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Trop Doct. 2016 Apr;46(2):90-3. doi: 10.1177/0049475515599326. Epub 2015 Aug 19.

Tropical leg ulcers in children: more than yaws.

Author information

1
Clinical Tutor, University of Queensland, Brisbane, Australia djfegan@gmail.com.
2
Medical Officer, Mater Children's Emergency Department, Brisbane, Australia.
3
Head, World Health Organization, Port Vila, Vanuatu.
4
NTD Coordinator, Ministry of Health, Port Vila, Vanuatu.

Abstract

The management of yaws has changed in recent years. Mass treatment with oral azithromycin has replaced intramuscular benzathine benzylpenicillin. Treponemal and non-treponemal serology (equivalent to TPHA and RPR) point-of-care blood testing is now available. In addition, recent studies in yaws endemic regions have shown that a significant number of leg ulcers in children which are clinically suggestive of yaws are caused by Haemophilus ducreyi. It is noteworthy that the World Health Organization has also set the ambitious goal to eliminate yaws by 2020.

KEYWORDS:

Bacterial infection; disease control; skin and connective tissue; treatment

PMID:
26289420
DOI:
10.1177/0049475515599326
[Indexed for MEDLINE]

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