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Warda K, Amari S, Boureddane M, Elkamouni Y, Arsalane L, Zouhair S, Bouskraoui M. Changes in pneumococcal serotypes distribution and penicillin resistance in healthy children five years after generalization of PCV10. Heliyon 2024; 10:e25741. [PMID: 38380016 PMCID: PMC10877248 DOI: 10.1016/j.heliyon.2024.e25741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 01/11/2024] [Accepted: 02/01/2024] [Indexed: 02/22/2024] Open
Abstract
Objective Streptococcus pneumoniae (S. pneumoniae) nasopharyngeal carriage has significantly decreased after the generalization of pneumococcal vaccination worldwide. This study sought to investigate changes in S. pneumoniae carriage rates, serotype distribution and penicillin non-susceptibility following the generalization of 10-valent pneumococcal conjugate vaccine. Methods A prospective study was conducted in Marrakesh, Morocco, between 2017 and 2018, among healthy children attending vaccination centers. We collected nasopharyngeal swabs and questionnaire data for each child. Using univariate logistic regression, we analyzed the association between S. pneumoniae carriage and various risk factors. Comparisons of serotype diversity and penicillin resistance between 2017 and 2018 and the period before introduction of vaccination (2008-2009, n = 660) were performed using Simpson index and the chi-squared test, respectively. Results During 2017-2018, 515 children aged between 6 and 36 months participated. The S. pneumoniae carriage rate was 43.3%. Looking at the distribution serotypes, the rate of PCV10 serotypes rate was only 9.6%. Among non-vaccine serotypes, an increase in serotypes 6C/6D (22; 14%), 19B/19C (17; 10.8%), and 15B/15C (11; 7%) was observed. A particular increase in serotype diversity was also observed after the generalization of PCV10 (p < 0.001). S. pneumoniae non-susceptible to penicillin decreased, reaching a rate of 26.6% in 2017-2018. Conclusion The significant change in S. pneumoniae carriage, serotype distribution, and penicillin resistance highlights the effectiveness of the pneumococcal conjugate vaccine among children in Marrakesh, Morocco.
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Affiliation(s)
- Karima Warda
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
| | - Sara Amari
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
| | - Majda Boureddane
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
| | - Youssef Elkamouni
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
- Laboratory of Microbiology-Virology and Molecular Biology, Avicenna Military Hospital, Marrakesh, Morocco
| | - Lamiae Arsalane
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
- Laboratory of Microbiology-Virology and Molecular Biology, Avicenna Military Hospital, Marrakesh, Morocco
| | - Said Zouhair
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
- Laboratory of Microbiology-Virology and Molecular Biology, Avicenna Military Hospital, Marrakesh, Morocco
| | - Mohammed Bouskraoui
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
- Department of Pediatrics, Mohamed VI University Hospital Center, Marrakesh, Morocco
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Rochd S, Benhoummad O, Salhi S, Lakhdar Y, Rochdi Y, Raji A, Oualhadj H, Kamouni YE, Zouhair S. Isolated Sudden Bilateral Neurosensory Hearing Loss as a Presentation of Lyme Neuroborreliosis: A Case Study. J Audiol Otol 2024; 28:72-75. [PMID: 38052526 PMCID: PMC10808383 DOI: 10.7874/jao.2023.00129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Revised: 06/08/2023] [Accepted: 08/16/2023] [Indexed: 12/07/2023] Open
Abstract
Lyme neuroborreliosis (LNB) is a rare but potentially serious manifestation of Lyme disease, caused by the spirochete Borrelia burgdorferi. Although LNB can affect various neurological systems, neurosensory hearing loss as the sole presentation is uncommon. We report a case of a 23-year-old woman who presented with a 2-month history of temporal headache, tinnitus, and instability, which was followed by sudden bilateral hearing loss without any other associated symptoms. Pure-tone audiometry revealed profound bilateral hearing loss. Serological testing for various pathogens was negative, except for B. burgdorferi IgM, which was confirmed using Western blot analysis. The patient received doxycycline treatment; unfortunately, no recovery of hearing was observed. This case report highlights the importance of considering LNB as a potential cause of neurosensory hearing loss, particularly in areas where Lyme disease is endemic, as well as the need for timely diagnosis and treatment to prevent potential complications.
