Bulletin de la Societe de Pathologie Exotique
Volume 89, Issue 3, 1996, Pages 204-208

Fevers of undetermined origin in the camps of rwandese refugees in the Coma's area, Zaïre (September 1994) [Les fièvres d'origine indéterminée (FOI) dans les camps de réfugiés rwandais de la région de goma au zaïre (septembre 1994)] (Article)

Rey J.L.* , Cavallo J.D. , Milleliri J.M. , L'Hoest S. , Soares J.L. , Piny N. , Coue J.C. , Jouan A.
  • a Direction Centrale du Service de Santé des Armées (SSA), 00459 Armées, France
  • b Service de Biologie Médicale, Hôpital des Armées Bégin, Saint-Mandé
  • c Ministère de la Coopération, Paris
  • d MSF, Belgium
  • e Institut de Médecine Tropicale du SSA, Marseille, France
  • f Médecins du Monde, France
  • g Service de Biologie Médicale, Hôpital des Armées, Bourges
  • h Centre de Recherches du SSA, Grenoble, France

Abstract

After the outbreaks of cholera, dysenteriae, meningitidis of which the rwandese refugees have been the victims in August and September 1994 in the camps of the Goma's area (Zaire), the medical teams were confronted with a great number of fevers of unknown origin. In order to explore the possible etiologies, we have conducted a cases/controls study (n = 96). Clinically, the cases occur more frequently than controls headache (p < 0.001), splenomegaly (p = 0.02,) and neutropeny (p < 0.001) Serologically, it has been constated non significally difference between cases and controls, but prevalence of HIV-1 infections (19 and 6 %) and arbovirus (23 and 10 %) infections are very high. Arbovirosis could explain, partially or associated with HIV and tuberculosis, the presence of these fevers undeterminated more than malaria or typhus epidemic.

Author Keywords

Refugees Rwanda Malaria Zaïre Arbovirus Unknown fever HIV-1

Index Keywords

virus infection refugee Rwanda Arbovirus Infections pyrexia idiopathica human Refugees Acquired Immunodeficiency Syndrome ethnology Democratic Republic Congo Humans Fever of Unknown Origin male female tuberculosis Democratic Republic of the Congo Article adult acquired immune deficiency syndrome
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030331169&partnerID=40&md5=76ee15914539579b853b5519baca99f2
ISSN: 00379085
Cited by: 5
Original Language: French