{"id":117,"date":"2025-08-01T21:31:10","date_gmt":"2025-08-01T21:31:10","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=117"},"modified":"2025-08-02T22:30:50","modified_gmt":"2025-08-02T22:30:50","slug":"virus-epstein-barr-ebv","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/infections-sexuellement-transmissibles-ist-dorigine-virale\/virus-epstein-barr-ebv\/","title":{"rendered":"\ud83e\uddec Virus Epstein-Barr (EBV)"},"content":{"rendered":"\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Virus herp\u00e9tique \u00e0 l\u2019origine de la mononucl\u00e9ose infectieuse et impliqu\u00e9 dans certaines tumeurs lympho\u00efdes<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccc <strong>Qu\u2019est-ce que le virus Epstein-Barr ?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Le <strong>virus Epstein-Barr (EBV)<\/strong>, ou <strong>herp\u00e8svirus humain de type 4 (HHV-4)<\/strong>, est un <strong>virus \u00e0 ADN de la famille des Herpesviridae<\/strong>.<br>Il est <strong>ubiquitaire<\/strong>, transmis principalement par la salive, et responsable de la <strong>mononucl\u00e9ose infectieuse<\/strong>. EBV est \u00e9galement <strong>impliqu\u00e9 dans certaines pathologies malignes<\/strong> (lymphomes, carcinome nasopharyng\u00e9) et <strong>maladies auto-immunes<\/strong>.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Environ <strong>90 \u00e0 95 % des adultes dans le monde<\/strong> ont d\u00e9j\u00e0 \u00e9t\u00e9 infect\u00e9s par l\u2019EBV, souvent dans l\u2019enfance.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd2c <strong>Modes de transmission<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Salive (baisers, partage d\u2019ustensiles, toux)<\/li>\n\n\n\n<li>Transfusion sanguine, greffe de moelle<\/li>\n\n\n\n<li>Rarement : transmission p\u00e9rinatale<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u26a0\ufe0f <strong>Manifestations cliniques<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">\ud83c\udf21\ufe0f Mononucl\u00e9ose infectieuse (primaire chez l\u2019adolescent ou adulte jeune)<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fi\u00e8vre prolong\u00e9e<\/li>\n\n\n\n<li>Asth\u00e9nie intense<\/li>\n\n\n\n<li>Pharyngite avec amygdales blanches<\/li>\n\n\n\n<li>Polyad\u00e9nopathies (cervicales post\u00e9rieures)<\/li>\n\n\n\n<li>Spl\u00e9nom\u00e9galie<\/li>\n\n\n\n<li>\u00c9ruption cutan\u00e9e si antibiotiques (amoxicilline)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">\ud83e\uddec Syndromes lymphoprolif\u00e9ratifs li\u00e9s \u00e0 EBV (formes chroniques ou post-transplantation) :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lymphome de Burkitt (forme end\u00e9mique)<\/li>\n\n\n\n<li>Lymphome de Hodgkin<\/li>\n\n\n\n<li>Carcinome du nasopharynx<\/li>\n\n\n\n<li>Lymphomes post-greffe ou VIH<\/li>\n\n\n\n<li>Lymphohistiocytose h\u00e9mophagocytaire (HLH)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">\ud83e\ude7a Autres manifestations :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u00e9patite b\u00e9nigne<\/li>\n\n\n\n<li>Neuropathies (enc\u00e9phalite, my\u00e9lite)<\/li>\n\n\n\n<li>Manifestations dermatologiques : ros\u00e9oliformes, morbilliformes, purpura<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea <strong>Diagnostic<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S\u00e9rologie EBV compl\u00e8te<\/strong> :\n<ul class=\"wp-block-list\">\n<li>VCA IgM (infection r\u00e9cente)<\/li>\n\n\n\n<li>VCA IgG (infection ancienne)<\/li>\n\n\n\n<li>EBNA (t\u00e9moigne d\u2019une infection pass\u00e9e)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>H\u00e9mogramme<\/strong> : hyperlymphocytose avec lymphocytes atypiques<\/li>\n\n\n\n<li>\u00c9l\u00e9vation des transaminases, LDH<\/li>\n\n\n\n<li>PCR EBV (charge virale) en cas de suspicion de syndrome lymphoprolif\u00e9ratif<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc8a <strong>Traitement<\/strong><\/h3>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Il n\u2019existe pas de traitement antiviral sp\u00e9cifique pour l\u2019EBV.<\/p>\n<\/blockquote>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Repos, hydratation, antalgiques, antipyr\u00e9tiques<\/strong><\/li>\n\n\n\n<li><strong>Corticoth\u00e9rapie<\/strong> exceptionnelle (\u0153d\u00e8me pharyng\u00e9 obstructif, complications neurologiques)<\/li>\n\n\n\n<li>Surveillance de la rate (\u00e9viter les traumatismes durant 1 mois)<\/li>\n\n\n\n<li>Prise en charge sp\u00e9cialis\u00e9e des lymphomes ou complications graves<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udee1\ufe0f <strong>Pr\u00e9vention<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aucune vaccination disponible<\/li>\n\n\n\n<li>Hygi\u00e8ne : \u00e9viter le partage de brosses \u00e0 dents, verres, couverts<\/li>\n\n\n\n<li>Information des patients jeunes (risque de contagion salivaire)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddd1\ud83c\udffd\u200d\u2695\ufe0f <strong>Prise en charge au cabinet du Dr Hadi HAKIM<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diagnostic diff\u00e9rentiel d\u2019ad\u00e9nopathies ou fi\u00e8vre prolong\u00e9e<\/li>\n\n\n\n<li>Reconnaissance clinique de la mononucl\u00e9ose<\/li>\n\n\n\n<li>\u00c9valuation dermatologique des \u00e9ruptions post-EBV<\/li>\n\n\n\n<li>Orientation h\u00e9matologique en cas de suspicion lymphoprolif\u00e9rative<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcde <strong>Consultation \u2013 EBV et pathologies lympho\u00efdes<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp confidentiel<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie, M\u00e9decine interne &amp; Suivi viral \u2013 Dakar<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Virus herp\u00e9tique \u00e0 l\u2019origine de la mononucl\u00e9ose infectieuse et impliqu\u00e9 dans certaines tumeurs lympho\u00efdes \ud83d\udccc Qu\u2019est-ce que le virus Epstein-Barr ? Le virus Epstein-Barr (EBV), ou herp\u00e8svirus humain de type 4 (HHV-4), est un virus \u00e0 ADN de la famille des Herpesviridae.Il est ubiquitaire, transmis principalement par la salive, et responsable de la mononucl\u00e9ose infectieuse. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":216,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-117","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/117","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/comments?post=117"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/117\/revisions"}],"predecessor-version":[{"id":118,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/117\/revisions\/118"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/216"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}