{"id":220,"date":"2025-08-02T21:05:50","date_gmt":"2025-08-02T21:05:50","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=220"},"modified":"2025-08-02T21:09:11","modified_gmt":"2025-08-02T21:09:11","slug":"ist-fongiques-ou-a-agents-opportunistes","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/ist-fongiques-ou-a-agents-opportunistes\/","title":{"rendered":"\ud83e\uddeb IST fongiques ou \u00e0 agents opportunistes"},"content":{"rendered":"\n

Infections g\u00e9nitales rares ou contextuelles \u2013 Prise en charge sp\u00e9cialis\u00e9e \u00e0 Dakar<\/strong><\/h2>\n\n\n\n
\n\n\n\n

\ud83e\uddec D\u00e9finition<\/h3>\n\n\n\n

Certaines infections g\u00e9nitales d\u2019origine fongique<\/strong>, opportuniste<\/strong>, ou d\u00e9riv\u00e9e d\u2019un contact oro-g\u00e9nital, anal ou cutan\u00e9<\/strong> peuvent se transmettre par voie sexuelle. Elles sont plus fr\u00e9quentes chez les sujets immunod\u00e9prim\u00e9s<\/strong>, mais parfois observ\u00e9es chez l\u2019h\u00f4te sain.<\/p>\n\n\n\n

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\ud83c\udf44 IST \u00e0 agents fongiques<\/h3>\n\n\n\n
    \n
  1. Candida albicans<\/strong>
    \u2192 Candidose vulvo-vaginale<\/em>, balanite<\/em>
    \u21aa Sympt\u00f4mes : prurit, leucorrh\u00e9es \u00e9paisses, \u00e9ryth\u00e8me, fissures
    \u21aa Souvent favoris\u00e9e par antibioth\u00e9rapie, diab\u00e8te, contraception, grossesse<\/li>\n\n\n\n
  2. Blastomyces dermatitidis<\/strong> (rare)<\/em>
    \u2192 L\u00e9sions g\u00e9nitales cutan\u00e9es ou muqueuses en contexte immunod\u00e9prim\u00e9<\/li>\n\n\n\n
  3. Coccidioides immitis<\/strong>
    \u2192 Transmission g\u00e9nitale document\u00e9e chez les patients atteints de coccidio\u00efdomycose<\/li>\n\n\n\n
  4. Histoplasma capsulatum<\/strong>
    \u2192 Atteinte uro-g\u00e9nitale rare dans les formes diss\u00e9min\u00e9es<\/li>\n<\/ol>\n\n\n\n
    \n\n\n\n

    \ud83d\udd2c Autres agents \u00e0 transmission sexuelle document\u00e9e<\/h3>\n\n\n\n
      \n
    1. Shigella spp.<\/strong>
      \u2192 Shigellose g\u00e9nito-anale (surtout chez HSH)
      \u21aa Provoque diarrh\u00e9e, t\u00e9nesme, douleurs rectales<\/li>\n\n\n\n
    2. Campylobacter spp.<\/strong>
      \u2192 Ent\u00e9rocolite parfois transmise sexuellement (voie oro-anale)<\/li>\n\n\n\n
    3. Neisseria meningitidis<\/strong>
      \u2192 Pr\u00e9sence possible dans la flore ano-g\u00e9nitale ; cas rares de transmission sexuelle<\/li>\n\n\n\n
    4. Virus Ebola \/ Monkeypox \/ SARS-CoV-2<\/strong>
      \u2192 Pr\u00e9sence prolong\u00e9e du virus dans le sperme ; transmission sexuelle rapport\u00e9e<\/strong><\/li>\n<\/ol>\n\n\n\n
      \n\n\n\n

