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Mycobacterium ulcerans ulcers: a proposed surgical management algorithm.

Abstract

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.

More information

Type
Journal Article
Author
Chin-Lenn L
Ying D
Leong J
Ross D
Wu T
Nazaretian S
Donahoe S
Silfen R
Year of Publication
2006
Journal
Annals of plastic surgery
Volume
57
Issue
1
Number of Pages
65-9
Date Published
2006 Jul
Language
eng
ISSN Number
0148-7043
DOI
10.1097/01.sap.0000209031.57727.e4
Alternate Journal
Ann Plast Surg
Publication Language
eng