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Volume 25, Number 10—October 2019
Research

Sporotrichosis in the Highlands of Madagascar, 2013–20171

Tahinamandranto Rasamoelina, Danièle Maubon, Onivola Raharolahy, Harinjara Razanakoto, Njary Rakotozandrindrainy, Fetra Angelot Rakotomalala, Sébastien Bailly, Fandresena Sendrasoa, Irina Ranaivo, Malalaniaina Andrianarison, Benja Rakotonirina, Abel Andriantsimahavandy, Fahafahantsoa Rapelanoro Rabenja, Mala Rakoto Andrianarivelo, Lala Soavina Ramarozatovo, and Muriel CornetComments to Author 
Author affiliations: Centre d’Infectiologie Charles Mérieux, Université d’Antananarivo, Antananarivo, Madagascar (T. Rasamoelina, F.A. Rakotomalala, M.R. Andrianarivelo); University Grenoble Alpes, Grenoble, France (D. Maubon, S. Bailly, M. Cornet); Unité de Soins de Formation et de Recherche, Centre Hospitalier Universitaire Joseph Raseta Befelatanana, Antananarivo (O. Raharolahy, H. Razanakoto, F. Sendrasoa, I. Ranaivo, M. Andrianarison, F.R. Rabenja, L.S. Ramarozatovo); Unité Para-clinique de Formation et de Recherche, Centre Hospitalier Universitaire Joseph Ravoahangy, Antananarivo (N. Rakotozandrindrainya); Université d’Antananarivo, Antananarivo (B. Rakotonirina, A. Andriantsimahavandy); Pavillon Spécial A Centre Hospitalier Universitaire de Befelatanana, Antananarivo (L.S. Ramarozatovo)

Main Article

Figure 1

Recruitment of patients with chronic cutaneous and subcutaneous lesions and annual prevalence of sporotrichosis, Madagascar, March 2013–June 2017. A) Recruitment sites. Sava Region: a) Centre Hospitalier de Référence Régionale, Sambava District; b) Centre Hospitalier de District and Hôpital Adventiste, Andapa District; Analamanga Region: c) Centre de Santé de Base, Alakamisy-Anjozorobe, Anjozorobe District; d) Centre Hospitalier Universitaire Joseph Ravoahangy Befelatanana, Antananarivo Distric

Figure 1. Recruitment of patients with chronic cutaneous and subcutaneous lesions and annual prevalence of sporotrichosis, Madagascar, March 2013–June 2017. A) Recruitment sites. Sava Region: a) Centre Hospitalier de Référence Régionale, Sambava District; b) Centre Hospitalier de District and Hôpital Adventiste, Andapa District; Analamanga Region: c) Centre de Santé de Base, Alakamisy-Anjozorobe, Anjozorobe District; d) Centre Hospitalier Universitaire Joseph Ravoahangy Befelatanana, Antananarivo District; e) Centre de Santé de Base, Andramasina District; Vatovavy Fitovinany Region: f) Fondation Médicale Ampasimanjeva, Manakara District; Anosy Region: g) Centre Médical Tolagnaro, Centre Hospitalier de Référence Régionale, Tolagnaro and Hôpital Luthérien Manambaro, Tolagnaro District. B) Patients’ region of origin, from north to south: D, Diana; S, Sava; I, Itasy; A, Analamanga; V, Vakinankaratra; B, Bongolava; So, Sofia; Bo, Boeny; Be, Betsiboka; Me, Melaky; Al, Alaotra-Mangoro; At, Atsinanana; An, Analanjirofo; Am, Amoron’I Mania; H, Haute Matsiatra; Va, Vatovavy-Fitovinany; Ato, Atsimo; Ih, Ihorombe; Mb, Menabe; Ats, Atsimo Andrefana; And, Androy; Ano, Anôsy. Number of patients recruited: dark brown, n>6; medium brown, n = 3–5; beige, n<3; white, missing. Black outlines indicate regional boundaries. C) Annual prevalence of sporotrichosis, showing origins of the 63 sporotrichosis patients described in this study. Prevalence per 100,000 inhabitants: dark brown, >0.2; medium brown, 0–0.2; light brown, <0.1; beige, 0; white, missing. Black outlines indicate regional boundaries.

Main Article

1Preliminary results from this study were presented at the 20th ISHAM Conference; June 29–July 5, 2018; Amsterdam, the Netherlands (abstract no. S1.4d).

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