01728nas a2200253   4500000000100000008004100001260001200042653002000054653001600074653001700090653001800107653001200125653002100137100001200158700001200170700001400182700001200196700001000208245009700218300001200315490000700327520112600334022001401460       2019                            d  c11/201910aeating behavior10aunderweight10aBuruli ulcer10aCote d'Ivoire10aHealing10aNutritional care1 aKoffi Y1 aKonan A1 aDelmont J1 aAdjet A1 aRey J00aApproche nutritionnelle dans la prise en charge de l’ulcère de Buruli en Côte d’Ivoire  a409-4140 v293 a<p>Children in developing tropical countries are frequently undernourished. In rural areas, they are also often affected by Buruli ulcers. The treatment of this mutilating disease is sometime long and difficult for malnourished patients. Moreover, the eating behavior of patients with Buruli ulcers does not promote its quick healing, with numerous foods prohibited. They eat fewer fruits and legumes, which are rich in vitamins and minerals. Our survey in two health centers showed that only 8% ate fruits and legumes, and 29% leafy greens. This food deprivation increases their nutritional deficiencies. We conducted a nutritional intervention among Buruli ulcer patients (30 patients) in one center, and compared their healing with that of Buruli patients without nutritional care (n = 21). Those patients who received the intervention spent less time at the hospital (less than six months). Our study shows the association between the healing of Buruli ulcers in Côte d'Ivoire and good nutritional status: those with the intervention healed faster and presented fewer disabilities than the control patients.</p>  a2261-2211