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Affiliation(s)
- Sara Rochd
- ENT-HNS Department, Mohammed VI University Hospital Center, Marrakech, Morocco
| | | | - Salma Salhi
- ENT-HNS Department, Mohammed VI University Hospital Center, Marrakech, Morocco
| | - Youssef Lakhdar
- ENT-HNS Department, Mohammed VI University Hospital Center, Marrakech, Morocco
| | - Youssef Rochdi
- ENT-HNS Department, Mohammed VI University Hospital Center, Marrakech, Morocco
| | - Abdelaziz Raji
- ENT-HNS Department, Mohammed VI University Hospital Center, Marrakech, Morocco
| | - Hamza Oualhadj
- Microbiology Department, Avicenna Military Hospital, Marrakech, Morocco
| | | | - Said Zouhair
- Microbiology Department, Avicenna Military Hospital, Marrakech, Morocco
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El Bazi K, El Bardi T, Miloudi M, Zouhair S, Arsalane L, El Kamouni Y. Rabies in Morocco: Epidemiological Aspects and Post-exposure Prophylaxis Management. Cureus 2023; 15:e43658. [PMID: 37719506 PMCID: PMC10505066 DOI: 10.7759/cureus.43658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/17/2023] [Indexed: 09/19/2023] Open
Abstract
Background Rabies is a zoonosis transmitted accidentally to humans and is fatal once clinical signs appear. In Morocco, rabies remains a difficult disease to eradicate, with dogs being the main source of contamination. Transmission of this illness can be avoided by promptly implementing post-exposure prophylaxis (PEP) following animal exposure. Inappropriate or delayed PEP increases the risk of acute infection. This study aims to describe and analyze the characteristics of exposure, investigate the factors related to delay in initiating PEP, and evaluate the attitudes and practices of patients towards animal exposure in the region of Ouarzazate between 2016 and 2019. Methods This was a retrospective study with statistical analysis. The data on animal exposure was collected from the Anti-Rabies Center (ARC) located in Ouarzazate Province, Morocco. Results A predominance of male cases (61.3%) among victims of animal exposure was found. The age group of five to 14 years was the most affected (23.5%). The upper limb represented the most frequent site of exposure (49.4%). Around 52.1% of patients presented with multiple lesions. About 54.4% of cases were bitten by a stray animal. Dogs were responsible for 47.8% of the bites. All exposed individuals performed wound cleansing prior to arrival at the ARC. Post-exposure prophylaxis was initiated in 34.5% of cases between 24 to 48 hours, while 26.1% of cases delayed it beyond 48 hours. Around 34% of patients did not complete their vaccination schedule. Regarding the factors associated with the delay in PEP, we found significant associations with patient age, place of residence (urban or rural), distance from the ARC (>30 km or <30 km), nature, number, and injury status (p≤0.05). Significant associations (p≤0.05) were also found with dog bites and their type (domestic or stray). Conclusion Our findings indicate that better awareness about rabies and PEP management is needed, especially among the rural population.
