Kébé M, Ghaber S M, Aryane A, Amar M L, Yahya S, Kane A, Ely S O, Ball M
Service dermatologie. Centre hospitalier Amitié. Nouakchott. Mauritanie.
Service du laboratoire. Centre ospitalier National. Nouakchott. Mauritanie.
Mali Med. 2019;34(2):12-17.
Many cases of cutaneous leishmaniasis are observed during hospital consultations in Nouakchott. The objective of our study is to collect all cases of cutaneous leishmaniasis in Nouakchott and to study its epidemiological and clinico-biological characteristics.
This is a prospective multicenter descriptive study conducted in two specialized hospital departments in Nouakchott from September 1st, 2016 to the end of October 2017. All patients with suspicious lesions of cutaneous leishmaniasis during this period were selected. Parasitological skin sampling, PCR and histology have been performed to patients.
Twenty one out of 9000 patients were diagnosed during the study period, with an average age of 23 years (ranging from 3 to 70 years). A male predominance was noted with a sex ratio of 2/1. The most frequent locations are the discovered parts of the body (the 4 members). The ulcero-crusty form is encountered in 2/3 of the cases. L. major is more frequently identified (61.9%) followed by L infantum in 23.8% of cases. Meglume Antimoniate was administered intralesionally in 57.1% of patients. In Nouakchott, cutaneous leishmaniasis is not uncommon. The cases observed are related to an origin or a stay in the southern regions.
在努瓦克肖特的医院会诊中观察到许多皮肤利什曼病病例。我们研究的目的是收集努瓦克肖特所有皮肤利什曼病病例,并研究其流行病学和临床生物学特征。
这是一项前瞻性多中心描述性研究,于2016年9月1日至2017年10月底在努瓦克肖特的两个专科医院科室进行。在此期间,所有有皮肤利什曼病可疑病变的患者均被选中。对患者进行了寄生虫学皮肤采样、聚合酶链反应(PCR)和组织学检查。
在研究期间,9000名患者中有21名被诊断出患有该病,平均年龄为23岁(3至70岁)。男性占主导地位,性别比为2比1。最常见的发病部位是身体暴露部位(四肢)。三分之二的病例为溃疡结痂型。硕大利什曼原虫感染更为常见(61.9%),其次是婴儿利什曼原虫,占23.8%。57.1%的患者接受了葡萄糖酸锑钠皮损内注射。在努瓦克肖特,皮肤利什曼病并不罕见。观察到的病例与来自南部地区或在该地区停留有关。