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

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

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.