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Affiliation(s)
- Kenza El Bazi
- Microbiology, Avicenne Military Hospital, Marrakech, MAR
| | | | | | - Said Zouhair
- Microbiology, Avicenne Military Hospital, Marrakech, MAR
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Amari S, Warda K, Bouraddane M, Katfy M, Elkamouni Y, Arsalane L, Zerouali K, Zouhair S, Bouskraoui M. Antibiotic Resistance of Streptococcus pneumoniae in the Nasopharynx of Healthy Children Less than Five Years Old after the Generalization of Pneumococcal Vaccination in Marrakesh, Morocco. Antibiotics (Basel) 2023; 12:antibiotics12030442. [PMID: 36978307 PMCID: PMC10044557 DOI: 10.3390/antibiotics12030442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/13/2023] [Accepted: 02/16/2023] [Indexed: 02/25/2023] Open
Abstract
Streptococcus pneumoniae (S. pneumoniae) remains one of the most important pathogens causing childhood infections. The spread of antibiotic-resistant bacteria is a leading cause of treatment failure in children. The purpose of this investigation is to report the antibiotic and multidrug resistance (MDR) of S. pneumoniae strains isolated from healthy children throughout the years 2020–2022. Antimicrobial susceptibility testing of S. pneumoniae strains in selected antimicrobials was performed using disk diffusion and E-test methods on bloodMueller–Hinton agar. The antimicrobials tested included oxacillin, amoxicillin, ceftriaxone, norfloxacin, gentamicin, vancomycin, erythromycin, clindamycin, pristinamycin, tetracycline, chloramphenicol, and trimethoprim-sulfamethoxazole. A total of 201 S. pneumoniae strains were isolated from the nasopharynx of healthy children in Marrakesh, Morocco. The highest rate of resistance of S. pneumoniae was found in penicillin (57.2%), followed by tetracycline (20.9%), and erythromycin (17.9%). The rates of resistance to clindamycin, trimethoprim-sulfamethoxazole, and chloramphenicol were 14.9%, 4%, and 1.5%, respectively. All isolates were susceptible to norfloxacin, gentamicin, vancomycin, and pristinamycin. Approximately 17% of all S. pneumoniae strains were resistant to at least three different antibiotic families. This study showed a low rate of antibiotics resistance among nasopharyngeal S. pneumoniae strains, and it is thus essential to monitor S. pneumoniae susceptibility in healthy children.
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Affiliation(s)
- Sara Amari
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
| | - Karima Warda
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
- Correspondence: ; Tel.:+212-670602083
| | - Majda Bouraddane
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
| | - Mostafa Katfy
- Service de Microbiologie, CHU Ibn Rochd, Casablanca 20000, Morocco
| | - Youssef Elkamouni
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
- Laboratoire de Bactériologie, Virologie, et Biologie Moléculaire, Hôpital Militaire Avicenne, Marrakech 40000, Morocco
| | - Lamiae Arsalane
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
- Laboratoire de Bactériologie, Virologie, et Biologie Moléculaire, Hôpital Militaire Avicenne, Marrakech 40000, Morocco
| | - Khalid Zerouali
- Service de Microbiologie, CHU Ibn Rochd, Casablanca 20000, Morocco
| | - Said Zouhair
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
- Laboratoire de Bactériologie, Virologie, et Biologie Moléculaire, Hôpital Militaire Avicenne, Marrakech 40000, Morocco
| | - Mohamed Bouskraoui
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
- Service de Pédiatrie, Hôpital Universitaire Mohammed VI, Marrakech 40000, Morocco
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Bouraddane M, Warda K, Elkamouni Y, Arsalane L, Zouhair S. Parvovirus B19 in Morocco: Seroprevalence of Immunoglobulin G Antibody in Pregnant Women in Marrakesh. CLIN EXP OBSTET GYN 2023. [DOI: 10.31083/j.ceog5002025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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Amari S, Warda K, Elkamouni Y, Arsalane L, Bouskraoui M, Zouhair S. Serotype distribution and antimicrobial resistance of Streptococcus pneumoniae among children with acute otitis media in Marrakech, Morocco. IJM 2022; 14:47-55. [PMID: 35664713 PMCID: PMC9085554 DOI: 10.18502/ijm.v14i1.8801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Background and Objectives: Streptococcus pneumonia (S. pneumoniae) is one of the most frequent pathogens leading to a variety of clinical manifestations. The effects of S. pneumoniae carriage on acute otitis media (AOM) are poorly studied. The study aimed to assess the serotype’s distribution and antimicrobial susceptibility in children with AOM after the implementation of the pneumococcal conjugate vaccine (PCV) in Morocco. Materials and Methods: We conducted a prospective study of AOM children aged 6 to 36 months who visited pediatric centers in Marrakesh between January to June 2018. Parents were asked to complete a questionnaire and a swab was collected from each child. The S. pneumoniae strains were further identified (Hemolysis, optochin sensitivity, and agglutination test), serogrouped (IMMULEX PNEUMOTEST agglutination test), serotyped (Real time PCR) and tested for antimicrobial susceptibility. Results: The S. pneumoniae carriage rate was 49.7% (87/175). As estimated, non-vaccine serotypes (NVT) were most prevalent (51/63; 81%). The most frequent serotypes were 6C/6D (12.7%), 10 (9.5%), and 19B/19C (9.5%). The S. pneumoniae strains that were isolated showed a diminished susceptibility to penicillin G with a rate of 27.5%. Penicillin non-susceptible pneumococci (PNSP) was mostly associated with NVT. More than 90% of S. pneumoniae isolates were susceptible to chloramphenicol (97.5%), clindamycin (97.5%), erythromycin (97.5%), levofloxacin (97.5%), pristinamycin (97.5%), gentamicin (92.5%), and teicoplanin (92.5%). Conclusion: Important nasopharyngeal carriage prevalence was reported among children with AOM. The study showed that new NVT are emerging, including 6C/6D and 10. Furthermore, susceptibility was significantly higher against all antibiotics tested except for penicillin G and amoxicillin.
