Les myc��tomes extrapodaux au S��n��gal : ��tude ��pid��miologique, clinique et ��tiologique de 82 cas diagnostiqu��s de 2000 �� 2020
| Autor: | DIADIE, Sa��r, NDIAYE, Maodo, DIOP, Khadim, DIONGUE, Khadim, DIOUF, Joseph, SARR, Ma��mouna, SARR, Lamine, LY, Fatimata, DIENG, Mame Thierno, NIANG, Suzanne Oumou |
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| Jazyk: | francouzština |
| Rok vydání: | 2022 |
| DOI: | 10.48327/mtsi.v2i1.2022.210 |
| Popis: | Objectifs. D��crire les particularit��s ��pid��miologiques, cliniques et ��tiologiques des myc��tomes extrapodaux au S��n��gal. M��thodologie. ��tude transversale et r��trospective avec recrutement multicentrique dans quatre services de r��f��rence dont deux en dermatologie et deux en orthop��die-traumatologie. ��taient inclus les dossiers de malades pr��sentant un myc��tome extrapodal suivis de janvier 2000 �� d��cembre 2020. Les donn��es ��taient analys��es avec le logiciel SPSS. R��sultats. Nous avons collig�� 82 cas repr��sentant 39 % des cas de myc��tomes (n = 210). L�����ge moyen ��tait de 41,9 ans. Le sexe-ratio ��tait de 3,1. Les professions majoritaires ��taient les cultivateurs en activit�� dans 51 % des cas (n = 33), les ��leveurs et les m��nag��res dans 9 % (n = 6) des cas respectivement. La dur��e moyenne d�����volution ��tait de 7,5 ans. Les topographies uniquement extrapodales ��taient not��es dans 84 % des cas (n = 69). Une localisation podale et extrapodale ��tait concomitante dans 16 % des cas (n = 13). Les foyers de myc��tomes se r��partissaient comme suit : 59 au tronc, 47 aux membres inf��rieurs, 9 aux membres sup��rieurs, 1 au cuir chevelu et 1 au cou. L�����tiologie ��tait actinomycosique dans 46 % des cas (n = 38), fongique dans 38 % (n = 31). Elle n���a pas ��t�� pr��cis��e dans 16 % des cas (n = 13). L���atteinte osseuse survenait apr��s 5 ans (p = 0,001) sans lien avec l�����tiologie (p = 0,6). Conclusion. Les myc��tomes extrapodaux sont en majorit�� secondaires �� une inoculation directe et leur extension osseuse est exclusivement due au retard diagnostique. Des consultations p��riodiques en zone d���end��mie associ��es �� une formation du personnel de sant�� r��sident sont n��cessaires pour un d��pistage pr��coce afin d���en am��liorer le pronostic. Extrapodal mycetomas in Senegal: epidemiological, clinical and etiological study of 82 cases diagnosed from 2000 to 2020 Objectives. Although the foot remains the main localization of mycetomas, extrapodal attacks, which are rarely studied, are also possible and occur either initially or following an extension. The objectives were to describe the epidemiological, clinical and etiological features of extrapodal mycetomas in Senegal. Methodology. Cross-sectional and retrospective study with multicentric enrollment in four reference department, two of which are in dermatology and two in orthopedics and traumatology. We included the files of patients with extrapodal mycetoma followed from January 2000 to December 2020. The data were analysed with SPSS software. Any p less than or equal to 0.05 was statistically significant. Results. We collected 82 cases representing 39% of mycetoma cases (n = 210). The average age was 41.9. The sex ratio was 3.1. Professionally, most patients were active farmers in 51% of cases (n = 33), pastoralists and housewives in 9 % (n = 6) respectively. The mean duration of evolution was 7.5 years. Exclusively extrapodal topographies were noted in 84% of cases (n = 69). Foot and extrapodal locations were concomitant in 16% of cases (n = 13). Mycetoma foci were distributed as follows: 59 in the trunk, 47 in the lower limbs, 9 in the upper limbs, 1 in the scalp and 1 in the neck. The etiology was actinomycotic in 46% of cases (n = 38), fungal in 38% (n = 31). It was not specified in 16% of cases (n = 13). Bone involvement occurs after 5 years (p = 0.001) unrelated to the etiology (p = 0.6). Conclusion. Extrapodal mycetomas are secondary to direct inoculation. However, extension to bone is exclusively due to diagnostic delay. Periodic consultations in endemic areas combined with training of resident health personnel are necessary for early diagnosis in order to improve the prognosis. MTSI, Vol. 2 No 1 (2022): MTSI-Revue |
| Databáze: | OpenAIRE |
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