Volume 20, Number 11—November 2014
Mycobacterium ulcerans Infection Imported from Australia to Missouri, USA, 2012
|Patient no., age, y||Location of ulcer||Risk factor||Travel history||Time, wk, to first drug therapy||Final treatment regimen||Time, mo, to diagnosis||Length, mo, of drug therapy||Surgical management||Outcome|
|1, 20||Left foot||None||Nigeria||20||Lamprene, clofazimine||–||–||Amputation below knee||Amputation|
|2, 34||Right elbow||None||Nigeria||–||Surgery alone||7||–||Debridement and split-thickness skin grafting||Cure|
|3, 36||Left calf||Fresh Water||Northern, western, and Central Africa||17||Clarithromycinand ciprofloxacin||8||18||Debridement and split-thickness skin grafting||Cure|
|4, 63||Right calf and left foot||Hiking in Daintree Rainforest in sandals||QLD, Australia||36||Rifampin, clarithromycin, moxifloxacin||9||15||Debridement and split-thickness skin grafting||Cure|
*All patients were male. Except for negative smear results for patient 1, culture and smear results for all patients were positive. QLD, Queensland; –, Information not available.