Buruli (aka Bairnsdale) ulcer (Mycobacterium ulcerans)

Question 1

Features

Answer 1

A slowly developing necrotic ulcer with an undermined edge.

Currently endemic in:

• coastal Victoria
• Far North Queensland
• tropical regions of Africa.

Question 2

Diagnosis

Answer 2

Biopsy (the key test)

and

PCR testing

Question 3

Management

Answer 3

Refer early to an infectious disease unit

8 to 12 wks of oral antibiotics, usually

• rifampicin and clarithromycin
• along with specialist wound care

Surgical debridement may be necessary.