01264nas a2200229   4500000000100000008004100001653003900042653000900081653001700090653002600107100001400133700001200147700001500159700001500174700002400189700001000213700001700223700001500240245006600255520070000321022001301021       2014                            d10aNeglected tropical diseases (NTDs)10aMali10aBuruli ulcer10aAtypical presentation1 aVignier N1 aKempf M1 aVignes ée1 aGousseff M1 aAlexandre-Audaire M1 aï É1 aMarsollier L1 aBouchaud O00aBuruli ulcer acquired in Mali: A rare and atypical situation.3 a<p>Introduction Buruli ulcer is endemic in 30 countries worldwide, mainly localized in Sub-Saharan Africa around the Gulf of Guinea. To date, The Republic of Mali was not recognized as an endemic country for Buruli ulcer. Case presentation We report a case of non-healing skin ulceration of the left foot in a 15-year-old Malian patient acquired in Bamako and referred to France. Real time PCR for Mycobacterium ulcerans was positive in skin biopsy. The ulceration healed well after treatment with rifampicin and clarithromycin. Conclusion Emergence of Buruli ulcer in The Republic of Mali is of concern Present case urban origin raises questions about Buruli ulcer classical epidemiology.</p>
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