Type: Mycobacteria
Name: Mycobacterium ulcerans
Importance- to Body:
Cutaneous Infection
Distribution- in Body:
Skin; Buruli ulcer (nodule develops into necrotic ulcer). May involve bone.
Epidemiology:
Food Sources:
Environmental/Geographic Sources:
Swamp water in Africa, Asia, Australia, and South America.
Diagonosis:
Biopsy of tissue showing AFB* and AFB culture positive
Treatment:
Difficult to treat. Surgical debridement and dual antibiotics (rilampin, clarithromycin, dapsone, streptomycin, clofazimine, and/or trimethoprim/sulfamethoxazole) for weeks to months.
Supplemental information:
Source: Cutaneous Manifestations Of Waterborne Infections by: Lucinda Elko, MD, RPh, Keith Rosenbach, MD, PhD*, and John Sinnott, MD
*AFB—acid-fast bacilli.
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