Etiology of acute sporadic hepatitis in adults in Senegal and Tunisia.

Markers for acute hepatitis A, B, C and E virus infections were examined in the sera of 72 patients suffering from acute hepatitis in Senegal and Tunisia. Hepatitis B was responsible for 36% and hepatitis C for 21% of the cases. Acute hepatitis A was not diagnosed. HEV infection was not observed in Senegal and represents only 4% of the acute hepatitis cases in Tunisia.

Strategies curatives du paludisme

Le paludisme; endemie parasitaire majeure; pose un probleme de sante publique a l'echelle planetaire; mais surtout a l'Afrique au Sud du Sahara qui en paie un lourd tribut. En effet; l'Afrique recele pres de 90 pour cent des cas declares dans le monde. Les strategies curatives a appliquer dependront de la gravite de l'acces; de la chimioresistance; du terrain et du niveau de recours

[Human rabies in Senegal: epidemiological and clinical aspects]. / La rage humaine au Sénégal: aspects épidémiologiques et cliniques.

The human rabies is a dangerous disease with fatal evolution. We report in this study, 33 cases of human rabies admitted in the Infectious Diseases Clinic CHU Fann Dakar, on january 1980 through december 1990. The development of the disease in our country depends on the existence of stray dogs and deficient informations of the population about this endemic. It is therefore necessary to insist on the health care education of populations, the campaign against dogs rabies, the formation of medical and paramedical health care personnel and the creation of decentralized antirabies centers.

[Malaria in Dakar: epidemiological clinical and parasitological aspects]. / Le paludisme à Dakar: aspects épidémiologiques cliniques et parasitlogiques.

A retrospective case control study is underdone in Infections Diseases Service of Dakar (Senegal) from june 1 st, 1989 to december 31 st, 1989. 203 observations are collected on the basis of positive blood stream and blood films with Plasmodium falciparum. The authors give the epidemiological picture of the two clinical features which are: Malignant tertian (107 cases-53%) and intermittent access (96 cases-47%). Lethal risk is 12 fold higher in Malignant tertian form than in the intermittent one. Parasitemia median is below 5,000 parasites/mm3. There is no relation between parasite density and clinical pictures. Thus, they advance tumor necrosis factor's in the pathogenia as others authors did and its impact in vital prognostic.

[Acute pure lobar pneumonia in the child (P.F.L.A.). Apropos of 42 cases collected in the infectious disease department of Dakar U.H.C]. / Les pneumonies franches lobaires aiguës de l'enfant (P.F.L.A.). A propos de 42 cas colligés dans le service des maladies infectieuses du C.H.U. de Dakar.

Systematic, non-suppurate, acute pneumopathies (PANSS) or acute, clear-cut, lobary pneumonia (PFLA) constitute a pathology in babies aged 0-1 years. The clinic found 83.3% of these little patients to be feverish, dyspneic and suffering from a dry cough. 85% of the cases presented the alveolary filling syndrome with acric bronchogramme. After a 3 day apyrexy period on penicillin, the evolution was favourable in 83.4% of the cases.

[Epidemiological aspects of neonatal purulent meningitis in Dakar]. / Aspects épidémiologiques des méningites purulentes néo-natales à Dakar.

The authors point out that, after tetanus, purulent meningitis is a very common neo-natal infection. Their epidemiology is dominated by the existence of particular obstetric and associated factors, which play an important role in the early development of this sickness. Numerous forms of bacteria, particularly pneumococci, were isolated. In spite of everything, the mortality rate is high, so attention should be given to preventing this illness. Better follow-up during pregnancy coupled with better conditions for delivery could help this prophylaxis.