Spontaneous Clearance of a Secondary Buruli Ulcer Lesion Emerging Ten Months after Completion of Chemotherapy—A Case Report from Togo
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{"title"=>"Spontaneous clearance of a secondary Buruli ulcer lesion emerging ten months after completion of chemotherapy-A case report from Togo", "type"=>"journal", "authors"=>[{"first_name"=>"Marcus", "last_name"=>"Beissner", "scopus_author_id"=>"26427909600"}, {"first_name"=>"Ebekalisai", "last_name"=>"Piten", "scopus_author_id"=>"36548962900"}, {"first_name"=>"Issaka", "last_name"=>"Maman", "scopus_author_id"=>"49961833000"}, {"first_name"=>"Dominik", "last_name"=>"Symank", "scopus_author_id"=>"55327709200"}, {"first_name"=>"Moritz", "last_name"=>"Jansson", "scopus_author_id"=>"55328281000"}, {"first_name"=>"Jörg", "last_name"=>"Nitschke", "scopus_author_id"=>"16646532100"}, {"first_name"=>"Komi", "last_name"=>"Amekuse", "scopus_author_id"=>"44960985700"}, {"first_name"=>"Basil", "last_name"=>"Kobara", "scopus_author_id"=>"44961226900"}, {"first_name"=>"Franz", "last_name"=>"Wiedemann", "scopus_author_id"=>"36702301700"}, {"first_name"=>"Harald", "last_name"=>"Hoffmann", "scopus_author_id"=>"55328103400"}, {"first_name"=>"Adolf", "last_name"=>"Diefenhardt", "scopus_author_id"=>"48761375000"}, {"first_name"=>"Kossi", "last_name"=>"Badziklou", "scopus_author_id"=>"37861115400"}, {"first_name"=>"Abiba", "last_name"=>"Banla Kere", "scopus_author_id"=>"54883949300"}, {"first_name"=>"Thomas", "last_name"=>"Löscher", "scopus_author_id"=>"7006461251"}, {"first_name"=>"Gisela", "last_name"=>"Bretzel", "scopus_author_id"=>"7004082862"}], "year"=>2012, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"isbn"=>"1935-2735", "doi"=>"10.1371/journal.pntd.0001747", "pmid"=>"22860147", "issn"=>"19352727", "pui"=>"365384886", "sgr"=>"84864597841", "scopus"=>"2-s2.0-84864597841"}, "id"=>"bd5bd922-c176-38cf-949e-856ac9751c3f", "abstract"=>"A case is reported of an 8-year old boy from Togo who presented in July 2010 with a nodule 30 mm in diameter at the left costal arch, clinically compatible with Buruli ulcer disease (BUD). The lesion was laboratory confirmed by conventional polymerase chain reaction (PCR) from a 3-mm punch biopsy sample. A full course of rifampicin and streptomycin was administered. In September 2010, the lesion was completely healed and the patient was considered cured. In July 2011, the patient presented again with a secondary nodule (diameter 30 mm) at the back of the right thigh. The lesion was clinically compatible with BUD. Microscopy of an FNA smear was (scanty) positive and the presence of Mycobacterium ulcerans DNA was confirmed by real-time qPCR while conventional IS2404 PCR remained negative. The secondary lesion ulcerated three weeks after emergence. Conventional wound care by daily cleaning of the ulcerated lesion was performed and the lesion healed completely 5 weeks after onset of disease. The case of the Togolese patient showed that complete healing of secondary lesions without antibiotic or surgical treatment occurs. Therefore, conventional wound care can be considered as a treatment option if continuous clinical observation is possible.", "link"=>"http://www.mendeley.com/research/spontaneous-clearance-secondary-buruli-ulcer-lesion-emerging-ten-months-after-completion-chemotherap", "reader_count"=>6, "reader_count_by_academic_status"=>{"Student > Doctoral Student"=>3, "Researcher"=>1, "Student > Ph. D. Student"=>1, "Student > Master"=>1}, "reader_count_by_user_role"=>{"Student > Doctoral Student"=>3, "Researcher"=>1, "Student > Ph. D. Student"=>1, "Student > Master"=>1}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>1, "Medicine and Dentistry"=>2, "Agricultural and Biological Sciences"=>2, "Social Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>2}, "Social Sciences"=>{"Social Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}}, "reader_count_by_country"=>{"Colombia"=>1}, "group_count"=>0}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/598757"], "description"=>"<p>Primary nodule at the left costal arch, June 2010.