10-09-2014, 03:56 PM
Mycobacterium leprae
Acid fast bacillus
Obligate aerobe
Facultative intracellular
Non motile
Catalase +ve
Phenolase +ve (used for diagnosis)
Grow at low temperatures
Can not be cluttered in vitro (only in vivo only armadillos or mouse foot )
Leprosy ✈✈✈✈✈spectrum of ds
1/lepromatous leprosy
Weak immune response
Organism found everywhere
Multiple skin lumps and pumps, leonine face, peripheral neuropathy
2/intermediate form
BL , BB , BT
3/Tuberculoid leprosy
Intact cell mediated immunity with intense response
Granuloma formation limit spread
Localized damage ✈✈✈✈✈Thickened nerves and hypopigmented skin, peripheral neuropathy
Dx✈✈✈
skin/ nerve biopsy (granuloma in tuberculoid, acid fast bacteria in lepromatous)
Lepromin skin test to determine prognosis(+ve in tubercuoloid )
Treatment ✈✈✈✈
Used in combination to prevent resistance (Dapsone, Rifampin,clofazimine)
Acid fast bacillus
Obligate aerobe
Facultative intracellular
Non motile
Catalase +ve
Phenolase +ve (used for diagnosis)
Grow at low temperatures
Can not be cluttered in vitro (only in vivo only armadillos or mouse foot )
Leprosy ✈✈✈✈✈spectrum of ds
1/lepromatous leprosy
Weak immune response
Organism found everywhere
Multiple skin lumps and pumps, leonine face, peripheral neuropathy
2/intermediate form
BL , BB , BT
3/Tuberculoid leprosy
Intact cell mediated immunity with intense response
Granuloma formation limit spread
Localized damage ✈✈✈✈✈Thickened nerves and hypopigmented skin, peripheral neuropathy
Dx✈✈✈
skin/ nerve biopsy (granuloma in tuberculoid, acid fast bacteria in lepromatous)
Lepromin skin test to determine prognosis(+ve in tubercuoloid )
Treatment ✈✈✈✈
Used in combination to prevent resistance (Dapsone, Rifampin,clofazimine)