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Affiliation(s)
- Sara Amari
- Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
- Corresponding author: Sara Amari, Ph.D, Department of Medical Biology, Laboratory of Microbiology and Virology, School of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco. Tel: +212-653052243, Fax: +21-2524432887,
| | - Karima Warda
- Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Youssef Elkamouni
- Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
- Laboratory of Bacteriology Virology, Avicenne Hospital Military, Marrakesh, Morocco
| | - Lamiae Arsalane
- Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
- Laboratory of Bacteriology Virology, Avicenne Hospital Military, Marrakesh, Morocco
| | - Mohamed Bouskraoui
- Department of Pediatrics, Mohammed VI University Hospital, Marrakesh, Morocco
| | - Said Zouhair
- Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
- Laboratory of Bacteriology Virology, Avicenne Hospital Military, Marrakesh, Morocco
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Outammassine A, Zouhair S, Loqman S. Global potential distribution of three underappreciated arboviruses vectors (Aedes japonicus, Aedes vexans and Aedes vittatus) under current and future climate conditions. Transbound Emerg Dis 2021; 69:e1160-e1171. [PMID: 34821477 DOI: 10.1111/tbed.14404] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 10/25/2021] [Accepted: 11/16/2021] [Indexed: 11/29/2022]
Abstract
Arboviruses (arthropod-borne viruses) are expanding their geographic range, posing significant health threats to millions of people worldwide. This expansion is associated with efficient and suitable vector availability. Apart from the well-known Aedes aegypti and Ae. albopictus, other Aedes species may potentially promote the geographic spread of arboviruses because these viruses have similar vector requirements. Aedes japonicus, Ae. vexans and Ae. vittatus are a growing concern, given their potential and known vector competence for several arboviruses including dengue, chikungunya, and Zika viruses. In the present study, we developed detailed maps of their global potential distributions under both current and future (2050) climate conditions, using an ecological niche modeling approach (Maxent). Under present-day conditions, Ae. japonicus and Ae. vexans have suitable areas in the northeastern United States, across Europe and in southeastern China, whereas the tropical regions of South America, Africa and Asia are more suitable for Ae. vittatus. Future scenarios anticipated range changes for the three species, with each expected to expand into new areas that are currently not suitable. By 2050, Ae. japonicus will have a broader potential distribution across much of Europe, the United States, western Russia and central Asia. Aedes vexans may be able to expand its range, especially in Libya, Egypt and southern Australia. For Ae. vittatus, future projections indicated areas at risk in sub-Saharan Africa and the Middle East. As such, these species deserve as much attention as Ae. aegypti and Ae. albopictus when processing arboviruses risk assessments and our findings may help to better understand the potential distribution of each species.
