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Ligne 15 : |
Ligne 15 : |
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| ===Liste des zoonoses=== | | ===Liste des zoonoses=== |
| <div align="center">
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| {| class="wikitable" style="text-align: center; font-size:90%"
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| |+ <span style="font-size: 130%">Maladies animales qui peuvent être transmises sexuellement aux humains</span><br /> <span style="font-size: 95%">(Note: toutes les maladies ne sont pas listées)</span>
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| ! Zoonosis !! Mode de transmission !! Espèces vectrices !! Régions !! Actes sexuels à risque !! Fact sheet
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| |-
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| | style="text-align: left" rowspan="2" | [[Brucellosis]]
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| | bgcolor="FFEBCD" | sperme, fluides vaginaux, urine
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| |D,E,P,R
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| |A,AF,Er,SA,NAr
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| |A,B,P,S,V
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| |[http://www.emedicine.com/med/topic248.htm eMedicine]
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| |-
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| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''voir [[Zoophilie et santé#Brucellosis|details below]]''
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| |-
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| | style="text-align: left" rowspan="2" | [[Leptospirosis]] <br /> (Maladie de Weil)
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| | bgcolor="FFEBCD" | sperme et urine
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| |D,E,P,R,Z
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| |W
| |
| |A,P,S
| |
| |[http://www.emedicine.com/emerg/topic856.htm eMedicine]
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| |-
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| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | Compliqué à traiter; facilement mal diagnostiquée; exige une hospitalisation urgente dans un centre spécialisé''
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| |-
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| | style="text-align: left" rowspan="2" | [[Q fever]]
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| | bgcolor="FFEBCD" | sperme, fluides vaginaux, urine
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| |C,D,E,P,R
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| |W
| |
| |A,B,F,M,P,S,V
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| |[http://www.emedicine.com/emerg/topic492.htm eMedicine]
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| |-
| |
| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''Traité par antibiotiques, parfois pendant des périodes longues; vaccin disponible en Australie et en Europe de l’Est''
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| |-
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| | style="text-align: left" rowspan="2" | [[Rage]]
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| | bgcolor="FFEBCD" | salive
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| |C,D,E
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| |W (not AUS)
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| |B,M
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| |[http://www.cdc.gov/ncidod/dvrd/rabies/ CDC]
| |
| |-
| |
| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''Létale si non traitée; vaccin disponible (homme et animaux); prophylaxie post-exposition si exposé''
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| |-
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| | style="text-align: left" rowspan="2" | [[Dipylidium canium|Flea tapeworm]]
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| | bgcolor="FFEBCD" | salive<ref name="flea">Un animal qui has been nipping at the fleas will still have partially digested fleas in its mouth and can transfer the larvae. {{Cite web|url=http://www.drgreene.com/21_205.html|title=Dog Tapeworms And Children|accessdate=2006-12-04}}</ref>
| |
| |C,D
| |
| |W
| |
| |M<ref name="flea" />
| |
| |[http://www.cdc.gov/NCIDOD/DPD/PARASITES/dipylidium/factsht_dipylidium.htm CDC]
| |
| |-
| |
| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''Readily treated w/ anti-parasitics''
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| |-
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| | style="text-align: left" rowspan="2" nowrap | [[Echinococcosis]]<br /> (Hydatid disease)
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| | bgcolor="F0E68C" | fecal-oral
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| |C,D,Z
| |
| |W
| |
| |F,M
| |
| |[http://www.cdc.gov/ncidod/dpd/parasites/alveolarechinococcosis/factsht_alveolarechinococcosis.htm CDC]
| |
| |-
| |
| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''Surgical removal of tapeworm cyst; possibly fatal if untreated.''
