Cocktail Inferno – Multiple Sclerosis with Type 2 Diabetes Mellitus in a Patient with Lepromatous Leprosy

Abstract

Co-occurrence of multiple sclerosis with type 2 diabetes mellitus with lepromatous leprosy is rare. We hereby report a case of multiple sclerosis with type 2 diabetes mellitus with lepromatous leprosy in a middle-aged female. She was clinically diagnosed as having multiple sclerosis with type 2 diabetes mellitus and presented with fever, ENL and neuritis. Her MRI reports were normal but she had a positive slit-skin smear and skin biopsy as lepromatous leprosy. Proceeding with this diagnosis, she was treated with baclofen for spastic bladder, antibiotics for urinary tract infection, oral hypoglycemic agents and oral steroids with multibacillary treatment for leprosy with type 2 reactions. She responded well and currently is being followed-up.