M. ulcerans (Buruli Ulcer) | Figure 4.19
A: Erythema nodosum
leprosum, arm
(Courtesy of Dr. Paul Getz)
B: Fish tank granuloma
C: Buruli ulcer
(Courtesy of CDC) |
(Figure 4.19C) - Produces indolent ulcers after minor trauma, associated with agricultural activities
- Presents as nontender deep-seated nodule which ulcerates, forming deep necrotic base with undermined borders; ± osteomyelitis if underlying bone involved
- Treatment: excision, local heat (as bacteria prefer cooler temperatures); drug therapy often disappointing
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