Mycobacterium ulcerans infection: factors influencing diagnostic delay

Abstract

OBJECTIVE: To document the epidemiology, clinical characteristics and diagnosis of an outbreak of Mycobacterium ulcerans infection (Bairnsdale or Buruli ulcer [BU]) during the period 1998-2006, and compare delays in diagnosis between residents of endemic and non-endemic regions. DESIGN AND SETTING: Retrospective case study of patients identified through infectious disease physicians on the Bellarine Peninsula and the Victorian Department of Human Services notifiable diseases database. MAIN OUTCOME MEASURES: Description of events leading to diagnosis of BU. RESULTS: Eighty-five BU patients recalled their experience. Fifty-three patients were older than 60 years, and 61 permanently resided on ..