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| |-
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| | style="text-align: left" rowspan="2" | [[Campylobacter]]
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| | bgcolor="F0E68C" | fecal-oral
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| |B,C,D,P,R,Z
| |
| |W
| |
| |F,M
| |
| |[http://www.emedicine.com/ped/topic2697.htm eMedicine]
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| |-
| |
| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''Readily treated w/ specific antibiotics''
| |
| |-
| |
| | style="text-align: left" rowspan="2" |[[Cryptosporidium]]
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| | bgcolor="F0E68C" | fecal-oral
| |
| |B,C,D,Z
| |
| |W
| |
| |F,M
| |
| |[http://www.emedicine.com/MED/topic484.htm eMedicine]
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| |-
| |
| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''Protozoal infection, usually causes a self-limited diarrhea''
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| |-
| |
| | style="text-align: left" rowspan="2" |[[Cysticercosis]]<br />(Pork tapeworm)
| |
| | bgcolor="F0E68C" | fecal-oral
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| |P
| |
| |W
| |
| |F
| |
| |[http://www.cdc.gov/ncidod/dpd/parasites/cysticercosis/factsht_cysticercosis.htm CDC]
| |
| |-
| |
| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''Readily treated w/ anti-parasitics; (rarely) may require surgery (eye, brain)''
| |
| |-
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| | style="text-align: left" rowspan="2" |[[Giardia]]
| |
| | bgcolor="F0E68C" | fecal-oral
| |
| |C,D,R,Z
| |
| |W
| |
| |F,M
| |
| |[http://www.cdc.gov/Ncidod/dpd/parasites/giardiasis/factsht_giardia.htm CDC]
| |
| |-
| |
| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''Diarrhea; readily treated w/ anti-protozoal drugs''
| |
| |-
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| | style="text-align: left" rowspan="2" |[[Salmonella]]
| |
| | bgcolor="F0E68C" | fecal-oral
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| |B,C,D,E,P,R,Z
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| |W
| |
| |F,M
| |
| |[http://www.cdc.gov/ncidod/dbmd/diseaseinfo/salmonellosis_g.htm CDC]
| |
| |-
| |
| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''Self-limited diarrhea, complete recovery usual, rarely causes [[reactive arthritis]]''
| |
| |-
| |
| | style="text-align: left" rowspan="2" | [[Toxocariasis]] <br /> (Dog roundworm)
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| | bgcolor="F0E68C" | fecal-oral
| |
| |C,D
| |
| |W
| |
| |F,M
| |
| |[http://www.cdc.gov/ncidod/dpd/parasites/toxocara/factsht_toxocara.htm CDC]
| |
| |-
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| | style="text-align: left" colspan="6" bgcolor="#ffffcc" | ''Treated w/ anti-parasitics; usually benign but may be dangerous (eye)''
| |
| |-
| |
| |}
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| <br />
| |
|
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| {|
| |
| |----- valign="top"
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| |
| |
| {| class="wikitable" style="font-size: 80%"
| |
| |+ Forte Prévalence<sup>†</sup>Region code
| |
| ! style="text-align: center;" | Code !! Region
| |
| |-
| |
| | style="text-align: center;" |A/Ar || Asia, all/regions
| |
| |-
| |
| | style="text-align: center;" |AF/AFr
| |
| | Africa, all/regions
| |
| |-
| |
| | style="text-align: center;" |AUS || Australie
| |
| |-
| |
| | style="text-align: center;" |E/Er || Europe, toutes régions
| |
| |-
| |
| | style="text-align: center;" |NA/NAr || Amérique du Nord, toutes régions
| |
| |-
| |
| | style="text-align: center;" |SA/SAr
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| | Amérique du Sud, toutes régions
| |
| |-
| |
| | style="text-align: center;" |W || Monde entier
| |
| |-
| |
| |}
| |
| |
| |
| {| class="wikitable" style="font-size: 80%"
| |
| |+ Sexual activity<sup>††</sup> code
| |
| ! Code !! Activity
| |
| |-
| |
| | style="text-align: center;" |A || Homme réceptif analement
