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A frightening flesh-eating disease is currently making its way across Australia, and puzzled scientists and officials aren’t sure how to stop this mysterious condition from wreaking havoc.

Cases of an infection known as Buruli ulcer have spiked in recent years in the country, rising 150 percent from 74 cases in 2013 to 186 in 2016. It shows no signs of slowing down; last year saw a projected 286 cases.

The infection causes unsightly skin ulcers that destroy the skin and the soft tissue around it. Complicating matters is the fact that scientists aren’t sure how it is spread or how to prevent it. They know it is caused by the Mycobacterium ulcerans bacterium, which is in the same family as the microbes behind leprosy and tuberculosis – hardly a comforting thought. It creates a toxin that destroys the tissue and creates big ulcers that are typically seen on the arms and legs.

While an eight-week course of antibiotics seems to do the trick for some people, others need surgery to remove some of the affected skin or even amputation. Those who don’t get it treated early enough face long-term disabilities, limited joint movement, and other problems.

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