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Mycobacterial ("Buruli") Ulcer in a Peace Corps Worker

Edward R. Farber, MD; Anna Tsang, BS
Arch Surg. 1967;95(2):297-300. doi:10.1001/archsurg.1967.01330140135030.
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MYCOBACTERIAL ("Buruli") ulcer is one of the diseases endemic in other parts of the world but virtually unknown in this country. It is not unexpected that diseases may be transmitted to and from other countries by Peace Corps personnel; and therefore may present here where previously unencountered.

This report describes a patient with a mycobacterial ulcer similar to those which have been referred to as Buruli ulcers.1 The disorder was acquired in Nigeria and treated in this country. The difficulty in establishing the clinical diagnosis in this case points up to the necessity of being aware of the specific entity.

Report of a Case  A 20-year-old white man was admitted to the University Hospital in June, 1966, for treatment of lymphedema and a nonhealing ulcer of the left foot. The patient had spent 20 months in Aro Chuku, Nigeria, on a Peace Corps assignment. In March 1966, he first


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