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| |-
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| | style="text-align: center;" |B || Implique contact avec le sang animal
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| |-
| |
| | style="text-align: center;" |F || Implique le contact avec les selles animales
| |
| |-
| |
| | style="text-align: center;" |M || Implique contact bouche à bouche
| |
| |-
| |
| | style="text-align: center;" |P || Pénétration, contact génital à génital
| |
| |-
| |
| | style="text-align: center;" |S || Implique le contact avec du sperme animal
| |
| |-
| |
| | style="text-align: center;" |V
| |
| | Implique le contact avec des fluides vaginaux animaux
| |
| |-
| |
| |}
| |
| |
| |
| {| class="wikitable" style="font-size: 80%"
| |
| |+ Species code
| |
| ! style="text-align: center;" | Code !! Species
| |
| |-
| |
| | style="text-align: center;" |B || Oiseaux (incl. Volailles)
| |
| |-
| |
| | style="text-align: center;" |C || Chats
| |
| |-
| |
| | style="text-align: center;" |D || Chiens
| |
| |-
| |
| | style="text-align: center;" |E
| |
| | Equins (Chevaux, ânes etc)
| |
| |-
| |
| | style="text-align: center;" |P || [[Porc]]s
| |
| |-
| |
| | style="text-align: center;" |R
| |
| | Ruminants (Boucs, Moutons etc)
| |
| |-
| |
| | style="text-align: center;" |Z || Autres
| |
| |-
| |
| |}
| |
| |}
| |
| <span style="font-size: 90%">† Peut intervenir dans d'autres régions mais à un moindre niveau.
| |
| †† Liste non définitive. Il ne s'agit pas d'un avis médical.<br /></span>
| |
| </div>
| |
|
| |
| ===Brucellose===
| |
| {{main|Brucellosis}}
| |
| La [[Brucellose]] chez l'homme et une maladie potentiellement life-threatening multisystem disease that can be extremely difficult to treat.<ref name="germanbc">{{cite journal | author=Schoenemann J, Lutticken R, Scheibner E.| title=[Brucella canis infection in man]| journal=Dtsch Med Wochenschr.| year=1986| volume=111| issue=1| page=20-22| url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=3940831&query_hl=6&itool=pubmed_DocSum}}</ref> There are several varieties of Brucellosis, all caused by [[bacteria]] of the genus ''Brucella'', the most notable being ''B. abortus'' and ''B. melitensis'' which affect larger species of domestic animals, and ''B. canis'' which infects [[dog]]s and other [[canid]]s. All are widely spread around the world. The most severe infections are thought to be associated with ''B. melitensis'' which primarily infects [[goat]]s, [[sheep]], and [[camel]]s in the [[Mediterranean]], [[Asia]], [[Latin America]], parts of [[Africa]] and some [[southern Europe]]an countries. Humans can catch ''B. canis'' through contact with the body fluids of infected dogs, especially semen. urine and vaginal fluids. Dogs can be infected with Brucellosis without showing any signs or symptoms, and infection can only be diagnosed with specific blood tests.<ref name="cdctests">{{Cite web|url=http://www.cdc.gov/ncidod/dbmd/diseaseinfo/brucellosis_g.htm#mydog|title=Canine Brucellosis|accessdate=2006-12-09|year=2006|format=html}}</ref> The typical symptoms of the type of brucellosis contracted from dogs are: [[fever]] that comes and goes, [[loss of appetite]], [[fatigue (medical)|fatigue]], weakness, malaise, sore joints, low [[back pain]], [[Vertebral column|spine]] pain, headache, depression, abdominal pain, [[constipation]], [[diarrhoea]], [[vomiting]], weakness, dizziness, unsteadiness of [[gait]], and urinary retention.<ref name="emed-bruc">{{Cite web|url=http://www.emedicine.com/med/topic248.htm|title=Brucellosis|accessdate=2006-12-06|publisher=eMedicine|year=2006|author=Wafa Al-Nassir|format=html}}</ref> Heart and lung complications can occur.<ref name="pmid10836605">{{cite journal |author=Piampiano P, McLeary M, Young LW, Janner D |title=Brucellosis: unusual presentations in two adolescent boys |journal=Pediatric radiology |volume=30 |issue=5 |pages=355-7 |year=2000 |pmid=10836605 |doi=}}</ref> Infected people exhibit only some of these symptoms. Other forms of brucellosis can be more severe.
