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Archives de pédiatrie
Volume 17, n° 1
pages 86-90 (janvier 2010)
Doi : 10.1016/j.arcped.2009.09.001
Received : 19 June 2009 ;  accepted : 1 September 2009
Aspects pédiatriques de la dengue et du chikungunya
Paediatric features of Dengue and Chikungunya fevers
 

P. Gérardin a, , b
a Service de néonatologie, réanimation néonatale et pédiatrique, pôle Femme-Mère-Enfant, groupe hospitalier Sud Réunion, centre hospitalier régional, BP 350, 97448 Saint-Pierre cedex, Réunion 
b Centre d’investigation clinique-épidémiologie clinique (CIC-EC), Inserm/centre hospitalier régional/union régionale des médecins libéraux, groupe hospitalier Sud Réunion, 97448 Saint-Pierre cedex, Réunion 

Auteur correspondant.
Résumé

Les fièvres de la dengue (Df ) et du chikungunya (Cf ) sont des arboviroses en pleine expansion dans le monde, du fait de la plasticité de leurs agents pathogènes, des virus à ARN mutant, rendant l’acquisition d’une immunité grégaire durable et la vaccination difficiles, et de la plasticité de leurs vecteurs, les moustiques femelles du genre Aedes (Stegomya ), capables de s’adapter à des environnements très différents. Cette revue de la littérature rappelle brièvement le cycle viral et l’épidémiologie de ces arboviroses, la pathogénie et les aspects pédiatriques de leurs formes cliniques ainsi que les principes de leur traitement et de leur prévention.

The full text of this article is available in PDF format.
Abstract

Dengue (Df ) and Chikungunya fever (Cf ) arbovirosis are booming in the world, because of the plasticity of their pathogens, mutant RNA viruses making the acquisition of sustainable herd immunity and vaccination difficult in humans, and the plasticity of their vectors, the female mosquitoes of the genus Aedes (Stegomya ), capable of adapting to different environments. This review summarizes the viral life cycle and epidemiology of these arboviruses, pathogenesis and pediatric aspects of their clinical forms and the basic principles of their treatment and prevention.

The full text of this article is available in PDF format.

Mots clés : Dengue, Chikungunya, Aedes , Enfant, Nouveau-né, Épidémie




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