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A Case Report of Multibacillary Leprosy Presenting with Multiple Outbreaks of E...

Bouceiro-Mendes, R.; Ortins-Pina, A.; Marques, T.; Viveiros, M.; Machado, D.; Lito, L.; Ferreira, J.; Soares-de-Almeida, L.; Freitas, J. P.; Filipe, P.

Leprosy is a chronic granulomatous disease with a long incubation period caused by Mycobacterium leprae that mainly affects the skin, mucous membranes and the peripheral nervous system. It carries the risk of per-manent sequels with a significant impact on the patient’s quality of life. It has a considerable clinically diver-sity and possible atypical presentations. We present a case of a 31-year-old, skin phot...


Inoculation Eschars and Fever: A Case of African Tick Bite Fever

Bouceiro-Mendes, R.; Mendonça-Sanches, M.; Soares-de-Almeida, L.; Correia-Fonseca, I.

African tick bite fever is caused by the intracellular bacteria Rickettsia africae. This bacterium is transmitted through the bite of the Amblyomma tick, which carries a high rate of R. africae infection. African tick bite fever is the second most frequent cause of fever in travelers returning from sub-Saharan Africa.We present the case of a 58-year-old man, returning from South Africa, with a three-day history...


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