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Volume 20, Number 11—November 2014

Mycobacterium ulcerans Infection Imported from Australia to Missouri, USA, 2012

Benjamin Stuart ThomasComments to Author , Thomas C. Bailey, Julu Bhatnagar, Jana M. Ritter, Brian D. Emery, Omar W. Jassim, Ian Kerst Hornstra, and Sarah L. George
Author affiliations: Washington University School of Medicine, St. Louis, Missouri, USA (B.S. Thomas, T.C. Bailey, I.K. Hornstra); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J. Bhatnagar, J.M. Ritter, B.D. Emery); John Cochran Veterans Affairs Medical Center, St. Louis (O.W. Jassim, I.K. Hornstra, S.L. George); Saint Louis University, St. Louis (S.L. George)

Main Article


Characteristics of persons with Mycobacterium ulcerans infection diagnosed and treated in the United States but acquired in a different country*

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.

Main Article

Page created: October 15, 2014
Page updated: October 15, 2014
Page reviewed: October 15, 2014
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