scholarly journals Case Report: A New Mycobacterium ulcerans Genotype Causing Buruli Ulcer in Côte d’Ivoire

2021 ◽  
Author(s):  
Philippe Bahadoran ◽  
Nassim Hammoudi ◽  
Alice Gaudart ◽  
Jamal Saad ◽  
Yoan Di Filippo ◽  
...  
Keyword(s):  
Case Report ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Buruli Ulcer ◽  
Opportunistic Pathogen ◽  
Mycobacterium Ulcerans ◽  
Rural Populations ◽  
Whole Genome ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

Mycobacterium ulcerans, the opportunistic pathogen causing Buruli ulcer, is reported to affect rural populations in 36 tropical countries. We report one case of Buruli ulcer in a peri-urban area in Côte d’Ivoire, confirmed by whole genome sequencing which indicated a M. ulcerans genotype previously unreported in Côte d’Ivoire.

scholarly journals Itineraires Therapeutiques Pluriels Et Recours Tardif Des Malades De L’ulcere De Buruli Dans Les Centres De Prise En Charge Dans Le District Sanitaire De Yamoussoukro (Côte d’Ivoire)

2016 ◽  
Vol 12 (30) ◽  
pp. 263
Author(s):  
Adjet A. Abel ◽  
Adou D. Lucien ◽  
Danièle O. Konan
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Care Center ◽  
Cultural Beliefs ◽  
Buruli Ulcer ◽  
Public Health Problem ◽  
Mycobacterium Ulcerans ◽  
Prise En Charge ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

Buruli ulcer is an infectious disease caused by Mycobacterium ulcerans. It begins with a lump, swelling, skin plate and progresses to severe ulceration and disabling sequelae . For over a decade, it is a real public health problem in Côte d'Ivoire. The institutions responsible for the fight against this disease advocate for patients in endemic areas early case detection and immediate recourse to specialized care centers. Despite this recommendation, the therapeutic itinerary of patients is multimodal. This study aims to analyze the therapeutic itinerary plural sick of Buruli ulcer and to determine the factors that justify the paradoxes and contradictions between state recommendations and behaviors of patients. It took place in three support centers in the health district of yamoussoukro. In a qualitative approach, with observation checklists, interview guides, this study was conducted with 50 patients, 18 healers in the care center and 4 traditional healers. Patients rely successively, alternatively or additionally to the African medicine and care center. Traditional medicine is the first therapeutic choice for most patients. The proximity of traditional healer, cultural beliefs and representations related to the disease, the constraints of hospitalization, ignorance of the disease make account plural therapeutic itineraries sick of Buruli ulcer.The patients do not adhere to early detection and immediate access to health care centers. Free medical care for Buruli ulcer is fraught with difficulties because of patient behaviors. The hospital management does not consider the social environment of patients and the relationship between the disease and culture that influence the therapeutic itinerary of patients.

scholarly journals Multilocus VNTR analysis of Mycobacterium ulcerans strains isolated in Côte d’Ivoire

2010 ◽  
Vol 5 (01) ◽  
pp. 059-063 ◽  
Author(s):  
Grossmann Marie-David Coulibaly-N´Golo ◽  
Euloge Ekaza ◽  
Bakary Coulibaly ◽  
N’guetta Aka ◽  
Raymond Kouassi N’Guessan ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Tandem Repeats ◽  
Côte D’Ivoire ◽  
Buruli Ulcer ◽  
Variable Number ◽  
Mycobacterium Ulcerans ◽  
Clinical Samples ◽  
Bacterial Strains ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

Introduction: Buruli ulcer, caused by Mycobacterium ulcerans, is endemic in more than 30 countries worldwide, with Côte d'Ivoire being among the most affected countries. Methodology: We used seven variable number of tandem repeats (VNTR) markers and analyzed 114 samples from 11 Ivorian localities consisting of 33 bacterial strains and 81 clinical samples. Complete data sets at loci 1, 6, 9 and 33 were obtained for 18 of these strains (n = 15) and samples (n = 3) collected in each of the localities. Results: All the strains had allelic profile [3113], corresponding to the previously described Atlantic Africa genotype. Conclusion: Sequencing of PCR products at all loci showed no variation in sequence or repeat number, underlining the genetic monomorphism of M. ulcerans in Côte d'Ivoire.

