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 40
- 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...
Successful Treatment of Annular Elastolytic Giant Cell Granuloma with Tranilast and Topical Glucocorticoid under the Strict Restriction of Sun Exposure
Annular elastolylic giant cell granuloma (AEGCG) is a rare granulomatous skin disease characterized by loss of elastic fibers accompanied with elastophagocytosis by multinucleated giant cells. The clinical appearance sho...
A Case of Jessner’s Lymphocytic Infiltrate and Cutaneous B-Cell Follicular Lymphoma: Coexistence or Transformation?
Jessner’s lymphocytic infiltrate of the skin is a rare, benign cutaneous disorder. Difficulty arises in differentiating it from cutaneous lymphoma on histology, thus requiring immunophenotying, however the literature lac...
A Case of Actinomycetoma Treated with Trimethoprim + Sulfamethoxazole
A 32-year-old man presented with a history of progressive, painful nodular growths with discharge consisting granules over the right thigh, inguinal area and right foot. Histopathological examination of the tissue biopsy...
Case Report: Reynolds Syndrome
Reynolds et al. described in 1971, 6 patients with classical primary biliary cholangitis, who presented concomitantly with varying degrees of scleroderma. Since then this association has been called Reynolds Syndrome.