Issue |
Ann. Parasitol. Hum. Comp.
Volume 55, Number 6, 1980
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|
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Page(s) | 635 - 643 | |
DOI | https://doi.org/10.1051/parasite/1980556635 | |
Published online | 20 September 2017 |
Mémoire
Ecologie des Leishmanioses dans le sud de la France
14. Les leishmanioses humaines en Cévennes. Analyse clinique et biologique des formes viscérales et muqueuses
Ecology of leishmaniasis in the south of France. 14. Leishmaniasis of man in the Cévennes : a clinical and biological analysis of visceral and mucosal forms.
Laboratoire d’Ecologie médicale et Pathologie parasitaire (P r J.-A. Rioux), Faculté de Médecine, F 34000, Montpellier.
Accepté : 26 Juin 1980
Dans le foyer cévenol de leishmaniose viscérale, les cas humains sont aussi fréquents chez l’adulte que chez l’enfant. L’étude bioclinique comparée de deux classes d’âge, comprenant l’une 17 enfants, l’autre 15 adultes, montre l’existence de différences cliniques (évolution, groupement symptomatique) et immunologiques (niveau des taux d’anticorps fluorescents). Il est par ailleurs rapporté deux déterminations strictement muqueuses (larynx et pituitaire). Une nouvelle fois, le problème est posé de l'unicité ou de la pluralité étiologique des diverses expressions cliniques, tant humaines que canines, en d’autres termes, de savoir si les divergences observées sont à mettre sur le compte de l’agent pathogène (virulence, tropisme) ou de l’hôte (réceptivité).
Abstract
In the Cévennes focus of visceral leishmaniasis, human cases are equally common in adults and children. A comparative bioclinical study was made of 32 cases of which 17 were children and 15 were adults. Diagnosis of 31 of these cases was made by the demonstration of parasites and one by serological methods. There was a bimodal distribution of ages among the cases (0-8 and 17-76 years). Studies were made in each of these groups of the onset of illness, clinical signs and the level and time of evolution of antibodies demonstrable by the IF AT. Statistical comparisons made with nonparametric tests showed that:
1) The onset of illness was later in adults {a mean of 4 months) than in children (a mean of 1 month).
2) The three main signs (splenomegaly, fever and cutaneous pallor) were predominantly in children (65 %) rather than in adults (13 %).
© Masson, Paris 1980, transferred to Société Française de Parasitologie
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