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18.11

Buruli Ulcer

Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 18, Skin Conditions.

Clinical Description

Chronic debilitating disease caused by an environmental Mycobacterium ulcerans that affects skin and sometimes bone

Signs and Symptoms

  • Painless ulcers
  • Papules, nodules, plaques, ulcers
  • This is an ulcerative skin condition caused by Mycobacterium ulcerans

Treatment

  • Depends on stage of condition, but if ulcerated
  • Daily wound dressing with Normal Saline 0.9%
  • Medicine therapy doesn't usually work
  • Surgery

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