{"id":3828,"date":"2023-04-04T17:36:19","date_gmt":"2023-04-04T21:36:19","guid":{"rendered":"https:\/\/dev-telemed.pantheonsite.io\/2023\/04\/04\/jambes-nouees\/"},"modified":"2023-11-10T17:37:26","modified_gmt":"2023-11-10T22:37:26","slug":"jambes-nouees","status":"publish","type":"post","link":"https:\/\/telemedhub.org\/fr\/2023\/04\/04\/jambes-nouees\/","title":{"rendered":"Jambes nou\u00e9es"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3828\" class=\"elementor elementor-3828 elementor-3783\">\n\t\t\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-602f9b4e elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"602f9b4e\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5587928b\" data-id=\"5587928b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-62ea07e4 elementor-widget elementor-widget-heading\" data-id=\"62ea07e4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Jambes nou\u00e9es<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6890cbf elementor-widget elementor-widget-spacer\" data-id=\"6890cbf\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e4cec6 elementor-widget elementor-widget-video\" data-id=\"5e4cec6\" data-element_type=\"widget\" data-settings=\"{&quot;video_type&quot;:&quot;hosted&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"e-hosted-video elementor-wrapper elementor-open-inline\">\n\t\t\t\t\t<video class=\"elementor-video\" src=\"https:\/\/dev-telemed.pantheonsite.io\/wp-content\/uploads\/2023\/04\/Konzo-Bambari-1.mp4\" controls=\"\" preload=\"metadata\" controlsList=\"nodownload\"><\/video>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3f6c7482 elementor-widget elementor-widget-heading\" data-id=\"3f6c7482\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">En R\u00e9publique centrafricaine, deux jeunes filles ont \u00e9t\u00e9 admises pour des soins m\u00e9dicaux, signalant qu\u2019elles avaient soudainement commenc\u00e9 \u00e0 avoir des difficult\u00e9s \u00e0 marcher.<\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-22fb2ec2 elementor-widget elementor-widget-text-editor\" data-id=\"22fb2ec2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-style: inherit; font-weight: inherit; background-color: var( --e-global-color-astglobalcolor5 ); color: var(--bs-body-color); font-family: var(--bs-body-font-family);\">Bien que les filles ne soient pas du m\u00eame foyer, ni m\u00eame du m\u00eame village, elles \u00e9taient apparent\u00e9es. Apr\u00e8s un examen plus approfondi de leurs ant\u00e9c\u00e9dents, il est apparu que d&rsquo;autres enfants de leurs villages avaient r\u00e9cemment commenc\u00e9 \u00e0 souffrir de la m\u00eame maladie. \u00c0 l&rsquo;examen, la d\u00e9marche spastique \u00e9tait apparente. Un examen neurologique plus pouss\u00e9 a uniquement r\u00e9v\u00e9l\u00e9 des r\u00e9flexes vifs aux extr\u00e9mit\u00e9s inf\u00e9rieures. Le test rapide de d\u00e9pistage du paludisme s&rsquo;est av\u00e9r\u00e9 positif dans les deux cas. L&rsquo;\u00e9quipe locale de MSF soup\u00e7onnait un type inconnu de carence en vitamines. Le cas a ensuite \u00e9t\u00e9 soumis sur la plateforme de t\u00e9l\u00e9m\u00e9decine.<\/span><\/p><p>\u00a0<\/p><p>Deux sp\u00e9cialistes faisant partie du r\u00e9seau de t\u00e9l\u00e9m\u00e9decine, un p\u00e9diatre aux Pays-Bas et un neurologue p\u00e9diatrique aux \u00c9tats-Unis, ont reconnu la pr\u00e9sentation rare et ont rapidement r\u00e9pondu \u00e0 l&rsquo;\u00e9quipe : \u00ab C&rsquo;est du KONZO ! \u00bb Konzo signifie \u00ab jambes li\u00e9es \u00bb dans la langue Yaka du sud-ouest de la R\u00e9publique d\u00e9mocratique du Congo, o\u00f9 les premiers cas ont \u00e9t\u00e9 d\u00e9crits en 1938, et d\u00e9crit bien la d\u00e9marche spastique.<\/p><p>\u00a0<\/p><p>La cause exacte n&rsquo;a pas \u00e9t\u00e9 enti\u00e8rement \u00e9lucid\u00e9e, mais il existe un lien \u00e9troit avec une forte absorption de cyanure provenant d&rsquo;un r\u00e9gime monotone de manioc amer mal pr\u00e9par\u00e9. Il n&rsquo;y a pas de traitement connu. Les dommages neurologiques sont permanents, bien que l&rsquo;on puisse s&rsquo;attendre \u00e0 une certaine am\u00e9lioration spontan\u00e9e au fil des semaines.<\/p><p>\u00a0<\/p><p>Imm\u00e9diatement apr\u00e8s la confirmation du diagnostic, l&rsquo;\u00e9quipe s&rsquo;est rendue dans les villages et a identifi\u00e9 d&rsquo;autres cas. Le march\u00e9 local s&rsquo;est av\u00e9r\u00e9 \u00eatre la source la plus probable du manioc mal pr\u00e9par\u00e9.<\/p><p>\u00a0<\/p><p>Apr\u00e8s la diffusion d&rsquo;informations pertinentes et la sensibilisation quant \u00e0 la pr\u00e9paration du manioc par les canaux locaux habituels, aucun autre cas n&rsquo;a \u00e9t\u00e9 observ\u00e9. Bien que ces deux jeunes filles n&rsquo;aient pas pu \u00eatre aid\u00e9es, la t\u00e9l\u00e9m\u00e9decine a jou\u00e9 un r\u00f4le essentiel en emp\u00eachant d&rsquo;autres personnes de contracter cette maladie.<\/p><p>\u00a0<\/p><p><i>Par Dr Jaap Karsten<\/i><\/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":"<p>En R\u00e9publique centrafricaine, deux jeunes filles ont \u00e9t\u00e9 admises pour des soins m\u00e9dicaux, signalant qu\u2019elles avaient soudainement commenc\u00e9 \u00e0 avoir des difficult\u00e9s \u00e0 marcher.<\/p>\n","protected":false},"author":9,"featured_media":7542,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"video","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":[20,21],"tags":[],"_links":{"self":[{"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/posts\/3828"}],"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=3828"}],"version-history":[{"count":31,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/posts\/3828\/revisions"}],"predecessor-version":[{"id":7203,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/posts\/3828\/revisions\/7203"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/media\/7542"}],"wp:attachment":[{"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/media?parent=3828"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/categories?post=3828"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/telemedhub.org\/fr\/wp-json\/wp\/v2\/tags?post=3828"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}