Bladder dysfunction in chikungunya: Experience of the academic hospital of Fort de France in Martinique (France) - 26/09/15
Résumé |
Objective |
Chikungunya is an arbovirus transmitted by Aedes mosquitoes. Significant epidemics have been reported in Reunion in 2005–2006 and the French West Indies whose Martinique in 2013-2014. Mainly, Chikungunya is characterized by polyarthralgia and fever. Patients also related overactive or hypoactive bladder. Those bladder dysfunctions have been described in literature just one time by an Indian team [1 ] in 2006–2007. The purpose of this study is to identify and describe these disorders.
Methods |
Patients were enrolled using a screening urinary disorders questionnaire through Chikungunya consultation in academic hospital of Fort-de France from January 2015.
Results |
Recruitment of 51 patients: urinary urgency (58%), nocturia (66%), stress urinary incontinence (45%), daytime urinary frequency (15%), enuresis (7%), dysuria (27%). Urodynamic studies show overactive detrusor (57%) with and without detrusor-external sphincter dyssynergia (42%), or intrinsic sphincter deficiency (42%). Dysuria (42%) at flow determination.
Discussion |
Bladder dysfunctions in acute Chikungunya are frequent, and may become chronical. Hypothesis concerning aetiology are myelopathy or neuropathy. Evolution of symptoms is uncertain. A study evaluating the follow up of those patients is still going on.
Le texte complet de cet article est disponible en PDF.Keywords : Chikungunya, Bladder dysfunction, Overactive detrusor
Plan
Vol 58 - N° S1
P. e123-e124 - septembre 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.