1
|
Davenne E, Giot JB, Huynen P. [Coronavirus and COVID-19 : focus on a galopping pandemic]. Rev Med Liege 2020; 75:218-225. [PMID: 32267109] [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: 06/11/2023]
Abstract
The international community is currently facing a pandemic of acute respiratory syndrome caused by a new coronavirus, SARS-CoV-2. This syndrome has been named COVID-19 for CoronaVIrus Disease 2019 by the World Health Organization. The starting point of the epidemic is the city of Wuhan (China), where the virus is said to have been transmitted from animals to humans before inter-human transmission. This is the third epidemic caused by a coronavirus after those of severe acute respiratory syndrome (SARS) in 2003 and Middle East respiratory syndrome (MERS) started in 2012. COVID-19 has rapidly spread to China and is currently spreading all over the world. The infection mainly affects patients over 40 years of age and mortality is increased in the presence of comorbidities. Children are pauci- or asymptomatic. The diagnosis is most often based on the detection of the viral genome in the nasopharynx by molecular biology methods. In the absence of specific anti-viral molecules, treatment is currently mainly symptomatic. It is clear that the COVID-19 pandemic is more difficult to control than what the first data suggested. The key strategy to SARS-CoV-2 is to limit its transmission. Preventive measures are mainly based on the application of adequate hand hygiene measures and disinfection of the environment, as well as measures of social distance aimed at limiting contacts in the population and protecting populations at risk.
Collapse
Affiliation(s)
- E Davenne
- Faculté de Médecine, Liège Université, Belgique
| | - J B Giot
- Service des Maladies Infectieuses, CHU Liège, Belgique
| | - P Huynen
- Service de Microbiologie Clinique, CHU Liège, Belgique
| |
Collapse
|
2
|
Anthopoulou A, Giot JB, Frère J, Schrouff I, Senterre JM, Seghaye MC. [Kingella kingae bone and joint infections]. Rev Med Liege 2019; 74:475-478. [PMID: 31486318] [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: 06/10/2023]
Abstract
We report six cases of children with probable or confirmed Kingella kingae bone and joint infections (BJI) and discuss the role of this pathogen in the pediatric population. The advent of Polymerase Chain Reaction (PCR) led to the recognition of the importance of Kingella kingae in several human diseases, particularly in BJI affecting children aged 6 to 48 months. Kingella kingae infections in children have most often a good prognosis provided that the diagnosis is discussed, appropriate diagnostic methods are performed and effective antibiotics are prescribed.
Collapse
Affiliation(s)
| | - J B Giot
- Service de Médecine Interne générale et Maladies infectieuses, Centre de Référence SIDA, CHU Liège, Belgique
| | - J Frère
- Service de Pédiatrie, CHU Liège, Belgique
| | - I Schrouff
- Service d'Orthopédie, CHU Liège, Belgique
| | - J M Senterre
- Service de Microbiologie, Laboratoire du CHR Citadelle, Liège, Belgique
| | | |
Collapse
|
3
|
de Worm S, Giot JB, Courtoy C, Gillet E, Amrane S, Huynen P, Van Esbroeck M, Prudent E, Lepidi H, Million M, Moutschen M, Raoult D. A case of giant cell arteritis associated with culture-proven Coxiella burnetii aortitis. Int J Infect Dis 2018; 69:50-54. [PMID: 29408476 DOI: 10.1016/j.ijid.2018.01.028] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [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: 11/13/2017] [Revised: 01/24/2018] [Accepted: 01/27/2018] [Indexed: 01/15/2023] Open
Abstract
A case of proven Coxiella burnetii aortitis, possibly associated with giant cell arteritis (GCA), is reported. A 72-year-old man, who is a hunter, presented with weight loss, fever, jaw claudication, and hardened temporal arteries associated with a persistent inflammatory syndrome and arteritis of the whole aorta, including the brachiocephalic arteries, as seen on 18F-fluorodeoxyglucose positron emission tomography/computed tomography. The diagnosis of GCA was retained, and treatment with prednisolone was started. Given the aneurysm of the abdominal aorta, the patient underwent replacement of the abdominal aorta with an allograft. Histology showed intense chronic arteritis attributed to atherosclerosis with dissection. However, Coxiella burnetii infection was confirmed by serology and then by culture and molecular biology on the surgical specimen. A combination of hydroxychloroquine and doxycycline was added to tapered prednisolone and the outcome was favourable.
