Methaemoglobinaemia and paralysis of the hemi-diaphragm in a leprosy patient

Leprosy Mailing List – October 19th, 2008

Ref.: Methaemoglobinaemia and paralysis of the hemi-diaphragm in a leprosy patient.
From: Bryceson A., London, UK


Dear Salvatore,

Concerning Dr Kamaladasa's case (LML Oct. 18th, 2008), I cannot explain the methaemoglobinaemia but the signs at the right diaphragm and the general clinical picture suggest the possibility of a sub-diaphragmatic abscess, such as an amoebic liver abscess. An ultrasound scan and amoebic serology might be helpful. Steroids might aggravate the situation and mask its seriousness.

Best wishes,
Anthony