Can leprosy enter the body through the nose?

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Yes, it is possible for the leprosy bacillus to enter the human body through the nose. Scientific research, including experiments using mouse models, has demonstrated that the organism can be transmitted through the intact lining of the nose.1

While the exact mechanism of human-to-human transmission remains a subject of study, it is widely theorized by scientists that the bacterium enters the body either through the mucous membranes of the nose or through breaks in the skin. Once an infection is established, particularly in cases of lepromatous leprosy, the nasal passages can become heavily colonized with the bacilli, which may lead to the destruction of the nasal septum.23