A Cutaneous Ulcer Resulting from Mycobacterium ulcerans—Leishmania braziliensis Coinfection in South America

Benjamin Mougin Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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Martine Avenel-Audran Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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Lilia Hasseine Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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Ludovic Martin Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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Jane Cottin Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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Christelle Pomares Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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Pascal Delaunay Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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Pierre Marty Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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Christophe Ravel Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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Dominique Chabasse Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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Pierre Abgueguen Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice Cedex 3 Cedex 1, France; Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France; French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France; Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France

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DOI:
https://doi.org/10.4269/ajtmh.2011.11-0126
Volume/Issue:
Volume 85: Issue 5
Page(s):
897–899
Restricted access
Get Permissions

Buruli ulcer is a tropical skin disease caused by Mycobacterium ulcerans. Its mode of transmission is not yet clearly understood. We report here a cutaneous ulcer in a European traveler in South America resulting from a coinfection detected specifically for Mycobacterium ulcerans and Leishmania braziliensis DNA with real-time polymerase chain reaction. This observation of a unique cutaneous ulcer raises the issue about possible modes of transmission of those two pathogens by the same vector.

Author Notes

*Address correspondence to Pierre Abgueguen, Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, 4 rue Larrey, 49033 Angers Cedex 01, France. E-mail: piabgueguen@chu-angers.fr

Authors' addresses: Benjamin Mougin and Pierre Abgueguen, Department of Infectious Diseases and Internal Medicine, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France, E-mails: ptidoc_mougin@yahoo.fr and piabgueguen@chu-angers.fr. Martine Avenel-Audran and Ludovic Martin, Department of Dermatology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France, E-mails: maavenel-audran@chu-angers.fr and lumartin@chu-angers.fr. Lilia Hasseine, Christelle Pomares, Pascal Delaunay, and Pierre Marty, Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice et Université de Nice-Sophia Antipolis, Inserm U 895, Equipe 6, Hôpital de l'Archet, Nice cedex 3 Cedex 1, France, E-mails: hasseine.l@chu-nice.fr, pomares.c@chu-nice.fr, delaunay.p@chu-nice.fr, and marty.p@chu-nice.fr. Jane Cottin, Department of Bacteriology and Virology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France, E-mail: jacottin@chu-angers.fr. Christophe Ravel, French Reference Centre on Leishmaniasis, Department of Parasitology—Mycology, Montpellier, France, E-mail: christophe.ravel@univ-montp1.fr. Dominique Chabasse, Department of Parasitology, Centre Hospitalier Universitaire d'Angers, Angers Cedex 9, France, E-mail: dochabasse@chu-angers.fr.

Copyright:
©The American Society of Tropical Medicine and Hygiene 2011
Received:
04 Mar 2011
|
Accepted:
01 Jun 2011
|
Published Online:
01 Nov 2011
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
Online ISSN:
1476-1645
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