Leprosy Diagnostic Landscape

Mouse Footpad Inoculation

Inoculation of viable bacilli into the murine hind footpad, with serial harvest to demonstrate multiplication. It is the reference method for testing whether bacilli are alive and for phenotypic drug susceptibility testing. Results take 6–12 months and need dedicated animal facilities.

Technology
Drug Resistance Testing · In vivo propagation
What it measures
Viable M. leprae multiplication
Developer
A small number of reference laboratories, first described at the US Communicable Disease Center, now the CDC (Shepard, 1960)
Specimen
Slit-skin smear
Development status
LDT with clinical validation
Regulatory status
None / RUO
Intended use
Viability assessment and phenotypic drug susceptibility testing
Main limitation
Results take 6–12 months, and few laboratories have the animal facilities.
Linked publications
276
Collaborating institutions
National Hansen's Disease Program (Baton Rouge, LA, USA), Leprosy Research Center, National Institute of Infectious Diseases (Tokyo, Japan), Instituto Lauro de Souza Lima (Bauru, Brazil)
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