<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2664-2891</journal-id>
<journal-title><![CDATA[Revista científica ciencias de la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cient. cienc. salud]]></abbrev-journal-title>
<issn>2664-2891</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Pacífico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-28912025000100204</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/2025.e7204</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Coexistencia de infecciones micobacterianas en un paciente con fenómeno de Lucio. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Coexistence of mycobacterial infections in a patient with Lucio phenomenon. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreira-Parra]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Mclanghlin]]></surname>
<given-names><![CDATA[Nelson Barbaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrail-Hellman]]></surname>
<given-names><![CDATA[Albert Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital Regional de Ciudad del Este ]]></institution>
<addr-line><![CDATA[Ciudad del Este ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>7</volume>
<fpage>204</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912025000100204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912025000100204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912025000100204&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La lepra es una enfermedad infectocontagiosa crónica, adquirida por personas susceptibles a Mycobacterium leprae, con predilección neurodermatológica y de alto impacto sociosanitario. Además, puede incluir episodios de cambios en el sistema inmune, conocidos como estados reaccionales, que incluyen al fenómeno de Lucio, cuya patogénesis es poco comprendida hasta el momento. Por su parte, la tuberculosis sigue siendo una infección micobacteriana endémica en el Paraguay; sin embargo, la coinfección con Mycobacterium leprae rara vez se observa. La dinámica de transmisión de ambas infecciones convierte a la aparición concomitante de tuberculosis y lepra en un fenómeno infrecuente, y los síntomas clínicos de ambas enfermedades dependen de la respuesta inmunológica del huésped. Se presenta un paciente de sexo masculino que acude al servicio de Medicina Interna por una dermatosis diseminada de aspecto polimorfo, con múltiples lesiones eritematovioláceas, costrosas y ulceradas de distintos tamaños, asociadas a fiebre diaria. Se toma muestra linfocutánea a nivel de la oreja, la cual retorna positiva para enfermedad de Hansen. Los hallazgos en la exploración física del aparato respiratorio revelaron datos sugestivos de tuberculosis pulmonar, apoyados por el informe de la tomografía computarizada y la confirmación del GenXpert de esputo, el cual retorna positivo para Mycobacterium tuberculosis con sensibilidad a la rifampicina. La medicación antituberculosa y la terapia multimedicamentosa para la lepra multibacilar mejoraron sustancialmente la salud del paciente. La relación entre las dos enfermedades micobacterianas sigue siendo enigmática, a pesar de décadas de investigación, y los reportes de caso adquieren vital importancia para la comunidad médica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Leprosy is a chronic infectious disease, acquired by people susceptible to Mycobacterium leprae, with a neurodermatological predilection, with a high socio-health impact. In addition, it can include episodes of changes in the immune system, known as reactionary states, which includes the Lucio phenomenon, whose pathogenesis is poorly understood so far. Tuberculosis continues to be an endemic mycobacterial infection in Paraguay; however, co-infection with Mycobacterium Leprae is rarely seen. The transmission dynamics of both infections make the concomitant occurrence of Tuberculosis and Leprosy an infrequent phenomenon and the clinical symptoms of both diseases depend on the immune response of the host. We present a male patient who presents to the Internal Medicine service for a disseminated dermatosis of polymorphous appearance, with multiple disseminated scabrous and ulcerated erythemato-violet lesions of different types of sizes, associated with daily fever. A lymphocutaneous sample was taken at the level of the ear, which returned positive for Hansen's disease. The findings of the physical examination of the respiratory system revealed data suggestive of Pulmonary Tuberculosis, supported by the Computed Tomography report and the confirmation of the XPERT gene of sputum which returns positive for Mycobacterium Tuberculosis with sensitivity to rifampicin. Anti-tuberculosis medication and multidrug therapy for multibacillary leprosy substantially improved patient health. The relationship between the two mycobacterial diseases remains enigmatic despite decades of research, and case reports are of vital importance to the medical community.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[lepra lepromatosa]]></kwd>
<kwd lng="es"><![CDATA[mycobacterium leprae]]></kwd>
<kwd lng="es"><![CDATA[mycobacterium tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[adulto]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[salud pública]]></kwd>
<kwd lng="en"><![CDATA[lepra lepromatosa]]></kwd>
<kwd lng="en"><![CDATA[mycobacterium leprae]]></kwd>
<kwd lng="en"><![CDATA[micobacterium tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[adult]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[public health]]></kwd>
</kwd-group>
</article-meta>
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