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|
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| With approximately 500,000 zoonotic infections a year worldwide (source:CDC), brucellosis places a large burden on humanity. Brucellosis has been reduced to rare disease status in [[North America]] (excluding [[Mexico]]) and northern [[Europe]] through vaccination and eradication programs, but it remains rife throughout the rest of the world. In most countries up to 10% of dogs carry this bacterium, and even up to 42.7% in some provinces of [[China]],<ref name="chinabruc">{{cite journal | author=Shang DQ| title=[Investigation of B. canis infection in China]| journal=Zhonghua Liu Xing Bing Xue Za Zhi| year=1989| volume=10| issue=1| page=24-29| url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=2661007&query_hl=6&itool=pubmed_DocSum}}</ref> representing a major threat to the health of veterinarians and people who handle the blood or semen of infected animals. In the USA, there are only about 100 cases of human brucellosis diagnosed per year,<ref>It should be noted that the routine brucellosis test for humans does not test for [http://jmm.sgmjournals.org/cgi/content/abstract/54/5/457 Brucella canis], only [http://medinfo.ufl.edu/year2/mmid/bms5300/bugs/brucella.html Brucella abortus].</ref> although some sources consider it underdiagnosed and underreported.<ref name="humbruc">"...family physicians are not well versed in recognizing and treating this potentially life-threatening condition .... Studies have shown that in the United States human brucellosis is underdiagnosed and underreported. The reporting rate in some states, ie, California, has been as low as 10%." {{cite journal | author=Sauret JM, Vilissova N.| title=Human brucellosis.| journal=J Am Board Fam Pract.| year=2002| volume=15| issue=5| page=401-406| url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=12350062}}</ref> Most other countries have much higher rates, with high risk areas including the [[Mediterranean Basin]] (Portugal, Spain, Southern France, Italy, Greece, Turkey, North Africa), [[South America|South]] and [[Central America]] (including Mexico), Eastern Europe, Asia, Africa, the Caribbean, and the Middle East.
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|
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| ===Emerging zoonoses===
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| New diseases that can jump from animals to humans are called ''emerging zoonoses''. The emerging zoonosis situation changes constantly, in an upward trend.<ref name="zoorise">{{Cite web|url=http://www.avma.org/onlnews/javma/jul04/040701d.asp|title=Emerging zoonoses on the rise|accessdate=2006-12-09|year=2004|format=html}}</ref> An example from the equine species is the rare [[Hendra virus]], originally passed from [[flying fox]]es to horses. The implications for zoophilic sexual contact of each emerging disease should be carefully assessed by practitioners.
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|
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| === Zoophilia and human sexually transmitted diseases===
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| ====HIV / AIDS====
| |
| [[HIV]] (the "[[AIDS]]" virus) was originally a zoonosis acquired from [[primates]] (notably monkeys) in Africa,<ref name="hivv">{{Cite web|url=http://news.nationalgeographic.com/news/2003/06/0612_030612_hivvirusjump.html|title=HIV Originated With Monkeys, Not Chimps, Study Finds|accessdate=2007-07-25|publisher=National Geographic News|year=2003|author=Stefan Lovgren|format=html}}</ref> probably via hunting and eating but possibly via animal bite.<ref name="hivsrc">{{cite journal | author=Gurtler L.| title=[SIV as a source of HIV. On the origin of human immunodeficiency viruses from non-human primates]| journal= Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz| year=2004| volume=47| issue=7| page=680-684| url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=15254823&query_hl=29&itool=pubmed_docsum}}</ref> It only lives in primates (humans, apes and monkeys) and is not believed to survive long in other species or away from the human body and fluids.<ref>From [http://www.phru.co.za/hivsa/pdf/support_pack/13.pdf educational material] published by the Perinatal HIV Research Unit (phru) and [http://www.hivsa.com/hivsa/ HIVSA], a UK based charity supporting HIV/AIDS awareness and training in Africa: "''Resilient:'' Within the human body, HIV is a strong virus and can live and grow under almost any conditions ... ''Dependent:'' HIV depends on the environment in the human body (the temperature of the blood and other factors) to survive. ''Volatile:'' Outside of the human body, HIV is very weak and can survive for a short period only: between three seconds and one minute. If a scab forms over an open wound or if the blood is contained within a needle capsule, however, then the virus within that blood may be protected and enabled to live slightly longer." (ie, the presence of blood or fluids allows longer survival.)</ref> The [[HIV and AIDS misconceptions#Sexual intercourse with an animal will avoid or cure AIDS|myth that sex with an animal can cure AIDS]] is false.