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Affiliation(s)
- Abdelkrim Outammassine
- Laboratoire de Lutte contre les Maladies Infectieuses, Department of Medical Biology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
| | - Said Zouhair
- Laboratoire de Lutte contre les Maladies Infectieuses, Department of Medical Biology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco.,Laboratory of Bacteriology-Virology, Avicienne Hospital Military, Marrakech, Morocco
| | - Souad Loqman
- Laboratoire de Lutte contre les Maladies Infectieuses, Department of Medical Biology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
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Outammassine A, Zouhair S, Loqman S. Rift Valley Fever and West Nile virus vectors in Morocco: Current situation and future anticipated scenarios. Transbound Emerg Dis 2021; 69:1466-1478. [PMID: 33876581 DOI: 10.1111/tbed.14113] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 04/07/2021] [Accepted: 04/14/2021] [Indexed: 11/29/2022]
Abstract
Rift Valley Fever (RVF) and West Nile virus (WNV) are two important emerging Arboviruses transmitted by Aedes and Culex mosquitoes, typically Ae. caspius, Ae. detritus and Cx. pipiens in temperate regions. In Morocco, several outbreaks of WNV (1996, 2003 and 2010), affecting horses mostly, have been reported in north-western regions resulting in the death of 55 horses and one person cumulatively. Serological evidence of WNV local circulation, performed one year after the latest outbreak, revealed WNV neutralizing bodies in 59 out of 499 tested participants (El Rhaffouli et al., 2012). The country also shares common borders with northern Mauritania, where RVF is often documented. Human movement, livestock trade, climate changes and the availability of susceptible mosquito vectors are expected to increase the spread of these diseases in the country. Thus, in this study, we gathered a data set summarizing occurrences of Ae. caspius, Ae. detritus and Cx. pipiens in the country, and generated model prediction for their potential distribution under both current and future (2050) climate conditions, as a proxy to identify regions at-risk of RVF and WNV probable expansion. We found that the north-western regions (where the population is most concentrated), specifically along the Atlantic coastline, are highly suitable for Ae. caspius, Ae. detritus and Cx. pipiens, under present-day conditions. Future model scenarios anticipated possible range changes for the three mosquitoes under all climatic assumptions. All of the studied species are prospected to gain new areas that are currently not suitable, even under the most optimist scenario, thus placing additional human populations at risk. Our maps and predictions offer an opportunity to strategically target surveillance and control programmes. Public health officials, entomological surveillance and control delegation must augment efforts and continuously monitor these areas to reduce and minimize human infection risk.
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Affiliation(s)
- Abdelkrim Outammassine
- Laboratoire de Lutte contre les Maladies Infectieuses, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
| | - Said Zouhair
- Laboratoire de Lutte contre les Maladies Infectieuses, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco.,Laboratory of Bacteriology-Virology, Avicienne Hospital Military, Marrakech, Morocco
| | - Souad Loqman
- Laboratoire de Lutte contre les Maladies Infectieuses, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
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Miloudi M, Arsalane L, Kharrab A, El Kamouni Y, Zouhair S. Bilateral tuberculous psoas abscess. Access Microbiol 2020; 2:acmi000135. [PMID: 32974598 PMCID: PMC7497824 DOI: 10.1099/acmi.0.000135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Accepted: 03/25/2020] [Indexed: 12/02/2022] Open
Abstract
The unilateral psoas abscess is a rare disease that is often caused by common germs, including Staphylococcus aureus. Tuberculous origin and bilateral involvement are even rarer, especially in developed countries. It may be primary or secondary to a neighbourhood focus. We report a case of bilateral tuberculous abscess of psoas in an immunocompetent patient secondary to spondylodiscitis.
