{"id":152,"date":"2011-10-21T10:07:48","date_gmt":"2011-10-21T08:07:48","guid":{"rendered":"http:\/\/blogs.lyceecfadumene.fr\/sante\/?p=152"},"modified":"2013-11-27T14:51:40","modified_gmt":"2013-11-27T12:51:40","slug":"la-rougeole-maladie-en-recrudescence","status":"publish","type":"post","link":"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/2011\/10\/21\/la-rougeole-maladie-en-recrudescence\/","title":{"rendered":"LA ROUGEOLE &#8211; maladie en recrudescence"},"content":{"rendered":"<p align=\"center\"><span style=\"font-size: medium\"><strong>LA ROUGEOLE<\/strong><\/span><\/p>\n<p align=\"left\"><span style=\"color: #800000\"><span style=\"font-size: medium\"><strong>La rougeole est en recrudescence en France et dans le monde entier En 2011 le nombre de cas a tripl\u00e9 par rapport \u00e0 2010, il est pass\u00e9 de 5000 cas en 2010 \u00e0 15 000 en 2011.<\/strong><\/span><\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">La rougeole est une maladie <\/span><span style=\"color: #ff3366\"><span style=\"font-size: medium\"><strong>tr\u00e8s contagieuse<\/strong><\/span><\/span><span style=\"font-size: medium\"> qui peut \u00eatre <\/span><span style=\"font-size: medium\"><strong>grave<\/strong><\/span><span style=\"font-size: medium\"> dans certain cas (pneumonie, enc\u00e9phalite, d\u00e9c\u00e8s). La recrudescence de la rougeole est due \u00e0 la <\/span><span style=\"font-size: medium\"><strong>non vaccination des personnes de moins de 31 ans.<\/strong><\/span><\/p>\n<p align=\"left\"><span style=\"color: #6b4794\"><span style=\"font-size: medium\"><strong>Quelques rappels sur la rougeole.<\/strong><\/span><\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">Le virus de la rougeole est un <\/span><span style=\"font-size: medium\"><em>morbillivirus <\/em><\/span><span style=\"font-size: medium\">de la famille des<\/span><span style=\"font-size: medium\"><em> Paramyxoviridae.<\/em><\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">Il appartient \u00e0 la m\u00eame famille que le virus des oreillons. La transmission du virus se fait de l&rsquo;homme \u00e0 l&rsquo;homme.<\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\"><span style=\"text-decoration: underline\"><strong>Transmission de la rougeole.<\/strong><\/span><\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">Le virus de la rougeole se <\/span><span style=\"color: #ff3366\"><span style=\"font-size: medium\"><strong>transmet par les gouttelettes de toux en suspension dans l&rsquo;air. Il peut \u00e9galement se propager par contact direct avec les s\u00e9cr\u00e9tions du nez ou de la gorge de personnes infect\u00e9es.<\/strong><\/span><\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">L&rsquo;installation du virus se fait au cours de la p\u00e9riode d&rsquo;incubation.<\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\"><span style=\"text-decoration: underline\"><strong>Sympt\u00f4mes et \u00e9volution de la maladie<\/strong><\/span><\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">La rougeole se caract\u00e9rise par quatre phases<\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">1-La p\u00e9riode <\/span><span style=\"font-size: medium\"><strong>d&rsquo;incubation silencieuse<\/strong><\/span><span style=\"font-size: medium\"> dure <\/span><span style=\"font-size: medium\"><strong>dix jours \u00e0 trois semaines apr\u00e8s l&rsquo;inoculation.<\/strong><\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">2<\/span><span style=\"font-size: medium\"><strong>&#8211;<\/strong><\/span><span style=\"font-size: medium\">La p\u00e9riode <\/span><span style=\"font-size: medium\"><strong>d&rsquo;invasion <\/strong><\/span><span style=\"font-size: medium\">dure environ<\/span><span style=\"font-size: medium\"><strong> quatre jours <\/strong><\/span><span style=\"font-size: medium\">avec <\/span><span style=\"font-size: medium\"><strong>une forte fi\u00e8vre, \u00e9coulement nasal,toux,yeux rouges voire larmoyants et possible irritabilit\u00e9. Douleurs abdominales et diarrh\u00e9es <\/strong><\/span><span style=\"font-size: medium\">font aussi partie des<\/span><span style=\"font-size: medium\">sympt\u00f4mes.