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Ben Aissa B, Berriche A, Ammari L, Abdelmlak R, Kilani B, Tiouiri H. Tuberculose mammaire : à propos de 12 cas. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.115] [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: 11/26/2022]
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2
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Ladeb F, Ben Aissa H, Tiouiri H, Bouzouaya N, Cheour I, Kchir MM, Mrabet A, Abdelmalek R, Abid R, Achour W, Ammeri L, Barsaoui M, Battikh R, Berriche A, Bouchekoua M, Bougrine F, Charrada Ben Farhat L, Chelli Bouaziz M, Driss M, Farah F, Hadhri K, Hamdi W, Kaffel D, Kanzari B, Mechri M, Mlika M, Rammeh S, Rekik S, Riahi H, Siala E, Slim L, Slouma M, Tekaya R, Toumi A, Trabelsi S, Zaraa M, Znaidi N. Clinical pratice guidelines for the diagnosis and treatment of native vertebral osteomyelitis. Tunis Med 2019; 97:14-92. [PMID: 31535698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
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3
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Chaabane I, Berriche A, Abdelmalek R, Barsaoui M, Ghoubontini A, Kilani B, Kanoun L, Ammari L, Tiouiri H. IOA-03 - Tuberculose des os de la main et du poignet. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30412-7] [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: 10/21/2022]
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4
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Berriche A, Oueslati I, Ammari L, Kallel A, Abdelmalek R, Ghoubontini A, Kanoun F, Kallel K, Kilani B, Tiouiri H. IPF-11 - Parasitoses oculaires. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30430-9] [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: 11/25/2022]
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5
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Chahed H, Akari S, Berriche A, Ammari L, Ghoubontini A, Mediouni A, Abdelmalek R, Besbes G, Kilani B, Tiouiri H. ID-07 - Otites externes nécrosantes. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30409-7] [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: 11/30/2022]
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6
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Bosworth A, Ghabbari T, Dowall S, Varghese A, Fares W, Hewson R, Zhioua E, Chakroun M, Tiouiri H, Ben Jemaa M, Znazen A, Letaief A. Serologic evidence of exposure to Rift Valley fever virus detected in Tunisia. New Microbes New Infect 2015; 9:1-7. [PMID: 26740887 PMCID: PMC4678919 DOI: 10.1016/j.nmni.2015.10.010] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [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: 08/06/2015] [Revised: 10/09/2015] [Accepted: 10/14/2015] [Indexed: 12/18/2022] Open
Abstract
Rift Valley fever virus (RVFv) is capable of causing dramatic outbreaks amongst economically important animal species and is capable of causing severe symptoms and mortality in humans. RVFv is known to circulate widely throughout East Africa; serologic evidence of exposure has also been found in some northern African countries, including Mauritania. This study aimed to ascertain whether RVFv is circulating in regions beyond its known geographic range. Samples from febrile patients (n = 181) and nonfebrile healthy agricultural and slaughterhouse workers (n = 38) were collected during the summer of 2014 and surveyed for exposure to RVFv by both serologic tests and PCR. Of the 219 samples tested, 7.8% of nonfebrile participants showed immunoglobulin G reactivity to RVFv nucleoprotein and 8.3% of febrile patients showed immunoglobulin M reactivity, with the latter samples indicating recent exposure to the virus. Our results suggest an active circulation of RVFv and evidence of human exposure in the population of Tunisia.
