[Clinical Spectrum of Herpes Zoster in Lomé (Togo), and Factors Associated with HIV Infection].

Q4 Medicine
J Noude Teclessou, A Séfako Akakpo, P Kassang, B Saka, A Mouhari-Toure, K Kombate, P Pitche
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Abstract

We have studied the epidemiological and clinical profile of herpes zoster in patients consulting at different hospitals in Lomé (Togo). This is a retrospective study of the records of the patient consulting for herpes zoster in the dermatology departments of these hospitals from 2009 to 2018. Of the 20,548 patients seen in the different departments, 254 (1.2%) had herpes zoster. The mean age of the patients was 41.6 ± 16 years, and the sex-ratio (M/F) was 0.81. Thirty-one (12.24%) patients were known to be HIVpositive and 105 (41.33%) agreed to be tested for HIV after admission. Thirty-five (33.3%) of these 105 patients were found to be HIV positive. Factors associated with HIV infection in 136 patients with the known HIV status were as follows: history of herpes zoster (P < 0.01, compared with the seronegatives), hemorrhagic lesions (P < 0.001), multimetameric location (P < 0.0001), and involvement of the cephalic extremity (P < 0.0001). Post-herpetic pain was observed in 32 (12.6%) patients.

[多哥lomaiv地区带状疱疹的临床特征及与HIV感染相关的因素]。
我们研究了多哥lomoise不同医院就诊患者的带状疱疹流行病学和临床概况。回顾性分析2009 - 2018年在上述医院皮肤科就诊的带状疱疹患者就诊记录。在不同科室的20,548例患者中,254例(1.2%)患有带状疱疹。患者平均年龄41.6±16岁,性别比(M/F)为0.81。已知HIV阳性31例(12.24%),同意入院后进行HIV检测105例(41.33%)。105例患者中35例(33.3%)为HIV阳性。136例已知HIV感染者中与HIV感染相关的因素为:带状疱疹史(与血清阴性者相比P < 0.01)、出血性病变(P < 0.001)、多位点(P < 0.0001)、累及头端(P < 0.0001)。32例(12.6%)患者出现疱疹后疼痛。
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期刊介绍: Le Bulletin de la Société de pathologie exotique et la société savante (SPE) dont il est la vitrine ont été créés en 1908 par Alphonse Laveran. Destiné, dans un premier temps, à servir de support à la publication des travaux des sociétaires présentés en séance sous forme de communication ou de mémoire, ce périodique est devenu, au fil du temps, une revue internationale francophone multidisciplinaire, ouverte à tous les médecins, vétérinaires, anthropologues et chercheurs travaillant dans le domaine de la médecine tropicale humaine et animale et de la santé publique dans les pays en voie de développement.
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