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Table 1 Timeline of the patient from the initial presentation

From: Leprosy – eliminated and forgotten: a case report

8 February 2017 The patient visited our hospital. Admitted to evaluate the cause of fever
14 February 2017 ENT consultation for cervical lymphadenopathy
FNAC of cervical lymph node: reactive lymphadenitis
22 February 2017 The patient developed a skin lesion over his lower leg. Dermatological consultation was done. A skin biopsy was performed. The biopsy was inadequate and repeat was advised.
26 February 2017 A provisional diagnosis of pyrexia of unknown origin was made.
Bone marrow aspiration with a biopsy was performed. Bone marrow showed myeloid hyperplasia suggesting inflammatory pathology.
2 March 2017 A diagnosis of adult-onset Still’s disease was made. Prednisolone 40 mg was started.
6 March 2017 Fever subsided and the patient was discharged
29 March 2017 Fever reappeared with cervical lymphadenopathy
29 March 2017 FNAC inguinal lymph node: granulomatous lymphadenitis
3 April 2017 ATT started
8 April 2017 Nodular skin rash on shoulder, back, and face developed
10 April 2017 Skin biopsy: erythema nodosum leprosum
18 April 2017 Referred to Anandaban Leprosy Hospital
18 April 2017 Slit-skin smear: 4+
18 April 2017 Diagnosed as lepromatous leprosy with erythema nodosum leprosum
18 April 2017 MBMDT with prednisolone
  1. ATT anti-tuberculosis treatment, ENT ear, nose, and throat, FNAC fine-needle aspiration cytology, MBMDT multibacillary multidrug therapy cytology