</p>", "links"=>[], "tags"=>["nodule", "costal", "june"], "article_id"=>269229, "categories"=>["Infectious Diseases"], "users"=>["Marcus Beissner", "Ebekalisai Piten", "Issaka Maman", "Dominik Symank", "Moritz Jansson", "Jörg Nitschke", "Komi Amekuse", "Basil Kobara", "Franz Wiedemann", "Harald Hoffmann", "Adolf Diefenhardt", "Kossi Badziklou", "Abiba Banla Kere", "Thomas Löscher", "Gisela Bretzel"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001747.g001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Primary_nodule_at_the_left_costal_arch_June_2010_/269229", "title"=>"Primary nodule at the left costal arch, June 2010.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 01:30:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/598968"], "description"=>"<p>Scar of the primary nodule at the left costal arch, September 2010.</p>", "links"=>[], "tags"=>["nodule", "costal", "september"], "article_id"=>269449, "categories"=>["Infectious Diseases"], "users"=>["Marcus Beissner", "Ebekalisai Piten", "Issaka Maman", "Dominik Symank", "Moritz Jansson", "Jörg Nitschke", "Komi Amekuse", "Basil Kobara", "Franz Wiedemann", "Harald Hoffmann", "Adolf Diefenhardt", "Kossi Badziklou", "Abiba Banla Kere", "Thomas Löscher", "Gisela Bretzel"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001747.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Scar_of_the_primary_nodule_at_the_left_costal_arch_September_2010_/269449", "title"=>"Scar of the primary nodule at the left costal arch, September 2010.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 01:31:26"}
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  • {"files"=>["https://ndownloader.figshare.com/files/599614"], "description"=>"<p><a href=\"http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0001747#pntd-0001747-t001\" target=\"_blank\">Table 1</a> shows samples collected from the primary and secondary lesions in July 2010 and 2011 and the corresponding laboratory results. “Neg” indicates a negative test result, “pos” indicates a positive test result.</p>a<p>MIC, microscopic examination of acid fast bacilli (AFB) following Ziehl-Neelsen staining conducted at CHR, DITM, and INH (samples from secondary lesion only).</p>b<p>IS<i>2404</i> PCR, conventional, single-step, gel-based IS<i>2404</i> polymerase-chain-reaction conducted at DITM.</p>c<p>IS<i>2404</i> qPCR, real-time quantitative IS<i>2404</i> polymerase-chain-reaction conducted at DITM.</p>d<p>16S RT qPCR, <i>Mycobacterium ulcerans</i>–specific reverse-transcription real-time quantitative polymerase-chain-reaction targeting the ribosomal 16S RNA of <i>M. ulcerans</i> conducted at DITM.</p>e<p>CUL, mycobacterial culture on Löwenstein-Jensen medium conducted at IML red, synlab, Asklepios Gauting, Germany.</p>f<p>FNA, fine-needle aspiration.</p>g<p>CLS, Puregene cell lysis solution, Qiagen, Germany.</p>h<p>ND, not done.</p>i<p>AFB, acid fast bacilli.</p>j<p>PANTA, transport medium for viable mycobacteria containing Polymyxin B, Amphotericin, Nalidixic acid, Trimethoprim, and Azlocillin.</p>k<p>No growth, culture result negative, no growth of acid fast bacilli.</p>", "links"=>[], "tags"=>["samples", "bud"], "article_id"=>270094, "categories"=>["Infectious Diseases"], "users"=>["Marcus Beissner", "Ebekalisai Piten", "Issaka Maman", "Dominik Symank", "Moritz Jansson", "Jörg Nitschke", "Komi Amekuse", "Basil Kobara", "Franz Wiedemann", "Harald Hoffmann", "Adolf Diefenhardt", "Kossi Badziklou", "Abiba Banla Kere", "Thomas Löscher", "Gisela Bretzel"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001747.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Clinical_samples_and_laboratory_results_of_primary_and_secondary_BUD_lesions_/270094", "title"=>"Clinical samples and laboratory results of primary and secondary BUD lesions.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 01:35:01"}

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Relative Metric

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