Article

2 Iconography
Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text
Advertising


Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates

  • You can purchase this item in Pay Per ViewPay per View - FAQ : 30,00 € Taxes included to order
    Pages Iconography Videos Other
    4 2 0 0


Archives de pédiatrie
Volume 21, n° S2
pages 93-96 (novembre 2014)
Doi : 10.1016/S0929-693X(14)72268-7
Diagnostic des tournioles à streptocoque du groupe A
Diagnostic of group A streptococcal blistering distal dactylitis
 

R. Cohen 1, 2, 3, 4, C. Levy 1, 2, 3, , J. Cohen 5, F. Corrard 1, P. Deberdt 1, S. Béchet 1, S. Bonacorsi 6, 7, Ph. Bidet 6, 7
1 ACTIV (Association clinique et thérapeutique infantile du Val-de-Marne), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France 
2 Centre de recherche clinique (CRC) et Centre hospitalier intercommunal (CHI), 40, avenue de Verdun, 94010 Créteil, France 
3 AFPA (Association française de pédiatrie ambulatoire), 4, rue Parmentier, 54270 Essey-les-Nancy, France 
4 Unité court séjour, petits nourrissons, service de néonatologie, CHI de Créteil, 40, avenue de Verdun, 94010 Créteil, France 
5 INSERM, Epidemiological Research Unit on Perinatal Health and Women's and Children's Health (UMR S953), hôpital Cochin, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France 
6 Université Paris-Diderot, PRES Sorbonne-Paris-Cité, 46, rue Henri-Huchard, 75018 Paris, France 
7 Service de microbiologie, hôpital Robert-Debré (AP-HP), 48, boulevard Sérurier, 75019 Paris, France 

*Auteur correspondant.
Résumé

La tourniole, pathologie due au streptocoque du groupe A (SGA), a fait l’objet d’un nombre restreint de publications. Typiquement, la tourniole est une infection localisée impliquant la phalange distale et se présente comme une ampoule péri-unguéale remplie de liquide purulent. Entre octobre 2009 et juin 2014, 69 enfants (âge médian : 60 mois, extrêmes : 0,6–176) présentant cette pathologie ont été inclus. Les performances des tests de diagnostic rapide (TDR) du SGA comparées à la culture montraient une sensibilité de 97 % (IC 95 % : 83–100 %), une spécificité de 76 % (IC 95 % : 60–89 %), une valeur prédictive négative de 97 % (IC 95 % : 83–100 %), et une valeur prédictive positive de 76 % (IC 95 % : 60–89 %). L’ensemble des patients ayant un TDR positif a été traité par antibiotiques (amoxicilline essentiellement) et a guéri sans qu’un geste chirurgical ne soit nécessaire.

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

Blistering distal dactylitis is a distinct clinical entity, generally due to S. pyogenes , unfrequently reported. Characteristically, blistering distal dactylitis is described as a localized infection involving the distal phalanx of the digits, and it usually presents as a fluid-filled blister. Between October 2009 and June 2014, 69 children (median age: 60 months, extremes: 0,6–176) were enrolled. The sensitivity of GAS rapid antigen detection test was 97 % (CI 95 %: 83–100 %), the specificity was 76 % (CI 95 %: 60–89 %), the negative predictive value was 97 % (CI 95 %: 83–100 %), and the positive predictive value 76 % (CI 95 %: 60–89 %). All patients with a positive GAS rapid antigen test were treated with antibiotics (amoxicillin essentially) and cured without surgery.

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


© 2014  Elsevier Masson SAS. All Rights Reserved.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Close
Article Outline