Author Affiliations: Departments of Dermatology (Drs Loh, Maverakis, Konia, and Noll) and Pathology (Dr Konia), University of California, Davis, Sacramento; Department of Veterans Affairs, Mather, California (Dr Maverakis).
A 26-year-old man from the Marshall Islands presented with complaints of chest pain and cough for 2 days and abdominal pain for several months. His chest radiograph showed right lower lobe consolidation and pleural effusion while computed tomography and magnetic resonance imaging revealed thoracic vertebral osteomyelitis and paraspinal abscess. The result of a tuberculin skin test was positive, but this was attributed to his history of BCG vaccination. His sputum sample tested negative for acid-fast bacilli. Pulmonary and cutaneous coccidioidomycosis was suspected because he had lived in Arizona and had skin nodules.
Loh E, Maverakis E, Konia T, Noll E. Lepromatous Leprosy in a 26-Year-Old Man With Concurrent Disseminated Tuberculosis. Arch Dermatol. 2012;148(9):1096-1097. doi:10.1001/archdermatol.2012.970