Collapse
Affiliation(s)
- S de Worm
- Internal General Medicine and Infectious Diseases, CHU de Liège, 4000 Liège, Belgium
| | - J B Giot
- Internal General Medicine and Infectious Diseases, CHU de Liège, 4000 Liège, Belgium.
| | - C Courtoy
- Rheumatology, CHR de Verviers, 4800 Verviers, Belgium
| | - E Gillet
- General Practitioner, 4651 Battice, Belgium
| | - Sophie Amrane
- Aix Marseille Université, IRD, APHM, MEPHI, IHU-Méditerranée Infection, Marseille, France
| | - P Huynen
- Medical Microbiology, CHU de Liège, 4000 Liège, Belgium
| | - M Van Esbroeck
- Belgian National Reference Centre for Coxiella burnetii, Institute of Tropical Medicine, 2000 Anvers, Belgium
| | - E Prudent
- Aix Marseille Université, IRD, APHM, MEPHI, IHU-Méditerranée Infection, Marseille, France
| | - H Lepidi
- Aix Marseille Université, IRD, APHM, MEPHI, IHU-Méditerranée Infection, Marseille, France
| | - Matthieu Million
- Aix Marseille Université, IRD, APHM, MEPHI, IHU-Méditerranée Infection, Marseille, France
| | - M Moutschen
- Internal General Medicine and Infectious Diseases, CHU de Liège, 4000 Liège, Belgium
| | - Didier Raoult
- Aix Marseille Université, IRD, APHM, MEPHI, IHU-Méditerranée Infection, Marseille, France
| |
Collapse
|
4
|
Cambier A, Giot JB, Leonard P, Bletard N, Meunier P, Hustinx R, Delwaide J, Meurisse N, Honore P, Losson B, Hayette MP, Detry O. [Multidisciplinary management of alveolar echinococcosis : Echino-Liege Working Group]. Rev Med Liege 2018; 73:135-142. [PMID: 29595013] [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: 06/08/2023]
Abstract
Alveolar echinococcosis is a zoonotic disease due to the tapeworm Echinococcus multilocularis. The definitive host is the red fox. Until recently, Belgium was considered a country at very low risk for alveolar echinococcosis. However, recent studies carried out in southern Belgium have revealed, through post-mortem examination, high prevalences (up to 62 %) in foxes. Cats and dogs can act as definitive hosts. Human are accidentally infected by ingestion of food contaminated by the feces. After a long incubation period, invasive hepatic lesions may appear, as well as extra-hepatic lesions. The disease may be fatal. The diagnosis is based on imaging techniques, serology and nucleic acid detection in tissues. Early diagnosis may allow surgical removal of the lesion associated with at least 2 years of albendazole postoperative treatment. In case of contraindication to surgery, a long term treatment with albendazole is necessary. Liver transplantation is sometimes necessary. This article presents the epidemiologic, clinical, diagnostic and therapeutics features of this zoonotic disease.
Collapse
Affiliation(s)
| | - J B Giot
- Service d'Infectiologie, CHU Sart Tilman, Liège, Belgique
| | - P Leonard
- Service d'Infectiologie, CHU Sart Tilman, Liège, Belgique
| | - N Bletard
- Service d'Anatomie Pathologique, CHU Sart Tilman, Liège, Belgique
| | - P Meunier
- Service de Radiodiagnostic, CHU Sart Tilman, Liège, Belgique
| | - R Hustinx
- Service de Médecine nucléaire, CHU Sart Tilman, Liège, Belgique
| | - J Delwaide
- Service de Gastro-entérologie, CHU Sart Tilman, Liège, Belgique
| | - N Meurisse
- Service de Chirurgie abdominale et Transplantation, CHU Sart Tilman, Liège, Belgique
| | - P Honore
- Service de Chirurgie abdominale et Transplantation, CHU Sart Tilman, Liège, Belgique
| | - B Losson
- Service de Parasitologie, Faculté de Médecine vétérinaire, Université de Liège, Site Sart Tilman, Liège, Belgique
| | - M P Hayette
- Service de Microbiologie, Tour de Pathologie, CHU Sart Tilman, Liège, Belgique
| | - O Detry
- Service de Chirurgie abdominale et Transplantation, CHU Sart Tilman, Liège, Belgique
| |
Collapse
|
5
|
Delvenne E, Farnir F, Guiot J, Giot JB, Von Frenckell C. [Brain abcesses associated with a systemic infection by Nocardia Farcinica]. Rev Med Liege 2017; 72:340-343. [PMID: 28795545] [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: 06/07/2023]
Abstract
The prevalence of nocardia infections is increasing because of both improved detection laboratory techniques and a higher number of immunosuppressed patients. We report the case of a patient with brain abcesses resulting from nocardia farcinica cerebral dissemination associated with lung infection, endocarditis and ocular lesions for which we suspected a similar origin. This case gives the opportunity to discuss the main issues of these infections and the current therapeutic guidelines.
