Mycobacterium ulcerans infection (Buruli ulcer) in French Guiana, South America, 1969-2013: an epidemiological study

The Lancet. Planetary Health
Maylis DouinePierre Couppié

Abstract

Mycobacterium ulcerans infection is the third most common mycobacterial disease in the world after tuberculosis and leprosy. To date, transmission pathways from its environmental reservoir to humans are still unknown. In South America, French Guiana has the highest reported number of M ulcerans infections across the continent. This empirical study aimed to characterise the epidemiology of M ulcerans infection in French Guiana between 1969 and 2013. Data were collected prospectively mainly by two dermatologists at Cayenne Hospital's dermatology department between Jan 1, 1969, and Dec 31, 2013, for age, date of diagnosis, sex, residence, location of the lesion, type of lesion, associated symptoms, and diagnostic method (smear, culture, PCR, or histology) for all confirmed and suspected cases of M ulcerans. We obtained population data from censuses. We calculated mean M ulcerans infection incidences, presented as the number of cases per 100 000 person-years. 245 patients with M ulcerans infections were reported at Cayenne Hospital's dermatology department during the study period. M ulcerans infection incidence decreased over time, from 6·07 infections per 100 000 person-years (95% CI 4·46-7·67) in 1969-83 to 4·77 infections per 10...Continue Reading

Citations

Oct 9, 2018·Epidemiology and Infection·D P O'BrienE Athan
Nov 2, 2018·Expert Review of Molecular Diagnostics·Gisela Bretzel, Marcus Beissner
Oct 20, 2019·EcoHealth·Soushieta JagadeshRodolphe Elie Gozlan
May 30, 2020·The British Journal of Dermatology·M CombeR E Gozlan
Nov 7, 2019·International Journal of Health Geographics·Soushieta JagadeshRodolphe Elie Gozlan
Mar 4, 2021·PLoS Neglected Tropical Diseases·Hope SimpsonJorge Cano

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