Bacterial Dermo-Hypodermatitis (BDH) in Ziguinchor (Senegal): A 2-Year Review
Published: 2023-08-22
Page: 53-59
Issue: 2023 - Volume 6 [Issue 1]
Boubacar Ahy Diatta *
Dermatology Department, Cheikh Anta Diop University of Dakar, Senegal.
Mory Gueye
Department of Medicine and Surgery, Assane Seck University of Ziguinchor, Senegal.
Marie Antoinette Daba Dione
Department of Medicine and Surgery, Assane Seck University of Ziguinchor, Senegal.
Pie Nibirantije
Dermatology Department, Cheikh Anta Diop University of Dakar, Senegal.
Diama Sakho
Department of Medicine and Surgery, Assane Seck University of Ziguinchor, Senegal.
Noël Magloire Manga
Department of Medicine and Surgery, Assane Seck University of Ziguinchor, Senegal.
Ansoumana Diatta
Department of Medicine and Surgery, Assane Seck University of Ziguinchor, Senegal.
Patrice Mendy
Dermatology Department, Cheikh Anta Diop University of Dakar, Senegal.
Alioune Badara Diouf
Department of Medicine and Surgery, Assane Seck University of Ziguinchor, Senegal.
Niang Suzanne Oumou
Dermatology Department, Cheikh Anta Diop University of Dakar, Senegal.
*Author to whom correspondence should be addressed.
Abstract
Introduction: The incidence of bacterial dermo-hypodermatitis (BDH) varies worldwide. In Africa, a resurgence has been noted in recent years, with the identification of certain local and general risk factors in urban areas. However, the epidemiology of bacterial dermohypodermatitis in other regions of Senegal remains unknown. The aims of our study were to determine the epidemiological, clinical, and therapeutic outcome of bacterial dermo-hypodermatitis, as well as to identify the eventual associated risk factors.
Methodology: We conducted a descriptive cross-sectional study of the records of patients followed for BDH in the two Dermatology departments of the Ziguinchor region over a 4-year (01 July 2019 to 01 July 2022).
Results : We collected 148 cases of BDH. The sex ratio was 1.17. The mean age of patients was 55.83 years. Non-steroidal anti-inflammatory drugs were used in 13 cases (8.8%), with worsening of symptoms in 9.5%. Bacterial dermohypodermatitis was non-necrotizing in 133 cases (89.9%) and necrotizing in 15 (10.1%). There was a point of entry in 92 cases (62.1%). Amoxicillin-clavulanic acid has been used in 124 cases (83.8%). Surgical debridement has been performed in 12 cases (8.1%). Favorable progression noted in 141 cases (98.6%). General factors associated with BDH were arterial hypertension in 21 cases (14.2%), obesity in 20 cases (13.5%), diabetes in 14 cases (9.5%) and artificial depigmentation in 8 cases (5.4%). Skin Regional risk factors were lymphedema in 14 cases (9.5%), and no deaths were observed.
Conclusion:Bacterial dermo-hypodermatitis is common in Ziguinchor, and predominantly affects adult males, contrary to the predominance of females in the literature. Cardiovascular risk factors such as obesity and arterial hypertension were the most common.
Keywords: Epidemiology, bacterial dermohypodermatitis, ziguinchor
How to Cite
References
Diedhiou D, Leye M, Toure M, Boiro D, Sow D, Leye YM, et al. Bacterial dermohypodermitis in Dakar: Retrospective of 194 cases followed in Internal Medicine at the Medical Clinic II. Rev. Health Cams. 2013;1:31-35.
Diallo M. Profile of bacterial dermohypodermitis in Senegal over a 30-year period. Int J Dermatol Clin Res. 2017;22-5.
Chartier C, Grosshans E. Erysipelas. Int J Dermatol. 1990;29:459-467.
Guiot F, Lachapelle JM. Erysipelas and necrotizing fasciitis. Louvain Med. 2002;121:107-116.
Pitché P, Diatta BA, Faye O, Diane B-F, Sangare A, Niamba P, et al. Risk factors associated with leg erysipelas in sub-Saharan Africa: a multicentre case–control study. Ann Dermatol Venereol. 2015;142:633-8.
Bounouar M, Meziane M, Gallouj S, Mikou O, Mernissi F. Predictive factors of complications during bacterial dermohypodermitis: prospective study at CHU Hassan II in Fez. Ann Dermatol Venereol. 2012;139(12):B100.
Saka B, Tounkara TM, Diatta BA, Faye O, Niamba P, Toure MA et al. Necrotizing fasciitis in sub-Saharan Africa: A study of necrotizing fasciitis in sub-Saharan Africa: A study of 224 cases. Our Dermatol Online. 2022;13:259-263.
Aounallah A, Lahouel I, Belkahla M, Korbi M, Mbazaa A, Saidi W, Mokni S, Boussofara L, Gammoudi R, Ghariani N, Denguezli M, Belajouza C, Nouira R. Erysipelas of the lower limb: study of 400 cases. Our Dermatol Online. 2017;8:15-19.
Saka B, Kombaté K, Mouhari-Toure A, Akakpo S, Boukari T, Pitché P, et al. Bacterial dermohypodermitis and necrotizing fascitis: 104-case series from Togo. Med Trop Rev Corps Sante Colon. 2011;71:162-4.
Cissé M, Keïta M, Touré A, Camara A, Machet L, Lorette G. Bacterial dermohypodermitis: a retrospective single-center study of 244 cases in Guinea. Ann Dermatol Venereol. 2007;134:748–51.
Mokni M, Dupuy A, Denguezli M, Dhaoui R, Bouassida S, Amri M, Mokhtar I, Kamoun MR, Zahaf A, Chosidow O. Risk factors for erysipelas of the leg in Tunisia: a multicenter case control study. Dermatology. 2006;212(2):108-12.
Dieng MT, Diop NG, Niang S, Boye A. Bacterial dermohypodermitis and artificial depigmentation: about 60 cases in Senegal. New Dermatol. 2001;20:630-632.