The spatio-temporal distribution of a rodent reservoir host of cutaneous leishmaniasis

International audience1. The rodent Psammomys obesus is the main reservoir host for Leishmania major, the causative agent of cutaneous leishmaniasis in Tunisia, much of North Africa and mid‐western Asia. An understanding of the population dynamics of this rodent is essential to establish a preventive control strategy based on the early prediction of rodent outbreaks.2. The study of P. obesus dynamics at a regional scale requires index‐based sampling. Rodent numbers were monitored twice per year at the beginning and end of the breeding season, using transects around the Sidi Bouzid region in central Tunisia.3. Two different types of dynamics occurred in two drainage basins. Rodents living in the northern basin were at low density and those living in the southern basin were at high density.4. At the scale of a plot, occupied burrows were generally associated with the presence of three Chenopodiaceae: Arthrocnemum glaucum, Salsola tetrandra and Suæda fruticosa, rarely in monospecific formations. However, in dry periods, occupied burrows drifted to A. glaucum formation linked with high moisture and salinity of the soil (χ2 MacNemar = 6·26).5. The risk of a P. obesus outbreak can be assessed by a simultaneous knowledge of flooding regimes in the drainage basins, the distribution of halophytic plant formations, and the progressive movements of the rodents as drying out proceeds. The transect indices of rodents are easily repeatable, economical and would be applicable in other developing countries where cutaneous leishmaniasis occurs.6. This work illustrates that simple ecological methods can assist the assessment of spatial and temporal components of epidemiological risk such as the proximity between rodent colonies and human habitats at the time of outbreaks

Phenology of Phlebotomus papatasi (Diptera : Psychodidae) relative to the seasonal prevalence of zoonotic cutaneous leishmaniasis in central Tunisia

International audienceThe population density of Phlebotomuspapatasi Scopoli (Diptera: Psychodidae), vector of Leishmania major Yakimoff & Schokhor (Kinetoplastida: Trypanosomatidae), the etiologic agent of zoonotic cutaneous leishmaniasis (ZCL), was assessed May-November 2005 in central Tunisia by using sticky traps. The densities of P. papatasi were found to peak in early spring and again in the autumn. The lowest densities were observed in August. Prevalence of ZCL in the governorate of Sidi Bouzid peaks in December, 3 to 3.5 mo after the fall sand fly population peak, suggesting a close temporal association with the abundance of P. papatasi

Etude de la nodulation des légumineuses autochtones ùes régions arides de Tunisie

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Delayed diagnosis of a case of Zenker’s diverticulum. What may happen when a family physician does not visit his family physician

Introduction: Zenker’s diverticulum is a diverticulum of the mucosa of the pharynx, just above the cricopharyngeal muscle. It occurs commonly in elderly patients (over 70 years) and the typical symptoms include dysphagia, regurgitation, chronic cough, aspiration and weight loss. Case: We are reporting dysphagia in a 49-years old man who was treated as having Helicobacter Pylori gastritis for three years. Being a family physician himself, the patient applied to specialists in gastroenterology, bypassing primary care. During a casual interview on his symptoms, a family physician referred him to undergo a repeated endoscopy with suspected Zenker’s diverticulum. After being diagnosed with Zenker’s diverticulum, the patient underwent surgical intervention at the department of thoracic surgery and made a full recovery. He regained five kilograms at the end of five weeks after the operation. Conclusion: This case demonstrates once more the importance of history taking and follow-up in medical care. Attentive listening by a family physician could have probably prevented the delay of service in this case

Un arbre au désert

Cet ouvrage réunit les résultats de recherches menées sur Acada raddiana, l'un des principaux taxons spontanés du genre Acada en Afrique, et qui, malgré sa large distribution et son importance dans l'économie rurale, n'a jusqu'à présent fait l'objet d'aucune synthèse spécifique. Différentes disciplines (écologie, écophysiologie, génétique, microbiologie, entomologie, physiologie et foresterie) ont été associées pour préciser la taxonomie et la répartition géographique de ce taxon, analyser la diversité aussi bien de la plante-hôte que des micro-organismes qui lui sont associés, caractériser son fonctionnement et les interactions en milieu naturel en réponse aux facteurs eau, azote et phosphore, enfin pour réunir les éléments nécessaires à son utilisation dans les opérations de réhabilitation. Cet ouvrage, qui s'adresse aux chercheurs et aux enseignants, ainsi qu'aux organismes de développement, est divisé en cinq parties : diversités, écologie, usages; fonctionnement hydrique, phénologie ; micro-organismes associés : diversités, physiologie ; interactions Acacia-milieu ; multiplication de l'espèce : aspects fondamentaux et appliqués