Why Buruli ulcers look worse before they get better

With more cases emerging, all GPs will want to know more about how to treat this disease

April, aged 21, presents to her GP with a two-month history of a non-healing leg ulcer.

Fig 1_ulcer at presentation
Figure 1. Initially, the ulcer had a classic undermined punched-out appearance.

She is otherwise well and her only medication is the combined oral contraceptive pill.

April had visited Phillip Island four months prior to this presentation.

Her GP initially swabs her