Buruli Ulcer in United Kingdom Tourist Returning from Latin America
Hugh McGann , Pieter Stragier, Françoise Portaels, Deborah Gascoyne-Binzi, Timothy Collyns, Sebastian Lucas, and Damian Mawer
Author affiliations: St. James’s University Hospital, Leeds, UK (H. McGann, D. Mawer); Institute of Tropical Medicine, Antwerp, Belgium (P. Stragier, F. Portaels); Leeds General Infirmary, Leeds (D. Gascoyne-Binzi, T. Collyns); St. Thomas’s Hospital, London, UK (S. Lucas)
Figure 2. Histologic analysis showing necrosis of subcutaneous fat and deep dermal tissue of the patient. A) Noninflammatory infarction-like necrosis related to cytopathic effect of the mycolactone toxin secreted by Mycobacterium ulcerans. B) Abundant mycobacteria within the necrosis.
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