[Bacterial dermohypodermitis and necrotizing fascitis: 104-case series from Togo].
Identifieur interne : 004461 ( Ncbi/Checkpoint ); précédent : 004460; suivant : 004462[Bacterial dermohypodermitis and necrotizing fascitis: 104-case series from Togo].
Auteurs : B. Saka [Togo] ; K. Kombaté ; A. Mouhari-Toure ; S. Akakpo ; T. Boukari ; P. Pitché ; K. Tchangaï-WallaSource :
- Medecine tropicale : revue du Corps de sante colonial [ 0025-682X ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Antibactériens (usage thérapeutique), Bactéries à Gram négatif (isolement et purification), Benzylpénicilline (usage thérapeutique), Durée du séjour, Enfant, Facteurs de risque, Fasciite nécrosante (diagnostic), Fasciite nécrosante (microbiologie), Fasciite nécrosante (traitement médicamenteux), Fasciite nécrosante (épidémiologie), Femelle, Humains, Hôpitaux universitaires, Infections opportunistes liées au SIDA (diagnostic), Infections opportunistes liées au SIDA (microbiologie), Infections opportunistes liées au SIDA (traitement médicamenteux), Infections opportunistes liées au SIDA (épidémiologie), Mâle, Prévention secondaire, Résultat thérapeutique, Staphylococcus aureus (isolement et purification), Streptococcus pyogenes (isolement et purification), Sujet immunodéprimé, Sujet âgé, Sujet âgé de 80 ans ou plus, Togo (épidémiologie), Érysipèle (diagnostic), Érysipèle (microbiologie), Érysipèle (traitement médicamenteux), Érysipèle (épidémiologie), Études rétrospectives.
- MESH :
- diagnostic : Fasciite nécrosante, Infections opportunistes liées au SIDA, Érysipèle.
- isolement et purification : Bactéries à Gram négatif, Staphylococcus aureus, Streptococcus pyogenes.
- microbiologie : Fasciite nécrosante, Infections opportunistes liées au SIDA, Érysipèle.
- traitement médicamenteux : Fasciite nécrosante, Infections opportunistes liées au SIDA, Érysipèle.
- usage thérapeutique : Antibactériens, Benzylpénicilline.
- épidémiologie : Fasciite nécrosante, Infections opportunistes liées au SIDA, Togo, Érysipèle.
- Adolescent, Adulte, Adulte d'âge moyen, Durée du séjour, Enfant, Facteurs de risque, Femelle, Humains, Hôpitaux universitaires, Mâle, Prévention secondaire, Résultat thérapeutique, Sujet immunodéprimé, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
- Wicri :
- geographic : Togo.
English descriptors
- KwdEn :
- AIDS-Related Opportunistic Infections (diagnosis), AIDS-Related Opportunistic Infections (drug therapy), AIDS-Related Opportunistic Infections (epidemiology), AIDS-Related Opportunistic Infections (microbiology), Adolescent, Adult, Aged, Aged, 80 and over, Anti-Bacterial Agents (therapeutic use), Child, Erysipelas (diagnosis), Erysipelas (drug therapy), Erysipelas (epidemiology), Erysipelas (microbiology), Fasciitis, Necrotizing (diagnosis), Fasciitis, Necrotizing (drug therapy), Fasciitis, Necrotizing (epidemiology), Fasciitis, Necrotizing (microbiology), Female, Gram-Negative Bacteria (isolation & purification), Hospitals, University, Humans, Immunocompromised Host, Length of Stay, Male, Middle Aged, Penicillin G (therapeutic use), Retrospective Studies, Risk Factors, Secondary Prevention, Staphylococcus aureus (isolation & purification), Streptococcus pyogenes (isolation & purification), Togo (epidemiology), Treatment Outcome.
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Penicillin G.
- geographic , epidemiology : Togo.
- diagnosis : AIDS-Related Opportunistic Infections, Erysipelas, Fasciitis, Necrotizing.
- drug therapy : AIDS-Related Opportunistic Infections, Erysipelas, Fasciitis, Necrotizing.
