{"id":151,"date":"2025-08-01T22:13:12","date_gmt":"2025-08-01T22:13:12","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=151"},"modified":"2025-08-02T21:37:34","modified_gmt":"2025-08-02T21:37:34","slug":"shigella-spp-shigellose-a-transmission-sexuelle","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/ist-emergentes-ou-exceptionnellement-transmissibles-sexuellement\/shigella-spp-shigellose-a-transmission-sexuelle\/","title":{"rendered":"\ud83e\uddeb Shigella spp. \u2013 Shigellose \u00e0 transmission sexuelle"},"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>Ent\u00e9robact\u00e9rie responsable de colite aigu\u00eb, transmissible par voie oro-anale, en particulier chez les HSH<\/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 la shigellose sexuelle ?<\/strong><\/h3>\n\n\n\n<p>La shigellose est une <strong>infection ent\u00e9rique aigu\u00eb<\/strong> caus\u00e9e par des <strong>bact\u00e9ries du genre Shigella<\/strong> (notamment <em>S. sonnei<\/em>, <em>S. flexneri<\/em>), traditionnellement transmise <strong>par voie f\u00e9cale-orale<\/strong> via l\u2019eau ou les aliments.<br>Cependant, des <strong>\u00e9pid\u00e9mies r\u00e9centes<\/strong> ont mis en \u00e9vidence une transmission <strong>sexuelle directe<\/strong>, en particulier chez les <strong>HSH<\/strong>, via les pratiques <strong>oro-anales<\/strong> (rimming, anulingus), les contacts digitaux ou les sextoys souill\u00e9s.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Cette forme de shigellose est consid\u00e9r\u00e9e comme une <strong>IST \u00e9mergente<\/strong>, \u00e0 <strong>risque de transmission rapide<\/strong>, souvent <strong>multir\u00e9sistante aux antibiotiques<\/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>Mode de transmission<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Contact direct avec les mati\u00e8res f\u00e9cales infect\u00e9es lors de rapports oro-anaux<\/li>\n\n\n\n<li>Partage de sex toys, doigts souill\u00e9s<\/li>\n\n\n\n<li>Plus rarement par ingestion d\u2019eau ou d\u2019aliments contamin\u00e9s<\/li>\n\n\n\n<li>Tr\u00e8s <strong>faible inoculum infectieux<\/strong> (10 \u00e0 100 bact\u00e9ries)<\/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>Tableau clinique<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00e9but brutal : <strong>diarrh\u00e9e glairo-sanglante<\/strong>, douleurs abdominales, t\u00e9nesmes<\/li>\n\n\n\n<li>Fi\u00e8vre, malaise g\u00e9n\u00e9ral, naus\u00e9es<\/li>\n\n\n\n<li>Rectite, proctite (si atteinte rectale isol\u00e9e)<\/li>\n\n\n\n<li>Portage asymptomatique possible<\/li>\n\n\n\n<li>Complications : syndrome h\u00e9molytique et ur\u00e9mique (rare), d\u00e9shydratation<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Attention : confusions fr\u00e9quentes avec d\u2019autres causes de proctites (herp\u00e8s, chlamydia, gonocoque, syphilis secondaire, LGV)<\/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<\/strong> sur milieu sp\u00e9cifique \u2192 isolement de <em>Shigella<\/em><\/li>\n\n\n\n<li>Recherche d\u2019une <strong>antibior\u00e9sistance<\/strong> (de plus en plus fr\u00e9quente)<\/li>\n\n\n\n<li>PCR multiplex digestive possible si diarrh\u00e9e aigu\u00eb inexpliqu\u00e9e<\/li>\n\n\n\n<li>D\u00e9pistage des <strong>co-IST syst\u00e9matique<\/strong> (VIH, syphilis, gonococcie, LGV)<\/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<h4 class=\"wp-block-heading\">Antibioth\u00e9rapie :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Selon antibiogramme <\/li>\n\n\n\n<li>Cas simple : gu\u00e9rison spontan\u00e9e possible, mais traitement recommand\u00e9 pour limiter la contagiosit\u00e9<\/li>\n\n\n\n<li>Cas grave ou immunod\u00e9prim\u00e9 : traitement syst\u00e9matique<\/li>\n<\/ul>\n\n\n\n<p>\u2705 <strong>D\u00e9claration obligatoire<\/strong> en cas d\u2019\u00e9pid\u00e9mie ou de r\u00e9sistance suspecte<\/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><strong>Pr\u00e9servatif ou digue dentaire<\/strong> lors des pratiques oro-anales<\/li>\n\n\n\n<li>Lavage des mains, du mat\u00e9riel sexuel (sex toys)<\/li>\n\n\n\n<li>\u00c9viction des rapports en cas de sympt\u00f4mes digestifs<\/li>\n\n\n\n<li><strong>D\u00e9pistage r\u00e9gulier des IST chez les HSH multipartenaires<\/strong><\/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>Orientation rapide et prise en charge des tableaux digestifs post-contact sexuel<\/li>\n\n\n\n<li>Prescription cibl\u00e9e avec antibiogramme<\/li>\n\n\n\n<li>D\u00e9pistage concomitant des <strong>IST rectales et syst\u00e9miques<\/strong><\/li>\n\n\n\n<li>Conseil pr\u00e9ventif et hygi\u00e9nique adapt\u00e9 aux pratiques \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\">\ud83d\udcde <strong>Diagnostic &amp; traitement confidentiel de la shigellose sexuelle<\/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 \u2013 Dakar<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ent\u00e9robact\u00e9rie responsable de colite aigu\u00eb, transmissible par voie oro-anale, en particulier chez les HSH \ud83d\udccc Qu\u2019est-ce que la shigellose sexuelle ? La shigellose est une infection ent\u00e9rique aigu\u00eb caus\u00e9e par des bact\u00e9ries du genre Shigella (notamment S. sonnei, S. flexneri), traditionnellement transmise par voie f\u00e9cale-orale via l\u2019eau ou les aliments.Cependant, des \u00e9pid\u00e9mies r\u00e9centes ont mis [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":222,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-151","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/151","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=151"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/151\/revisions"}],"predecessor-version":[{"id":152,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/151\/revisions\/152"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/222"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}