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

Christina M Steffen
Med J Aust 2014; 200 (2): . || doi: 10.5694/mja13.10780
Published online: 3 February 2014

To the Editor: O’Brien and colleagues report high rates of recurrence of Mycobacterium ulcerans disease after surgery without adjuvant antibiotics.1


  • Cairns Hospital, Cairns, QLD.



Competing interests:

No relevant disclosures.

  • 1. O’Brien DP, Walton A, Hughes AJ, et al. Risk factors for recurrent Mycobacterium ulcerans disease after exclusive surgical treatment in an Australian cohort. Med J Aust 2013; 198: 436-439. <MJA full text>
  • 2. Steffen CM, Smith M, McBride WJ. Mycobacterium ulcerans infection in North Queensland: the “Daintree ulcer”. ANZ J Surg 2010; 80: 732-736.
  • 3. World Health Organization. Buruli ulcer: progress report, 2004-2008. Wkly Epidemiol Rec 2008; 83: 145-154.
  • 4. World Health Organization. Treatment of Mycobacterium ulcerans disease (Buruli ulcer): guidance for health workers. Geneva: WHO, 2012. http://www.who.int/iris/bitstream/10665/77771/1/9789241503402_eng.pdf (accessed Nov 2013).
  • 5. Johnson PDR, Hayman JA, Quek TY, et al; Mycobacterium ulcerans Study Team. Consensus recommendations for the diagnosis, treatment and control of Mycobacterium ulcerans infection (Bairnsdale or Buruli ulcer) in Victoria, Australia. Med J Aust 2007; 186: 64-68. <MJA full text>

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