      \u26a0\ufe0f Contexte fr\u00e9quent<\/h3>\n\n\n\n
        \n
      • Immunod\u00e9pression (VIH, cancer, traitements immunosuppresseurs)<\/li>\n\n\n\n
      • Pratiques sexuelles oro-g\u00e9nitales, anales ou traumatiques<\/li>\n\n\n\n
      • Mauvaise hygi\u00e8ne, humidit\u00e9 locale<\/li>\n\n\n\n
      • Contact prolong\u00e9 ou r\u00e9current sans protection<\/li>\n<\/ul>\n\n\n\n
        \n\n\n\n

        \ud83e\uddea Diagnostic<\/h3>\n\n\n\n
          \n
        • Examen clinique minutieux<\/li>\n\n\n\n
        • Pr\u00e9l\u00e8vements g\u00e9nitaux \/ anaux<\/li>\n\n\n\n
        • PCR, culture mycologique, frottis \u00e0 l\u2019encre de Chine<\/li>\n\n\n\n
        • Biopsie si doute diagnostique<\/li>\n<\/ul>\n\n\n\n
          \n\n\n\n

          \ud83d\udc8a Traitement<\/h3>\n\n\n\n
            \n
          • Antifongiques topiques ou syst\u00e9miques<\/strong> (fluconazole, itraconazole\u2026)<\/li>\n\n\n\n
          • Antibioth\u00e9rapie<\/strong> cibl\u00e9e (shigellose, campylobacter)<\/li>\n\n\n\n
          • Isolement ou abstinence temporaire selon agent<\/li>\n\n\n\n
          • Traitement du partenaire en cas de r\u00e9infection ou portage<\/li>\n<\/ul>\n\n\n\n
            \n\n\n\n

            \ud83d\udee1\ufe0f Pr\u00e9vention<\/h3>\n\n\n\n
              \n
            • Pr\u00e9servatif : prot\u00e8ge partiellement contre les levures, pas contre tous agents<\/li>\n\n\n\n
            • S\u00e9chage local, hygi\u00e8ne adapt\u00e9e<\/li>\n\n\n\n
            • \u00c9viction des facteurs favorisants (v\u00eatements serr\u00e9s, humidit\u00e9, savons agressifs)<\/li>\n\n\n\n
            • Suivi gyn\u00e9cologique ou proctologique r\u00e9gulier<\/li>\n<\/ul>\n\n\n\n
              \n\n\n\n

              \ud83d\udccd Prise en charge au Cabinet du Dr Hadi HAKIM \u2013 Dakar<\/h3>\n\n\n\n
                \n
              • Consultation discr\u00e8te et sp\u00e9cialis\u00e9e<\/li>\n\n\n\n
              • Diagnostic mycologique et bact\u00e9riologique sur place<\/li>\n\n\n\n
              • Accompagnement th\u00e9rapeutique, hygi\u00e9nique et pr\u00e9ventif<\/li>\n\n\n\n
              • Suivi en coordination avec les sp\u00e9cialistes si besoin (infectiologue, h\u00e9matologue)<\/li>\n<\/ul>\n\n\n\n

                \ud83d\udcde +221 33 821 31 22<\/strong>
                \ud83d\udcac WhatsApp professionnel disponible<\/strong>
                \ud83d\udccd Cabinet de Dermatologie \u2013 IST \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

                Infections g\u00e9nitales rares ou contextuelles \u2013 Prise en charge sp\u00e9cialis\u00e9e \u00e0 Dakar \ud83e\uddec D\u00e9finition Certaines infections g\u00e9nitales d\u2019origine fongique, opportuniste, ou d\u00e9riv\u00e9e d\u2019un contact oro-g\u00e9nital, anal ou cutan\u00e9 peuvent se transmettre par voie sexuelle. Elles sont plus fr\u00e9quentes chez les sujets immunod\u00e9prim\u00e9s, mais parfois observ\u00e9es chez l\u2019h\u00f4te sain. \ud83c\udf44 IST \u00e0 agents fongiques \ud83d\udd2c Autres […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":37,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-220","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/220","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=220"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/220\/revisions"}],"predecessor-version":[{"id":221,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/220\/revisions\/221"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/37"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}