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Affiliation(s)
- A Bosworth
- Public Health England, Porton Down, Salisbury, UK; National Institute of Health Research, Health Protection Research Unit in Emerging and Zoonotic Infections, Liverpool, UK
| | - T Ghabbari
- Infectious Diseases Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - S Dowall
- Public Health England, Porton Down, Salisbury, UK
| | - A Varghese
- Public Health England, Porton Down, Salisbury, UK
| | - W Fares
- Institut Pasteur de Tunis, Tunis, Tunisia
| | - R Hewson
- Public Health England, Porton Down, Salisbury, UK; National Institute of Health Research, Health Protection Research Unit in Emerging and Zoonotic Infections, Liverpool, UK
| | - E Zhioua
- Institut Pasteur de Tunis, Tunis, Tunisia
| | - M Chakroun
- Infectious Diseases Department, F Bourguiba University hospital, Monastir, Tunisia
| | - H Tiouiri
- Infectious Diseases Department, Sfax, Tunisia
| | | | - A Znazen
- Laboratory of Microbiology, Sfax, Tunisia
| | - A Letaief
- Infectious Diseases Department, Farhat Hached University Hospital, Sousse, Tunisia
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7
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Siala E, Foudhaili H, Doggi A, Gamara D, Ben Alaya N, Ben Abdallah R, Tiouiri H, Aoun K, Bouratbine A. [Evaluation and contribution of OptiMAL-IT® test for the diagnosis of imported malaria in Tunisia]. Bull Soc Pathol Exot 2013; 106:233-238. [PMID: 24136659 DOI: 10.1007/s13149-013-0311-z] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2013] [Accepted: 09/17/2013] [Indexed: 06/02/2023]
Abstract
The rapid test OptiMAL-IT® was evaluated in the diagnosis and the screening of imported malaria in Tunisia in comparison with microscopic techniques. This prospective study focused on 500 individuals recruited from September 2010 to September 2012 in laboratory of Parasitology of Pasteur Institute of Tunis. They include 192 patients with clinical manifestations suggestive of malaria and 308 students originating from endemic areas. Microscopy of thick-and-thin blood smears and OptiMAL-IT® test were systematically performed on blood samples of all participants. Sixty individuals revealed infected by Plasmodium (12%). Positivity rates were respectively 20.3% in patients (44 cases) and 5.2% among asymptomatic students (16 cases) (p<0.01). The sensitivity and specificity of the OptiMAL-IT® test were respectively 88.6% and 100%. The concordance kappa was 0.92. The sensitivity and specificity during the screening of asymptomatic subjects were respectively 68.8% and 98.3% with a concordance of 0.67.
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Affiliation(s)
- E Siala
- Laboratoire de parasitologie mycologie, Institut Pasteur, 1002, Tunis, Tunisie,
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8
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Toumi A, Kilani B, Ammari L, Tiouiri H, Kanoun F, Belhadj S, Chaker E, Ben Chaabene T. [Demographic, clinical and therapeutic features of adult visceral leishmaniasis at the Rabta hospital in Tunis (tunisia) from 1983 to 2002]. Bull Soc Pathol Exot 2007; 100:282-286. [PMID: 17982860] [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] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The purpose of this study was to evaluate in a retrospective analysis, cases of Mediterranean visceral leishmaniasis (VL) diagnosed in adults during a 20-year period in a department of infectious diseases. Demographic data, clinical and laboratory features and therapeutic findings were considered. During the study period, 22 cases of VL were diagnosed, and 6 (27%) were associated with HIV infection. Fever and splenomegaly were observed in all cases. Anaemia was constant. The anti-leishmanial IF titer was positive among 21 patients (95%). Smears from bone marrow aspiration were positive at microscopy in 95% of cases. Zymodeme analysis was carried out in nine isolates. L. infantum zymodeme MON-1 was characterized in all cases. Seventeen patients (77%) received meglumine antimoniate (MA) (20 mg SbV/kg per day) and 5 (23%) patients amphotericin B (AB) (0.5-1 mg/kg per day) for an average period of 25 days (10-49 days). Adverse events occurred in 7 patients (32%), among them 4 received AB. Clinical cure was achieved with success in 21 patients (95%). After a successful MA treatment of the initial episode, VL relapse was observed in one HIV-positive patient. Only one HIV-positive patient died from neurological disorders. VL is rare in adults. However, its incidence is increasing everywhere in the world, because of HIV-related cases. Its prognosis depends on the precocity of diagnosis and treatment.
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Affiliation(s)
- A Toumi
- Service des maladies infectieuses, Hôpital La Rabta, 1007 Jebbari, Tunis, Tunisie
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9
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Marrakchi C, Kilani B, Kanoun F, Abdelmalek R, Tiouiri H, Goubontini A, Zouiten F, Ezzaouia K, Kooli M, Khalfaoui M, Ben Chaabane T. [Melitococcal psoas abscesses: study of three cases and review of the literature]. Med Trop (Mars) 2006; 66:261-5. [PMID: 16924818] [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] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Vertebral involvement is a common complication of brucellosis in adults. However psoas abscess related to brucellar spondylitis have rarely reported. The purpose of this report is to describe three cases of bilateral psoas abscess identified during workup for brucellar spondylitis. Medical imaging was helpful in confirming diagnosis of these fluid collections. Epidemiological, clinical, radiological and serological findings were consistent with melitococcal etiology. Treatment was based on a combination of antibiotics (rifampicine-doxycycline) and abscess evacuation by percutaneous drainage, needle aspiration or open surgery. Outcome was favourable. Brucellar psoas abscess is uncommon. Most caseare discovered coincidentally during investigation of melitococcal spondylitis. Management usually consists of fluid drainage and appropriate antibrucellar therapy. Prognosis is favourable.
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Affiliation(s)
- C Marrakchi
- Service des maladies infectieuses, CHU La Rabta, Tunis.