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Affiliation(s)
- Mouhcine Miloudi
- Department of Microbiology, Avicenne Military Hospital, Marrakech, Morocco
| | - Lamiae Arsalane
- Department of Microbiology, Avicenne Military Hospital, Marrakech, Morocco
| | - Anas Kharrab
- Departement of Rhumatology, Avicenne Military Hospital, Marrakech, Morocco
| | - Youssef El Kamouni
- Department of Microbiology, Avicenne Military Hospital, Marrakech, Morocco
| | - Said Zouhair
- Department of Microbiology, Avicenne Military Hospital, Marrakech, Morocco
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Zahir H, Arsalane L, Elghouat G, Mouhib H, Elkamouni Y, Zouhair S. Seroprevalence of rubella in pregnant women in Southern Morocco. Pan Afr Med J 2020; 35:10. [PMID: 32373261 PMCID: PMC7195913 DOI: 10.11604/pamj.supp.2020.35.1.18496] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Accepted: 02/06/2020] [Indexed: 11/27/2022] Open
Abstract
Rubella is a generally benign but dangerous viral infection in early pregnancy, due to the teratogenic potential of the virus. Indeed, it causes spontaneous abortions, in-utero fetal death, premature labor and congenital malformations known as congenital rubella syndrome. The purpose of this study is to determine the immune status of rubella in pregnant women in southern Morocco. A prospective, multicentre study was conducted in 2017 for the detection of rubella IgG and IgM antibodies in 380 pregnant women aged 17 to 46 years, using the Architect i1000 chemiluminescent microparticle immunoassay. Eigthy for percent (84.7%) of women were seropositive. Ten percent of multiparous women remained seronegative despite recommendations for vaccination after delivery. Preventive measures against congenital rubella need to be strengthened, and vaccination is needed in non-immunized women. Vaccination awareness campaigns, especially among non-immunized multiparous women, remain essential.
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Affiliation(s)
- Hanane Zahir
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
| | - Lamiae Arsalane
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
| | - Ghita Elghouat
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
| | - Hanane Mouhib
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
| | - Youssef Elkamouni
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
| | - Said Zouhair
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
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Dilagui I, Moussair F, Loqman S, Diawara I, Zerouali K, Belabbes H, Zouhair S, Bourouss M, Bouskraoui M, Soraa N. Streptococcus pneumoniae carriage among febrile children at the time of PCV-10 immunization in pediatric emergencies at Mohammed VI University Hospital Centre in Marrakesh (Morocco). Arch Pediatr 2019; 26:453-458. [DOI: 10.1016/j.arcped.2019.08.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Revised: 07/17/2019] [Accepted: 08/26/2019] [Indexed: 11/29/2022]
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El bouamri M, Arsalane L, Zerouali K, Katfy K, El kamouni Y, Zouhair S. Molecular characterization of extended spectrum β-lactamase-producing Escherichia coli in a university hospital in Morocco, North Africa. African Journal of Urology 2015. [DOI: 10.1016/j.afju.2015.02.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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El bouamri M, Arsalane L, Kamouni Y, Yahyaoui H, Bennouar N, Berraha M, Zouhair S. Profil actuel de résistance aux antibiotiques des souches d’Escherichia coli uropathogènes et conséquences thérapeutiques. Prog Urol 2014; 24:1058-62. [DOI: 10.1016/j.purol.2014.09.035] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2013] [Revised: 07/30/2014] [Accepted: 09/12/2014] [Indexed: 11/25/2022]
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Lakouichmi M, Tourabi K, Abir BE, Zouhair S, Lahmiti S, Hattab NM. [Severe head and neck cellulitis, risk factors and severity criteria]. Pan Afr Med J 2014; 18:57. [PMID: 26113891 PMCID: PMC4473782 DOI: 10.11604/pamj.2014.18.57.3702] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2013] [Accepted: 05/04/2014] [Indexed: 11/28/2022] Open
Abstract
La cellulite cervico-faciale grave est une infection polymicrobienne extensive et redoutable du tissu cellulo-adipeux de la face et du cou. L'objectif de cette étude est d'analyser certains facteurs favorisants et d’évaluer les critères de gravité en fonction des formes anatomo-cliniques. Il s'agit d'une étude rétrospective réalisée, entre janvier 2007 et décembre 2012, au service de chirurgie maxillo faciale de l'hôpital militaire Avicenne de Marrakech. Sur 147 cas de cellulites cervico-faciales pris en charge au niveau du service, 13 dossiers de cellulites graves ont été retenus. Neuf hommes (69%) et quatre femmes (31%) ont fait l'objet de cette étude, avec un âge moyen de 35 ans. Tous les patients ont été adressés pour prise en charge secondaire après avoir pris des anti-inflammatoires (AI). Sept cas (54%) étaient immunocompétents. La cause dentaire était soulevée chez neufs cas (69%). Cinq cas (38%) ont présenté une forme pseudo phlegmoneuse avec des signes compressifs des voies aéro-digestives. L'extension médiastinale a été observée chez quatre patients (31%). La forme nécrosante extensive a été retrouvée dans trois cas (23%). L’étude bactériologique, réalisée chez tous les patients, avait mis en évidence une flore microbienne mixte et polymorphe. Les cellulites cervico-faciales graves posent un réel problème de prise en charge thérapeutique. L'analyse des facteurs favorisants et l’évaluation des critères de gravité dans cette série ont permis de limiter une évolution défavorable.
