Mycobacterium ulcerans disease (Buruli ulcer) in a rural hospital in Bas-Congo, Democratic Republic of Congo, 2002-2004

DM Phanzu, EA Bafende, BK Dunda, DB Imposo, AK Kibadi, SZ Nsiangana, JN Singa, WM Meyers, P Suykerbuyk, F Portaels

    Research output: Contribution to journalA1: Web of Science-articlepeer-review

    Abstract

    Buruli ulcer (BU), which is caused by Mycobacterium ulcerans, is an important disabling skin disease. Its prevalence is highest in west and central Africa. We report an apparent resurgence of BU in the Bas-Congo Province, Democratic Republic of Congo. During a 28-month period in 2002–2004, the rural hospital of the Institut Médical Evangélique at Kimpese admitted 51 patients suspected of having BU. Bacteriologic, molecular biologic, and histopathologic studies confirmed BU in 36 of these patients. Extensive clinical data, treatment outcomes, and socioeconomic correlations are summarized. Osteomyelitis was an important complication. A multidisciplinary approach to BU control in the Bas-Congo is proposed, aimed primarily at active case detection.
    Original languageEnglish
    JournalAmerican Journal of Tropical Medicine and Hygiene
    Volume75
    Issue number2
    Pages (from-to)311-314
    ISSN0002-9637
    DOIs
    Publication statusPublished - 2006

    Keywords

    • B780-tropical-medicine
    • Bacterial diseases
    • Buruli ulcer
    • Mycobacterium ulcerans
    • Epidemiology
    • Trends
    • Resurgence
    • Complications
    • Congo-Kinshasa
    • Africa-Central

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