MYCOBACTERIUM ULCERANS DISEASE (BURULI ULCER) IN A RURAL HOSPITAL IN BAS-CONGO, DEMOCRATIC REPUBLIC OF CONGO, 2002–2004

DELPHIN M. PHANZU Institut Médical Evangélique, Kimpese Hospital, Kimpese, Bas-Congo, Democratic Republic of Congo; Programme National de Lutte contre l’Ulcère de Buruli, Kinshasa, Democratic Republic of Congo; Armed Forces Institute of Pathology, Washington, District of Columbia; Mycobacteriology Unit, Department of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium

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ERIC A. BAFENDE Institut Médical Evangélique, Kimpese Hospital, Kimpese, Bas-Congo, Democratic Republic of Congo; Programme National de Lutte contre l’Ulcère de Buruli, Kinshasa, Democratic Republic of Congo; Armed Forces Institute of Pathology, Washington, District of Columbia; Mycobacteriology Unit, Department of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium

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BARTHELEMY K. DUNDA Institut Médical Evangélique, Kimpese Hospital, Kimpese, Bas-Congo, Democratic Republic of Congo; Programme National de Lutte contre l’Ulcère de Buruli, Kinshasa, Democratic Republic of Congo; Armed Forces Institute of Pathology, Washington, District of Columbia; Mycobacteriology Unit, Department of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium

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DESIRE B. IMPOSO Institut Médical Evangélique, Kimpese Hospital, Kimpese, Bas-Congo, Democratic Republic of Congo; Programme National de Lutte contre l’Ulcère de Buruli, Kinshasa, Democratic Republic of Congo; Armed Forces Institute of Pathology, Washington, District of Columbia; Mycobacteriology Unit, Department of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium

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ANATOLE K. KIBADI Institut Médical Evangélique, Kimpese Hospital, Kimpese, Bas-Congo, Democratic Republic of Congo; Programme National de Lutte contre l’Ulcère de Buruli, Kinshasa, Democratic Republic of Congo; Armed Forces Institute of Pathology, Washington, District of Columbia; Mycobacteriology Unit, Department of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium

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SAMUEL Z. NSIANGANA Institut Médical Evangélique, Kimpese Hospital, Kimpese, Bas-Congo, Democratic Republic of Congo; Programme National de Lutte contre l’Ulcère de Buruli, Kinshasa, Democratic Republic of Congo; Armed Forces Institute of Pathology, Washington, District of Columbia; Mycobacteriology Unit, Department of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium

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JACKIE N. SINGA Institut Médical Evangélique, Kimpese Hospital, Kimpese, Bas-Congo, Democratic Republic of Congo; Programme National de Lutte contre l’Ulcère de Buruli, Kinshasa, Democratic Republic of Congo; Armed Forces Institute of Pathology, Washington, District of Columbia; Mycobacteriology Unit, Department of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium

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WAYNE M. MEYERS Institut Médical Evangélique, Kimpese Hospital, Kimpese, Bas-Congo, Democratic Republic of Congo; Programme National de Lutte contre l’Ulcère de Buruli, Kinshasa, Democratic Republic of Congo; Armed Forces Institute of Pathology, Washington, District of Columbia; Mycobacteriology Unit, Department of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium

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PATRICK SUYKERBUYK Institut Médical Evangélique, Kimpese Hospital, Kimpese, Bas-Congo, Democratic Republic of Congo; Programme National de Lutte contre l’Ulcère de Buruli, Kinshasa, Democratic Republic of Congo; Armed Forces Institute of Pathology, Washington, District of Columbia; Mycobacteriology Unit, Department of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium

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FRANÇOISE PORTAELS Institut Médical Evangélique, Kimpese Hospital, Kimpese, Bas-Congo, Democratic Republic of Congo; Programme National de Lutte contre l’Ulcère de Buruli, Kinshasa, Democratic Republic of Congo; Armed Forces Institute of Pathology, Washington, District of Columbia; Mycobacteriology Unit, Department of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium

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Buruli ulcer (BU), which is caused by Mycobacterium ulcerans, is an important disabling skin disease. Its prevalence is highest in west and central Africa. We report an apparent resurgence of BU in the Bas-Congo Province, Democratic Republic of Congo. During a 28-month period in 2002–2004, the rural hospital of the Institut Médical Evangélique at Kimpese admitted 51 patients suspected of having BU. Bacteriologic, molecular biologic, and histopathologic studies confirmed BU in 36 of these patients. Extensive clinical data, treatment outcomes, and socioeconomic correlations are summarized. Osteomyelitis was an important complication. A multidisciplinary approach to BU control in the Bas-Congo is proposed, aimed primarily at active case detection.

Author Notes

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