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Updated: Jan 24, 2026

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A Standardized Procedure for Monitoring Harmful Algal Blooms in Chile by Metabarcoding Analysis
Published on: August 26, 2021
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[Hansen disease, an emergent condition in Chile]
Álvaro San-Martín1, Cristián Carrasco1, Alberto Fica1
1Hospital Base de Valdivia, Valdivia, Chile.
Summary
Hansen's disease (HD), a chronic infection affecting skin and nerves, is emerging in Chile due to migration. Early diagnosis and molecular tools are crucial for managing this condition in the migrant population.
Area of Science:
- Infectious Diseases
- Microbiology
- Epidemiology
Background:
- Hansen's disease (HD), caused by Mycobacterium leprae, is a chronic infectious disease primarily affecting the skin and peripheral nerves.
- HD is an emergent infection in Chile, with cases linked to recent migration waves.
Observation:
- A case report details a migrant worker from Haiti presenting with skin lesions, hypoesthesia, and unilateral madarosis.
- Diagnosis was confirmed as multibacillary Hansen's disease through clinical findings, skin smear, biopsy, and molecular amplification of M. leprae genes (rpoB, hsp65).
Findings:
- The patient received a one-year WHO standard combined regimen for multibacillary HD, resulting in partial regression of skin lesions.
- PCR detected M. leprae in nasopharyngeal samples, with rpoB gene copies decreasing over six months of therapy.
- Notifiable disease data indicate an increase in HD cases, predominantly among the migrant population in Chile.
Implications:
- Hansen's disease represents a newly recognized condition in Chile, necessitating increased clinical awareness among healthcare providers.
- Molecular diagnostic tools, such as PCR, can aid in the diagnosis and monitoring of Hansen's disease.
- The findings highlight the importance of surveillance and management strategies for infectious diseases in mobile populations.
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