Tropical diseases prevalent in leprosy-endemic areas may alter the immunological patient response and also complicate the presentation of leprosy reactional episodes. The introduction of anti-malarial drugs in our case produced a subsidence of reaction. With dwindling manpower skilled in leprosy, the reactional episodes are very often treated with non-steroidal anti-inflammatory drugs, steroids and thalidomide, neglecting the possibility of other co-existing infections, tropical or other. Our case emphasises the importance of history, examination and balanced investigation in the context of tropical diseases in endemic areas before injudicious intervention.

中文翻译：

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潜在恶性疟原虫感染的麻风病慢性 2 型反应：病例报告。

麻风病流行地区流行的热带疾病可能会改变患者的免疫反应，并使麻风反应发作的情况复杂化。在我们的案例中，抗疟疾药物的引入导致了反应的减弱。随着麻风病领域熟练的人力不断减少，反应性发作通常用非类固醇抗炎药、类固醇和沙利度胺来治疗，而忽略了其他共存感染（热带或其他）的可能性。我们的案例强调了在采取不明智的干预措施之前，在流行地区的热带病背景下进行病史、检查和平衡调查的重要性。