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Aspects épidémiologiques et thérapeutiques de la maladie de Kawasaki à Libreville de 2014 à 2021
Kuissi Kamgaing, Eliane; Lembet Mikolo, A; Minto'o Rogombe, S; Koumba Maniaga, R; Mitoulou, C; Mintsa-Mi-Nkama, E; Busughu-Bu-Mbadinga, I; Loulouga, P; Koko, J; Ategbo, S.
  • Kuissi Kamgaing, Eliane; Département de Pédiatrie, Université des Sciences de la Santé (USS), Libreville Gabon 2 Pôle enfant, Centre Hospitalo-Universitaire mère enfant Fondation Jeanne Ebori de Libreville. Libreville. GA
  • Lembet Mikolo, A; Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009 Libreville. Libreville. GA
  • Minto'o Rogombe, S; Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009. Libreville. GA
  • Koumba Maniaga, R; Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009. Libreville. GA
  • Mitoulou, C; Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009. Libreville. GA
  • Mintsa-Mi-Nkama, E; Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009. Libreville. GA
  • Busughu-Bu-Mbadinga, I; Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009. Libreville. GA
  • Loulouga, P; Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009. Libreville. GA
  • Koko, J; Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009. Libreville. GA
  • Ategbo, S; Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009. Libreville. Gabon. GA
Health sci. dis ; 23(8): 45-50, 2022. tables,figures
Article in English | AIM | ID: biblio-1391089
ABSTRACT
Introduction.Kawasaki disease (KD) is an acute multi-systemic vasculitis of young children and infants. It is the first cause of acquired cardiac disease in children and remains poorly described in Gabon. We therefore wanted to describe the epidemiological and therapeutic aspects of this disease in two hospitals in Libreville. Patients and methods.We conducted a retrospective, descriptive study from 2014 to 2021 at the Akanda University Hospital and the El Rapha polyclinic in Libreville. All records of patients hospitalised in paediatrics for MK were included. Results.Thirty three cases of MK were retrieved, giving ahospital prevalence of0.6%. The mean age of patients was 20.4 months, the proportion of patients <18 months was 60.6% and the sex ratio was 1.7. The symptoms were observed mainly during the dry season (69.7%). Fever (100%), conjunctivitis (78.8%) and desquamation (72.7%) were the main reasons for consultation. In 24.2% of cases, a traditional medicine was administered. The average time between the onset of symptoms and hospitalization was 11 days. Once hospitalized, the diagnosis of MK was evoked within an average of 3 days. The typical form was observed in 57.6% of cases. In 100% of cases, the hemoglobin level was <12g/dl and the CRP was >15mg/l. Echocardiography was abnormal in 5 patients. Acetylsalicylic acid was the only treatment with a mean time to apyrexia of 3 days after administration. No deaths were recorded.

Conclusion:

the MK is relatively present in Libreville. It is important to mention it in the event of a fever of more than 5 days.
Subject(s)

Full text: Available Index: AIM (Africa) Main subject: Pharmacoepidemiology / Mucocutaneous Lymph Node Syndrome Type of study: Risk factors Language: English Journal: Health sci. dis Year: 2022 Type: Article Institution/Affiliation country: Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009 Libreville/GA / Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009/GA / Département de Pédiatrie, Université des Sciences de la Santé (USS), Libreville Gabon 2 Pôle enfant, Centre Hospitalo-Universitaire mère enfant Fondation Jeanne Ebori de Libreville/GA

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Full text: Available Index: AIM (Africa) Main subject: Pharmacoepidemiology / Mucocutaneous Lymph Node Syndrome Type of study: Risk factors Language: English Journal: Health sci. dis Year: 2022 Type: Article Institution/Affiliation country: Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009 Libreville/GA / Département de Pédiatrie, Université des Sciences de la Santé (USS), BP 4009/GA / Département de Pédiatrie, Université des Sciences de la Santé (USS), Libreville Gabon 2 Pôle enfant, Centre Hospitalo-Universitaire mère enfant Fondation Jeanne Ebori de Libreville/GA