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Master Thesis

Chikungunya : étude des cas reçus au Centre Hospitalier Universitaire de Bordeaux de janvier 2010 à décembre 2014

Abstract : Introduction: since in 1952, chikungunya is a virus that hasard been transmitted by the Aedes mosquito. It’s have causes many epidemics who became worldwide, exposed especially among travelers. Methods: in january 2010 to december 2014, descriptive and retrospective study has been performed in Bordeaux french University Hospital Center. The objective is to describe the clinical evolution and the impact on the quality of life (SF36 score, HAD score and EMIR-COURT score). Results: 26 cases of Chikungunya virus has been confirmed and are included. In various provences there are varied cases. The main signs found are arthralgia, fever, rash and myalgia. Atypical cases are described: haemorrhagic fever, encephalitis, septic shock and evening fever. The evolution is marked by disabling joint pain followed by a benign evolution of the disease for the majority. 4 cases have a much more pejorative evolution with attacks over 2 years. It is noted a significant limitation of activities with difficulties at work and in social life. As well as the development of anxious-depressive syndrome. Requiring a stoppage of work with a recognition of a disabled worker (status of RQTH) and an invalidity setting. Conclusion: the impact of evolution at the chronic stage needs the development of prevention and treatment methods. Knowing that no measure is 100% effective.
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https://dumas.ccsd.cnrs.fr/dumas-02526380
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Laeticia Frézals. Chikungunya : étude des cas reçus au Centre Hospitalier Universitaire de Bordeaux de janvier 2010 à décembre 2014. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02526380⟩

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