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10
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Marrakchi C, Kilani B, Kanoun F, Abdelmalek R, Tiouiri H, Goubontini A, Zouiten F, Ben chaabane T. A-06 La tuberculose mammaire (À propos de 6 cas). Med Mal Infect 2004. [DOI: 10.1016/s0399-077x(04)90101-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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11
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Marrakchi C, Kanoun F, Kilani B, Tiouiri H, Goubontini A, Zouiten F, Ben Chaabane T. DRESS syndrome à l’allopurinol. Rev Med Interne 2004; 25:252-4. [PMID: 14990304 DOI: 10.1016/j.revmed.2003.12.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2003] [Accepted: 12/05/2003] [Indexed: 11/23/2022]
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12
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Kilani B, Ammari L, Tiouiri H, Kanoun F, Goubontini A, Zouiten F, Ben Chaabane T. [Bacterial spondylodiskitis: pyogenic or tuberculous?]. Ann Med Interne (Paris) 2001; 152:236-41. [PMID: 11474370] [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] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
We retrospectively studied the epidemiological, clinical, radiological and evolutive aspects of bacterial spondylodiskitis observed in 39 patients diagnosed from January 1989 to December 1998, in order to find criteria to distinguish between pyogenic spondylodiskitis (PS) and tuberculous spondylodiskitis (TS). During the study period, we collected 13 patients (33.3%) with PS and 26 patients (66.7%) with TS. The mean age was 44 years. The delay in diagnosis was much longer in TS (8.4 months) than in PS (2 months). Diagnosis was certain in 6 cases (46%) of PS and in 12 cases (46%) of TS. Clinically, paravertebral abscesses and neurologic complications were significantly more frequent in TS. The main causative agents in PS were staphylococci. Diagnosis of spondylodiskitis is based on the imaging techniques, especially magnetic resonance imaging which is more sensitive and specific than computed tomography. Except in patients with positive blood cultures or positive urine culture in PS, and isolation of Mycobacterium tuberculosis in another visceral foci in TS, bacteriologic diagnosis was based on discovertebral needle biopsy. The yield of this technique was poor in our study (12.5%), even if bacteriologic confirmation of spondylodiskitis was made in 15 patients (38.5%). In the other cases, diagnosis rested on a set of clinical, biological and radiological criteria.
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Affiliation(s)
- B Kilani
- Service des Maladies Infectieuses, Hôpital La Rabta, 1007 Tunis, Tunisie.
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13
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Tiouiri H, Naddari B, Khiari G, Hajjem S, Zribi A. [Study of psychosocial factors of HIV infected patients in Tunisia]. East Mediterr Health J 1999. [DOI: 10.26719/1999.5.5.903] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Nous avons mené une étude prospective des facteurs psychologiques et socioenvironnementaux pouvant exposer à un comportement à risque auprès de 60 patients infectés par le VIH au moyen d’un questionnaire anonyme et d’entretiens semi-dirigés. Les patients étaient principalement des hommes jeunes [âge moyen 33, 1 +/- 7, 0 ans][sex ratio 2, 3], démunis tant au plan social qu’éducationnel. La toxicomanie par voie intraveineuse était le facteur de risque prédominant, caractérisant un premier groupe de jeunes hommes ayant vécu leur enfance au sein d’une famille nombreuse ébranlée par l’exode rural et présentant une personnalité antisociale. Un deuxième groupe est constitué de femmes, la plupart illettrées et issues d’un milieu rural traditionnel, contaminées par leur conjoint ayant émigré à l’étranger, qu’il soit ou non toxicomane. Des approches pour la prévention de l’infection à VIH sont proposées
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14
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Tiouiri H, Naddari B, Khiari G, Hajjem S, Zribi A. [Study of psychosocial factors in HIV infected patients in Tunisia]. East Mediterr Health J 1999; 5:903-11. [PMID: 10983529] [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] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
We conducted a prospective study using an anonymous questionnaire and semistructured interviews on 60 patients with HIV to assess the psychological and socioenvironmental factors that may result in risk-taking behaviour. The patients were mainly young males (mean age 33.1 +/- 7.0 years) (sex ratio 2.3) deprived in both social and educational terms. Injecting drug use was the predominant risk factor and was characteristic of a first group of young men raised in large families shattered by rural-urban migration, with an antisocial personality. A second group consisted of women, mostly illiterate from traditional rural settings. They had been infected by their spouses who had worked abroad, whether drug users or not. Approaches for the prevention of HIV infection are proposed.
