{"id":222,"date":"2025-08-02T21:07:14","date_gmt":"2025-08-02T21:07:14","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=222"},"modified":"2025-08-02T21:09:38","modified_gmt":"2025-08-02T21:09:38","slug":"ist-emergentes-ou-exceptionnellement-transmissibles-sexuellement","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/ist-emergentes-ou-exceptionnellement-transmissibles-sexuellement\/","title":{"rendered":"\ud83e\uddec IST \u00e9mergentes ou exceptionnellement transmissibles sexuellement"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">\ud83e\udded D\u00e9finition<\/h3>\n\n\n\n<p>Certaines infections <strong>initialement non class\u00e9es comme IST<\/strong> peuvent n\u00e9anmoins \u00eatre <strong>transmises lors de rapports sexuels<\/strong>, notamment en cas de contacts oro-g\u00e9nitaux, anaux ou en contexte \u00e9pid\u00e9mique. Ces agents sont <strong>\u00e9mergents<\/strong> ou <strong>exceptionnels<\/strong>, mais leur <strong>potentiel de transmission sexuelle<\/strong> est aujourd\u2019hui reconnu ou suspect\u00e9.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\udda0 Principales IST \u00e9mergentes ou exceptionnelles<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>Agent infectieux<\/strong><\/th><th><strong>Maladie<\/strong><\/th><th><strong>Mode de transmission sexuelle reconnu ou \u00e9voqu\u00e9<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>Virus Ebola<\/strong><\/td><td>Fi\u00e8vre h\u00e9morragique Ebola<\/td><td>Virus persistant dans le sperme pendant plusieurs mois<\/td><\/tr><tr><td><strong>Monkeypox virus<\/strong><\/td><td>Variole du singe<\/td><td>Transmission par contact cutan\u00e9 et sexuel document\u00e9e<\/td><\/tr><tr><td><strong>SARS-CoV-2<\/strong><\/td><td>COVID-19<\/td><td>Pr\u00e9sence virale d\u00e9tect\u00e9e dans le sperme ; transmission \u00e9voqu\u00e9e<\/td><\/tr><tr><td><strong>Virus Zika<\/strong><\/td><td>Zika<\/td><td>Transmission sexuelle prouv\u00e9e, m\u00eame apr\u00e8s gu\u00e9rison clinique<\/td><\/tr><tr><td><strong>Cytom\u00e9galovirus (CMV)<\/strong><\/td><td>CMV<\/td><td>Transmissible par s\u00e9cr\u00e9tions g\u00e9nitales<\/td><\/tr><tr><td><strong>Epstein-Barr Virus (EBV)<\/strong><\/td><td>Mononucl\u00e9ose infectieuse<\/td><td>Possiblement transmis par rapports oraux<\/td><\/tr><tr><td><strong>Shigella spp.<\/strong><\/td><td>Shigellose<\/td><td>Transmission oro-anale fr\u00e9quente chez HSH<\/td><\/tr><tr><td><strong>Campylobacter spp.<\/strong><\/td><td>Campylobact\u00e9riose<\/td><td>Contact oro-anal, rapports sexuels non prot\u00e9g\u00e9s<\/td><\/tr><tr><td><strong>Neisseria meningitidis<\/strong><\/td><td>M\u00e9ningococcie<\/td><td>Portage anog\u00e9nital document\u00e9<\/td><\/tr><tr><td><strong>HTLV-I\/II<\/strong><\/td><td>Leuc\u00e9mies \/ infections chroniques<\/td><td>Transmission sexuelle rare mais reconnue<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u26a0\ufe0f Contexte \u00e0 haut risque<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Rapports <strong>oro-g\u00e9nitaux ou oro-anaux non prot\u00e9g\u00e9s<\/strong><\/li>\n\n\n\n<li><strong>Pratiques sexuelles multiples<\/strong> ou avec traumatismes<\/li>\n\n\n\n<li><strong>Partenaires infect\u00e9s symptomatiques ou asymptomatiques<\/strong><\/li>\n\n\n\n<li><strong>Immunod\u00e9pression<\/strong> (VIH, greffe, traitements immunosuppresseurs)<\/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\uddea Diagnostic<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Souvent fortuit ou en contexte d\u2019\u00e9pid\u00e9mie<\/li>\n\n\n\n<li>Analyses sp\u00e9cifiques selon l\u2019agent suspect\u00e9 :\n<ul class=\"wp-block-list\">\n<li><strong>PCR virale dans le sperme \/ sang \/ l\u00e9sions cutan\u00e9es<\/strong><\/li>\n\n\n\n<li>S\u00e9rologies cibl\u00e9es (CMV, HTLV, EBV\u2026)<\/li>\n\n\n\n<li>Examen bact\u00e9riologique des selles ou des l\u00e9sions<\/li>\n<\/ul>\n<\/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 Traitement<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Antiviraux ou antibiotiques sp\u00e9cifiques<\/strong> selon l\u2019agent<\/li>\n\n\n\n<li><strong>Isolement temporaire<\/strong>, \u00e9ducation du couple<\/li>\n\n\n\n<li>Traitement <strong>pr\u00e9coce<\/strong> pour \u00e9viter la diss\u00e9mination<\/li>\n\n\n\n<li>D\u00e9claration <strong>obligatoire<\/strong> dans certains cas (Ebola, monkeypox\u2026)<\/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 Pr\u00e9vention<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pr\u00e9servatif syst\u00e9matique<\/strong>, y compris pour les rapports oraux<\/li>\n\n\n\n<li><strong>Abstinence temporaire<\/strong> apr\u00e8s certaines infections (Ebola, Zika\u2026)<\/li>\n\n\n\n<li><strong>Vaccination<\/strong> si disponible (variole, COVID-19, m\u00e9ningocoque)<\/li>\n\n\n\n<li>Suivi des partenaires et <strong>d\u00e9pistage post-exposition<\/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\">\ud83d\udccd Prise en charge au Cabinet du Dr Hadi HAKIM \u2013 Dakar<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>D\u00e9pistage cibl\u00e9 et confidentiel<\/strong><\/li>\n\n\n\n<li>Information pr\u00e9ventive personnalis\u00e9e<\/li>\n\n\n\n<li>Suivi m\u00e9dical coordonn\u00e9 en cas d\u2019IST rare<\/li>\n\n\n\n<li>Conseils hygi\u00e9no-sexuels adapt\u00e9s \u00e0 chaque situation<\/li>\n<\/ul>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp professionnel disponible<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie \u2013 IST \u2013 Daka<\/em>r<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ud83e\udded D\u00e9finition Certaines infections initialement non class\u00e9es comme IST peuvent n\u00e9anmoins \u00eatre transmises lors de rapports sexuels, notamment en cas de contacts oro-g\u00e9nitaux, anaux ou en contexte \u00e9pid\u00e9mique. Ces agents sont \u00e9mergents ou exceptionnels, mais leur potentiel de transmission sexuelle est aujourd\u2019hui reconnu ou suspect\u00e9. \ud83e\udda0 Principales IST \u00e9mergentes ou exceptionnelles Agent infectieux Maladie Mode [&hellip;]<\/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-222","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/222","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=222"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/222\/revisions"}],"predecessor-version":[{"id":223,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/222\/revisions\/223"}],"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=222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}