Buruli ulcer in Australia: Evidence for a new endemic focus at Batemans Bay, New South Wales
2024

Buruli Ulcer Cases in Batemans Bay, Australia

Sample size: 2 publication 10 minutes Evidence: moderate

Author Information

Author(s): Hossain Mehrab E, Keighley Caitlin, Buultjens Andrew H., Porter Jessica L., Johnson Paul D. R., Stinear Timothy P., Globan Maria, Lavender Caroline J., Lacey Jake A., Sherry Norelle L., Forsyth Anton, Formby Mark, Marr Ian

Primary Institution: Department of Infectious Diseases and Microbiology, The Canberra Hospital, Australian Capital Territory, Australia

Hypothesis

Is Batemans Bay a new endemic focus for Buruli ulcer transmission?

Conclusion

The study identifies Batemans Bay as a new endemic area for Buruli ulcer, with distinct Mycobacterium ulcerans genotypes found in local cases.

Supporting Evidence

  • Genomic analysis showed that the bacterial isolates from the cases were identical but belonged to a distinct M. ulcerans clade.
  • Surveys of possum excreta confirmed the presence of M. ulcerans in the local wildlife reservoir.
  • The study suggests that the emergence of Buruli ulcer in Batemans Bay may indicate a risk for further spread in coastal NSW.

Takeaway

Two people in Batemans Bay got a skin infection called Buruli ulcer, which is caused by a germ found in local possums. This means the area might have a new place where this infection spreads.

Methodology

The study involved genomic analysis of bacterial isolates from two cases of Buruli ulcer and a survey of possum excreta for Mycobacterium ulcerans.

Limitations

The possum excreta survey had a small sample size and limited geographic scope.

Participant Demographics

Two Caucasian males, aged 94 and 71.

Digital Object Identifier (DOI)

10.1371/journal.pntd.0012702

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