<\/span><span style=\"font-size: medium\">Pendant l&rsquo;invasion le <\/span><span style=\"font-size: medium\"><strong>sujet est contagieux et le signe de K\u00f6plick appara\u00eet.<\/strong><\/span><span style=\"font-size: medium\"> Ce signe est rare et fugace , souvent pr\u00e9sent moins de 24 heures.<\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">3-L&rsquo;<\/span><span style=\"font-size: medium\"><strong>\u00e9ruption<\/strong><\/span><span style=\"font-size: medium\"> dure en moyenne <\/span><span style=\"font-size: medium\"><strong>quatre \u00e0 cinq jours <\/strong><\/span><span style=\"font-size: medium\">et correspond \u00e0 la phase d&rsquo;\u00e9tat de la rougeole. Elle commence parle visage et les oreilles puis s&rsquo;\u00e9tend \u00e0 tout le visage, le cou, et la partie sup\u00e9rieure du thorax. Puis le tronc <\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">et les membres sup\u00e9rieurs sont atteints le quatri\u00e8me jour \u00e9ruption s&rsquo;\u00e9tend aux inf\u00e9rieur. Les d\u00e9mangeaisons sont rares, la fi\u00e8vre reste \u00e9lev\u00e9e, puis s&rsquo;att\u00e9nue peu \u00e0 peu.<\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">4 Durant la derni\u00e8re phase l&rsquo;\u00e9ruption cutan\u00e9e laisse, avant de s&rsquo;effacer, une coloration brune tirant sur le cuivre et fait place \u00e0 une <\/span><span style=\"font-size: medium\"><strong>desquamation fine visibles quelques jours. <\/strong><\/span><span style=\"font-size: medium\">La fi\u00e8vre dispara\u00eet ,mais l&rsquo;\u00e9tat de fatigue persiste.<\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\"><span style=\"text-decoration: underline\"><strong>Traitement<\/strong><\/span><\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">Il n&rsquo;existe pas de traitement sp\u00e9cifique de la rougeole. Le plus souvent,le traitement consistera \u00e0 soulager les sympt\u00f4mes ,la toux,la fi\u00e8vre, les d\u00e9mangeaisons.<\/span><\/p>\n<p align=\"left\"><span style=\"color: #ff0000\"><span style=\"font-size: medium\">La vaccination est le meilleur traitement pr\u00e9ventif. Deux doses de vaccins sont recommand\u00e9es . Une seule dose ne suffit pas pour \u00eatre immunis\u00e9.<\/span><\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\"><span style=\"text-decoration: underline\"><strong>Complications<\/strong><\/span><\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">Les complications de la rougeole peuvent \u00eatre de quatre ordres: respiratoire, neurologique, digestif et oculaire.<\/span><\/p>\n<p align=\"left\"><span style=\"font-size: medium\">EN RESUME<\/span><\/p>\n<table style=\"width: 643px\" border=\"1\" cellspacing=\"0\" cellpadding=\"4\">\n<col width=\"84\" \/>\n<col width=\"25\" \/>\n<col width=\"47\" \/>\n<col width=\"99\" \/>\n<col width=\"105\" \/>\n<col width=\"51\" \/>\n<col width=\"56\" \/>\n<col width=\"109\" \/>\n<tbody>\n<tr valign=\"top\">\n<td width=\"84\">\n<p align=\"center\">inoculation<\/p>\n<\/td>\n<td colspan=\"2\" width=\"81\">\n<p align=\"center\">Incubation silencieuse<\/p>\n<\/td>\n<td width=\"99\">\n<p align=\"center\">invasion<\/p>\n<\/td>\n<td bgcolor=\"#ff950e\" width=\"105\">\n<p align=\"center\">\u00e9ruption<\/p>\n<\/td>\n<td colspan=\"2\" width=\"115\">\n<p align=\"center\">desquamation<\/p>\n<\/td>\n<td width=\"109\">\n<p align=\"center\">Complications<\/p>\n<p align=\"center\">possibles<\/p>\n<\/td>\n<\/tr>\n<tr valign=\"top\">\n<td width=\"84\">\u00a0<\/td>\n<td colspan=\"2\" width=\"81\">\n<p align=\"center\">10 \u00e0 21 jours<\/p>\n<\/td>\n<td width=\"99\">\n<p align=\"center\">4 jours<\/p>\n<\/td>\n<td bgcolor=\"#ff950e\" width=\"105\">\n<p align=\"center\">4 \u00e0 5 jours<\/p>\n<\/td>\n<td colspan=\"2\" width=\"115\">\n<p align=\"center\">10 jours<\/p>\n<\/td>\n<td width=\"109\">\u00a0<\/td>\n<\/tr>\n<tr valign=\"top\">\n<td width=\"84\">\n<p align=\"center\"><span style=\"font-size: x-small\">Gouttelettes de toux en suspension dans l&rsquo;air ou<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">contact direct avec les s\u00e9cr\u00e9tions du nez ou de la gorge de personnes infect\u00e9es<\/span><\/p>\n<\/td>\n<td colspan=\"2\" width=\"81\">\u00a0<\/td>\n<td width=\"99\">\n<p align=\"center\"><span style=\"font-size: