Erysipelas of the leg (cellulitis) in sub-Saharan Africa: a multicentric study of 562 cases
| Autor: | Fatimata Ly, Bayaki Saka, Léon Kobengue, Isidore Kouassi, Abdoulaye Sangaré, Christine Mandengue, Julienne Noude Teclessou, Boh Fanta Diané, P. Pitché, Assane Diop, Ahy Boubacar Diatta, Alassane Dicko, Mame Thierno Dieng, MM Soumah, Séfako Akakpo, Mohamed Cissé, Sarah Kourouma, Ousmane Faye, Pascal Niamba |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Sub saharan business.industry lcsh:RL1-803 medicine.disease Dermatology Erysipelas Surgery Sub-Saharan Africa Cellulitis 03 medical and health sciences 0302 clinical medicine Leg cellulitis lcsh:Dermatology medicine 030212 general & internal medicine business 030217 neurology & neurosurgery |
| Zdroj: | Nasza Dermatologia Online, Vol 8, Iss 1, Pp 1-5 (2017) |
| ISSN: | 2081-9390 |
| Popis: | Introduction: Erysipelas of the leg is a common and serious infection. We carried out this study aiming at describing the epidemiological and clinical characteristics, and assessing the risks factors associated with the local complications of erysipelas of the leg in sub-Saharan Africa. Methods: This was a prospective multicentric study carried out in the dermatology units of Hospitals located in seven sub-Saharan African countries during a period of 12 months. Patients aged 15 and above with a first episode of erysipelas of the leg were recruited. Results: In this study, 562 patients were recruited, having a mean age of 43.7±16.9 years and a sex-ratio (M/F) of 0.67. Patients infected on one leg were 562 while those infected with two were 27. Bullous forms of the disease were observed in 95 patients, while purpuric forms were observed in 167 patients. The existence of a point of entry (485 cases), obesity (230), lymph edema (130) and the use of bleaching agents (97) were the mains risk factors. Complications during the course of the infection such as necrotizing fasciitis (34 cases) and abscesses (63 cases) were observed. They were due to the use of antibiotics and non-steroidal anti-inflammatory treatments, and the use of cataplasm. Conclusion: This study reveals that existence of a point of entry, obesity and lymph edema, and the use of bleaching agents were the mains risk factors influencing the local complications of erysipelas of the leg. Necrotizing fasciitis and abscesses were influenced by the use of antibiotics and non-steroidal anti-inflammatory treatments, and the use of cataplasm. |
| Databáze: | OpenAIRE |
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