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Buruli ulcer, Central African Republic.

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Minime-Lingoupou, Fanny | Beyam, Narcisse | Zandanga, Germain | Manirakiza, Alexandre | N'Domackrah, Alain | Njuimo, Simeon | Eyangoh, Sara | Cottin, Jane | Marsollier, Laurent | Marion, Estelle | Portaels, Francoise | Le Faou, Alain | Bercion, Raymond

Edité par CCSD ; Centers for Disease Control and Prevention -

International audience. Buruli ulcer, the third most common mycobacterial disease of humans after tuberculosis and leprosy, is an important disfigur- ing and disabling cutaneous infection disease caused by Mycobacterium ul- cerans. Buruli ulcer was declared an emerging skin disease of public health concern by the World Health Orga- nization (WHO) in 1998. Although the disease is known to be associated with swampy areas and environmental changes, the mode of transmission is not yet clearly understood. A possible role for water bugs in the transmission has been postulated in the last 10 years. In this direction, several researchers have proposed that biting water bugs could be vectors for M. ulcerans (1). M. ulcerans produces a potent toxin known as mycolactone (2), which ly- ses dermal cells, leading to the devel- opment of continuously expanding ul- cers with undermined edges. Surgery is the only treatment for late lesions, which involves excision of necrotic tissues, followed by skin grafting. Af- ter such treatment, patients suffer from functional limitations, social stigmati- zation, and the loss of livelihood (3)...

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