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|
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| ====Other STDs====
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| Human [[sexually transmitted disease]]s ("STDs") are not carried or transmitted by animals.
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|
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| However, many human pathogens can survive in animal fluids for a limited time, and therefore STDs may theoretically be transmitted by an animal that has multiple consecutive human sexual partners in a short enough time frame to allow pathogen survival.
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|
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| ==Bites and other physical injury==
| |
| Humans may be at substantial physical risk and seriously harmed by sexual activity with animals. Larger animals may have the strength and defensive attributes (e.g. teeth, hooves, horns, claws) to injure a human, either in rejecting physical or sexual contact, or during sexual arousal.
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|
| |
| ===Bites===
| |
| Many animals [[bite]] as part of sexual excitement and foreplay. Animals carry numerous bacteria in their mouths capable of causing disease after a bite. The most common risk after an animal bite is simple infection (infection risk approximately 15-20% in the USA,<ref name="healthatoz_bite" >{{Cite web|url=http://www.healthatoz.com/healthatoz/Atoz/common/standard/transform.jsp?requestURI=/healthatoz/Atoz/ency/animal_bite_infections.jsp|title=Animal bite infections|accessdate=2006-12-07|publisher=healthatoz|year=2006|format=html}}</ref> may be higher elsewhere), and for dogs and other large animals injury from the force of the bite.<ref name="healthatoz_bite" /> Bacterial bite infections are usually fully curable,<ref name="healthatoz_bite" />
| |
| although dog bites may cause ''[[Pasteurella]]'' and ''[[Capnocytophaga canimorsus]]'' infections,<ref name="pasteur">{{Cite web|url=http://news.bbc.co.uk/2/hi/health/medical_notes/5270588.stm|title=Pasteurellosis |accessdate=2006-12-06|publisher=BBC News|year=2006|format=html}}</ref><ref name="cap">{{cite journal | author=D J Brenner, D G Hollis, G R Fanning, and R E Weaver| title=Capnocytophaga canimorsus a cause of septicemia following dog bite| journal=J Clin Microbiol.| year=1989| volume=27| issue=2| page=231-235| url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=267282}}</ref> which may have severe consequences.
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|
| |
| ===Other injury===
| |
| The sexual organs of other species may not safely conform to the human anatomy. For example, the penis of a [[Canine reproduction#Copulation|sexually aroused dog]] has a broad bulb at the base which can cause injury if forcibly pulled from a body orifice, and [[equine]]s can thrust suddenly and "flare".<ref>[[Bodil Joensen]] commented in a 1980s [http://fakepix.com/story/bodil-interview.html interview] that "I was afraid to let other women do the same with the [stallion] as I. It requires a special technique. When they cum, their glans swells up, and it can split your vagina. I have had some stitches once I didn't pull it out in time"</ref> In 2005, [[Kenneth Pinyan]], a resident of [[Washington (state)|WA state]] died from internal injury after being [[anal sex|anally penetrated]] by a stallion. In 2002, a 62-year-old farmer in [[Bulgaria]] was treated for a torn [[rectum]] after sex with a boar (male [[pig]]).<ref name="pig2">{{cite journal | author=Kirov GK, Losanoff JE, Kjossev KT| title=Zoophilia: a rare cause of traumatic injury to the rectum.| journal=Injury| year=2002| volume=33| issue=4| page=367-368| url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=12091035&query_hl=6&itool=pubmed_docsum}}</ref> In 1976, a 46-year-old [[France|French]] farmer underwent surgery for [[peritonitis]] after sex with a boar.<ref name="pig1">{{cite journal | author=Blondel PH| title=[Digestive perforation of unusual origin. 2 cases]| journal=Nouv Presse Med.| year=1976| volume=5| issue=14| page=915-916| url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=1083973&query_hl=30&itool=pubmed_docsum}}</ref>
