Risk factors for recurrent Mycobacterium ulcerans disease after exclusive surgical treatment in an Australian cohort

O’Brien, Daniel P; McDonald, Anthony; Callan, Peter

doi:10.5694/mja13.10963

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In reply: We thank Steffen for reporting her and her colleagues’ experience with surgical management of Mycobacterium ulcerans disease in the Daintree region of far north Queensland. We note she reports lower recurrence rates after surgical treatment alone than in our study from Victoria’s Bellarine Peninsula (8%–11% v 32%).1,2

Barwon Health, Geelong, VIC.

Correspondence: danielo@barwonhealth.org.au

Competing interests:

No relevant disclosures.

1. O’Brien DP, Walton A, Hughes AJ, et al. Risk factors for recurrent Mycobacterium ulcerans disease after exclusive surgical treatment in an Australian cohort. Med J Aust 2013; 198: 436-439. <MJA full text>
2. Steffen CM, Smith M, McBride WJ. Mycobacterium ulcerans infection in North Queensland: the “Daintree ulcer”. ANZ J Surg 2010; 80: 732-736.
3. Simpson C, O’Brien DP, McDonald A, Callan P. Mycobacterium ulcerans infection: evolution in clinical management. ANZ J Surg 2013; 83: 523-526.

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