01561nas a2200349   4500000000100000008004100001260001300042653001500055653001000070653002100080653002800101653001100129653001100140653001100151653000900162653004500171653002700216653001500243100001600258700001100274700001200285700001100297700000900308700001700317700001400334700001300348245007700361300000900438490000700447520074300454022001401197       2006                            d  c2006 Jul10aAlgorithms10aChild10aChild, Preschool10aDiagnosis, Differential10aFemale10aHumans10aInfant10aMale10aMycobacterium Infections, Nontuberculous10aMycobacterium ulcerans10aSkin Ulcer1 aChin-Lenn L1 aYing D1 aLeong J1 aRoss D1 aWu T1 aNazaretian S1 aDonahoe S1 aSilfen R00aMycobacterium ulcerans ulcers: a proposed surgical management algorithm.  a65-90 v573 a<p>Mycobacterium ulcerans (MU) is the third common mycobacterial infection after tuberculosis and leprosy. In endemic areas, MU ulcers should be considered in the differential diagnosis of any unusual or nonhealing lesion or ulcer. Diagnosis and treatment should be instigated promptly. Delay may lead to disfiguring or disabling scars. Surgical management, therefore, should aim towards early excision, with clear margins of the ulcer. We present 4 consecutive patients treated by our department within a 6-month period for MU ulcers. The presentation, diagnosis and surgical management are described. Based on our experience and after reviewing the literature, we have developed a surgical algorithm for the management of MU ulcers.</p>  a0148-7043