Collapse
Affiliation(s)
- E Delvenne
- Service de Cardiologie, CHU de Liège, site Sart Tilman, Belgique
| | - F Farnir
- Service de Cardiologie, CHU de Liège, site Sart Tilman, Belgique
| | - J Guiot
- Service de Pneumologie, CHU de Liège, site Sart Tilman, Liège, Belgique
| | - J-B Giot
- Service d'Infectiologie, CHU de Liège, site Sart Tilman, Liège, Belgique
| | - C Von Frenckell
- Service de Rhumatologie, CHU de Liège, site Sart Tilman, Liège, Belgique
| |
Collapse
|
6
|
De Voeght A, Sauvage AS, Gensburger M, Giot JB, Moutschen M. [Miliary tuberculosis in a patient under adalimumab]. Rev Med Liege 2016; 71:328-331. [PMID: 28383840] [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: 06/07/2023]
Abstract
We describe a case of atypical miliary tuberculosis diagnosed by molecular testing in a patient suffering from psoriasis arthritis treated by adalimumab. Tuberculosis may have a non-classical presentation in patients under biological treatments. We briefly discuss the difficulties underlying the diagnosis and treatment of tuberculosis, especially in patients suffering from fever of unknown origin.
Collapse
Affiliation(s)
| | - A-S Sauvage
- Service d'Infectiologie et Médecine Interne, CHU de Liège, Site Sart Tilman, 4000 Liège, Belgique
| | - M Gensburger
- Service des Urgences, CHU de Liège, Site Sart Tilman, 4000 Liège, Belgique
| | - J-B Giot
- Service d'Infectiologie et Médecine Interne, CHU de Liège, Site Sart Tilman, 4000 Liège, Belgique
| | - M Moutschen
- Service d'Infectiologie et Médecine Interne, CHU de Liège, Site Sart Tilman, 4000 Liège, Belgique
| |
Collapse
|
7
|
Freres P, Gonne E, Collignon J, Giot JB, Gennigens C, Jerusalem G. [Management of febrile neutropenia in cancer patients]. Rev Med Liege 2015; 70:195-200. [PMID: 26054171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The incidence of cancer is raising and the treatments are increasingly aggressive. Consequently, general practitioners, emergency departments, hematologists and oncologists are regularly facing a severe side-effect of cytotoxic therapy, febrile neutropenia (FN). FN is a serious complication of chemotherapy because it can be quickly fatal and causes a temporary or definitive cessation of treatment. In this article, we summarize the latest recommendations for the management of patients with FN under anti-cancer treatments.
Collapse
|
8
|
Toukouki A, Frippiat F, Frusch N, Leonard P, Caprasse P, Meuris C, Rodeghiero C, Vanhoof R, Pierard D, Moutschen M, Huygen K, Giot JB. [Hooping cough in adults, think about it!]. Rev Med Liege 2013; 68:177-179. [PMID: 23755707] [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: 06/02/2023]
Abstract
We report the case of a 47 year old patient who had been suffering from persistent cough for more than three weeks. Patient coughed predominantly during night time, without fever. The amoxicillin-clavulanic acid initially prescribed was not effective. A series of complementary investigations were performed before serology finally identified Bordetella pertussis infection after two months of symptoms which improved slowly without evident benefit of macrolide treatment. The diagnosis of whooping cough was also established for the wife of the patient with fast resolution of the symptoms after rapid unset of treatment with macrolides.
