{"id":127,"date":"2025-08-01T21:38:53","date_gmt":"2025-08-01T21:38:53","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=127"},"modified":"2025-08-02T21:39:08","modified_gmt":"2025-08-02T21:39:08","slug":"entamoeba-histolytica-amibiase-intestinale-et-extra-intestinale","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/infections-sexuellement-transmissibles-ist-dorigine-parasitaire\/entamoeba-histolytica-amibiase-intestinale-et-extra-intestinale\/","title":{"rendered":"\ud83e\uddec Entamoeba histolytica \u2013 Amibiase intestinale et extra-intestinale"},"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><em>Parasite protozoaire \u00e0 transmission oro-f\u00e9cale et parfois sexuelle<\/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 <em>Entamoeba histolytica<\/em> ?<\/strong><\/h3>\n\n\n\n<p><em>Entamoeba histolytica<\/em> est un <strong>protozoaire intestinal<\/strong> responsable de l\u2019<strong>amibiase humaine<\/strong>, une infection qui peut se pr\u00e9senter sous forme de <strong>colite amibienne<\/strong> ou d\u2019<strong>abc\u00e8s h\u00e9patique amibien<\/strong>.<br>Bien que sa transmission soit majoritairement <strong>oro-f\u00e9cale<\/strong>, des <strong>cas de transmission sexuelle<\/strong> ont \u00e9t\u00e9 document\u00e9s, notamment chez les <strong>hommes ayant des rapports sexuels avec des hommes (HSH)<\/strong>.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Cette parasitose est fr\u00e9quente dans les pays tropicaux et subtropicaux, avec un retentissement clinique pouvant \u00eatre <strong>digestif ou h\u00e9patique<\/strong>.<\/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>Ingestion de kystes via :\n<ul class=\"wp-block-list\">\n<li>Aliments ou eau contamin\u00e9s<\/li>\n\n\n\n<li><strong>Contacts oro-anaux lors de rapports sexuels<\/strong><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Rares cas de transmission interhumaine directe (via mains souill\u00e9es)<\/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\">1. <strong>Amibiase intestinale<\/strong> :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diarrh\u00e9es parfois sanglantes<\/li>\n\n\n\n<li>Douleurs abdominales, t\u00e9nesmes<\/li>\n\n\n\n<li>Fi\u00e8vre mod\u00e9r\u00e9e<\/li>\n\n\n\n<li>Peut mimer une dysenterie bacillaire ou une rectocolite h\u00e9morragique<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">2. <strong>Amibiase extra-intestinale<\/strong> (principalement <strong>abc\u00e8s h\u00e9patique<\/strong>) :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fi\u00e8vre \u00e9lev\u00e9e, frissons<\/li>\n\n\n\n<li>Douleur de l\u2019hypochondre droit<\/li>\n\n\n\n<li>H\u00e9patom\u00e9galie douloureuse<\/li>\n\n\n\n<li>\u00c9tat g\u00e9n\u00e9ral alt\u00e9r\u00e9<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>La diss\u00e9mination h\u00e9matog\u00e8ne peut toucher le foie, les poumons, le cerveau.<\/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\">\ud83e\uddea <strong>Diagnostic<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Coproculture + recherche de kystes et trophozo\u00eftes<\/strong> (microscopie)<\/li>\n\n\n\n<li><strong>Antig\u00e8nes f\u00e9caux<\/strong> (ELISA, tests rapides)<\/li>\n\n\n\n<li><strong>S\u00e9rologie amibienne<\/strong> (utile pour formes h\u00e9patiques)<\/li>\n\n\n\n<li><strong>Imagerie<\/strong> (\u00e9chographie, scanner pour abc\u00e8s h\u00e9patique)<\/li>\n\n\n\n<li>PCR dans les centres sp\u00e9cialis\u00e9s<\/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>Traitement curatif en deux phases :<\/p>\n<\/blockquote>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Traitement tissulaire<\/strong> (abc\u00e8s, colite aigu\u00eb) :\n<ul class=\"wp-block-list\">\n<li>Antiparasitaires<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u00c9radication du portage intestinal (agent luminal)<\/strong> :\n<ul class=\"wp-block-list\">\n<li><strong>Tiliquinol-tilbroquinol (Intetrix)<\/strong> ou<\/li>\n\n\n\n<li><strong>Paromomycine<\/strong> pendant 5 \u00e0 10 jours<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<p>\u2705 Traitement du ou des partenaires<br>\ud83d\udd01 Rechercher d&rsquo;autres IST associ\u00e9es, en particulier VIH et syphilis<\/p>\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>Hygi\u00e8ne rigoureuse (lavage des mains, traitement de l\u2019eau)<\/li>\n\n\n\n<li>Utilisation de <strong>pr\u00e9servatifs et digues dentaires<\/strong> lors de pratiques oro-anales<\/li>\n\n\n\n<li>D\u00e9pistage r\u00e9gulier chez les patients \u00e0 risque<\/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>\u00c9valuation des douleurs digestives ou diarrh\u00e9es post-exposition<\/li>\n\n\n\n<li>D\u00e9pistage des infections \u00e0 transmission oro-g\u00e9nitale<\/li>\n\n\n\n<li>Traitement antiparasitaire adapt\u00e9<\/li>\n\n\n\n<li>Coordination avec infectiologue ou h\u00e9patologue si besoin<\/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>D\u00e9pistage et traitement des amibiases intestinales et h\u00e9patiques<\/strong><\/h3>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp m\u00e9dical s\u00e9curis\u00e9<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie, M\u00e9decine tropicale &amp; IST \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Parasite protozoaire \u00e0 transmission oro-f\u00e9cale et parfois sexuelle \ud83d\udccc Qu\u2019est-ce que Entamoeba histolytica ? Entamoeba histolytica est un protozoaire intestinal responsable de l\u2019amibiase humaine, une infection qui peut se pr\u00e9senter sous forme de colite amibienne ou d\u2019abc\u00e8s h\u00e9patique amibien.Bien que sa transmission soit majoritairement oro-f\u00e9cale, des cas de transmission sexuelle ont \u00e9t\u00e9 document\u00e9s, notamment chez [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":218,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-127","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/127","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=127"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/127\/revisions"}],"predecessor-version":[{"id":128,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/127\/revisions\/128"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/218"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}