Log in with your email address username.

×

Attention doctorportal newsletter subscribers,

After December 2018, we will be moving elements from the doctorportal newsletter to MJA InSight newsletter and rebranding it to Insight+. If you’d like to continue to receive a newsletter covering the latest on research and perspectives in the medical industry, please subscribe to the Insight+ newsletter here.

As of January 2019, we will no longer be sending out the doctorportal email newsletter. The final issue of this newsletter will be distributed on 13 December 2018. Articles from this issue will be available to view online until 31 December 2018.

Risk factors for recurrent Mycobacterium ulcerans disease after exclusive surgical treatment in an Australian cohort

Mycobacterium ulcerans causes necrotising lesions of skin and soft tissue. The major disease burden is found in tropical climates, mainly in Africa, but cases have been reported from 33 countries worldwide.1 It is endemic in both the temperate south-eastern region and tropical areas of north-eastern Australia, where cases have recently been increasing.2

Traditionally, wide surgical excision of lesions was the recommended treatment for M. ulcerans disease, as antibiotics were felt to be ineffective.3,4 However, recurrences are common with surgical treatment alone, occurring in 16%–30% of cases,58 and patients often require multiple operations, resulting in significant morbidity, time in hospital6,9 and cost to achieve cure.10 Recently, antibiotics have been shown to be highly effective in sterilising lesions…

email