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I: microbial diseases of the nervous system (LEPROSY)
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leprosy is also known as
hansen’s disease
mycobacterium leprae causes what disease?
leprosy/hansen’s disease
what microbe causes leprosy?
mycobacterium leprae
where is mycobacterium leprae found?
grows in the peripheral nervous system + skin cells
nasal secretions + lesion fluid
armidillos
mycobacterium leprae can only be seen under what stain?
acid-fast rod
what is the generation time of mycobacterium leprae?
12 days
what is needed in order for mycobacterium leprae to transfer from person to person
intimate, prolonged contact
what is the incubation time of mycobacterium leprae?
5-15 years → but SHORTER in children
what is the path of infection of leprosy?
contact with nasal secretions or contaminated fomites
what are the symptoms of leprosy/hansen’s disease?
skin infections
decreased sensation
repeated damage (loss of fingers/toes)
muscle weakness causing fingers to curl inward like a claw
necrosis of tissue
skin infections, ______ _______, repeated damage (loss of fingers/toes), muscle weakness causing fingers to curl inward like a ______, ______ of tissue
skin infections
decreased sensation
repeated damage (loss of fingers/toes)
muscle weakness causing fingers to curl inward like a claw
necrosis of tissue
what are the 2 forms of leprosy?
lepromatous
tuberculoid
lepromatous
skin cells infected with mycobacterium leprae
→ leads to large, disfiguring nodules
→ this is severe leprosy
tuberculoid (neural)
regions of skin lose sensation → surrounded by small nodules → depigmentation
what is the treatment for leprosy?
rifampin
sulfone (person is non-infection)
rifampin and ______ are used to treat leprosy
rifampin and sulfone
how long is a patient with leprosy treated for?
6-24 months
isolation for leprosy is…
no longer required