{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T06:03:09Z","timestamp":1649052189617},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"9-10","license":[{"start":{"date-parts":[[2019,6,14]],"date-time":"2019-06-14T00:00:00Z","timestamp":1560470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Lepromatous leprosy represents a cutaneous infection by the bacterium Mycobacterium leprae. Once considered a common, fatal disease, leprosy has become increasingly rare with modern, inexpensive antibiotics. Most healthcare workers will never encounter a case of leprosy due to the low prevalence of the disease. However, military physicians, through deployments and contact with foreign-born servicemembers, are one of the first lines of defense against this disease. With an unknown method of transmission and an insidiously slow replication, it can take years for the disease to fully manifest. There are multiple cutaneous manifestations associated with the infection that can mimic other infectious etiologies, stalling appropriate diagnosis and treatment. To determine which treatment course is recommended requires evaluation of disease dissemination and the level of host immune response. As the incidence of reported leprosy cases continues to decline, disease education on diagnosis and treatment is imperative to enhance early detection and intervention. Understanding the populations at risk for leprosy and its insidious presentation will aid the practitioner in minimizing disease burden for both U.S. servicemembers and our foreign partners.<\/jats:p>","DOI":"10.1093\/milmed\/usz138","type":"journal-article","created":{"date-parts":[[2019,6,14]],"date-time":"2019-06-14T07:09:52Z","timestamp":1560496192000},"page":"561-564","source":"Crossref","is-referenced-by-count":0,"title":["Delayed Diagnosis of Leprosy in a Micronesian Soldier \u2013 Case Report"],"prefix":"10.1093","volume":"184","author":[{"given":"John P","family":"Bossalini","sequence":"first","affiliation":[{"name":"Transitional Year Department of the San Antonio Uniformed Services Health Education Consortium. 3551 Roger Brooke Dr, Fort Sam Houston, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin P","family":"Bandino","sequence":"additional","affiliation":[{"name":"Dermatology Department of the San Antonio Uniformed Services Health Education Consortium. 1100 Wilford Hall Loop, Lackland AFB, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathanial R","family":"Miletta","sequence":"additional","affiliation":[{"name":"Dermatology Department of the San Antonio Uniformed Services Health Education Consortium. 1100 Wilford Hall Loop, Lackland AFB, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,6,14]]},"reference":[{"key":"2020011209062774500_usz138C1","author":"History of the National Hansen\u2019s Disease (Leprosy) Program","year":"2018"},{"issue":"8","key":"2020011209062774500_usz138C2","first-page":"801","article-title":"Leprosy \u2013 an overview of clinical features, diagnosis, and treatment","volume":"15","author":"Fischer","year":"2017","journal-title":"J German Soc Dermatol"},{"key":"2020011209062774500_usz138C3","author":"Leprosy Epidemiology","year":"2018"},{"key":"2020011209062774500_usz138C4","author":"Hansen\u2019s Disease (Leprosy)","year":"2018"},{"key":"2020011209062774500_usz138C5","author":"National Hansen\u2019s Disease (Leprosy)","year":"2018"},{"issue":"4","key":"2020011209062774500_usz138C6","doi-asserted-by":"crossref","first-page":"310","DOI":"10.47276\/lr.75.4.310","article-title":"Risk factors for the development of clinical leprosy among contacts, and their relevance for targeted interventions","volume":"75","author":"Moet","year":"2004","journal-title":"Lepr Rev"},{"key":"2020011209062774500_usz138C7","author":"WHO","year":"2018"},{"issue":"17","key":"2020011209062774500_usz138C8","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1056\/NEJMoa1010536","article-title":"Probable zoonotic leprosy in the Southern United States","volume":"364","author":"Truman","year":"2011","journal-title":"N Engl J Med"},{"key":"2020011209062774500_usz138C9","author":"Diagnosis of leprosy","year":"2018"},{"issue":"7","key":"2020011209062774500_usz138C10","doi-asserted-by":"crossref","first-page":"861","DOI":"10.7205\/MILMED-D-14-00421","article-title":"The curse of the ninebanded armadillo: case report and review","volume":"180","author":"Elsayed","year":"2015","journal-title":"Mil Med"},{"issue":"3","key":"2020011209062774500_usz138C11","first-page":"255","article-title":"Classification of leprosy according to immunity. A five-group system","volume":"34","author":"Ridley","year":"1966","journal-title":"Int J Lepr"},{"key":"2020011209062774500_usz138C12","author":"Classification of leprosy","year":"2018"},{"key":"2020011209062774500_usz138C13","author":"Essential Medicines and Health Products Information Portal","year":"2018"},{"key":"2020011209062774500_usz138C14","author":"The Foreign Born in the Armed Services","year":"2018"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/milmed\/article-pdf\/184\/9-10\/561\/31799035\/usz138.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/milmed\/article-pdf\/184\/9-10\/561\/31799035\/usz138.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T01:56:40Z","timestamp":1609898200000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/184\/9-10\/561\/5518570"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,14]]},"references-count":14,"journal-issue":{"issue":"9-10","published-online":{"date-parts":[[2019,6,14]]},"published-print":{"date-parts":[[2019,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usz138","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,9]]},"published":{"date-parts":[[2019,6,14]]}}}