Pages 136 - 140 Volume 84, Issue 2
Nerve abscess in primary neuritic leprosy

Nerve abscess is an infrequently reported complication of leprosy. We describe a patient with a pure neuritic type of leprosy with multiple nerve abscesses, who presented with tingling and numbness in the medial aspect of his right forearm and hand. Subsequently he developed pain, redness and swelling over the medial side of his right elbow and the flexor aspect of his right wrist. High-resolution ultrasound showed diffuse thickening of the right ulnar nerve with hypoechoic texture housing a cystic lesion with internal debris suggesting an abscess, at the cubital tunnel. Histopathological examination of the pus and tissue obtained from the abscess revealed presence of granulomas with lepra bacilli. The patient responded to surgery and multidrug therapy. In conclusion, the nerve abscess as the first manifestation of leprosy is uncommon and a high index of suspicion is required to make a correct diagnosis.

Cite this article
Dheeraj Rai, Hardeep Singh Malhotra, Ravindra Kumar Garg, Madhu Mati Goel, Kiran Preet Malhotra, Vijay Kumar, Arun Kumar Singh, Amita Jain, Neera Kohli, Shailesh Kumar Singh;
Nerve abscess in primary neuritic leprosy; Leprosy Review; 2013; 84; 2; 136-140; DOI: 10.47276/lr.84.2.136
Leprosy Review
British Leprosy Relief Association
Colchester, UK