra Reaction Following Antituberculosis Treatment Initiation in an Elderly Male With Coexisting Hansen's Disease: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9412-8685","authenticated-orcid":false,"given":"Cary Amiel G.","family":"Villanueva","sequence":"first","affiliation":[{"name":"Division of Pulmonary Medicine, Department of Medicine Philippine General Hospital, University of the Philippines Manila  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ysabel Regina H.","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Department of Dermatology Philippine General Hospital, University of the Philippines Manila  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winlove P.","family":"Mojica","sequence":"additional","affiliation":[{"name":"Department of Dermatology Philippine General Hospital, University of the Philippines Manila  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Albert B.","family":"Albay","sequence":"additional","affiliation":[{"name":"Division of Pulmonary Medicine, Department of Medicine Philippine General Hospital, University of the Philippines Manila  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpp.2019.05.005"},{"key":"e_1_2_8_3_1","volume-title":"Leprosy\/Hansen Disease: Management of Reactions and Prevention of Disabilities (Technical Guidance)","author":"World Health Organization","year":"2020"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.49155"},{"key":"e_1_2_8_5_1","first-page":"253","article-title":"A Clinico\u2010Epidemiological Profile of Lepra Reactions From a Tertiary Care Hospital in North India During 2016\u20102021","volume":"95","author":"Mendiratta V.","year":"2022","journal-title":"Indian Journal of Leprosy"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr\u20102017\u2010222352"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70527","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcr2.70527","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70527","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T04:17:33Z","timestamp":1774585053000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70527"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/rcr2.70527"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70527","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2026-02-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70527"}}