@article{29859,
  keywords = {Young Adult, Sex Characteristics, Mycobacterium ulcerans, Middle Aged, Male, Humans, Female, Democratic Republic of the Congo, Child, Buruli ulcer, Aged, Age Distribution, Adult, Adolescent},
  author = {Suykerbuyk P and Wambacq J and Phanzu D and Haruna H and Nakazawa Y and Ooms K and Kamango K and Stragier P and Singa J and Ekwanzala F and De Herdt E and De Maeyer P and Kestens L and Portaels F},
  title = {Persistence of Mycobacterium ulcerans disease (Buruli Ulcer) in the historical focus of Kasongo Territory, the Democratic Republic of Congo.},
  abstract = {<p>Fifty years after the last report of Mycobacterium ulcerans infections (Buruli ulcer [BU]) in Kasongo Territory, Maniema Province, Democratic Republic of Congo (DRC), we conducted a small-scale cross-sectional survey to assess if this historical BU focus was still active and if so to explore the disease epidemiology. Seventy-five active and inactive BU cases were identified on clinical grounds of which two of 28 BU active cases were laboratory confirmed. We used a modified BU02 form to reconstruct the local disease dynamics and we believe that the horrific conflict in eastern DRC and exceptional flooding were the most likely causes of the re-emergence of the disease. There is a need in the DRC to decentralize and integrate surveillance and control activities at local level to increase the effectiveness of patient management.</p>
},
  year = {2009},
  journal = {The American journal of tropical medicine and hygiene},
  volume = {81},
  pages = {888-94},
  issn = {1476-1645},
  url = {http://www.ajtmh.org/docserver/fulltext/14761645/81/5/888.pdf?expires=1493045102&id=id&accname=guest&checksum=2EB20A6F2F7D9F452645FA0DDE1E0622},
  doi = {10.4269/ajtmh.2009.09-0049},
  language = {eng},
}