Table 2: Baseline characteristics, diagnosis, treatment received, surgical interventions and treatment outcomes of cases.
Case 1 |
Case 2 |
Case 3 |
Case 4 |
|
Age |
6 years |
17 years |
14 years |
45 years |
Gender |
Male |
Male |
Male |
Male |
Date of specimen collection |
30th November, 2016 |
9th January, 2019 |
24th July, 2019 |
26th September, 2020 |
Location of lesion(s) |
Left upper limb/wrist |
Right lower limb/knee, thigh, and leg |
Right upper limb/arm and forearm |
Left lower limb/leg |
Lesion type |
Ulcer |
Ulcer |
Ulcer |
Ulcer |
Clinical form, size, and WHO category of the lesion |
Category II |
Category III |
Category III |
Category III |
Specimen collected for PCR diagnosis |
Dry swabs and FNA in 1 mL phosphate buffered saline (PBS) |
Dry swabs in sterile tubes |
Dry swabs in sterile tubes |
Dry swabs in sterile tubes |
Specimen collected for f-TLC diagnosis |
Swabs in O-ring vials containing 1 mL absolute ethanol, wrapped in aluminium foil |
Swabs in O-ring vials containing 1 mL absolute ethanol, wrapped in aluminium foil |
Swabs in O-ring vials containing 1 mL absolute ethanol, wrapped in aluminium foil |
Swabs in O-ring vials containing 1 mL absolute ethanol, wrapped in aluminium foil |
Date of laboratory diagnosis |
December, 2016 |
January, 2019 |
July, 2019 |
June, 2020 |
PCR results |
Positive |
Negative |
Positive |
Positive |
f-TLC results |
Positive |
Positive |
Positive |
Positive |
Drug regimen • Principal drug • Secondary drug |
Rifampicin (10 mg/kg) streptomycin injection (15 mg/kg) |
Rifampicin (10 mg/kg) streptomycin injection (15 mg/kg) |
Rifampicin (10 mg/kg) streptomycin injection (15 mg/kg) |
Rifampicin (10 mg/kg) streptomycin injection (15 mg/kg) |
Duration of drug therapy |
8 weeks |
8 weeks |
8 weeks |
8 weeks |
Surgical treatment |
No |
No |
Yes |
No |
Types of surgical Interventions |
N/A |
N/A |
• Debridement • Skin graft |
N/A |
Treatment outcomes |
• Antibiotic treatment completed. • Healed without surgery. • Healed without limitation of movement to any joint. |
• Antibiotic treatment completed. • Healed without surgery. • Healed with limitation of movement to any joint. |
• Antibiotic treatment completed. • Healed with surgery. • Healed with limitation of movement to any joint. |
• Antibiotic treatment completed. • Healed without surgery. • Healed without limitation of movement to any joint. |
Date of laboratory diagnosis |
30th November, 2016 |
9th January, 2019 |
24th July, 2019 |
26th September, 2020 |
Date of discharge |
15 March 2017 |
15 July, 2020 |
15 July, 2020 |
15 July, 2020 |
Length of hospital stay |
105 days |
553 days |
357 days |
144 days |