Profile of Bacterial Dermohypodermitis in Senegal over a 30-year period
Journal Title: International Journal of Dermatology and Clinical Research - Year 2017, Vol 3, Issue 1
Abstract
Introduction: The increase of both the frequency and severity of the bacterial dermohypodermitis (BDH) in Senegal suggests the existence of other risk factors outside of those classically known to be involved. Our study aimed to clarify the epidemiological, clinical and risk factors of BDH in Senegal. Patients and methods: It was a retrospective, descriptive study based on records of all patients admitted for a DHD, in our department over a 30-year period (1982-2010). Results: We collected 456 cases including 365 erysipelas and 91 necrotizing bacterial dermohypodermitis (NBDH). Nearly 50% of cases were observed during the last decade. The sex ratio was 0.3 and 0.9 whereas the average age was 40 years and 45 years respectively for erysipelas and NBDH. It was a severe form of erysipelas in 243 cases and classical one in 122 cases. The predominant topography was the lower limb (81%). Simultaneous multifocal BDH was observed in 5 patients. The risk factors were skin bleaching (70%), venous insufficiency (37%), obesity (24%), a history of erysipelas (9.8%), lymphedema (9%) and pregnancy (3.5%). The portal of entry was identified in 76% of the cases. NBDH was secondary to Vibrio vulnificus infection in 2 cases and Pasteurella multocida in one case. The outcome was recurrence of the disease (9%), death (2%) and elephantiasis (1.5%). Discussion: Our study reports on of the the most important BDH series in Sub-Saharan Africa. It highlights a marked increase in the frequency of BDH in our our country over the last years. In general, the condition was severe and typically affected young adults between 35 and 45 years old, usually females and mostly practicing skin whitening.
Authors and Affiliations
M Diallo, BA Diatta, A Diop, F Ly, MT Dieng
Keywords
Related Articles
- EP ID EP341584
- DOI 10.17352/2455-8605.000022
- Views 59
- Downloads 0
A Cross sectional Study on Clinicomycological Aspects of Mucocutaneous Candidiasis in a Tertiary Care Center
Background: Candida is an ubiquitious organism causing superficial fungal infections that are commonly encountered in clinical practice. The knowledge of the change in the epidemiology, clinical spectrum and antifungal s...
Comparison of safety and efficacy of Oral Terbinafine with Amphotericin B gel and Sertaconazole cream for the treatment of Tinea Corporis and its effect on quality of life of patients
Background: Tinea Corporis is a superficial fungal infection affecting 20-25% of the world’s population. Management involves using topical and oral antifungal drugs. Terbinafine has been used commonly for the treatment...
A Study on clinical patterns of mucocutaneous candidiasis in immunosuppressed patients
Background: Candidasis is the most common superficial fungal infection in immunocompromised patients. With the advent of wide spectrum of immunosuppressive drug and increase in HIV patients, there is a change in the epid...
Profile of Bacterial Dermohypodermitis in Senegal over a 30-year period
Introduction: The increase of both the frequency and severity of the bacterial dermohypodermitis (BDH) in Senegal suggests the existence of other risk factors outside of those classically known to be involved. Our study...
Treatment of Molluscum Contagiosum by Potassium Hydroxide Solution 20% with and Without Pricking and By Pricking Alone: A Comparative Study with Review of Literature
Background: Molluscum Contagiosum is a common viral skin infection, caused by poxvirus, commonly affects young children. Although there is no specific treatment for this infection, many therapeutic modalities has been us...