x-small\">Forte fi\u00e8vre,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">\u00e9coulement nasal,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">toux,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">yeux rouges,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">irritabilit\u00e9,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">douleurs abdominales, diarrh\u00e9es,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">signe de K\u00f6plic<\/span>k<\/p>\n<\/td>\n<td bgcolor=\"#ff950e\" width=\"105\">\n<p align=\"center\"><span style=\"font-size: x-small\">Apparition progressive des plaques, <\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">visage,oreilles,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">cou, thorax,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">tronc et<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">membres sup\u00e9rieurs,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">membres inf\u00e9rieurs,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">fi\u00e8vre \u00e9lev\u00e9e<\/span><\/p>\n<\/td>\n<td colspan=\"2\" width=\"115\">\n<p align=\"center\"><span style=\"font-size: x-small\">Coloration brune puis <\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">desquamation fine<\/span><\/p>\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"109\">\n<p align=\"center\"><span style=\"font-size: x-small\">Respiratoire<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">(pneumonie)<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">neurologique<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">(enc\u00e9phalite)<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">digestive,<\/span><\/p>\n<p align=\"center\"><span style=\"font-size: x-small\">oculaires<\/span><\/p>\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr valign=\"top\">\n<td colspan=\"2\" width=\"118\">\u00a0<\/td>\n<td colspan=\"4\" bgcolor=\"#ff3366\" width=\"327\">\n<p align=\"center\">La contagion d\u00e9bute 5 jours avant et dure jusqu&rsquo;\u00e0 5 jours apr\u00e8s l&rsquo;\u00e9ruption<\/p>\n<p align=\"center\">La contagion est possible m\u00eame pendant la phase d&rsquo;incubation.<\/p>\n<\/td>\n<td colspan=\"2\" bgcolor=\"#ffffff\" width=\"173\">\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p align=\"left\">Signe de K\u00f6plick: il consiste en l&rsquo;apparition sur la muqueuse buccale, \u00e0 la hauteur des molaires, de petites taches rouges irr\u00e9guli\u00e8res avec un petit point central blanc.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>LA ROUGEOLE La rougeole est en recrudescence en France et dans le monde entier En 2011 le nombre de cas a tripl\u00e9 par rapport \u00e0 2010, il est pass\u00e9 de 5000 cas en 2010 \u00e0 15 000 en 2011. La rougeole est une maladie tr\u00e8s contagieuse qui peut \u00eatre grave dans certain cas (pneumonie, enc\u00e9phalite, &hellip; <a href=\"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/2011\/10\/21\/la-rougeole-maladie-en-recrudescence\/\" class=\"more-link\">Continuer la lecture de <span class=\"screen-reader-text\">LA ROUGEOLE &#8211; maladie en recrudescence<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":43,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[9203],"tags":[7264,7265,3938],"class_list":["post-152","post","type-post","status-publish","format-standard","hentry","category-sante","tag-signes","tag-traitement","tag-transmission"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p1SrOO-2s","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/wp-json\/wp\/v2\/posts\/152","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/wp-json\/wp\/v2\/users\/43"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/wp-json\/wp\/v2\/comments?post=152"}],"version-history":[{"count":0,"href":"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/wp-json\/wp\/v2\/posts\/152\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/wp-json\/wp\/v2\/media?parent=152"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/wp-json\/wp\/v2\/categories?post=152"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.lyceecfadumene.fr\/tyanheol\/wp-json\/wp\/v2\/tags?post=152"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}