{"id":161,"date":"2025-08-01T22:21:03","date_gmt":"2025-08-01T22:21:03","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=161"},"modified":"2025-08-02T21:32:25","modified_gmt":"2025-08-02T21:32:25","slug":"virus-ebola-transmission-sexuelle-documentee","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/ist-emergentes-ou-exceptionnellement-transmissibles-sexuellement\/virus-ebola-transmission-sexuelle-documentee\/","title":{"rendered":"\ud83e\uddea Virus Ebola \u2013 Transmission sexuelle document\u00e9e"},"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 class=\"wp-block-paragraph\"><em>Infection virale h\u00e9morragique grave avec persistance virale g\u00e9nitale apr\u00e8s gu\u00e9rison<\/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 le virus Ebola ?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Le <strong>virus Ebola<\/strong> est un <strong>filovirus<\/strong> responsable de la <strong>fi\u00e8vre h\u00e9morragique Ebola<\/strong>, une maladie virale aigu\u00eb <strong>hautement l\u00e9tale<\/strong> (taux de mortalit\u00e9 jusqu\u2019\u00e0 90\u202f% selon les \u00e9pid\u00e9mies), transmise principalement par <strong>contact direct avec les fluides biologiques<\/strong> d\u2019un sujet infect\u00e9.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Bien que <strong>non class\u00e9e comme IST<\/strong> dans le sens strict, <strong>la transmission sexuelle<\/strong> du virus Ebola a \u00e9t\u00e9 <strong>formellement d\u00e9montr\u00e9e<\/strong> via le <strong>sperme<\/strong> de survivants pendant plusieurs <strong>mois apr\u00e8s la gu\u00e9rison<\/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\uddec <strong>Modes de transmission<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Contact direct avec le sang, les vomissements, les selles, la salive, la sueur, les larmes, l\u2019urine ou les s\u00e9cr\u00e9tions vaginales d\u2019un sujet infect\u00e9<\/li>\n\n\n\n<li><strong>Transmission sexuelle<\/strong> via le <strong>sperme d\u2019un homme gu\u00e9ri<\/strong> :<br>\u2705 Virus d\u00e9tect\u00e9 jusqu\u2019\u00e0 <strong>500 jours<\/strong> apr\u00e8s l\u2019infection dans certains cas<br>\u2705 Transmission \u00e0 une ou plusieurs partenaires sexuelles confirm\u00e9e par g\u00e9nomique virale<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Les femmes survivantes peuvent \u00e9galement transmettre le virus via les <strong>s\u00e9cr\u00e9tions vaginales<\/strong>, bien que la persistance virale y soit plus courte.<\/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>Tableau clinique<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Incubation : 2 \u00e0 21 jours<\/li>\n\n\n\n<li>D\u00e9but brutal : fi\u00e8vre, asth\u00e9nie, myalgies, c\u00e9phal\u00e9es<\/li>\n\n\n\n<li>Vomissements, diarrh\u00e9e, douleurs abdominales<\/li>\n\n\n\n<li>Saignements (gingivorragies, h\u00e9morragies digestives, purpura)<\/li>\n\n\n\n<li>Choc hypovol\u00e9mique, multi-organ failure<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">La phase de <strong>r\u00e9cup\u00e9ration<\/strong> peut durer plusieurs mois avec une persistance du virus dans certains sites sanctuaires (\u0153il, testicules, syst\u00e8me nerveux central).<\/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>RT-PCR sur sang total<\/li>\n\n\n\n<li>PCR sur sperme chez les survivants (suivi post-gu\u00e9rison)<\/li>\n\n\n\n<li>S\u00e9rologie IgM\/IgG<\/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<ul class=\"wp-block-list\">\n<li>Aucun traitement antiviral sp\u00e9cifique approuv\u00e9 dans la pratique courante<\/li>\n\n\n\n<li>Prise en charge en <strong>unit\u00e9s d\u2019isolement \u00e0 haut niveau de bios\u00e9curit\u00e9<\/strong><\/li>\n\n\n\n<li>Utilisation de traitements exp\u00e9rimentaux dans certains cas (anticorps monoclonaux, antiviraux)<\/li>\n\n\n\n<li>Vaccin pr\u00e9ventif rVSV-ZEBOV autoris\u00e9 en zone d\u2019end\u00e9mie ou en post-exposition<\/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>Transmission sexuelle \u2013 recommandations post-gu\u00e9rison<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Abstinence sexuelle ou utilisation rigoureuse du pr\u00e9servatif<\/strong> jusqu\u2019\u00e0 obtention de <strong>deux PCR n\u00e9gatives sur le sperme<\/strong> espac\u00e9es de 7 jours<\/li>\n\n\n\n<li><strong>Suivi virologique des s\u00e9cr\u00e9tions g\u00e9nitales<\/strong> propos\u00e9 \u00e0 3, 6, 9 et 12 mois post-r\u00e9tablissement<\/li>\n\n\n\n<li>\u00c9ducation des survivants \u00e0 la <strong>persistance virale<\/strong> et aux risques de transmission retard\u00e9e<\/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>Orientation, \u00e9valuation et <strong>suivi virologique post-Ebola<\/strong> (en lien avec infectiologie)<\/li>\n\n\n\n<li>Prise en charge des signes cutan\u00e9s et muqueux r\u00e9siduels<\/li>\n\n\n\n<li><strong>\u00c9ducation sexuelle<\/strong> des patients gu\u00e9ris et de leur entourage<\/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 post-infectieuse confidentielle \u2013 Suivi apr\u00e8s maladies virales graves<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\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","protected":false},"excerpt":{"rendered":"<p>Infection virale h\u00e9morragique grave avec persistance virale g\u00e9nitale apr\u00e8s gu\u00e9rison \ud83d\udccc Qu\u2019est-ce que le virus Ebola ? Le virus Ebola est un filovirus responsable de la fi\u00e8vre h\u00e9morragique Ebola, une maladie virale aigu\u00eb hautement l\u00e9tale (taux de mortalit\u00e9 jusqu\u2019\u00e0 90\u202f% selon les \u00e9pid\u00e9mies), transmise principalement par contact direct avec les fluides biologiques d\u2019un sujet infect\u00e9. [&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-161","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/161","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=161"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/161\/revisions"}],"predecessor-version":[{"id":162,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/161\/revisions\/162"}],"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=161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}