{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:32:54Z","timestamp":1787031174305,"version":"build-2736575974"},"reference-count":8,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,5]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>Leprosy is a chronic cutaneous infection. It is usually characterized by thickened nerves and maculo-anesthetic patches. Leprosy often has an unusual presentation, which is a diagnostic challenge. In this case report, we present a case of an elderly male who presented with fever and chronic pus-draining axillary, cervical, and inguinal lymph nodes. He also had a weak left foot for the previous 5 months. During his hospital stay, he developed additional papular lesions over his extremities. We performed fine needle aspiration from the lymph nodes and skin biopsy, which were suggestive of lepromatous leprosy. We initiated him on antileprosy medication. On follow-up, he was responsive to therapy. Although skin and nerve involvement in leprosy is common, this case had an atypical presentation of discharging lymph nodes.<\/jats:p>","DOI":"10.4269\/ajtmh.22-0513","type":"journal-article","created":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T09:48:05Z","timestamp":1684144085000},"page":"50-52","source":"Crossref","is-referenced-by-count":3,"title":["Case Report: Lepromatous Leprosy Masquerading as Acute Suppurative Lymphadenitis"],"prefix":"10.4269","volume":"109","author":[{"given":"Mahadev","family":"Meena","sequence":"first","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, Bhopal, India;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajnish","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, Bhopal, India;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaibhav","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, Bhopal, India;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prachi","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, Bhopal, India;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreya","family":"K","sequence":"additional","affiliation":[{"name":"Department of Dermatology, All India Institute of Medical Sciences, Bhopal, India;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garima","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Pathology, All India Institute of Medical Sciences, Bhopal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","year":"2019"},{"key":"b2","series-title":"J Am Acad Dermatol","first-page":"417","article-title":"An update on the diagnosis and treatment of leprosy","volume":"51","author":"Moschella","year":"2004"},{"key":"b3","series-title":"Clin Microbiol Rev","first-page":"338","article-title":"The continuing challenges of leprosy","volume":"19","author":"Scollard","year":"2006"},{"key":"b4","series-title":"Indian J Med Res","first-page":"3","article-title":"Elimination of leprosy & possibility of eradication \u2013 the Indian scenario","volume":"135","author":"Desikan","year":"2012"},{"key":"b5","series-title":"Lepr Rev","first-page":"112","article-title":"Lymph node abscess and cardiac involvement in a patient with nodular lepromatous leprosy (LL) with erythema nodosum leprosum (ENL): a rare occurrence","volume":"86","author":"Goyal","year":"2015"},{"key":"b6","series-title":"BMJ","first-page":"223","article-title":"Acute necrotizing lepromatous lymphadenitis: an erythema-nodosum-leprosum-like reaction in lymph nodes","volume":"4","author":"Karat","year":"1968"},{"key":"b7","series-title":"Clin Exp Immunol","first-page":"388","article-title":"Immune complexes and complement hypercatabolism in patients with leprosy","volume":"26","author":"Bjorvatn","year":"1976"},{"key":"b8","series-title":"Immunol Lett","first-page":"69","article-title":"The effect of antigen-presenting cells on the cytokine profiles of stable and reactional lepromatous leprosy patients","volume":"75","author":"Nath","year":"2000"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/109\/1\/article-p50.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/109\/1\/article-p50.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/109\/1\/article-p50.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T08:02:31Z","timestamp":1688544151000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/109\/1\/article-p50.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,5]]},"references-count":8,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.22-0513","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,5]]}}}