Mycobacterium ulcerans infection (Buruli ulcer): first reported case in a traveler.

Semret, Makeda; Koromihis, G; MacLean, J. Dick; Libman, Michael; Ward, Brian J.

doi:10.4269/ajtmh.1999.61.689

Cited by 33 publications

(14 citation statements)

References 20 publications

(28 reference statements)

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“…It is difficult to culture because it requires a low ambient temperature (optimally 28° to 33°C), is slow growing, and often is overgrown with other organisms. Travel-related infections have been reported in several countries [37]. During an outbreak in temperate Australia (29 cases over 3 years) [38], samples of water taken from a swamp and a golf course irrigation system were positive for M. ulcerans by PCR.…”

Section: Buruli Ulcer (Mycobacterium Ulcerans)mentioning

confidence: 99%

Dermatologic infectious diseases in international travelers

Wilson

Chen²

2004

Curr Infect Dis Rep

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Skin lesions provide an important clue to the diagnoses of many infections in returned travelers. New information related to epidemiology, recognition, diagnosis, or management is described for the systemic infections--dengue fever, several of the rickettsial infections, African trypanosomiasis, and coccidioidomycosis. Many pathogens cause focal skin findings. Recent findings are presented for cutaneous leishmaniasis, Buruli ulcer, gnatho-stomiasis, cutaneous larva migrans, myiasis, tungiasis, and scabies. This paper describes the most common skin problems in returning travelers and outlines the types of infections that cause skin lesions, as defined by morphologic characteristics.

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Section: Buruli Ulcer (Mycobacterium Ulcerans)mentioning

confidence: 99%

Dermatologic infectious diseases in international travelers

Wilson

Chen²

2004

Curr Infect Dis Rep

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“…Other NTDs, such as dracunculiasis, Buruli ulcer and African and American trypanosomiasis are very infrequent in travelers, with only very few cases reported in the literature [16]–[19], and these diseases were not diagnosed in this cohort either.…”

Section: Discussionmentioning

confidence: 60%

Neglected Tropical Diseases outside the Tropics

et al. 2010

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BackgroundThe neglected tropical diseases (NTDs) cause significant morbidity and mortality worldwide. Due to the growth in international travel and immigration, NTDs may be diagnosed in countries of the western world, but there has been no specific focus in the literature on imported NTDs.MethodsRetrospective study of a cohort of immigrants and travelers diagnosed with one of the 13 core NTDs at a Tropical Medicine Referral Unit in Spain during the period April 1989-December 2007. Area of origin or travel was recorded and analyzed.ResultsThere were 6168 patients (2634 immigrants, 3277 travelers and 257 VFR travelers) in the cohort. NTDs occurred more frequently in immigrants, followed by VFR travelers and then by other travelers (p<0.001 for trend). The main NTDs diagnosed in immigrants were onchocerciasis (n = 240, 9.1%) acquired mainly in sub-Saharan Africa, Chagas disease (n = 95, 3.6%) in immigrants from South America, and ascariasis (n = 86, 3.3%) found mainly in immigrants from sub-Saharan Africa. Most frequent NTDs in travelers were: schistosomiasis (n = 43, 1.3%), onchocerciasis (n = 17, 0.5%) and ascariasis (n = 16, 0.5%), and all were mainly acquired in sub-Saharan Africa. The main NTDs diagnosed in VFR travelers were onchocerciasis (n = 14, 5.4%), and schistosomiasis (n = 2, 0.8%).ConclusionsThe concept of imported NTDs is emerging as these infections acquire a more public profile. Specific issues such as the possibility of non-vectorial transmission outside endemic areas and how some eradication programmes in endemic countries may have an impact even in non-tropical western countries are addressed. Recognising NTDs even outside tropical settings would allow specific prevention and control measures to be implemented and may create unique opportunities for research in future.

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“…BU has occasionally been observed in volunteers or journalists 3 who have travelled to Africa, as well as in immigrants who contracted the disease while living in endemic areas 4 . Most patients treated in nonendemic areas were seeking a diagnosis 5,6 .…”

Section: Reportmentioning

confidence: 99%

Aggressive multifocal Buruli ulcer with associated osteomyelitis in an HIV-positive patient

Toll¹,

Gallardo²,

Ferrán³

et al. 2005

Clin Exp Dermatol

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Mycobacterium ulcerans infection causes a skin disease known as Buruli ulcer (BU), a disorder manifested usually as a solitary and painless nodule or papule that progresses to massive necrotizing destruction and cutaneous ulceration. When healing occurs, it often results in disabling deformities. Buruli ulcer is considered the third most common mycobacterial disease in immunocompetent people, after tuberculosis and leprosy. Although the emergence of Buruli ulcer in Western African countries over the past decade has been dramatic, it has been scarcely reported in industrialized countries. We report a patient from Equatorial Guinea who was human immunodeficiency virus-positive, presenting aggressive and multifocal BU associated with an underlying destructive osteomyelitis, in which only an aggressive surgical approach yielded to a resolution of the disease. In a global world, with increasing migratory population fluxes, an increased awareness of dermatologists regarding the clinical, histopathological and microbiological features of BU is important in order to avoid significant delays in diagnosis and treatment.

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Mycobacterium ulcerans infection (Buruli ulcer): first reported case in a traveler.

Cited by 33 publications

References 20 publications

Dermatologic infectious diseases in international travelers

Dermatologic infectious diseases in international travelers

Neglected Tropical Diseases outside the Tropics

Aggressive multifocal Buruli ulcer with associated osteomyelitis in an HIV-positive patient

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