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Affiliation(s)
- Mohammed Lakouichmi
- Service de Chirurgie Maxillo Faciale Hôpital Militaire Avicenne, Marrakech, Maroc
| | - Khalid Tourabi
- Service de Chirurgie Maxillo Faciale Hôpital Militaire Avicenne, Marrakech, Maroc
| | - Bader-eddine Abir
- Service de Chirurgie Maxillo Faciale Hôpital Militaire Avicenne, Marrakech, Maroc
| | - Said Zouhair
- Service de Bactériologie Hôpital Militaire Avicenne, Marrakech, Maroc
| | - Saad Lahmiti
- Service de Chirurgie Maxillo Faciale Hôpital Militaire Avicenne, Marrakech, Maroc
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Arsalane L, Zouhair S, Lahlou Amine I, Louzi L, Bouskraoui M. [Urinary tract infection in infants (376 cases) in a Moroccan hospital (2009-2010)--etiologic frequency and prevalence of resistance]. Pathol Biol (Paris) 2012; 60:e90-1. [PMID: 23123108 DOI: 10.1016/j.patbio.2012.01.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2011] [Accepted: 01/31/2012] [Indexed: 10/27/2022]
Affiliation(s)
- L Arsalane
- Service de bactériologie-virologie, faculté de médecine et de pharmacie de Marrakech, université Cadi-Ayyad, hôpital militaire Avicenne-de-Marrakech, Marrakech, Morocco
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Lahlou Amine I, Bajjou T, El Rhaffouli H, Laraqui A, Hilali F, Menouar K, Ennibi K, Boudlal M, Bouaiti EA, Sbai K, Rbai M, Hachim M, Zouhair S. Pandemic influenza A(H1N1)2009 in Morocco: experience of the Mohammed V Military Teaching Hospital, Rabat, 12 June to 24 December 2009. Euro Surveill 2011. [DOI: 10.2807/ese.16.23.19887-en] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Binary file ES_Abstracts_Final_ECDC.txt matches
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Affiliation(s)
- I Lahlou Amine
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Biosafety Level 3 and Research Laboratory, Rabat, Morocco
| | - T Bajjou
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Biosafety Level 3 and Research Laboratory, Rabat, Morocco
| | - H El Rhaffouli
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Biosafety Level 3 and Research Laboratory, Rabat, Morocco
| | - A Laraqui
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Biosafety Level 3 and Research Laboratory, Rabat, Morocco
| | - F Hilali
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Biosafety Level 3 and Research Laboratory, Rabat, Morocco
| | - K Menouar
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Biosafety Level 3 and Research Laboratory, Rabat, Morocco
| | - K Ennibi
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Department of Internal Medicine, Rabat, Morocco
| | - M Boudlal
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Department of Internal Medicine, Rabat, Morocco
| | - E A Bouaiti
- Royal Armed Forces' Health Services, Division for Health and Safety Surveillance, Rabat, Morocco
| | - K Sbai
- Royal Armed Forces' Health Services, Division for Health and Safety Surveillance, Rabat, Morocco
| | - M Rbai
- Royal Armed Forces' Health Services, Division for Health and Safety Surveillance, Rabat, Morocco
| | - M Hachim
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Department of Internal Medicine, Rabat, Morocco
| | - S Zouhair
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Biosafety Level 3 and Research Laboratory, Rabat, Morocco
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Lahlou Amine I, Bajjou T, El Rhaffouli H, Laraqui A, Hilali F, Menouar K, Ennibi K, Boudlal M, Bouaiti EA, Sbai K, Rbai M, Hachim M, Zouhair S. Pandemic influenza A(H1N1)2009 in Morocco: experience of the Mohammed V Military Teaching Hospital, Rabat, 12 June to 24 December 2009. Euro Surveill 2011; 16:19887. [PMID: 21679676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
