Potential Animal Reservoir of Mycobacterium ulcerans: A Systematic Review

Mycobacterium ulcerans is the causative agent of Buruli ulcer, also known in Australia as Daintree ulcer or Bairnsdale ulcer. This destructive skin disease is characterized by extensive and painless necrosis of the skin and soft tissue with the formation of large ulcers, commonly on the leg or arm....

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Main Authors: Avishek Singh, William John Hannan McBride, Brenda Govan, Mark Pearson
Format: Article
Language:English
Published: MDPI AG 2018-05-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:http://www.mdpi.com/2414-6366/3/2/56
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author Avishek Singh
William John Hannan McBride
Brenda Govan
Mark Pearson
author_facet Avishek Singh
William John Hannan McBride
Brenda Govan
Mark Pearson
author_sort Avishek Singh
collection DOAJ
description Mycobacterium ulcerans is the causative agent of Buruli ulcer, also known in Australia as Daintree ulcer or Bairnsdale ulcer. This destructive skin disease is characterized by extensive and painless necrosis of the skin and soft tissue with the formation of large ulcers, commonly on the leg or arm. To date, 33 countries with tropical, subtropical and temperate climates in Africa, the Americas, Asia and the Western Pacific have reported cases of Buruli ulcer. The disease is rarely fatal, although it may lead to permanent disability and/or disfigurement if not treated appropriately or in time. It is the third most common mycobacterial infection in the world after tuberculosis and leprosy. The precise mode of transmission of M. ulcerans is yet to be elucidated. Nevertheless, it is possible that the mode of transmission varies with different geographical areas and epidemiological settings. The knowledge about the possible routes of transmission and potential animal reservoirs of M. ulcerans is poorly understood and still remains patchy. Infectious diseases arise from the interaction of agent, host and environment. The majority of emerging or remerging infectious disease in human populations is spread by animals: either wildlife, livestock or pets. Animals may act as hosts or reservoirs and subsequently spread the organism to the environment or directly to the human population. The reservoirs may or may not be the direct source of infection for the hosts; however, they play a major role in maintenance of the organism in the environment, and in the mode of transmission. This remains valid for M. ulcerans. Possums have been suggested as one of the reservoir of M. ulcerans in south-eastern Australia, where possums ingest M. ulcerans from the environment, amplify them and shed the organism through their faeces. We conducted a systematic review with selected key words on PubMed and INFORMIT databases to aggregate available published data on animal reservoirs of M. ulcerans around the world. After certain inclusion and exclusion criteria were implemented, a total of 17 studies was included in the review. A variety of animals around the world e.g., rodents, shrews, possums (ringtail and brushtail), horses, dogs, alpacas, koalas and Indian flap-shelled turtles have been recorded as being infected with M. ulcerans. The majority of studies included in this review identified animal reservoirs as predisposing to the emergence and reemergence of M. ulcerans infection. Taken together, from the selected studies in this systematic review, it is clear that exotic wildlife and native mammals play a significant role as reservoirs for M. ulcerans.
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spelling doaj.art-99414c18175e4c1e89948c4f9df0f1022022-12-22T04:00:42ZengMDPI AGTropical Medicine and Infectious Disease2414-63662018-05-01325610.3390/tropicalmed3020056tropicalmed3020056Potential Animal Reservoir of Mycobacterium ulcerans: A Systematic ReviewAvishek Singh0William John Hannan McBride1Brenda Govan2Mark Pearson3Cairns Clinical School, College of Medicine and Dentistry, James Cook University, Cairns City, QLD 4870, AustraliaCairns Clinical School, College of Medicine and Dentistry, James Cook University, Cairns City, QLD 4870, AustraliaCollege of Public Health, Medical & Vet Sciences, James Cook University, Townsville, QLD 4811, AustraliaAustralian Institute of Tropical Health & Medicine, James Cook University, Smithfield, QLD 4878, AustraliaMycobacterium ulcerans is the causative agent of Buruli ulcer, also known in Australia as Daintree ulcer or Bairnsdale ulcer. This destructive skin disease is characterized by extensive and painless necrosis of the skin and soft tissue with the formation of large ulcers, commonly on the leg or arm. To date, 33 countries with tropical, subtropical and temperate climates in Africa, the Americas, Asia and the Western Pacific have reported cases of Buruli ulcer. The disease is rarely fatal, although it may lead to permanent disability and/or disfigurement if not treated appropriately or in time. It is the third most common mycobacterial infection in the world after tuberculosis and leprosy. The precise mode of transmission of M. ulcerans is yet to be elucidated. Nevertheless, it is possible that the mode of transmission varies with different geographical areas and epidemiological settings. The knowledge about the possible routes of transmission and potential animal reservoirs of M. ulcerans is poorly understood and still remains patchy. Infectious diseases arise from the interaction of agent, host and environment. The majority of emerging or remerging infectious disease in human populations is spread by animals: either wildlife, livestock or pets. Animals may act as hosts or reservoirs and subsequently spread the organism to the environment or directly to the human population. The reservoirs may or may not be the direct source of infection for the hosts; however, they play a major role in maintenance of the organism in the environment, and in the mode of transmission. This remains valid for M. ulcerans. Possums have been suggested as one of the reservoir of M. ulcerans in south-eastern Australia, where possums ingest M. ulcerans from the environment, amplify them and shed the organism through their faeces. We conducted a systematic review with selected key words on PubMed and INFORMIT databases to aggregate available published data on animal reservoirs of M. ulcerans around the world. After certain inclusion and exclusion criteria were implemented, a total of 17 studies was included in the review. A variety of animals around the world e.g., rodents, shrews, possums (ringtail and brushtail), horses, dogs, alpacas, koalas and Indian flap-shelled turtles have been recorded as being infected with M. ulcerans. The majority of studies included in this review identified animal reservoirs as predisposing to the emergence and reemergence of M. ulcerans infection. Taken together, from the selected studies in this systematic review, it is clear that exotic wildlife and native mammals play a significant role as reservoirs for M. ulcerans.http://www.mdpi.com/2414-6366/3/2/56Mycobacterium ulceransanimal reservoirtransmission
spellingShingle Avishek Singh
William John Hannan McBride
Brenda Govan
Mark Pearson
Potential Animal Reservoir of Mycobacterium ulcerans: A Systematic Review
Tropical Medicine and Infectious Disease
Mycobacterium ulcerans
animal reservoir
transmission
title Potential Animal Reservoir of Mycobacterium ulcerans: A Systematic Review
title_full Potential Animal Reservoir of Mycobacterium ulcerans: A Systematic Review
title_fullStr Potential Animal Reservoir of Mycobacterium ulcerans: A Systematic Review
title_full_unstemmed Potential Animal Reservoir of Mycobacterium ulcerans: A Systematic Review
title_short Potential Animal Reservoir of Mycobacterium ulcerans: A Systematic Review
title_sort potential animal reservoir of mycobacterium ulcerans a systematic review
topic Mycobacterium ulcerans
animal reservoir
transmission
url http://www.mdpi.com/2414-6366/3/2/56
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AT markpearson potentialanimalreservoirofmycobacteriumulceransasystematicreview