Functional Limitations after Surgical or Antibiotic Treatment for Buruli Ulcer in Benin

Yves Barogui Programme National Lutte contre la Lèpre et l’Ulcère de Buruli, Ministère de la Santé, Cotonou, République du Bénin; Departments of Internal Medicine and Pulmonary Diseases and Tuberculosis, Infectious Diseases and Tuberculosis Service, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands; Department of Rehabilitation, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands

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R. Christian Johnson Programme National Lutte contre la Lèpre et l’Ulcère de Buruli, Ministère de la Santé, Cotonou, République du Bénin; Departments of Internal Medicine and Pulmonary Diseases and Tuberculosis, Infectious Diseases and Tuberculosis Service, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands; Department of Rehabilitation, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands

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Tjip S. van der Werf Programme National Lutte contre la Lèpre et l’Ulcère de Buruli, Ministère de la Santé, Cotonou, République du Bénin; Departments of Internal Medicine and Pulmonary Diseases and Tuberculosis, Infectious Diseases and Tuberculosis Service, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands; Department of Rehabilitation, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands

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Ghislain Sopoh Programme National Lutte contre la Lèpre et l’Ulcère de Buruli, Ministère de la Santé, Cotonou, République du Bénin; Departments of Internal Medicine and Pulmonary Diseases and Tuberculosis, Infectious Diseases and Tuberculosis Service, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands; Department of Rehabilitation, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands

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Ange Dossou Programme National Lutte contre la Lèpre et l’Ulcère de Buruli, Ministère de la Santé, Cotonou, République du Bénin; Departments of Internal Medicine and Pulmonary Diseases and Tuberculosis, Infectious Diseases and Tuberculosis Service, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands; Department of Rehabilitation, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands

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Pieter U. Dijkstra Programme National Lutte contre la Lèpre et l’Ulcère de Buruli, Ministère de la Santé, Cotonou, République du Bénin; Departments of Internal Medicine and Pulmonary Diseases and Tuberculosis, Infectious Diseases and Tuberculosis Service, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands; Department of Rehabilitation, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands

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Ymkje Stienstra Programme National Lutte contre la Lèpre et l’Ulcère de Buruli, Ministère de la Santé, Cotonou, République du Bénin; Departments of Internal Medicine and Pulmonary Diseases and Tuberculosis, Infectious Diseases and Tuberculosis Service, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands; Department of Rehabilitation, University Medical Centre Groningen, University of Groningen, RB Groningen, The Netherlands

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Almost half of patients have functional limitations after treatment of Buruli ulcer disease. Antibiotic treatment (along with surgery) was introduced in the National Program for Buruli ulcer in Benin in 2005. The aim of this study was to compare functional limitations in patients who were treated by antibiotics, surgery, or both, using a validated questionnaire. One hundred seventy-nine former patients in Lalo, Benin were retrieved and interviewed in their village. Hospital records were used to gather data about size of lesion at presentation and treatment provided. No significant differences in resulting functional limitations were found between the different treatments. Larger lesions (> 15 cm cross-sectional diameter) at presentation; lesions on a joint, muscular atrophy, and amputation were all associated with a higher risk for functional limitations. Advantages of antibiotic treatment may involve other domains, like costs of treatment or a change in help-seeking behavior.

Author Notes

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