On 12 June 2009, Morocco was the first country in North Africa to report a laboratory-confirmed case of influenza A(H1N1)2009 virus infection. This study describes the epidemiological and clinical characteristics of 240 laboratory-confirmed cases among 594 outpatients with influenza-like illness at the Mohammed V Military Teaching Hospital, Rabat, from 12 June to 24 December 2009. Real-time reverse transcription-PCR was used to confirm the infection. The epidemic peaked in weeks 47 to 49 (16 November to 6 December 2009). The mean age of cases was 23 years (standard deviation: 14 years). Cough was the most common symptom in 200 cases (83%), followed by fever (≥38 °C) in 195 (81%). Diarrhoea or vomiting was reported in 12 (5%) patients. None of the cases developed any complications and no deaths occurred during the study period.
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Affiliation(s)
- I Lahlou Amine
- University Mohammed V-Souissi, Faculty of Medicine and Pharmacy, Mohammed V Military Teaching Hospital, Biosafety Level 3 and Research Laboratory, Rabat, Morocco.
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Lahlou Amine I, Zouhair S, Chegri M, L'kassmi H. [Seroprevalence of anti-HCV in patients of the Military Hospital Moulay Ismail (Meknes, Morocco): Data analysis of the medical biology laboratory (2002-2005)]. ACTA ACUST UNITED AC 2010; 103:255-8. [PMID: 20596810 DOI: 10.1007/s13149-010-0064-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2008] [Accepted: 04/20/2010] [Indexed: 01/28/2023]
Abstract
The authors report the seroprevalence results of hepatitis C virus infection in a retrospective study (2002-2005), performed at the laboratory of medical biology of the Military Hospital Moulay Ismail of Meknes. This study concerns young people in medical visit with aptitude for recruitment in the Royal Armed Forces (group 1, N = 16,000), blood donors (group 2, N = 3,600), patients consulting for a systematic screening of hepatitis C virus (HCV) infection and patients hospitalized for different medico-surgical pathologies (group 3, N = 9,400). In total, 29,000 sera were tested by immuno-enzymatic method (Enzyme Linked Immunosorbent Assay, third generation). The prevalences of anti-HCV antibodies are, respectively, 0.35, 0.33 and 3.08% in the first, second and third group. The results are encouraging as compared to literature data and result from the systematic screening and epidemiological survey program of this infection adopted within the Moroccan Royal Armed Forces Medical Services.
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Affiliation(s)
- I Lahlou Amine
- Faculté de médecine et de pharmacie, hôpital militaire d'instruction Mohammed V, laboratoire de recherche et de biosécurité P3, Université Mohammed V-Souissi, Rabat, Maroc.
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Zouhair S, Roussin-Bretagne S, Moreau A, Brunet S, Laperche S, Maniez M, Barin F, Harzic M. Group o human immunodeficiency virus type 1 infection that escaped detection in two immmunoassays. J Clin Microbiol 2006; 44:662-5. [PMID: 16455942 PMCID: PMC1392651 DOI: 10.1128/jcm.44.2.662-665.2006] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
We report a case of human immunodeficiency virus type 1 group O infection not detected by two highly sensitive immunoassays. The sera were strongly reactive to the V3 peptide of group O but not to the gp41 immunodominant epitope. Gp41 was sequenced, confirming that this virus belonged to group O.
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Affiliation(s)
- Said Zouhair
- Department of Biology, Hopital de Versailles, 177 Rue de Versailles, Le Chesnay 78150, France
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