[Syphilis outbreak in southeast France].
BACKGROUND
Since 2000, syphilis has reappeared in the form of an epidemic in France and more particularly, in the Paris region. However, there is little available data concerning other regions of France. The purpose of this study was to identify the chief characteristics of this epidemic in the Côte d'Azur region.


METHODS
Between January 2001 and July 2003, cases of syphilis were collated by the Department of Dermatology and Infectious Diseases of Nice University Teaching Hospital and by the Department of Dermatology and Infectious Diseases of Fréjus hospital and based on spontaneous reports submitted by general practitioners in private practice.


RESULTS
We collected 54 reports of cases of syphilis: 37 in the Alpes-Maritimes region and 17 in the eastern Var region. The epidemic chiefly affected men since 44 of the 54 cases reported (81%) concerned males. 70% of these men were contaminated during homosexual contact (31 patients). In the majority of cases, contamination concerned local subjects. 50% of the patients in the study were infected with human immunodeficiency virus (HIV). The clinical forms observed were distributed as follows: 12 primary syphilis, 28 secondary syphilis, 13 latent syphilis, 1 case not specified. There was no difference in terms of clinical form between patients with and without HIV.


CONCLUSIONS
Syphilis, which had become rare in France as a whole and in our region in particular, reappeared in the form of an epidemic in the Côte d'Azur region after first resurfacing in the Paris region. This outbreak principally affected homosexual and bisexual male patients, half of whom were HIV-positive. Screening for syphilis, potentially latent, should thus be carried out routinely during initial assessment and at subsequent monitoring of HIV patients.
Del Giudice
P
P
Unité de Maladies Infectieuses et de Dermatologie, Hôpital Bonnet, Fréjus, Cedex, France. del-giudice-p@chi-frejus-saint-raphael.fr
Ferraro
V
V
Passeron
A
A
Durant
J
J
Bernard
E
E
Choquenet
N
N
Bouverot
N
N
Lacour
J P
JP
Dellamonica
P
P
Counillon
E
E
D000328:Adult; D001727:Bisexuality / Q000706:statistics & numerical data; D015331:Cohort Studies; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D005260:Female; D005602:France / Q000453:epidemiology; D006679:HIV Seropositivity / Q000453:epidemiology; D020010:Heterosexuality / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012737:Sex Factors; D011477:Sex Work / Q000706:statistics & numerical data; D013587:Syphilis / Q000453:epidemiology*; D013592:Syphilis, Latent / Q000453:epidemiology