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. 2005 Apr;11(4):584-9.
doi: 10.3201/eid1104.041000.

Buruli ulcer recurrence, Benin

Martine Debacker  1 , Julia Aguiar, Christian Steunou, Claude Zinsou, Wayne M Meyers, Françoise Portaels
Affiliations

Buruli ulcer recurrence, Benin

Martine Debacker et al. Emerg Infect Dis. 2005 Apr.

Abstract

Buruli ulcer is a recognized public health problem in West Africa. In Benin, from 1989 to 2001, the Centre Sanitaire et Nutritionnel Gbemoten (CSNG) treated >2,500 Buruli ulcer patients. From March 2000 to February 2001, field trips were conducted in the Zou and Atlantique regions. The choice of the 2 regions was based on the distance from CSNG and on villages with the highest number of patients treated at CSNG. A total of 66 (44.0%) of 150 former patients treated at CSNG were located in the visited villages. The recurrence rate of CSNG-treated patients after a follow-up period of up to 7 years was low (6.1%, 95% confidence interval [CI] 2.0-15.6). We attribute this low rate to the high quality of Buruli ulcer treatment at an accessible regional center (CSNG). The World Health Organization definition of a Buruli ulcer recurrent case should be revised to include a follow-up period >1 year.

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References

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