eMedicine Specialties > Infectious Diseases > Skin and Soft-Tissue Infections

Yaws: Follow-up

Author: Natalie C Klein, MD, PhD, Associate Professor, Department of Medicine, Division of Infectious Diseases, SUNY School of Medicine at Stony Brook; Associate Director, Winthrop-University Hospital
Contributor Information and Disclosures

Updated: Nov 4, 2009

Follow-up

Further Outpatient Care

  • After a single penicillin injection, early lesions become noninfectious after 24 hours and heal within 1-2 weeks.

Prognosis

  • The prognosis for early yaws is excellent.
  • Tissue damage occurring in late yaws is irreversible.

Miscellaneous

Medicolegal Pitfalls

  • Failure to diagnose
 


More on Yaws

Overview: Yaws
Differential Diagnoses & Workup: Yaws
Treatment & Medication: Yaws
Follow-up: Yaws
Multimedia: Yaws
References
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References

  1. Scolnik D, Aronson L, Lovinsky R, Toledano K, Glazier R, Eisenstadt J, et al. Efficacy of a targeted, oral penicillin-based yaws control program among children living in rural South America. Clin Infect Dis. May 15 2003;36(10):1232-8. [Medline].

  2. Anselmi M, Araujo E, Narvaez A, Cooper PJ, Guderian RH. Yaws in Ecuador: impact of control measures on the disease in the Province of Esmeraldas. Genitourin Med. Dec 1995;71(6):343-6. [Medline].

  3. Antal GM, Lukehart SA, Meheus AZ. The endemic treponematoses. Microbes Infect. Jan 2002;4(1):83-94. [Medline].

  4. Backhouse JL, Hudson BJ. Evaluation of immunoglobulin G enzyme immunoassay for serodiagnosis of yaws. J Clin Microbiol. Jul 1995;33(7):1875-8. [Medline].

  5. Bora D, Dhariwal AC, Lal S. Yaws and its eradication in India--a brief review. J Commun Dis. Mar 2005;37(1):1-11. [Medline].

  6. Chulay JD. Treponema Species (Yaws, Pinta Bejel). In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Vol 2. 5th ed. Philadelphia, Pa: Churchill Livingstone; 2000:2490-4.

  7. Elimination of yaws in India. Wkly Epidemiol Rec. Apr 11 2008;83(15):125-32. [Medline].

  8. Engelkens HJ, Judanarso J, Oranje AP, Vuzevski VD, Niemel PL, van der Sluis JJ, et al. Endemic treponematoses. Part I. Yaws. Int J Dermatol. Feb 1991;30(2):77-83. [Medline].

  9. Engelkens HJ, Vuzevski VD, Stolz E. Nonvenereal treponematoses in tropical countries. Clin Dermatol. Mar-Apr 1999;17(2):143-52; discussion 105-6. [Medline].

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  12. Gerstl S, Kiwila G, Dhorda M, Lonlas S, Myatt M, Ilunga BK, et al. Prevalence study of yaws in the Democratic Republic of Congo using the lot quality assurance sampling method. PLoS One. Jul 22 2009;4(7):e6338. [Medline].

  13. Hook III, EW. Treponemal Infections. In: Tropical Infectious Diseases: Principles, Pathogens, and Practice. Vol 1. 5th ed. Philadelphia, Pa: Churchill Livingstone; 1999:527-34.

  14. Lupi O, Madkan V, Tyring SK. Tropical dermatology: bacterial tropical diseases. J Am Acad Dermatol. Apr 2006;54(4):559-78; quiz 578-80. [Medline].

  15. Macgregor JD. Disease in Africa: a medical perspective from the 1950s. Vesalius. Dec 2004;10(2):67-73. [Medline].

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  19. Rinaldi A. Yaws: A Second (and Maybe Last?) Chance for Eradication. PLoS Negl Trop Dis. 2008;2(8):e275. [Medline].

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Further Reading

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Keywords

yaws, framboesia, mother yaw, primary frambesioma, frambesia tropica, parangi, paru, buba, pian, bouba, endemic treponema, endemic treponematoses, treponemal infection, saber shins, hemagglutination, TPHA, microhemagglutination

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Contributor Information and Disclosures

Author

Natalie C Klein, MD, PhD, Associate Professor, Department of Medicine, Division of Infectious Diseases, SUNY School of Medicine at Stony Brook; Associate Director, Winthrop-University Hospital
Natalie C Klein, MD, PhD is a member of the following medical societies: American College of Physicians, American Medical Association, American Society for Microbiology, Infectious Diseases Society of America, and New York County Medical Society
Disclosure: Nothing to disclose.

Medical Editor

Gary L Gorby, MD, Program Director of Adult Infectious Diseases Fellowship, Associate Professor, Department of Internal Medicine, Division of Infectious Disease, St Joseph Medical Center, Creighton University School of Medicine
Gary L Gorby, MD is a member of the following medical societies: Alpha Omega Alpha, American Medical Association, American Society for Microbiology, Infectious Diseases Society of America, and New York Academy of Sciences
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Richard B Brown, MD, FACP, Chief, Division of Infectious Diseases, Baystate Medical Center; Professor, Department of Internal Medicine, Tufts University School of Medicine
Richard B Brown, MD, FACP is a member of the following medical societies: Alpha Omega Alpha, American College of Chest Physicians, American College of Physicians, American Medical Association, American Society for Microbiology, Infectious Diseases Society of America, and Massachusetts Medical Society
Disclosure: Nothing to disclose.

CME Editor

Eleftherios Mylonakis, MD, Clinical and Research Fellow, Department of Internal Medicine, Division of Infectious Diseases, Massachusetts General Hospital
Eleftherios Mylonakis, MD is a member of the following medical societies: American Association for the Advancement of Science, American College of Physicians, American Society for Microbiology, and Infectious Diseases Society of America
Disclosure: Nothing to disclose.

Chief Editor

Burke A Cunha, MD, Professor of Medicine, State University of New York School of Medicine at Stony Brook; Chief, Infectious Disease Division, Winthrop-University Hospital
Burke A Cunha, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, and Infectious Diseases Society of America
Disclosure: Nothing to disclose.

 
 
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