- epidemiology : AIDS-Related Opportunistic Infections, Erysipelas, Fasciitis, Necrotizing.
- isolation & purification : Gram-Negative Bacteria, Staphylococcus aureus, Streptococcus pyogenes.
- microbiology : AIDS-Related Opportunistic Infections, Erysipelas, Fasciitis, Necrotizing.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Female, Hospitals, University, Humans, Immunocompromised Host, Length of Stay, Male, Middle Aged, Retrospective Studies, Risk Factors, Secondary Prevention, Treatment Outcome.
Abstract
The purpose of this retrospective study was to obtain data on the epidemiology, clinical features, and outcome of bacterial dermohypodermitis (BDH) observed in a hospital setting hospital in Lomé, Togo. Cases of BDH treated in dermatology and internal medicine of the Lomé university hospital center from January 1999 to December 2009 were reviewed. A total of 104 patients were hospitalized for BDH during the study period. Mean patient age was 42.9 +/- 16.1 years and sex ratio (M/F) was 0.89. Infection by HIV was detected in 10 of 37 patients in whom serology was performed. The site of erysipelas was located on the legs and feet in 93 cases (89.4%), entire lower limb in 4 (3.9%), upper limbs in 4 (3.9%), thighs in 2 (1.9%), and buttock in 1 (0.9%). The main local and systemic risk factors were existence of an entry site in 89 cases, use of depigmenting drugs in 11, HIV infection in 10, previous history of erysipelas in 9 cases, and lymphoedema in 8. First-line treatment used penicillin G in 90 cases. Seven patients presented necrotizing fasciitis. Necrotizing fasciitis was associated with HIV infection in 2 cases, use of non-steroidal anti-inflammatory drugs (NSAID) in 2, and use of depigmenting drugs in one. Two deaths were recorded in the necrotizing fasciitis group including one HIV-infected patient. Recurrence was observed in 8 patients and secondary complications such as lower limb elephantiasis occurred in 7 patients.
PubMed: 21695874
Affiliations:
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pubmed:21695874Le document en format XML
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<term>AIDS-Related Opportunistic Infections (drug therapy)</term>
<term>AIDS-Related Opportunistic Infections (epidemiology)</term>
<term>AIDS-Related Opportunistic Infections (microbiology)</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Anti-Bacterial Agents (therapeutic use)</term>
<term>Child</term>
<term>Erysipelas (diagnosis)</term>
<term>Erysipelas (drug therapy)</term>
<term>Erysipelas (epidemiology)</term>
<term>Erysipelas (microbiology)</term>
<term>Fasciitis, Necrotizing (diagnosis)</term>
<term>Fasciitis, Necrotizing (drug therapy)</term>
<term>Fasciitis, Necrotizing (epidemiology)</term>
<term>Fasciitis, Necrotizing (microbiology)</term>
<term>Female</term>
<term>Gram-Negative Bacteria (isolation & purification)</term>
<term>Hospitals, University</term>
<term>Humans</term>
<term>Immunocompromised Host</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Penicillin G (therapeutic use)</term>
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<term>Risk Factors</term>
<term>Secondary Prevention</term>
<term>Staphylococcus aureus (isolation & purification)</term>
<term>Streptococcus pyogenes (isolation & purification)</term>
<term>Togo (epidemiology)</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
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<term>Bactéries à Gram négatif (isolement et purification)</term>
<term>Benzylpénicilline (usage thérapeutique)</term>
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<term>Fasciite nécrosante (microbiologie)</term>
<term>Fasciite nécrosante (traitement médicamenteux)</term>
<term>Fasciite nécrosante (épidémiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hôpitaux universitaires</term>
<term>Infections opportunistes liées au SIDA (diagnostic)</term>
<term>Infections opportunistes liées au SIDA (microbiologie)</term>
<term>Infections opportunistes liées au SIDA (traitement médicamenteux)</term>
<term>Infections opportunistes liées au SIDA (épidémiologie)</term>
<term>Mâle</term>
<term>Prévention secondaire</term>
<term>Résultat thérapeutique</term>
