Interní Med. 2010; 12(10): 502-503

The case report of the patient with diagnosis tropical ulcer

MUDr.Kateřina Radoušová

Oddělení dermatovenerologie, Krajská nemocnice Liberec

The synonyms of ulcus tropicum are desert ulcer or tropical phagedena. It is ulcer almost caused by mixed bacterial infection (the most

often streptococci and a variety of gramnegative organisms in culture), usually involving traumatic wounds of the legs, often in patients

with malnutrition and with chronic diseases. It´s occur usually in warm, damp climates, primarily in adults. Epidemics may occur in military

troops or plantation workers. Penicilin is most often used therapy because of its price and availability in poor regions. In case of

allergy is possible to use cephalosporins, aminoglycosides or ciprofloxacin. Also important is care about adequate nutrition, vitamins

and good supportive care. The local therapy is common wound care (1). In the article is presented a case report of patient, who returned

from vacation in the Thailand with the ulcer on crura and the investigation was closed like ulcus tropicum. Also in the article there are

the informations about treatment in hospital and then ambulancy.

Keywords: ulcus tropicum, penicilin

Published: November 15, 2010  Show citation