Confirming Autochthonous Buruli Ulcer Cases in Burkina Faso, West Africa

2021 ◽  
Author(s):  
Anselme Millogo ◽  
Dezemon Zingue ◽  
Amar Bouam ◽  
Sylvain Godreuil ◽  
Michel Drancourt ◽  
...  
Keyword(s):  
West Africa ◽  
Burkina Faso ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Buruli Ulcer ◽  
Mycobacterium Ulcerans ◽  
Chain Reaction ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Polymerase Chain

Environmental Mycobacterium ulcerans causes a disabling skin disease called Buruli ulcer. Recent studies completed the knowledge of the evolving geographic extension and epidemiology of Buruli ulcer in West Africa, where Côte d’Ivoire is reporting the highest number of cases. We report seven polymerase chain reaction-documented patients in Burkina Faso, a neighboring country of Côte d’Ivoire, where previously Buruli ulcer cases were confirmed primarily using clinical arguments.

scholarly journals Integrated approach in the management of skin NTDs: Situational analysis of the integrated screening campaigns of skin diseases (leprosy, Buruli ulcer and yaws) in three health districts of Côte d’Ivoire

2019 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
YVES Thierry BAROGUI ◽  
Roch Christian Johnson ◽  
Gabriel Diez ◽  
...  
Keyword(s):  
Capacity Building ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Skin Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Integrated Screening ◽  
Health Districts

Abstract BackgroundNeglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw three skin NTDs. MethodThis cross-sectional study took place from April 2016 to March 2017 in 3 Districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. It was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting.ResultsIn total, 2310 persons were screened with skin diseases. Among them, 07 cases were diagnosed as Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients detected, as well as follow up of detected patients including those with other skin conditions.ConclusionsThe results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

scholarly journals Impact of common skin diseases on children in rural Côte d’Ivoire with leprosy and Buruli ulcer co-endemicity: A mixed methods study

2020 ◽  
Vol 14 (5) ◽  
pp. e0008291
Author(s):  
Rie Roselyne Yotsu ◽  
Colombe Coffie Comoé ◽  
Germaine Taïba Ainyakou ◽  
N’guessan Konan ◽  
Amari Akpa ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Skin Diseases ◽  
Buruli Ulcer ◽  
Mixed Methods Study ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Common Skin

P.029 Case report: Facial diplegia and aseptic meningitis in a 44 year-old man returning from Côte d’Ivoire

2016 ◽  
Vol 43 (S2) ◽  
pp. S28-S28
Author(s):  
HA AlDhukair ◽  
R Altman ◽  
A Parks ◽  
MP Cheng ◽  
A Damian
Keyword(s):  
Case Report ◽  
Facial Paralysis ◽  
Aseptic Meningitis ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Facial Diplegia ◽  
Rare Manifestation ◽  
Hiv Seroconversion

Background: Bilateral facial paralysis is a rare manifestation of Human Immunodeficiency Virus (HIV). Few cases of HIV seroconversion syndrome presenting with aseptic meningitis and facial diplegia have been previously reported. Methods: Case Report. Case Description: A 44-year-old male with uncontrolled hypertension who presented with 5-day history of migrainous headache, bucco-labial dysarthria, meningismus and dysguesia. Three weeks prior to presentation, he suffered a transient febrile illness preceded by an unprotected sexual encounter while vacationing in Côte d’Ivoire. Examination was significant for hypertensive urgency, bilateral lower motor neuron (LMN) facial paralysis, and meningeal irritation. Investigations revealed acute on chronic renal impairment and left ventricular hypertrophy. Brain MRI (without contrast) revealed microhemorrhages with dystrophic calcifications and microangiopathic changes. CSF analysis revealed 55 WBC (lymphocytic), normal glucose, and 0.67g/L protein. The infectious work-up was positive for HIV, which was confirmed by Western Blot (WB). CD4 count was 176 cells/μL and the viral load was 419,289 copies/ml. Lyme antibodies were also positive by enzyme-linked immunosorbent assay (ELISA), but negative by WB. Discussion: Facial diplegia is a rare manifestation of HIV, and can be indicative of a seroconversion syndrome. This case illustrates another layer of complexity; deciphering acute from chronic systemic manifestations of hypertension, and appreciating falsely positive Lyme antibodies by ELISA during acute HIV seroconversion.

Child case of Buruli ulcer successfully treated through a school‐based skin survey project in Côte d’Ivoire

2019 ◽  
Vol 47 (2) ◽  
Author(s):  
Rie R. Yotsu ◽  
Chiaki Murase ◽  
Konan N’guessan ◽  
Aubin Yao ◽  
Kouamé Kouadio ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Buruli Ulcer ◽  
Cote D’Ivoire ◽  
School Based ◽  
Côte D'ivoire
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