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Fig.40-A1
Lepromatous Lepra
A 14-years old boy from the environs of the town Barinas / Venezuela is suffering for a long period of time an exanthema particularly on the right side of the face which did not heal applying numerous treatments. Very conspicuous was the lack of sensibility.
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Fig.40-B1
Dermatophytosis
A 28-years old female patient from the town of Barinas / Venezuela was suffering for several months an important swelling of the skin of her right cheek and red, circular foci which extended to the forehead.
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Fig.40-A2
Lepromatous Lepra
The smears of the lymph fluid of the skin from the right cheek presented with the Ziehl-Neelsen stain at higher power abundant small red rods, i.e bacilli of Mycobacterium lepra.
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Fig.40-B2
Dermatophytosis
In smears of the skin the possibility of a lepra could be excluded, but in the same material and with an adequate staining method branching hyphae and macroconidia were detected. The culture on Sabouraud-Glucose-Agar showed after two weeks a radiating fungal colony. Microscopically Microsporum gypseum was confirmed.
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Previus Case 39