[Pleuropneumopathies in children in an infectious pathology department in Dakar. Epidemiological, clinical and radiological features. Apropos of 150 cases].
The high rate of pleuropulmonary afflictions in children makes this pathology a daily concern for the practitioner in both industrialized and developing countries. This study concerns 150 patients aged between 0 and 15 years admitted to the Infectious Illnesses Unit at Dakar (Fann) U.H.C. between January 1st, 1985 and December 31st, 1987. The following observations are made: in this Unit, a morbidity of 1.7% has been recorded for pleuro-pneumopathies, which occur throughout the year with high points in January and during the rainy season; the 0-5 year age group is the most affected, with a sex ratio of 1/2 for males; hospitalization, which can be long, averages 8 days; a combination of measles and whooping cough, present in 36.6% of the cases, provides a prime breeding group for pleuro-pneumopathies; in 77% of the cases, recovery requires at least 20 days, partly because of delay in consultation. 10% require more than 30 days; the small proportion of patients vaccinated (14% completely treated) underlines the need for publicity and mass health education. Clinical polymorphism is normal; however, 80% of the children were found to be hyperthermic while (only) 6% show a productive cough. From a radiological point of view, suppurated afflictions are the most numerous, with a majority of alveolar or mixed attacks. Treatment produced generally satisfactory results in 83.7% of the cases.
Hane
A A
AA
Cliniques des maladies infectieuses C.H.U. de FANN.
Badiane
M
M
Wade
A
A
Diop
B M
BM
Coll
A M
AM
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003371:Cough / Q000209:etiology; D003906:Developing Countries; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D015994:Incidence; D007223:Infant; D008171:Lung Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000382:microbiology; D008297:Male; D008457:Measles / Q000453:epidemiology; D010995:Pleural Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000382:microbiology; D011859:Radiography; D012189:Retrospective Studies; D012621:Seasons; D012675:Senegal / Q000453:epidemiology; D014611:Vaccination; D014917:Whooping Cough / Q000453:epidemiology
Les pleuropneumopathies de l'enfant dans un service de pathologie infectieuse à Dakar. Aspects épidémiologiques, cliniques et radiologiques. A propos de 150 cas.