180573 - Identifying and managing Buruli ulcer
Buruli ulcer (BU; also called ‘Bairnsdale ulcer’ in Victoria and ‘Daintree ulcer’ in north Queensland) is a disease of skin and soft tissue caused by Mycobacterium ulcerans. This environmental pathogen produces a locally destructive toxin with the potential to leave sufferers scarred and disabled.
It is only acquired in specific geographical areas and can occur in visitors who spend less than a day in an endemic area.
This activity looks at identifying individuals at risk of Mycobacterium ulcerans infection; describing the presenting features of BU and findings that distinguish it from other skin lesions; and discussing management principles of BU.
BU can mimic other more common conditions, resulting in diagnostic challenges and delay. This in turn can lead to significant adverse outcomes, including severe and disfiguring disease, as the production of a locally active toxin causes destruction of skin and soft tissues.
The exact mode of transmission is unclear. All Australian GPs need to be aware of the condition and the current areas where BU occurs as they may encounter patients who have visited these areas regardless of where they are currently practicing.
D1. Communication skills and the patient-doctor relationship
D2. Applied professional knowledge and skills
Diagnosis and management is evidence-based and relevant to the needs of the patient
D3. Population health and the context of general practice
Current and emerging public health risks are effectively managed
D4. Professional and ethical role
Duty of care is maintained
D5. Organisational and legal dimensionsCurriculum Contextual Units
- Rural health
- Adult health
- Travel medicine