| Autor: |
Sow MS; Service des maladies infectieuses et tropicales, Hôpital national Donka, Guinée Conakry., Boushab MB; Service de médecine interne, Centre hospitalier Aioun, Mauritanie., Balde H; Service de dermatologie vénérologie, Hôpital national Donka., Camara A; Département de santé publique Hôpital national Donka., Sako FB; Service des maladies infectieuses et tropicales, Hôpital national Donka, Guinée Conakry., Traoré FA; Service des maladies infectieuses et tropicales, Hôpital national Donka, Guinée Conakry., Diallo MO; Service des maladies infectieuses et tropicales, Hôpital national Donka, Guinée Conakry., Diallo MD; Service des maladies infectieuses et tropicales, Hôpital national Donka, Guinée Conakry., Keita M; Service de dermatologie vénérologie, Hôpital national Donka., Sylla AO; Service des maladies infectieuses et tropicales, Hôpital national Donka, Guinée Conakry., Tounkara TM; Service de dermatologie vénérologie, Hôpital national Donka., Cissé M; Service de dermatologie vénérologie, Hôpital national Donka. |
| Abstrakt: |
Anthrax disease is an anthropozoonosis caused by a Gram-positive bacterium, Bacillus anthracis. Our objective was to describe the epidemiological, clinical and therapeutic features of the 2014 epidemic in Koubia prefecture. This retrospective study examined all of the anthrax cases reported in Fafaya, Koubia Prefecture. In March and April 2014, there were 39 cases of human anthrax reported, for an incidence of 1.135%. The mean age was 20.9 (± 18.3) with a sex ratio of 2.54 (28/11) in favor of men. Seventy-six percent (23/39) were single. More than one half were students (53.8%). The main clinical signs were fever in 71, 8% (n = 28 /), papules 59% (n = 23), vesicles of 59% (n = 23) Digestive and cutaneous signs represented 35.9 % and 64.1% respectively; 35% had ingested contaminated meat and 17.95% were in direct contact with a sick animal. We didn't find any correlation between the mode of infection and onset of signs. The fatality rate was 28.21%. The 2014 epidemic of anthrax disease in the Koubia prefecture was marked by a high incidence and lethality. Clinical manifestations were cutaneaous and digestive. These results may serve further interventions to fight against anthrax disease. They should mainly focus on an awareness of peasants, surveillance and vaccination of cattle. Other studies seem to be necessary. |
