Buruli ulcer is a chronic, debilitating infection caused by Mycobacterium ulcerans. Complications associated with these lesions can result in significant functional impairment in people living in developing countries.
NOTE: The functional impairments may be shared by other infectious diseases such as mycetoma, filariasis and osteomyelitis.
Physical consequences of a Buruli ulcer:
(1) skin ulceration
(2) secondary infection
(3) amputation of a limb
(4) scarring and contracture
Functional activities evaluated:
(1) preparation of food and eating
(2) clothing and personal care
(3) working
(4) mobility
The level of impairment for each activity depends on the location of the injury and the importance of the affected region on performing the activity. The level and type of impairment is affected by whether the upper and/or lower extremities are affected.
Food preparation and eating:
(1) fetching water from the pump
(2) pound fufu
(3) pouring water from a bottle into a glass
(4) cutting vegetables with a knife
Clothing and personal care:
(1) putting on a T-shirt
(2) washing self
(3) cleaning self after going to the toilet
Working:
(1) using a cutlass
(2) carrying heavy loads on the head
(3) carry harvest home
(4) opening a bottle with a screw top
(5) tie a knot
Mobility:
(1) walking on level ground
(2) walking uphill
(3) walking downhill
(4) running
(5) squatting
(6) kneeling
(7) standing up from the floor
Responses |
Points |
easily, normal |
0 |
with difficulty |
1 |
impossible |
2 |
not applicable |
0 |
Additional impairment arose because of:
(1) financial difficulties
(2) embarrassment
Purpose: To determine the functional impairment for a patient with a Buruli ulcer in a developing country.
Specialty: Sports Medicine & Rehabilitation, Dermatology, Infectious Diseases
Objective: complications, disability and performance
ICD-10: A31.1,