Arthrites infectieuses en consultation rhumatologique à Lomé (Togo),

Oniankitan, Owonayo; Bagayogo, Y.; Fianyo, E; Tagbor, Komi C.; Kakpovi, Kodjo; Houzou, P; Koffi-Tessio, V; Mijiyawa, M

doi:10.4314/jrsul.v11i2.57019

Cited by 4 publications

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“…The clinical and evolutionary shapes are in conformity with the data of the literature. However, in number of African sets, the diagnosis is often presumptive and the weak proportion of germ identification [21] doesn't necessarily permit to pull applicable findings. But, in the sets with bacterial proof, the bacterial population is essentially composed by staphylococcus aureus, streptococcus and negative gram bacillus [19]- [23].…”

Section: Discussionmentioning

confidence: 99%

Etiologies of Arthritis in Sub-Saharan Africa Rheumatology Practice

N'soundhat¹,

Salémo²,

Nkouala-Kidédé³

et al. 2016

OJRA

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Objective: To research distribution of etiologies modification of arthritis in Congo-Brazzaville, twenty years after the first reports. Methods: A cross sectional study has been achieved. Medical files of patients admitted for arthritis between 2000 and 2014, in Rheumatology department of Brazzaville university teaching hospital have been included. Among 416 patients listed as cases of arthritis, 201 answered to the inclusion criterias have been kept for analysis. The etiological diagnoses were based on criterias of classification and/or diagnosis used in Rheumatology. Results: 201 patients, 110 men (54.72%) and 91 women (45.28%) were included. The sex-ratio was 1.2, and average age was 45.5 years old (extremes: 8 -86 years). Among them, 72 patients had microcrystal arthritis. Septic arthritis and those associated with HIV constituted the second etiological group of 60 patients and respectively, 32 were bacterial and 28 HIV associated arthritis. 58 remaining patients had a chronic inflammatory arthritis. Etiology distribution showed that gout was the most frequent (33.83%), followed by septic arthritis (15.92%), HIV associated arthritis (13.93%) and rheumatoid arthritis (11.94%). In 11 patients (5.5%), etiology was unknown. Conclusion: Three decades after the first publications in Brazzaville, the etiologies of arthritis remain dominated in order of frequency by gout, septic arthritis and HIV associated arthritis and rheumatoid arthritis. The frequency of indeterminate arthritis decreased significantly. Spondy-loarthropathy and autoimmune diseases are more common diagnosis.

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Section: Discussionmentioning

confidence: 99%

Etiologies of Arthritis in Sub-Saharan Africa Rheumatology Practice

N'soundhat¹,

Salémo²,

Nkouala-Kidédé³

et al. 2016

OJRA

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“…Among the factors of risk identified of septic arthritis, the existence of a preexisting arthropathy is one of it [8]. However, the drop although being the first inflammatory arthropathy reason in hospitable environment is not described as factor associated to the intervening of an infectious arthritis [6] [9] [10]. If this association appears unaccustomed, it seems not to be exceptional [11].…”

Section: Discussionmentioning

confidence: 99%

Concomitant Septic Arthritis on Gouty Arthropathy: A Case Report

N'soundhat¹,

Ngoyi²,

Kidede³

et al. 2016

OJRA

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We're reporting the case of an arthritis to banal germ occurred in concomitance with an advanced polyarticular of gout. It was about a patient of 59 years with alcoholic and gouty chronicle more than 10 years, but without specialized medical follow-up. He has been admitted in hospitalization for a big inflammatory and stiff right knee, letting rising the pus through two cutaneous fistulas in a context of non-febrile change of his peripheral polyarthritis of the big and small articulations. Gout was at distal predominance, bilateral, distorting, tophaceous and active. Inflammatory syndrome was important (ESR = 50 mm in the 1st hour and CRP = 28 mg/l) and uricemia was high, at 84 mg/l. The glycaemia, the hepatic, the viral, renal and serological evaluation (HIV and B, C hepatitis) were normal. The bacteriological analysis of the pus collected after puncture of the knee and cleaning identified a negative gram bacillus, Morganella morganii, multi-resistant, but sensitive to the Imipeneme and to the aminosides. The evolution was lethal in a picture of multivisceral failing in spite of a bi-antibiotherapy and under hypo-uricemia treatment prescription.

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“…En raison du plateau technique limité et de l'antibiothérapie aveugle préalable, le diagnostic reste encore largement probabiliste. Ceci contraste avec les pays développés où le germe est retrouvé dans près de 80% des cas [5,6]. Le diagnostic différentiel se pose alors avec les arthrites d'autres origines : arthrites non infectieuses (ANI).…”

Section: Introductionunclassified

Comparaison des arthrites infectieuses et inflammatoires en consultation rhumatologique à Lomé

Fianyo,

Kakpovi,

Oniankitan

et al. 2022

Rhum Afr Franc

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Introduction : comparer les arthrites infectieuses et les arthrites non infectieuses en pratique rhumatologique à Lomé.Matériels et méthodes : il s’est agi d’une étude transversale sur dossiers menée du 1er janvier 2011 au 31 décembre 2019 dans les 3 services de rhumatologie de Lomé. Les patients inclus dans l’étude étaient tous ceux pris en charge pour une arthrite infectieuse ou inflammatoire. Les données démographiques, cliniques et paracliniques ont été recueillies à l’aide d’un questionnaire.Résultats : : durant la période d’étude, 20333 patients ont été reçus dans les différents services de rhumatologie dont 458 dossiers exploitables d’arthrite soit une fréquence hospitalière de 2,3%. Il s’est agi de 274 femmes et 184 hommes (sex-ratio 0,7). L’âge moyen des patients à la consultation était de 44 ± 17,6 ans. Quatre-vingt patients souffraient d’arthrite infectieuse, et 378 d’arthrite non infectieuse. Les arthrites infectieuses se caractérisaient par une mono-arthrite fébrile de début brutal avec un syndrome inflammatoire biologique très marqué (hyperleucocytose, VS très accélérée, CRP très augmentée). Le tableau clinique des arthrites non infectieuses était celui d’une polyarthrite de début progressif avec un syndrome inflammatoire biologique moins marqué que celui des arthrites infectieuses.Conclusion : le diagnostic présomptif d’arthrite infectieuse doit conduire à une antibiothérapie probabiliste.

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Arthrites infectieuses en consultation rhumatologique à Lomé (Togo),

Cited by 4 publications

References 0 publications

Etiologies of Arthritis in Sub-Saharan Africa Rheumatology Practice

Etiologies of Arthritis in Sub-Saharan Africa Rheumatology Practice

Concomitant Septic Arthritis on Gouty Arthropathy: A Case Report

Comparaison des arthrites infectieuses et inflammatoires en consultation rhumatologique à Lomé

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