Infectious Dermatoses in Ziguinchor (Senegal): Epidemiological, Clinical and Evolutionary Particularities

Boubacar Ahy Diatta *

Dermatology Department, Cheikh Anta Diop University of Dakar, Senegal.

Meriam Salim

Department of Medicine, Assane Seck University of Ziguinchor, Senegal.

Diama Sakho

Department of Medicine, Assane Seck University of Ziguinchor, Senegal.

Maxime Manga

Department of Medicine, Assane Seck University of Ziguinchor, Senegal.

Marie Antoinette Daba Dione

Department of Medicine, Assane Seck University of Ziguinchor, Senegal.

Pie Nibirantije

Dermatology Department, Cheikh Anta Diop University of Dakar, Senegal.

Patrice Mendy

Dermatology Department, Cheikh Anta Diop University of Dakar, Senegal.

Noël Magloire Manga

Department of Medicine, Assane Seck University of Ziguinchor, Senegal.

Ansoumana Diatta

Department of Medicine, 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: Infectious dermatoses are common in tropical countries. Their prevalence varies, with fungal causes predominating. Their severity is linked to the risk of life-threatening systemic complications. We aimed to describe the epidemiological, clinical and evolutionary aspects of infectious dermatoses.

Methodology: This was a retrospective cross-sectional study conducted over a period of 08 months. It included all the records of patients treated for infectious dermatoses in the dermatology department of the Ziguinchor regional hospital. Data entry and analysis were performed using Epi Info software version 7.2.4.0. and SPSS 13.0 software. Descriptive studies have been carried out by calculating frequencies, proportions and confidence intervals for qualitative variables. And for quantitative data, by calculating averages with their standard deviation. Analytical study using cross-tabulations. To compare frequencies, we used the Chi-square test2 or the Fisher test. The significance level was p < 0.05.

Results: We collected 220 cases of infectious dermatoses, representing a hospital prevalence of 30.3%. The mean age of patients was 30.35 years (107 men and 113 women). Underlying conditions were diabetes in 23cases and HIV 1 infection in 13cases. A high prevalence of mycotic dermatoses has been noted in 50.7% (n=112), dominated by dermatophytosis in 22.7%. Viral dermatoses have been noted in 28.5% (n=63), with herpes zoster predominating in 6.3%,Bacterial dermatoses have been noted in 25.4% (n=56), represented mainly by non-necrotizing dermohypodermatitis in 7.2% (n=16). Parasitic dermatoses have been noted in 11.8% (n=26) and were dominated by scabies in 17.7% (n=40). All patients received etiological and symptomatic treatment. The outcome was favorable in 69.5% (n=153), although mortality was 2.27% (n=5).

Conclusion: Infectious dermatoses are a frequent request for care in tropical Africa, particularly in Ziguinchor. They have been dominated by mycotic and viral infections in children. In adults, diabetes and HIV infection are the major contributing factors. Mortality is linked to necrotizing bacterial dermohypodermatitis. Early diagnosis and management can improve prognosis.

Keywords: Epidemiology, infectious dermatoses, Ziguinchor, Senegal


How to Cite

Diatta, B. A., Salim , M., Sakho , D., Manga , M., Dione , M. A. D., Nibirantije , P., Mendy , P., Manga , N. M., Diatta , A., & Oumou , N. S. (2023). Infectious Dermatoses in Ziguinchor (Senegal): Epidemiological, Clinical and Evolutionary Particularities. Asian Journal of Research in Dermatological Science, 6(1), 60–67. Retrieved from https://journalajrdes.com/index.php/AJRDES/article/view/87

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References

Fofana Y, Traore B, Dicko A, Faye O, Berthe S, Cissé L, et al. Epidemiological and clinical profile of dermatoses in children seen in dermatological consultation in the dermatology department of the national disease control support center in Bamako (Mali). Pan Afr Med J. 2016(25):238.

Dione H, Bammo M, Lawson ATD, Seck F, Diousse P, Gueye N, et al. Dermatological emergencies at the regional hospital of Thiès/Senegal: a series of 240 cases. Rev Afr Med Intern. 2018;5(1):11‑4.

Pitché P, Diatta B, Faye O, Diané B-F, Sangaré 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(11):633‑8.

Gahouma D, Koko J, Nzame-Viérin Y. The epidemiological aspects of childhood dermatoses in rural areas in Gabon. Bull Med Owendo. 2007;95‑7.

Arcury TA, Feldman SR, Schulz M, et al. Diagnosed skin diseases among migrant farm workers in North Carolina: prevalence and risk factors. J Agric Saf Health 2007;13(4):407-18.

Özcelik, I. Kulaç, I. Kulac, M. Yazici et E. Ocal, " Distribution of childhood skin diseases by age and sex, a unique institution experience ", Türk Pediatri Arşivi 2018;53:105–112.

Zoung K B , Kouotou E, Defo D, Njamnshi KA, Koueke P, Muna W. Epidemiology of dermatoses at the General Hospital of Yaounde. Health Sci. Dis 2009;10:4.

Irina MR, Fandresena AS, Malalaniaina A, Moril S, Onivola R, Dimby SR, et al. Clinicoepidemiology of skin diseases in children seen at the university hospital center morafeno, toamasina, madagascar. Dermatology Research and Practice.2021; 1687-6105.

Miotto IZ, Bessa VR, Vasconcelos LB, Samorano LP, Rivitti-Machado MC ,Oliveira ZNP. Model of pediatric dermatoses in a Brazilian reference center. J Pediatr 2021;97:211–218.

Ben Saif GA, Al Shehab SA. Model of childhood dermatoses in a university hospital in Saudi Arabia. Int J Health Sciences. 2008;2:63–74.

Kiprono SK, Muchunu JW, et Masenga JE. Skin diseases in pediatric patients attending a tertiary dermatology hospital in northern Tanzania: a cross-sectional study. BMC Dermatology. 2015;15:1-16.

Sacchidanand S, Sahana MS, Asha GS, Shilpa K. Model of pediatric dermatoses in a reference center. Indian J Pediatrics. 2014.81:375–380.

Niang SO, Diatta BA, Tine Y, Diadié S, Diop K, Ndiaye C, Ndour N, Deh A, Ndiaye M. Management of delayed hypersensitivities in medicinal plants. Rev en allergol. 2020;(60):275–276.

Diatta CD, Gueye M, Akpo LE. Medicinal plants used against dermatoses in the Baïnounk pharmacopoeia of Djibonker, Ziguinchor region (Senegal). J Appl Biosci. 2013;70:5599‑607.

Konaté I, Karabinta Y, Ouembe ADL, et al. Profile of dermatoses in diabetics in consultation in the dermatology department at the CHU Gabriel Touré. Mali Med. 2018;XXXIII:4

Kobangue L. Cross-sectional study of dermatological conditions in the department of dermatology and venerology in Bangui, Central African Republic. Rev Afr Malagasy Rech Sci Health. 2014;2:1.

Kobangué L, Guérendo P, Abeyé J, Namdito P, Mballa MD, Gresenguet G. Scabies: Epidemiological, clinical and therapeutic particularities in Bangui. Bull Soc Pathol Exot. 2014;107(1):10-4.