One of the main limitations for successful epidemiological control of
leprosy is the lack of a method for its diagnosis in subclinical cases
, Because of the long incubation period of the disease, liberation and
spread of Mycobacterium leprae during subclinical stages - principall
y in cases of untreated multibacillary forms of leprosy - constitute t
he main source of infection. This report describes the use of the poly
merase chain reaction (PCR) for the detection of M. leprae in differen
t types of tissue samples (blood, lymph, nasal secretion and hair) fro
m an individual who was suspected of having leprosy. Although no concl
usive diagnosis could be made by traditional diagnostic methods, the i
ndividual was found to be infected with M. leprae after amplification
of the bacterial DNA.