{"id":3822,"date":"2023-04-04T11:23:00","date_gmt":"2023-04-04T15:23:00","guid":{"rendered":"https:\/\/dev-telemed.pantheonsite.io\/2023\/04\/04\/unique-clinical-presentation-equals-teamwork-for-accurate-diagnosis\/"},"modified":"2023-11-10T16:39:23","modified_gmt":"2023-11-10T21:39:23","slug":"unique-clinical-presentation-equals-teamwork-for-accurate-diagnosis","status":"publish","type":"post","link":"https:\/\/telemedhub.org\/fr\/2023\/04\/04\/unique-clinical-presentation-equals-teamwork-for-accurate-diagnosis\/","title":{"rendered":"Un travail d\u2019\u00e9quipe pour un diagnostic pr\u00e9cis"},"content":{"rendered":"\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t

Un travail d\u2019\u00e9quipe pour un diagnostic pr\u00e9cis<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t
En Somalie, un b\u00e9b\u00e9 a \u00e9t\u00e9 amen\u00e9 pour une \u00e9valuation. <\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Un enfant de sexe masculin \u00e2g\u00e9 de 3\u202fjours a \u00e9t\u00e9 amen\u00e9 dans une clinique MSF en Somalie pour une \u00e9valuation. Il pr\u00e9sentait une d\u00e9formation thoracique et des mouvements anormaux de la poitrine observ\u00e9s par sa m\u00e8re alors qu\u2019elle lui donnait son bain. La naissance avait eu lieu \u00e0 la maison apr\u00e8s neuf mois de grossesse, et ce, sans aucune complication.\u00a0<\/span>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>

C\u2019\u00e9tait le sixi\u00e8me enfant de la famille, mais seuls quatre d\u2019entre eux \u00e9taient vivants et en bonne sant\u00e9. La m\u00e8re a eu des jumeaux dont l\u2019un d\u2019eux est mort peu apr\u00e8s la naissance, tandis qu\u2019un autre de ses enfants est mort \u00e0 l\u2019\u00e2ge de trois ans d\u2019une cause inconnue.\u00a0<\/span>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>

La m\u00e8re a r\u00e9v\u00e9l\u00e9 qu\u2019au cours du huiti\u00e8me mois de sa grossesse, elle est tomb\u00e9e sur le ventre, ce qui a entra\u00een\u00e9 un l\u00e9ger saignement vaginal. Elle a ensuite \u00e9t\u00e9 admise \u00e0 l\u2019h\u00f4pital et a d\u00fb recevoir une transfusion sanguine en raison d\u2019une an\u00e9mie. Heureusement, l\u2019enfant \u00e0 na\u00eetre n\u2019a pas \u00e9t\u00e9 bless\u00e9 par l\u2019accident.\u00a0<\/span>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>

Le nouveau-n\u00e9 pesait 3\u202fkilogrammes. Il \u00e9tait froid au toucher et sa peau avait une coloration bleue qui t\u00e9moignait d\u2019une oxyg\u00e9nation insuffisante. Un examen plus approfondi a permis de d\u00e9tecter une d\u00e9formation de la poitrine droite et un mamelon suppl\u00e9mentaire du m\u00eame c\u00f4t\u00e9.\u00a0<\/span>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>

Compte tenu du caract\u00e8re unique de cette pr\u00e9sentation, l\u2019\u00e9quipe m\u00e9dicale du projet a soumis ce cas en t\u00e9l\u00e9m\u00e9decine pour obtenir des conseils sur le traitement radiologique et clinique. Le cas a \u00e9t\u00e9 re\u00e7u par un p\u00e9diatre g\u00e9n\u00e9raliste pratiquant la t\u00e9l\u00e9m\u00e9decine aux Pays-Bas. Il a aussi \u00e9t\u00e9 examin\u00e9 par deux radiologistes bas\u00e9es en Australie et en France qui traitent fr\u00e9quemment des cas difficiles de radiologie p\u00e9diatrique. Les deux radiologistes ont convenu qu\u2019il s\u2019agissait d\u2019une maladie h\u00e9r\u00e9ditaire rare appel\u00e9e dysostose spondylocostale, un trouble de la croissance du squelette caract\u00e9ris\u00e9 par des anomalies \u00e9tendues et parfois graves de la colonne vert\u00e9brale et des c\u00f4tes.\u00a0<\/span>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>

Heureusement, le b\u00e9b\u00e9 ne pr\u00e9sentait aucun probl\u00e8me m\u00e9dical autre que la d\u00e9formation du squelette diagnostiqu\u00e9e par les radiologistes. Sur la base des recommandations du p\u00e9diatre de t\u00e9l\u00e9m\u00e9decine, il a \u00e9t\u00e9 trait\u00e9 avec de l\u2019oxyg\u00e8ne et une th\u00e9rapie de soutien. Dans les sept jours qui ont suivi, l\u2019enfant a en outre commenc\u00e9 \u00e0 \u00eatre allait\u00e9 r\u00e9guli\u00e8rement et des conseils ont \u00e9t\u00e9 prodigu\u00e9s aux parents avant qu\u2019il ne retourne \u00e0 la maison.\u00a0<\/span>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>

Cet exemple montre l\u2019importance consid\u00e9rable d\u2019un soutien sp\u00e9cialis\u00e9 par la t\u00e9l\u00e9m\u00e9decine pour l\u2019identification rapide et pr\u00e9cise d\u2019une anomalie cong\u00e9nitale rare. Ce processus garantit une strat\u00e9gie de traitement fond\u00e9e sur des preuves et offre aussi \u00e0 l\u2019\u00e9quipe m\u00e9dicale du projet une occasion de se perfectionner.<\/span><\/p>


\"\"<\/p>

\u00a0<\/p>

Par Dre<\/span><\/span> Nilza Angmo et Dr Ahmed <\/span>Igbin<\/span><\/span>\u00a0<\/span><\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Un nouveau-n\u00e9 a \u00e9t\u00e9 amen\u00e9 dans une clinique MSF en Somalie pour une \u00e9valuation alors qu\u2019il pr\u00e9sentait une d\u00e9formation thoracique.<\/p>\n","protected":false},"author":9,"featured_media":7567,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[21],"tags":[],"_links":{"self":[{"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/posts\/3822"}],"collection":[{"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/comments?post=3822"}],"version-history":[{"count":33,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/posts\/3822\/revisions"}],"predecessor-version":[{"id":7144,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/posts\/3822\/revisions\/7144"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/media\/7567"}],"wp:attachment":[{"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/media?parent=3822"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/categories?post=3822"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/tags?post=3822"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}