[Buruli ulcer in a Zairian woman with HIV infection] NLM AIDSLINE Important note: Information in this article was accurate in 1995. The state of the art may have changed since the publication date.

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[Buruli ulcer in a Zairian woman with HIV infection]

Ann Dermatol Venereol. 1994;121(8):557-60. Unique Identifier : AIDSLINE MED/95274962
Delaporte E; Savage C; Alfandari S; Piette F; Leclerc H; Bergoend H; Service de Dermatologie A, Hopital Claude-Huriez, CHRU, Lille.

Abstract: INTRODUCTION. Isolated cutaneous mycobacterial infection is exceptional in the acquired immunodeficiency syndrome (AIDS). We report a case of Buruli ulcer observed in a Zairan female infected with the human immunodeficiency virus (HIV). CASE REPORT. An HIV positive female patient was hospitalized for deep skin ulceration with detached and necrotic borders on the posterior aspect of the lower limb. Histological examination of a surgical biopsy showed numerous acid-fast bacilli identified as Mycobacterium ulcerans by thin layer gas chromatography. The clinical course was favourable with a three-drug antibiotic therapy replaced by rifampicin-clarithromycin after three months. The patient's immune status did not change for two years with a CD4 count of 500/mm3. The patient was negative for P24 antigen. DISCUSSION. While it is relatively easy to diagnose Buruli ulcers, identifying the causal bacteria is sometimes quite difficult requiring long culture periods. New techniques such as gas phase chromatography have been very useful in particularly low-count sub-cultures. Surgery remains the predominant therapy in endemic areas but antibiotic combinations are also effective. HIV-related immunosuppression did not change the clinical aspect of cutaneous mycobacteriosis in this patient whose immunological status was not modified.
Keywords: Adult Case Report English Abstract Female Human HIV Infections/*COMPLICATIONS Leg Ulcer/*ETIOLOGY/THERAPY Mycobacterium Infections, Atypical/*COMPLICATIONS/THERAPY Skin Diseases, Bacterial/*ETIOLOGY/THERAPY Zaire JOURNAL ARTICLEKWDadultcasereportenglishabstractfemalehumanhivinfections/KWDcomplicationslegulcer/KWDetiology/therapymycobacteriuminfections,atypical/KWDcomplications/therapyskindiseases,bacterial/KWDetiology/therapyzairejournalarticle
950830
M9580089

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