NTD Intelligence

Buruli ulcer

Neglected tropical disease intelligence: burden, staged therapeutics with published-evidence filter, and documented post-infectious syndrome with literature persistence rates.

Deaths / year
100
GBD (indicative unless refreshed)
DALYs / year
50,000
GBD
Pathogen
Bacteria
Post-infectious
Lasting sequela
Persistent symptoms
n/a

Post-infectious syndrome & persistent symptoms

Whether a post-acute infection syndrome is documented and the literature proportion with persistent symptoms.

Post-acute status
Contractures, deformity, functional limitation after healing
Classification
Lasting sequela
Onset
post-treatment
Persistent-symptom %
not quantified as a single figure (see notes)
Source: WHO Buruli ulcer

Therapeutic agents by stage

Vector control, prevention, acute treatment, and post-infectious care. Only agents with published evidence are shown by default.

Prevention

AgentTypeStatusMechanism / roleSource
Environmental wound care & early detectionPreventionApprovedReduce M. ulcerans exposure; community surveillanceWHO EML / standard of care

Acute phase

AgentTypeStatusMechanism / roleSource
Rifampicin + clarithromycinAntibiotic combinationApprovedMycobacterial RNA polymerase / protein synthesis inhibitionWHO EML / standard of care
Streptomycin + rifampicinAntibiotic combinationApprovedAlternative WHO regimenWHO EML / standard of care
CLARITHROMYCINPipelineSmall moleculePhase 3Open Targets (clinical pipeline)
STREPTOMYCINPipelineSmall moleculePhase 3Open Targets (clinical pipeline)
RIFAMPINPipelineSmall moleculePhase 3Open Targets (clinical pipeline)

Post-infectious phase

AgentTypeStatusMechanism / roleSource
Physiotherapy & surgery for contracturesRehabilitationApprovedFunctional limitation after healingWHO Buruli ulcer

Associated drug targets (Open Targets): SLC11A1, IFNG, IL1B, BCL2L11, ARAF, HSPD1

Burden: IHME GBD (indicative seed unless refreshed) · Therapeutics: curated WHO EML / SOC + Open Targets pipeline · Post-infectious data: curated peer-reviewed literature · Ontology: MONDO_0000327 · Updated 2026-07-10. Associations, not a diagnostic test.