Erysipelas of the leg (cellulitis) in sub-Saharan Africa: A multicentric study of 562 cases
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:...
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Our Dermatology Online
2017-01-01
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| Series: | Nasza Dermatologia Online |
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| Online Access: | http://www.odermatol.com/issue-in-html/2017-1-1-erysipelas/ |
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| author | Bayaki Saka Ahy Boubacar Diatta Ousmane Faye Boh Fanta Diané Abdoulaye Sangaré Pascal Niamba Christine Mandengue Léon Kobengue Assane Diop Fatimata Ly Mame Thierno Dieng Alassane Dicko Mohamed Macire Soumah Mohamed Cissé Sarah Hamdan Kourouma Isidore Kouassi Sefako Akakpo Julienne Noude Téclessou Palokinam Vincent Pitché |
| author_facet | Bayaki Saka Ahy Boubacar Diatta Ousmane Faye Boh Fanta Diané Abdoulaye Sangaré Pascal Niamba Christine Mandengue Léon Kobengue Assane Diop Fatimata Ly Mame Thierno Dieng Alassane Dicko Mohamed Macire Soumah Mohamed Cissé Sarah Hamdan Kourouma Isidore Kouassi Sefako Akakpo Julienne Noude Téclessou Palokinam Vincent Pitché |
| author_sort | Bayaki Saka |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-11T06:12:19Z |
| format | Article |
| id | doaj.art-6c24da21a5c84398a15b1fe558c42c81 |
| institution | Directory Open Access Journal |
| issn | 2081-9390 |
| language | English |
| last_indexed | 2024-12-11T06:12:19Z |
| publishDate | 2017-01-01 |
| publisher | Our Dermatology Online |
| record_format | Article |
| series | Nasza Dermatologia Online |
| spelling | doaj.art-6c24da21a5c84398a15b1fe558c42c812022-12-22T01:18:05ZengOur Dermatology OnlineNasza Dermatologia Online2081-93902017-01-01811510.7241/ourd.20171.01Erysipelas of the leg (cellulitis) in sub-Saharan Africa: A multicentric study of 562 casesBayaki Saka0Ahy Boubacar Diatta1Ousmane Faye2 Boh Fanta Diané3Abdoulaye Sangaré4Pascal Niamba5Christine Mandengue6Léon Kobengue7Assane Diop8Fatimata Ly9Mame Thierno Dieng10Alassane Dicko11Mohamed Macire Soumah12Mohamed Cissé13 Sarah Hamdan Kourouma14Isidore Kouassi15Sefako Akakpo16Julienne Noude Téclessou17Palokinam Vincent Pitché18Department of Dermatology, Sylvanus Olympio Hospital, University of Lome, Lome, TogoDepartment of Dermatology, Le Dantec Hospital, Dakar, Cheik Anta Diop University, Dakar, Senegal3epartment of Dermatology, CNAM, Bamako, University of Bamako, MaliDepartment of Dermatology, Donka Hospital, Conakry, University of Conakry, GuineaDermatology Center, Treichville Hospital, University of Cocody, Ivory CoastDepartment of Dermatology, Yaldago Ouédraogo Hospital, Ouagadougou, University of Ouagadougou, Burkina FasoDepartment of Dermatology, Montagnes Teaching Cclinic, Bangangte, CamerounDepartment of dermatology, Bangui Hospital, University of Bangui, Bangui, Centrafrica Department of Dermatology, Le Dantec Hospital, Dakar, Cheik Anta Diop University, Dakar, SenegalDepartment of Dermatology, Le Dantec Hospital, Dakar, Cheik Anta Diop University, Dakar, SenegalDepartment of Dermatology, Le Dantec Hospital, Dakar, Cheik Anta Diop University, Dakar, Senegalepartment of Dermatology, CNAM, Bamako, University of Bamako, MaliDepartment of Dermatology, Donka Hospital, Conakry, University of Conakry, GuineaDepartment of Dermatology, Donka Hospital, Conakry, University of Conakry, GuineaDermatology Center, Treichville Hospital, University of Cocody, Ivory CoastDermatology Center, Treichville Hospital, University of Cocody, Ivory Coast1Department of Dermatology, Sylvanus Olympio Hospital, University of Lome, Lome, Togo1Department of Dermatology, Sylvanus Olympio Hospital, University of Lome, Lome, Togo1Department of Dermatology, Sylvanus Olympio Hospital, University of Lome, Lome, TogoIntroduction: 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.http://www.odermatol.com/issue-in-html/2017-1-1-erysipelas/Erysipelas; Sub-Saharan Africa; Cellulitis |
| spellingShingle | Bayaki Saka Ahy Boubacar Diatta Ousmane Faye Boh Fanta Diané Abdoulaye Sangaré Pascal Niamba Christine Mandengue Léon Kobengue Assane Diop Fatimata Ly Mame Thierno Dieng Alassane Dicko Mohamed Macire Soumah Mohamed Cissé Sarah Hamdan Kourouma Isidore Kouassi Sefako Akakpo Julienne Noude Téclessou Palokinam Vincent Pitché Erysipelas of the leg (cellulitis) in sub-Saharan Africa: A multicentric study of 562 cases Nasza Dermatologia Online Erysipelas; Sub-Saharan Africa; Cellulitis |
| title | Erysipelas of the leg (cellulitis) in sub-Saharan Africa: A multicentric study of 562 cases |
| title_full | Erysipelas of the leg (cellulitis) in sub-Saharan Africa: A multicentric study of 562 cases |
| title_fullStr | Erysipelas of the leg (cellulitis) in sub-Saharan Africa: A multicentric study of 562 cases |
| title_full_unstemmed | Erysipelas of the leg (cellulitis) in sub-Saharan Africa: A multicentric study of 562 cases |
| title_short | Erysipelas of the leg (cellulitis) in sub-Saharan Africa: A multicentric study of 562 cases |
| title_sort | erysipelas of the leg cellulitis in sub saharan africa a multicentric study of 562 cases |
| topic | Erysipelas; Sub-Saharan Africa; Cellulitis |
| url | http://www.odermatol.com/issue-in-html/2017-1-1-erysipelas/ |
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