<term>Staphylococcus aureus (isolement et purification)</term>
<term>Streptococcus pyogenes (isolement et purification)</term>
<term>Sujet immunodéprimé</term>
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<term>Sujet âgé de 80 ans ou plus</term>
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<term>Érysipèle (diagnostic)</term>
<term>Érysipèle (microbiologie)</term>
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<term>Érysipèle (épidémiologie)</term>
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<term>Penicillin G</term>
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<term>Erysipelas</term>
<term>Fasciitis, Necrotizing</term>
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<term>Infections opportunistes liées au SIDA</term>
<term>Érysipèle</term>
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<term>Erysipelas</term>
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<term>Staphylococcus aureus</term>
<term>Streptococcus pyogenes</term>
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<term>Infections opportunistes liées au SIDA</term>
<term>Érysipèle</term>
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<term>Fasciitis, Necrotizing</term>
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<term>Female</term>
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<term>Adulte d'âge moyen</term>
<term>Durée du séjour</term>
<term>Enfant</term>
<term>Facteurs de risque</term>
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<term>Sujet immunodéprimé</term>
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<term>Sujet âgé de 80 ans ou plus</term>
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<front><div type="abstract" xml:lang="en">The purpose of this retrospective study was to obtain data on the epidemiology, clinical features, and outcome of bacterial dermohypodermitis (BDH) observed in a hospital setting hospital in Lomé, Togo. Cases of BDH treated in dermatology and internal medicine of the Lomé university hospital center from January 1999 to December 2009 were reviewed. A total of 104 patients were hospitalized for BDH during the study period. Mean patient age was 42.9 +/- 16.1 years and sex ratio (M/F) was 0.89. Infection by HIV was detected in 10 of 37 patients in whom serology was performed. The site of erysipelas was located on the legs and feet in 93 cases (89.4%), entire lower limb in 4 (3.9%), upper limbs in 4 (3.9%), thighs in 2 (1.9%), and buttock in 1 (0.9%). The main local and systemic risk factors were existence of an entry site in 89 cases, use of depigmenting drugs in 11, HIV infection in 10, previous history of erysipelas in 9 cases, and lymphoedema in 8. First-line treatment used penicillin G in 90 cases. Seven patients presented necrotizing fasciitis. Necrotizing fasciitis was associated with HIV infection in 2 cases, use of non-steroidal anti-inflammatory drugs (NSAID) in 2, and use of depigmenting drugs in one. Two deaths were recorded in the necrotizing fasciitis group including one HIV-infected patient. Recurrence was observed in 8 patients and secondary complications such as lower limb elephantiasis occurred in 7 patients.</div>
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<affiliations><list><country><li>Togo</li>
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<tree><noCountry><name sortKey="Akakpo, S" sort="Akakpo, S" uniqKey="Akakpo S" first="S" last="Akakpo">S. Akakpo</name>
<name sortKey="Boukari, T" sort="Boukari, T" uniqKey="Boukari T" first="T" last="Boukari">T. Boukari</name>
<name sortKey="Kombate, K" sort="Kombate, K" uniqKey="Kombate K" first="K" last="Kombaté">K. Kombaté</name>
<name sortKey="Mouhari Toure, A" sort="Mouhari Toure, A" uniqKey="Mouhari Toure A" first="A" last="Mouhari-Toure">A. Mouhari-Toure</name>
<name sortKey="Pitche, P" sort="Pitche, P" uniqKey="Pitche P" first="P" last="Pitché">P. Pitché</name>
<name sortKey="Tchangai Walla, K" sort="Tchangai Walla, K" uniqKey="Tchangai Walla K" first="K" last="Tchangaï-Walla">K. Tchangaï-Walla</name>
</noCountry>
<country name="Togo"><noRegion><name sortKey="Saka, B" sort="Saka, B" uniqKey="Saka B" first="B" last="Saka">B. Saka</name>
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