Barro-Traoré F, Traoré A, Ilboudo L, Ouédraogo L T, Kaboré J
Service de Dermatologie du Centre Hospitalier Universitaire Yalgado Ouédraogo de Ouagadougou.
Dakar Med. 2007;52(3):236-43.
Herpes zoster is an acute posterior ganglio-radiculitis related to the reactivation of the chicken pox-herpes zoster virus remained quiescent in the neurons of the nerve-knots. It usually occurs at the subject after 60 years old. For young patient, it is closely related to the infection by the HIV. Our exploratory descriptive and analytical study was carried out from 1 October 2002 to 30 September 2003, in order to describe the epidemiological, clinical aspects of the herpes zoster in the medical formations of the town of Ouagadougou (Burkina Faso) and to determine the prevalence of the infection by the HIV in the patients. We have collected 118 patients who have a herpes zoster through 6500 consultants. There were 79 women and 39 men. The average age was 34.4 years. The age bracket from 20 to 40 years was the most touched. The blistered eruption was the first reason for consultation; the light with type of burn, intermittent pain prevailed. The lesions healed in one month but there were 28 ulcerated necrotic cases. Post zoster pains have been observed in 33 cases. The localizations were the members in 44 cases (37.29%), the head in 35 cases (29.66%) and the trunk in 40 cases (33.90%). We have observed a case with double localization of herpes zoster. On 65 patients tested for the HIV, 58 (89.2%) were infected. The age bracket from 20 to 40 was the most concerned. A case of corneal necrosis isolated, with blindness and another with an opposed, spasmodic and total hemi paresis were notified. Fourteen patients having an antecedent of herpes zoster were all infected by HIV. Since the pandemic infection by the HIV, the incidence of the herpes zoster increases within the young population. The high frequency of HIV infection among our patients (89.2%) showed that the herpes zoster is closely related to this disease.
带状疱疹是一种急性后根神经节炎，与潜伏在神经节神经元中的水痘 - 带状疱疹病毒重新激活有关。它通常发生在60岁以上的人群中。对于年轻患者，它与HIV感染密切相关。我们于2002年10月1日至2003年9月30日进行了探索性描述性和分析性研究，以描述瓦加杜古市（布基纳法索）医疗机构中带状疱疹的流行病学和临床情况，并确定患者中HIV感染的患病率。我们通过6500名咨询者收集了118例带状疱疹患者。其中女性79例，男性39例。平均年龄为34.4岁。20至40岁年龄段受影响最大。水疱性皮疹是就诊的首要原因；烧灼样、间歇性疼痛较为常见。皮损在一个月内愈合，但有28例出现溃疡坏死。33例出现带状疱疹后神经痛。皮损部位在四肢的有44例（37.29%），头部35例（29.66%），躯干40例（33.90%）。我们观察到1例带状疱疹双部位发病。在65例接受HIV检测的患者中，58例（89.2%）感染。20至40岁年龄段受影响最为严重。报告了1例孤立性角膜坏死伴失明病例，以及1例伴有对侧痉挛性完全性偏瘫病例。14例有带状疱疹病史的患者均感染了HIV。自HIV大流行感染以来，年轻人群中带状疱疹的发病率有所上升。我们患者中HIV感染的高频率（89.2%）表明带状疱疹与这种疾病密切相关。
