EPIDEMIOLOGIC AND CLINICAL ASPECTS OF BUR ULI ULCER IN COTE-DIVOIRE -ABOUT 124 RECENT CASES

A prospective study during 28 months at the Regional Hospital Center o f Bouake (Ivory Coast) allows to gather 124 cases of Buruli ulcer. Tod ay, this atypical cutaneous mycobacteriosis is in full expansion in We st Africa. The pathogen agent, Mycobacterium ulcerans, causes, by its toxin, a subcutaneous necrosis often extended, followed by an ulcerati on which clinical caracteristics are sufficient for the diagnostic. Th e endemic progression reason may not be caused by the modification of patients receptivity, but rather by the natural environment modificati on. In particular, the improving number of some soft water fish (Tilap ia) which could have a germ tank.