{"id":145,"date":"2025-08-01T22:08:02","date_gmt":"2025-08-01T22:08:02","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=145"},"modified":"2025-08-02T21:10:57","modified_gmt":"2025-08-02T21:10:57","slug":"coccidioides-immitis-coccidioidomycose","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/ist-fongiques-ou-a-agents-opportunistes\/coccidioides-immitis-coccidioidomycose\/","title":{"rendered":"\ud83c\udf35 Coccidioides immitis \u2013 Coccidio\u00efdomycose"},"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>Mycose syst\u00e9mique opportuniste, non class\u00e9e IST, mais \u00e0 diss\u00e9mination possible g\u00e9nitale<\/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 Coccidioides immitis ?<\/strong><\/h3>\n\n\n\n<p><em>Coccidioides immitis<\/em> est un <strong>champignon dimorphe<\/strong>, end\u00e9mique des r\u00e9gions <strong>arides et d\u00e9sertiques<\/strong> d\u2019Am\u00e9rique (Sud-Ouest des \u00c9tats-Unis, Mexique, Am\u00e9rique centrale).<br>Il provoque la <strong>coccidio\u00efdomycose<\/strong>, \u00e9galement appel\u00e9e <strong>fi\u00e8vre de la vall\u00e9e<\/strong>, une <strong>infection respiratoire<\/strong> qui peut \u00e9voluer vers une forme <strong>diss\u00e9min\u00e9e grave<\/strong>, en particulier chez les patients immunod\u00e9prim\u00e9s (VIH, transplant\u00e9s, corticoth\u00e9rapie prolong\u00e9e).<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Des atteintes <strong>g\u00e9nitales et cutan\u00e9es secondaires<\/strong> sont rares, mais bien document\u00e9es dans les formes diss\u00e9min\u00e9es.<\/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>Mode de transmission<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Inhalation de spores (arthroconidies)<\/strong> depuis des sols secs perturb\u00e9s (poussi\u00e8re, travaux agricoles)<\/li>\n\n\n\n<li>Aucune transmission interhumaine<\/li>\n\n\n\n<li>Atteinte g\u00e9nitale par <strong>diss\u00e9mination h\u00e9matog\u00e8ne<\/strong> \u00e0 partir d\u2019un foyer pulmonaire<\/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\">Forme pulmonaire (85 % des cas) :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Toux s\u00e8che, fi\u00e8vre, douleurs thoraciques<\/li>\n\n\n\n<li>\u00c9ryth\u00e8me noueux ou \u00e9ruption polymorphe<\/li>\n\n\n\n<li>R\u00e9solution spontan\u00e9e dans 60 % des cas chez l&rsquo;immunocomp\u00e9tent<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Forme diss\u00e9min\u00e9e (moins de 1 %, mais grave) :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Peau<\/strong> : nodules, ulc\u00e9rations, abc\u00e8s<\/li>\n\n\n\n<li><strong>Os, SNC<\/strong>, et rarement :<\/li>\n\n\n\n<li><strong>Organes g\u00e9nitaux<\/strong> : prostatite fongique, orchite, vulvovaginite chronique ulc\u00e9rative<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Les atteintes g\u00e9nitales peuvent mimer un <strong>cancer<\/strong>, une <strong>tuberculose<\/strong> ou une <strong>IST ulc\u00e9reuse<\/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\">\ud83e\uddea <strong>Diagnostic<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Examen direct<\/strong> : mise en \u00e9vidence de sph\u00e9rules dans les biopsies ou liquides<\/li>\n\n\n\n<li><strong>Culture fongique<\/strong> (lente, manipulation en laboratoire P3)<\/li>\n\n\n\n<li><strong>S\u00e9rologie (IgM, IgG)<\/strong><\/li>\n\n\n\n<li>PCR ou test antig\u00e9nique si disponible<\/li>\n\n\n\n<li>Imagerie thoracique indispensable (forme pulmonaire latente)<\/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 prolong\u00e9 avec antifongiques syst\u00e9miques<\/p>\n<\/blockquote>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Formes mod\u00e9r\u00e9es :<br>\ud83d\udc49 antifongique pendant 6\u201312 mois<\/li>\n\n\n\n<li>Formes graves ou diss\u00e9min\u00e9es<\/li>\n\n\n\n<li>Suivi prolong\u00e9 (risque de rechute chez immunod\u00e9prim\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\udee1\ufe0f <strong>Pr\u00e9vention<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pas de vaccin<\/li>\n\n\n\n<li>\u00c9viter les expositions aux poussi\u00e8res en zone end\u00e9mique<\/li>\n\n\n\n<li>Surveillance \u00e9troite des patients immunod\u00e9prim\u00e9s ayant voyag\u00e9 ou v\u00e9cu dans les zones \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>Au cabinet du Dr Hadi HAKIM<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suspicion diagnostique en cas de l\u00e9sions g\u00e9nitales chroniques ulc\u00e9r\u00e9es et syst\u00e9matis\u00e9es<\/li>\n\n\n\n<li>Coordination infectiologie \u2013 dermatopathologie \u2013 urologie<\/li>\n\n\n\n<li>Prise en charge globale des patients immunod\u00e9prim\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\udcde <strong>Diagnostic diff\u00e9rentiel des ulc\u00e9rations g\u00e9nitales chroniques inexpliqu\u00e9es<\/strong><\/h3>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp m\u00e9dical confidentiel<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie, Mycologie &amp; Maladies infectieuses \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mycose syst\u00e9mique opportuniste, non class\u00e9e IST, mais \u00e0 diss\u00e9mination possible g\u00e9nitale \ud83d\udccc Qu\u2019est-ce que Coccidioides immitis ? Coccidioides immitis est un champignon dimorphe, end\u00e9mique des r\u00e9gions arides et d\u00e9sertiques d\u2019Am\u00e9rique (Sud-Ouest des \u00c9tats-Unis, Mexique, Am\u00e9rique centrale).Il provoque la coccidio\u00efdomycose, \u00e9galement appel\u00e9e fi\u00e8vre de la vall\u00e9e, une infection respiratoire qui peut \u00e9voluer vers une forme diss\u00e9min\u00e9e [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":220,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-145","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/145","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=145"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/145\/revisions"}],"predecessor-version":[{"id":146,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/145\/revisions\/146"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/220"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}