Mycobacterium

Question 1

Mycobacterium ulcerans ulcer features

Answer 1

Large
Undermined borders
Extensive fat necrosis
No-minimal inflammatory infiltrate
AF stain with large amt bacilli (similar leprosy)

Question 2

Buruli ulcer Rx

Answer 2

rifampicin 10mg/kg
+
streptomycin 15mg/kg (or amycacin)
for 8 weeks

Surgery prn