[Chikungunya in paediatrics: epidemic of 2005-2006 in Saint-Denis, Reunion Island].

Autor: Ernould S; Service de pédiatrie, centre hospitalier départemental de Bellepierre, 97400 Saint-Denis, Réunion. antotiana@club-internet.fr, Walters H, Alessandri JL, Llanas B, Jaffar MC, Robin S, Attali T, Ramful D, Combes JC
Jazyk: francouzština
Zdroj: Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [Arch Pediatr] 2008 Mar; Vol. 15 (3), pp. 253-62. Date of Electronic Publication: 2008 Mar 05.
DOI: 10.1016/j.arcped.2007.10.019
Abstrakt: Unlabelled: During the southern-hemispheric 2005-2006 summer, Reunion Island was struck by an epidemic of Chikungunya (Chik), which affected more than a third of the overall population.
Objectives: Our objective was to describe pediatric cases of Chick.
Material and Methods: We conducted a retrospective descriptive monocentric study of confirmed pediatric cases of Chik recruited at Saint-Denis' departmental hospital during the peak of the epidemic (January 1st to April 30th 2006).
Results: Eighty-six children aged 10 days to 18 years were included. In addition to the typical clinical presentation, we observed other phenotypes. Well-known complicated forms with neurologic, cardiac, gastro-intestinal (plus dehydration) involvement were thoroughly investigated using modern medical technology. We observed 2 fatal cases of acute disease in 9-year-old children: death resulted from a central nervous system insult in one case, and multisystemic neurological, cardiac, haemorrhagic involvement in another. Severe acute presentations requiring hospital admission involved mainly children aged less than 6 months, and those with cardiac, skin and neurologic impairment. The study identified 3 cases of epidermolysis bullosa, which to our knowledge, have never been described previously.
Conclusion: Chik in children warrants further research in order to propose early and appropriate treatments to avoid complications.
Databáze: MEDLINE
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