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Affiliation(s)
- H Tiouiri
- Hôpital de Psychiatrie, Tunis, Tunisie
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15
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Jouini S, Kalaï A, Mnif E, Tiouiri H, Hafsia M, Ben Jaafar M. [Unilateral sacroiliitis revealed by disabling hip pain]. Tunis Med 1996; 74:313-6. [PMID: 9506082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- S Jouini
- Service de Radiologie, Hôpital La Rabta
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16
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Tiouiri H, Louzir B, Ben Salem N, Beji M, Kilani B, Gastli M, Daghfous J, Zribi A. [Standard radiological characteristics of thoracic sites of tuberculosis in patients with AIDS in a Tunisian population]. Rev Pneumol Clin 1995; 51:321-324. [PMID: 8746019] [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] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Aspects of tuberculosis on the standard chest X-ray in a population of 18 AIDS patients in Tunisia were examined. The diagnosis of pulmonary tuberculosis was confirmed in all cases with bacteriology tests. Diffuse lesions of the parenchyma predominated contrasting with the exceptional nature of cavernous formations. Localized infiltrations were infrequent and intrathoracic node enlagement was rare. Cases with no abnormal radiological signs were also seen in advanced HIV infection. Such atypical cases, in agreement with data in the literature, would be explained by immunoradiologic correlation. Thus it is necessary to search for the tuberculosis bacilli in all patients with HIV infection whatever the aspect on the standard chest X-ray.
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Affiliation(s)
- H Tiouiri
- Services des Maladies Infectieuses, CHU La Rabta, Tunis, Tunisie
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Beji M, Louzir B, Tiouiri H, Khrouf M, Zribi A, Daghfous J. Tuberculosis is the main pulmonary complication of AIDS in Tunisia. Tuber Lung Dis 1994; 75:397-8. [PMID: 7841438 DOI: 10.1016/0962-8479(94)90094-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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18
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Ben Rachid MS, Khaled S, Tiouiri H, Bejaoi M, Besbes M, Gastli M, Kallal K, Chaker E, Zouiten F, Lakhoua R. [Pulmonary pneumocystis in Tunisia. Report of 6 cases]. Tunis Med 1994; 72:446-9. [PMID: 7871603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- M S Ben Rachid
- Service Microbiologie-Parasitologie, Hôpital la Rabta, Tunis
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19
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Bouzouaia N, Gastli M, Ben Jemaa M, Ben Chaabane T, Tiouiri H, Zouiten F, Ben Salem N, Zribi A. [Cerebral computed tomographic scanning in 43 cases of tuberculous meningitis]. Tunis Med 1992; 70:135-8. [PMID: 1496745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- N Bouzouaia
- Service des Maladies Infectieuses, Hôpital la Rabta, Tunis
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20
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Bouzouaia N, Kilani B, Ben Chaabane T, Zouiten F, Tiouiri H, Gastli M, Zribi A. [Brucellosis: epidemiological, clinical and therapeutic aspects-- 47 cases]. Tunis Med 1991; 69:611-5. [PMID: 1808769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- N Bouzouaia
- Service des Maladies Infectieuses, Hôpital La Rabta, Tunis
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21
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Bouzouaia N, Chaabane TB, Salem NB, Tiouiri H, Zribi A. [The activity of a new cephalosporin (ceftriaxone) against bacteria isolated in a hospital environment]. Tunis Med 1991; 69:109-12. [PMID: 2063483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- N Bouzouaia
- Service des maladies infectieuses, hôpital la Rabta, Tunis
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22
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Zouiten F, Khemiri F, Gastli M, Tiouiri H, Ben Chaabane T, Bouzouaia N, Triki SM, Karoui M, Ben Rachid MS, Kastali R. [Systematic titers in syphilitic serology: a prospective study]. Tunis Med 1990; 68:445-51. [PMID: 2238140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- F Zouiten
- Service des Maladies Infectieuses, La Rabta
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23
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Bouzouaia N, Kilani B, Ben Chaabane T, Zouiten F, Tiouiri H, Gastli M, Zribi A. [Acute pyelonephritis in adults: diagnosis criteria and new therapeutic aspects]. Tunis Med 1990; 68:281-6. [PMID: 2353368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- N Bouzouaia
- Service des maladies infectieuses, Hôpital La Rabta, Tunis
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24
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Zouiten F, Gastli M, Tiouiri H, Ben Chaabane T, Bouzouaia N, Elleuch M, Hamza M, Zribi A. [Streptococcal rheumatism in children and adults: a comparative study]. Tunis Med 1990; 68:123-9. [PMID: 2184551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- F Zouiten
- Service des Maladies Infectieuses. Pr. Zribi A, La Rabia, Tunis
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