{"id":157,"date":"2025-08-01T22:18:41","date_gmt":"2025-08-01T22:18:41","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=157"},"modified":"2025-08-02T21:41:52","modified_gmt":"2025-08-02T21:41:52","slug":"neisseria-meningitidis-ist-emergente-et-pathogene-oropharyngo-genital","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/ist-emergentes-ou-exceptionnellement-transmissibles-sexuellement\/neisseria-meningitidis-ist-emergente-et-pathogene-oropharyngo-genital\/","title":{"rendered":"\ud83e\uddec Neisseria meningitidis \u2013 IST \u00e9mergente et pathog\u00e8ne oropharyngo-g\u00e9nital"},"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>Bact\u00e9rie classiquement invasive, d\u00e9sormais impliqu\u00e9e dans certaines IST g\u00e9nitales et oro-anales<\/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 Neisseria meningitidis ?<\/strong><\/h3>\n\n\n\n<p><em>Neisseria meningitidis<\/em> est une <strong>bact\u00e9rie encapsul\u00e9e<\/strong> \u00e0 Gram n\u00e9gatif connue pour provoquer :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>des <strong>m\u00e9ningites<\/strong> purulentes,<\/li>\n\n\n\n<li>des <strong>septic\u00e9mies fulminantes<\/strong> (purpura fulminans),<\/li>\n<\/ul>\n\n\n\n<p>Mais certaines souches, notamment les <strong>s\u00e9rogroupes B, C, W et Y<\/strong>, peuvent \u00e9galement coloniser et infecter :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>les <strong>muqueuses oropharyng\u00e9es<\/strong>,<\/li>\n\n\n\n<li>le <strong>tractus anog\u00e9nital<\/strong>,<\/li>\n\n\n\n<li>et <strong>la sph\u00e8re urog\u00e9nitale<\/strong>, de fa\u00e7on <strong>sexuellement transmissible<\/strong>, notamment chez les <strong>HSH<\/strong>, parfois en co-infection avec le gonocoque.<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Il s&rsquo;agit d&rsquo;une <strong>IST \u00e9mergente<\/strong>, souvent <strong>sous-diagnostiqu\u00e9e<\/strong>, pouvant mimer une <strong>gonococcie<\/strong>, une <strong>pharyngite<\/strong>, ou une <strong>rectite<\/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><strong>Contact oro-g\u00e9nital ou oro-anal<\/strong><\/li>\n\n\n\n<li><strong>Baisers profonds<\/strong>, fellation, anulingus<\/li>\n\n\n\n<li>Co-infection possible avec <strong>Neisseria gonorrhoeae<\/strong><\/li>\n\n\n\n<li>Transmission \u00e9galement <strong>respiratoire<\/strong> (portage pharyng\u00e9 asymptomatique)<\/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>Tableaux cliniques possibles<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">1. <strong>Infections oropharyng\u00e9es<\/strong> :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pharyngite aigu\u00eb<\/li>\n\n\n\n<li>Fi\u00e8vre, \u00e9ryth\u00e8me pharyng\u00e9, ad\u00e9nopathies cervicales<\/li>\n\n\n\n<li>Asymptomatique dans la majorit\u00e9 des cas (portage sain)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">2. <strong>Infections anog\u00e9nitales<\/strong> :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Ur\u00e9trite ou cervicite<\/strong> purulente (rare)<\/li>\n\n\n\n<li><strong>Rectite aigu\u00eb<\/strong> chez HSH : douleurs, \u00e9coulement, t\u00e9nesme, ulc\u00e9rations<\/li>\n\n\n\n<li><strong>Complications invasives rares<\/strong> : arthrite, bact\u00e9ri\u00e9mie<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Attention : les formes g\u00e9nitales ou rectales peuvent <strong>imiter une gonococcie<\/strong>, mais <strong>r\u00e9sister aux traitements standards<\/strong> du gonocoque.<\/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>Pr\u00e9l\u00e8vement local<\/strong> (pharynx, rectum, ur\u00e8tre, col) \u2192 culture sur milieux enrichis (chocolat + CO\u2082)<\/li>\n\n\n\n<li>PCR multiplex (d\u00e9pistage IST \u00e9largi)<\/li>\n\n\n\n<li>Typage du s\u00e9rogroupe en laboratoire sp\u00e9cialis\u00e9 (si forme invasive)<\/li>\n\n\n\n<li>Antibiogramme indispensable (r\u00e9sistances document\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\">\ud83d\udc8a <strong>Traitement<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Traitement cibl\u00e9 (selon antibiogramme) :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>En cas de m\u00e9ningococcie invasive : traitement hospitalier + prophylaxie des contacts<\/li>\n<\/ul>\n\n\n\n<p>\u2705 <strong>Traitement des partenaires sexuels r\u00e9cents recommand\u00e9<\/strong><\/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>Vaccination anti-m\u00e9ningococcique<\/strong> (ACWY, B) recommand\u00e9e pour :\n<ul class=\"wp-block-list\">\n<li>les HSH \u00e0 partenaires multiples,<\/li>\n\n\n\n<li>les personnes immunod\u00e9prim\u00e9es,<\/li>\n\n\n\n<li>les sujets \u00e0 risque en collectivit\u00e9 (dortoirs, prison)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Utilisation de <strong>pr\u00e9servatifs ou digue dentaire<\/strong> lors des rapports oro-g\u00e9nitaux\/anaux<\/li>\n\n\n\n<li><strong>D\u00e9pistage r\u00e9gulier<\/strong> chez les patients \u00e0 comportement sexuel \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>D\u00e9pistage des <strong>IST rectales, pharyng\u00e9es et urog\u00e9nitales<\/strong><\/li>\n\n\n\n<li><strong>Pr\u00e9l\u00e8vements cibl\u00e9s et PCR multiplex<\/strong> disponibles<\/li>\n\n\n\n<li>Traitement des infections atypiques ou r\u00e9cidivantes<\/li>\n\n\n\n<li><strong>Vaccination<\/strong> contre les souches m\u00e9ningococciques recommand\u00e9es (sur orientation)<\/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 IST atypiques &amp; infections oro-anales<\/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 \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bact\u00e9rie classiquement invasive, d\u00e9sormais impliqu\u00e9e dans certaines IST g\u00e9nitales et oro-anales \ud83d\udccc Qu\u2019est-ce que Neisseria meningitidis ? Neisseria meningitidis est une bact\u00e9rie encapsul\u00e9e \u00e0 Gram n\u00e9gatif connue pour provoquer : Mais certaines souches, notamment les s\u00e9rogroupes B, C, W et Y, peuvent \u00e9galement coloniser et infecter : Il s&rsquo;agit d&rsquo;une IST \u00e9mergente, souvent sous-diagnostiqu\u00e9e, pouvant [&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-157","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/157","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=157"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/157\/revisions"}],"predecessor-version":[{"id":158,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/157\/revisions\/158"}],"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=157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}