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 ..