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Tropical Dental Journal - 1st Pan African international dental journal


Tropical Dental Journal



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Published in French in Tropical Dental Journal Volume 46 - September 2023 pages 29-32

Monsieur Assi Romaric-Evrard  Yapo Management of gonococcal oral aphthosis at the Stomatology and Maxillofacial Surgery Department of Treichville University Teaching Hospital: a case reportManagement of gonococcal oral aphthosis at the Stomatology and Maxillofacial Surgery Department of Treichville University Teaching Hospital: a case report est évalué 1 étoiles par les abonnés Tropical Dental Journal Online

Article Open access

Authors : A.R.E. Yapo, N.D. N’guessan, K.J.F.R. Behibro, M.F.O. Seguy, B. Ettien Tehoua, E. Anzouan-Kacou, E.K. Konan - Ivory Coast


Résumé

Introduction : Les infections représentent la première étiologie des stomatites. Les stomatites bactériennes sont fréquentes, à germes non spécifiques ou spécifiques. La stomatite gonococcique est une infection bactérienne à germes spécifiques causée par Neisseria gonorrhoeae. Elle est rare et transmise par voie orogénitale. Nous rapportons un cas d’aphtoses buccales en faveur d’une infection gonococcique.
Observation : Un homme de 21 ans sans antécédents pathologiques particuliers a consulté pour des ulcérations buccales évoluant depuis 3 semaines. La notion de comportements sexuels à risque a été retrouvée. L’examen clinique a mis en évidence des aphtoses buccales et ano-génitales. L’examen bactériologique du prélèvement bucco-lingual a permis de mettre en évidence Neisseria gonorrhae. Un traitement fait de ceftriaxone et des soins buccaux a été administré. L’évolution a été marquée par une régression des aphtoses.
Discussion : La forme orale de la gonococcie a été peu décrite. La recherche de pratiques sexuelles à risque reste difficile dans notre pays et en Afrique, car le sexe demeure un sujet tabou. La stomatite gonococcique doit être toujours évoquée devant une aphtose bipolaire ou tripolaire dans un contexte de pratiques sexuelles à risques. Le traitement de la stomatite gonococcique et de la gonococcie en général est bien codifié en Côte d’Ivoire. L’utilisation de la ceftriaxone a donné de bons résultats chez notre patient. La prise en charge des localisations multiples de la gonococcie fait appel à une prise en charge multidisciplinaire. La réduction de l’incidence des maladies vénériennes et de leurs localisations atypiques passe par la prévention.

Abstract
Management of gonococcal oral aphthosis at the Stomatology and Maxillofacial Surgery Department of Treichville University Teaching Hospital: a case report

Introduction: Infections represent the first aetiology of stomatitis. Bacterial stomatitis is developed, with nonspecific or specific germs. Gonococcal stomatitis is a specific bacterial infection caused by Neisseria gonorrhoeae. It is rare and transmitted by the orogenital route. We report a case of multiple oral aphtosis in favour of gonococcal infection.
Observation: A 21-year-old man with no particular pathological history was consulted for oral aphtosis evolving for 3 weeks. The notion of risk sexual behaviour was found. The clinical examination revealed oral and anogenital aphtosis. The bacteriological examination of the oral-lingual sample revealed Neisseria gonorrhae. Treatment with ceftriaxone and oral care was given. The evolution was marked by a regression of the aphtosis.
Discussion: The oral form of gonorrhoea has been little described. The search for risky sexual practices remains difficult in our country and in Africa because sex remains a taboo subject. Gonococcal stomatitis should always be considered in the presence of bipolar or tripolar aphtosis in the context of risky sexual practices. The treatment of gonococcal stomatitis and gonococcal disease, in general, is well codified in Ivory Coast. The use of ceftriaxone gave good results in our patient. The management of multiple locations of gonococcal disease requires multidisciplinarity. The reduction of the incidence of venereal diseases and their atypical locations requires prevention.

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This article is currently rated Management of gonococcal oral aphthosis at the Stomatology and Maxillofacial Surgery Department of Treichville University Teaching Hospital: a case report is rated 1 stars (1.0 stars) by the subscribers of Tropical Dental Journal Online.
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