18th February 2024

A 34-year-old female from Nigeria presents to the clinic with hyperpigmented skin lesions

A 34-year-old female from Nigeria presents to the clinic with hyperpigmented skin lesions. She initially noted fever, malaise and chronic rhinitis. This was accompanied by bilateral loss of eyelashes and dusky hyperpigmented patches throughout the extremities and nose. This has recently progressed to skin thickening and ulceration of her lower limbs that are not responsive to antibiotics. Examination reveals a thickened forehead, earlobes, and shiny hyperpigmented plaques across his extremities and trunk. Reduced peripheral sensation were noted along his fingers and toes.

What is the likely causative organism for this condition?

Select the SINGLE most appropriate option from the list below. Select ONE option only.