{"id":134,"date":"2025-08-01T21:56:17","date_gmt":"2025-08-01T21:56:17","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=134"},"modified":"2025-08-02T21:12:30","modified_gmt":"2025-08-02T21:12:30","slug":"schistosoma-haematobium-bilharziose-urogenitale","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/infections-sexuellement-transmissibles-ist-dorigine-parasitaire\/schistosoma-haematobium-bilharziose-urogenitale\/","title":{"rendered":"\ud83d\udc1b Schistosoma haematobium \u2013 Bilharziose urog\u00e9nitale"},"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>Helminthiase parasitaire end\u00e9mique, touchant les voies urinaires et g\u00e9nitales<\/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 Schistosoma haematobium ?<\/strong><\/h3>\n\n\n\n<p><em>Schistosoma haematobium<\/em> est un <strong>ver plat (tr\u00e9matode)<\/strong> responsable de la <strong>schistosomiase urog\u00e9nitale<\/strong>, ou <strong>bilharziose urinaire<\/strong>, une maladie <strong>end\u00e9mique en Afrique subsaharienne<\/strong>, dont le <strong>cycle passe par l\u2019eau douce contamin\u00e9e<\/strong>.<br>Bien qu\u2019elle ne soit pas class\u00e9e parmi les IST classiques, ses <strong>atteintes g\u00e9nitales<\/strong> peuvent mimer ou favoriser les infections sexuellement transmissibles et affecter la fertilit\u00e9.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Elle constitue une <strong>priorit\u00e9 de sant\u00e9 publique<\/strong> dans les zones \u00e0 risque (fleuves, rizi\u00e8res, marigots), notamment au S\u00e9n\u00e9gal.<\/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\">\ud83c\udf0a <strong>Cycle et transmission<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Le parasite p\u00e9n\u00e8tre par la peau lors d\u2019un <strong>bain ou contact avec de l\u2019eau douce contamin\u00e9e<\/strong><\/li>\n\n\n\n<li>Les <strong>larves (cercaires)<\/strong> lib\u00e9r\u00e9es par les mollusques d\u2019eau douce traversent la peau<\/li>\n\n\n\n<li>Elles migrent vers le <strong>plexus veineux p\u00e9riv\u00e9sical<\/strong><\/li>\n\n\n\n<li>Les <strong>\u0153ufs<\/strong> sont excr\u00e9t\u00e9s dans les <strong>urines<\/strong><\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Transmission <strong>non sexuelle directe<\/strong>, mais les l\u00e9sions g\u00e9nitales favorisent la <strong>transmission du VIH et d\u2019autres IST<\/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\">\u26a0\ufe0f <strong>Manifestations cliniques<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Phase aigu\u00eb (r\u00e9action d\u2019hypersensibilit\u00e9) :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fi\u00e8vre, urticaire, prurit (dermatite cercarienne)<\/li>\n\n\n\n<li>Douleurs abdominales ou lombaires<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Phase chronique :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>H\u00e9maturie terminale<\/strong> (sang en fin de miction)<\/li>\n\n\n\n<li>Pollakiurie, douleurs pelviennes<\/li>\n\n\n\n<li>Infections urinaires \u00e0 r\u00e9p\u00e9tition<\/li>\n\n\n\n<li>Complications : fibrose de la vessie, hydron\u00e9phrose, insuffisance r\u00e9nale<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Atteintes g\u00e9nitales (bilharziose g\u00e9nitale f\u00e9minine ou masculine) :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vulvite, leucorrh\u00e9es, dyspareunie, saignements post-co\u00eftaux<\/li>\n\n\n\n<li>Nodules cervicaux ou vaginaux<\/li>\n\n\n\n<li>Infertilit\u00e9<\/li>\n\n\n\n<li>Nodules p\u00e9niens, prostatite, h\u00e9mospermie<\/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>Recherche d\u2019\u0153ufs dans les urines<\/strong> (centrifugation, entre 10h et 14h)<\/li>\n\n\n\n<li>Test \u00e0 la bandelette urinaire : h\u00e9maturie<\/li>\n\n\n\n<li><strong>\u00c9chographie r\u00e9nale et pelvienne<\/strong> : paroi v\u00e9sicale \u00e9paissie, calcifications<\/li>\n\n\n\n<li>PCR ou s\u00e9rologie dans les cas complexes<\/li>\n\n\n\n<li>Colposcopie ou biopsie des l\u00e9sions g\u00e9nitales (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\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 antiparasitaire sp\u00e9cifique<\/p>\n<\/blockquote>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Traitement des complications urog\u00e9nitales (antibiotiques, interventions chirurgicales)<\/li>\n\n\n\n<li>Prise en charge des l\u00e9sions g\u00e9nitales suspectes (biopsies, suivi)<\/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><strong>\u00c9viter les baignades dans les eaux douces stagnantes<\/strong> (hors zones contr\u00f4l\u00e9es)<\/li>\n\n\n\n<li>Traitement collectif en zones end\u00e9miques (programmes de sant\u00e9 publique)<\/li>\n\n\n\n<li>Sensibilisation des populations \u00e0 risque<\/li>\n\n\n\n<li><strong>Contr\u00f4le des mollusques vecteurs<\/strong> (biocontr\u00f4le)<\/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>Interrogatoire cibl\u00e9 : exposition \u00e0 l\u2019eau douce, h\u00e9maturie, dyspareunie<\/li>\n\n\n\n<li>D\u00e9pistage syst\u00e9matique chez les patients originaires de zones \u00e0 risque<\/li>\n\n\n\n<li>Prise en charge conjointe des complications urinaires, gyn\u00e9cologiques ou andrologiques<\/li>\n\n\n\n<li>Coordination urologie, infectiologie, gyn\u00e9cologie 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 &amp; traitement de la bilharziose urog\u00e9nitale<\/strong><\/h3>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp s\u00e9curis\u00e9<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie, M\u00e9decine tropicale &amp; IST \u2013 Dakar<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n","protected":false},"excerpt":{"rendered":"<p>Helminthiase parasitaire end\u00e9mique, touchant les voies urinaires et g\u00e9nitales \ud83d\udccc Qu\u2019est-ce que Schistosoma haematobium ? Schistosoma haematobium est un ver plat (tr\u00e9matode) responsable de la schistosomiase urog\u00e9nitale, ou bilharziose urinaire, une maladie end\u00e9mique en Afrique subsaharienne, dont le cycle passe par l\u2019eau douce contamin\u00e9e.Bien qu\u2019elle ne soit pas class\u00e9e parmi les IST classiques, ses atteintes [&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-134","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/134","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=134"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/134\/revisions"}],"predecessor-version":[{"id":135,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/134\/revisions\/135"}],"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=134"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}