Clinical features and treatment of pre-ulcerative Buruli Lesions (Mycobacterium Ulcerations Infection): Report II of the Uganda Buruli Group

At Kinyara; and in other areas of Uganda; 250 patients with pre-ulcerative Buruli lesions (Myco.ulcerans infection; have been seen over the past three years. The clinical feature of the pre-ulcerative stage of the disease are painless nodules; usually occurring singly on the legs or forearms. As the nodule can grow rapidly to become an extensive fulminating lesion; early recognition of the nodule and an appreciation of its significance by both doctor and patient are essential. Excision of the nodule is simple and usually curative; thus preventing ulcers developing and requiring prolonged hospital treatment