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Corticosteroid Use for Paradoxical Reactions during Antibiotic Treatment for Mycobacterium ulcerans
Author(s) -
N. Deborah Friedman,
Anthony McDonald,
Michael E. Robson,
D. O’Brien
Publication year - 2012
Publication title -
plos neglected tropical diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.99
H-Index - 135
eISSN - 1935-2735
pISSN - 1935-2727
DOI - 10.1371/journal.pntd.0001767
Subject(s) - mycobacterium ulcerans , buruli ulcer , antimicrobial , medicine , debridement (dental) , antibiotics , infectious disease (medical specialty) , antibiotic therapy , pharmacotherapy , dermatology , disease , surgery , biology , microbiology and biotechnology
Buruli or Bairnsdale Ulcer (BU) is a neglected infectious disease caused by Mycobacterium ulcerans and is characterized by necrotic cutaneous lesions. Infection is challenging to treat, and the ideal combination of surgery and antimicrobial therapy continues to evolve. M. ulcerans has been endemic to the Bellarine peninsula in Victoria, Australia, since 1998, with more than 250 cases of infection. Studies have illustrated the safety and efficacy of antimicrobial therapy [1]–[5], and our standard treatment practice has evolved over the last 15 years to comprise limited surgical debridement with combination antimicrobial therapy.

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