{"id":163,"date":"2025-08-01T22:22:35","date_gmt":"2025-08-01T22:22:35","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=163"},"modified":"2025-08-02T21:11:56","modified_gmt":"2025-08-02T21:11:56","slug":"monkeypox-variole-du-singe-infection-virale-a-transmission-sexuelle-emergente","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/ist-emergentes-ou-exceptionnellement-transmissibles-sexuellement\/monkeypox-variole-du-singe-infection-virale-a-transmission-sexuelle-emergente\/","title":{"rendered":"\ud83d\udc12 Monkeypox (Variole du singe) \u2013 Infection virale \u00e0 transmission sexuelle \u00e9mergente"},"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>Orthopoxvirus responsable d\u2019\u00e9ruptions pustuleuses g\u00e9nitales et cutan\u00e9es, transmissible par voie sexuelle et cutan\u00e9o-muqueuse<\/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 variole du singe ?<\/strong><\/h3>\n\n\n\n<p>Le <strong>virus Monkeypox<\/strong> est un <strong>Orthopoxvirus<\/strong> proche du virus de la variole humaine (\u00e9radiqu\u00e9e).<br>Initialement zoonotique (Afrique centrale et de l\u2019Ouest), il est d\u00e9sormais responsable d\u2019<strong>\u00e9pid\u00e9mies humaines \u00e0 transmission interhumaine<\/strong>, en particulier via <strong>les rapports sexuels<\/strong>, notamment chez les <strong>hommes ayant des relations sexuelles avec des hommes (HSH)<\/strong>.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Depuis 2022, il est class\u00e9 parmi les <strong>infections sexuellement transmissibles \u00e0 d\u00e9claration obligatoire<\/strong> dans plusieurs pays.<\/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><strong>Contact direct peau \u00e0 peau ou muqueuse-muqueuse<\/strong> (rapports sexuels, baisers)<\/li>\n\n\n\n<li><strong>Contact avec l\u00e9sions cutan\u00e9es, cro\u00fbtes ou fluides biologiques<\/strong><\/li>\n\n\n\n<li><strong>Voie fomite possible<\/strong> (linge, sex toys)<\/li>\n\n\n\n<li>Tr\u00e8s rarement : <strong>a\u00e9rosols<\/strong> ou <strong>transmission verticale<\/strong><\/li>\n\n\n\n<li><strong>Portage g\u00e9nital ou anorectal asymptomatique<\/strong> document\u00e9<\/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<h4 class=\"wp-block-heading\">Incubation : 5 \u00e0 21 jours<\/h4>\n\n\n\n<h4 class=\"wp-block-heading\">Sympt\u00f4mes initiaux :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fi\u00e8vre, frissons, c\u00e9phal\u00e9es<\/li>\n\n\n\n<li>Ad\u00e9nopathies inguinales ou cervicales<\/li>\n\n\n\n<li>Asth\u00e9nie intense, myalgies<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">\u00c9ruption caract\u00e9ristique :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pustules, v\u00e9sicules, cro\u00fbtes<\/strong>, parfois isol\u00e9es<\/li>\n\n\n\n<li>Topographie g\u00e9nitale, anale, p\u00e9ribuccale ou faciale<\/li>\n\n\n\n<li>Parfois <strong>unique ou atypique<\/strong>, mimant un herp\u00e8s ou une syphilis<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Chez les HSH : <strong>l\u00e9sions anog\u00e9nitales douloureuses<\/strong>, <strong>proctalgies<\/strong>, <strong>rectites<\/strong> et <strong>pharyngites<\/strong> fr\u00e9quentes.<\/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>Pr\u00e9l\u00e8vement par \u00e9couvillonnage des l\u00e9sions \u2192 <strong>PCR Monkeypox<\/strong><\/li>\n\n\n\n<li>Recherche d&rsquo;autres IST en parall\u00e8le (VIH, syphilis, gonorrh\u00e9e, chlamydia)<\/li>\n\n\n\n<li>Biologie sanguine utile en cas de forme syst\u00e9mique<\/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>G\u00e9n\u00e9ralement <strong>spontan\u00e9ment r\u00e9solutif<\/strong> en 2 \u00e0 4 semaines<\/p>\n<\/blockquote>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Isolement \u00e0 domicile jusqu\u2019\u00e0 chute des cro\u00fbtes<\/li>\n\n\n\n<li>Traitement symptomatique (antalgiques, antiseptiques locaux)<\/li>\n\n\n\n<li>En cas de forme grave ou immunod\u00e9prim\u00e9 :<br>\ud83d\udc49 <strong>Tecovirimat<\/strong> (antiviral sp\u00e9cifique, usage hospitalier sous autorisation)<\/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>\u00c9viction sexuelle<\/strong> jusqu\u2019\u00e0 gu\u00e9rison compl\u00e8te<\/li>\n\n\n\n<li><strong>Vaccination post-exposition<\/strong> avec vaccin MVA-BN (Imvanex, Jynneos) dans les 4 jours<\/li>\n\n\n\n<li>Vaccination pr\u00e9ventive recommand\u00e9e pour :\n<ul class=\"wp-block-list\">\n<li>HSH multipartenaires<\/li>\n\n\n\n<li>Professionnels expos\u00e9s (laboratoire, sant\u00e9)<\/li>\n\n\n\n<li>Travailleurs du sexe<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Usage de <strong>pr\u00e9servatifs<\/strong> + hygi\u00e8ne rigoureuse des objets partag\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\">\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>Diagnostic rapide des <strong>l\u00e9sions v\u00e9siculo-pustuleuses anog\u00e9nitales<\/strong><\/li>\n\n\n\n<li><strong>PCR Monkeypox sur place<\/strong> ou orientation vers laboratoire r\u00e9f\u00e9rent<\/li>\n\n\n\n<li>Conseil de vaccination et d\u2019\u00e9viction<\/li>\n\n\n\n<li>Traitement symptomatique et suivi \u00e9volutif<\/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 confidentielle \u2013 IST virales anog\u00e9nitales<\/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, Mycologie &amp; M\u00e9decine sexuelle \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Orthopoxvirus responsable d\u2019\u00e9ruptions pustuleuses g\u00e9nitales et cutan\u00e9es, transmissible par voie sexuelle et cutan\u00e9o-muqueuse \ud83d\udccc Qu\u2019est-ce que la variole du singe ? Le virus Monkeypox est un Orthopoxvirus proche du virus de la variole humaine (\u00e9radiqu\u00e9e).Initialement zoonotique (Afrique centrale et de l\u2019Ouest), il est d\u00e9sormais responsable d\u2019\u00e9pid\u00e9mies humaines \u00e0 transmission interhumaine, en particulier via les rapports [&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-163","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/163","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=163"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/163\/revisions"}],"predecessor-version":[{"id":164,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/163\/revisions\/164"}],"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=163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}