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|
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| ==Allergic reactions==
| |
| {{main|Allergy}}
| |
| Sensitization and allergic reactions to animal saliva and semen may occur, ranging from mild irritation to [[anaphylaxis]].<ref name="saliva">{{cite journal | author=Vanto T| title=Immediate sensitivity of asthmatic children to dog allergens| journal=Klin Padiatr| year=1985| volume=197| issue=4| page=363-5| url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=4046495&itool=pubmed_docsum}}</ref><ref name="anaphylaxis">{{cite journal | author=Holden TE, Sherline DM.| title=Bestiality, with sensitization and anaphylactic reaction.| journal=Obstet Gynecol.| year=1973| volume=24| issue=1| page=138-140| url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=4737141&dopt=Abstract}}</ref> Although dried skin flakes, known as ''dander'', are the most commonly cited allergen,<ref>Dog hair, or [[fur]] is often cited as an allergen in respect of dogs. In fact the fur itself is not a significant allergen; rather it is the ''dander'', or other allergens such as [[pollen]] on the fur, which are normally responsible. [http://www.acaai.org/public/advice/pets.htm]</ref> dog saliva is a more potent allergen than dander.<ref name="saliva" /> An estimated 10% of people are allergic to animals in general, rising to 20-30% amongst [[asthma]] sufferers;<ref name="acaai">{{Cite web|url=http://www.acaai.org/public/advice/pets.htm|title=Advice from Your Allergist...Pet Allergy|accessdate=2006-12-06|publisher=American College of Allergy, Asthma & Immunology|year=2006|format=html}}</ref> the percentage of people allergic to animal ''secretions'' in particular is currently unknown. Repeated exposure to secretions after sensitization has already occurred may subsequently provoke an [[Anaphylaxis|anaphylactic reaction]], which can be life-threatening, and should be avoided.
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|
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| ==See also==
| |
| *[[Animal behaviour]]
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| *[[Zoophilia]]
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| *[[Sexually transmitted disease]]
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| *[[Dog bite]]
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| *[[Zoonosis]]
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|
| |
| ==References==
| |
| <div class="references-small"><references />
| |
| * {{cite web |url=http://www.emedicine.com/med/topic248.htm |title=Brucellosis at eMedicine.com |accessdate=2006-12-09 |format=html |work= }}
| |
| * {{cite web |url=http://www.avma.org/reference/zoonosis/znbrucel.asp |title=Brucellosis at AVMA |accessdate=2006-12-09 |format=html |work= }}
| |
| </div>
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|
| |
| ==External links==
| |
| * [http://faculty.vetmed.ucdavis.edu/Faculty/bbchomel/WHO_Zoonoses/zoonoses_species.htm UC Davis site on zoonoses by animal species] - WHO/PAHO Collaborating Center, PDF slideshows
| |
| * [http://www.postgradmed.com/issues/2001/07_01/morrison.htm Zoonotic infections from pets] - Understanding the risks and treatment
| |
| * [http://www.avma.org/reference/zoonosis/default.asp American Veterinary Medical Association] - Zoonosis updates
| |
| * [http://www.cdc.gov/ncidod/EID/vol12no02/05-0783.htm Diagnosing Capnocytophaga canimorsus Infections] - CDC
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| * [http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5226a1.htm Nonfatal Dog Bite--Related Injuries Treated in Hospital Emergency Departments], CDC MMWR, July 4, 2003.
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| | Traduction à venir prochainnement |
| | --[[Utilisateur:Chiron|Chiron]] 31 mai 2008 à 19:08 (CEST) |
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| [[Category:Pratiques]] | | [[Category:Pratiques]] |