Fundamentals Of Microbiology 10th Edition by Jeffrey Pommerville

Exercise 39

An African patient reports to a local hospital with an upper lip swollen to about three times its normal size. Probing with a safety pin at facial points where major nerve endings terminate showed that the area to the left of the nose and above the lip was without feeling. When a biopsy of the tissue was examined, it revealed round reservoirs of immune system cells called granulomas within the nerves. On bacteriological analysis, acid-fast rods were observed in the tissue. What disease do all these data suggest