Collapse
|
9
|
Frusch N, Duysinx B, Bleus N, Giot JB, Corhay JL, Louis R. [Image of the month: pulmonary artery agenesis associated with right lung hypoplasia]. Rev Med Liege 2012; 67:4. [PMID: 22420094] [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: 05/31/2023]
Affiliation(s)
- N Frusch
- Service de Pneumologie, CHU de Liège, Belgique.
| | | | | | | | | | | |
Collapse
|
10
|
Frippiat F, Giot JB, Chandrikakumari K, Léonard P, Meuris C, Moutschen M. [Syphilis in 2008: practical aspects and controversies]. Rev Med Suisse 2008; 4:1823-1827. [PMID: 18814767] [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: 05/26/2023]
Abstract
Rising incidence rate of syphilis is observed in economically advanced countries, particularly among homosexual men and subpopulation with low socioeconomic status. The various clinical presentations are divided into early and late stages, including neurosyphilis. The latter can occur during any stage of the disease, leading to the question "when to perform lumbar puncture", particularly in HIV positive patients. Penicillin continues to be the first-line therapy for all stages of syphilis. An alternative treatment should be considered as an exemption, after advice from a specialist. All patients require prolonged clinical and serological follow-up after treatment to rule out relapse or re-infection. The diagnosis of syphilis is an opportunity to search and treat other sexually transmitted diseases in patients and their sexual partner(s).
Collapse
Affiliation(s)
- F Frippiat
- Services des maladies infectieuses et d'immunologie, Centre référence sida, Département de médecine interne, CHU Sart Tilman, Liège, Belgique.
| | | | | | | | | | | |
Collapse
|
11
|
Bethlen S, Chandrikakumari K, Leval LD, Giot JB, Mukeba D, Leonard P, Frippiat F, Meuris C, Delwaide J, Moutschen M. Chronic hepatitis C infection in a patient with bone marrow hypoplasia. World J Gastroenterol 2008; 14:4238-40. [PMID: 18636673 PMCID: PMC2725389 DOI: 10.3748/wjg.14.4238] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Chronic hepatitis C virus (HCV) infection is associated with multifarious extra-hepatic manifestations; the most described and discussed being mixed cryoglobulinemia which is strongly related to B-cell lymphoproliferative disorders (LPDs). We present a case of chronic HCV infection and mixed cryoglobulinemia, with minimal liver involvement. The case is a 53-year-old patient who was diagnosed as having bone marrow hypoplasia at the age of three. She received several blood transfusions to normalize her haemoglobin. At the age of 31, she was diagnosed with rheumatoid arthritis on account of her diffuse joint pain and inflammation, elevated rheumatoid factor (RF) and Raynaud’s phenomenon. Twenty years later, monoclonal gammopathy of IgG Lambda (one year later, changed to IgM Kappa) was detected during a routine examination. A bone marrow biopsy showed hypoplasia, Kappa positive B-lymphocytes and low-grade malignant lymphoma cells. PCR of the bone marrow aspirate was not contributory. No treatment was initiated owing to her poor bone marrow function and she is under regular follow-up.
Collapse
|
12
|
Giot JB, Mukeba Tshialala D, Mayasi Ngongo N, Frippiat F, Léonard P, Moutschen M. [New treatments of infectious diseases over the last ten years]. Rev Med Liege 2007; 62:377-83. [PMID: 17725210] [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: 05/16/2023]
Abstract
This review focuses on new antibiotics, particularly for gram-positive infections, new antiretroviral drugs, new treatment of fungal infections and indications of miltefosine in the treatment of leishmaniasis.
Collapse
Affiliation(s)
- J B Giot
- Service des Maladies Infectieuses et Médecine Interne Générale, CHU Sart Tilman, GIGA-R, ULg, Liège, Belgique
| | | | | | | | | | | |
Collapse
|
13
|
Leclercq P, Loly C, Giot JB, Frippiat F, Medart L, Malaise MG. [Spondylodiscitis complicated by psoas abscess]. Rev Med Suisse 2007; 3:620-1. [PMID: 17436801] [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: 05/14/2023]
Affiliation(s)
- P Leclercq
- Service de gastroentérologie Département de médecine interne, CHU Sart-Tilman, Liege, Belgique
| | | | | | | | | | | |
Collapse
|
14
|
Chandrika K, Dellot P, Frippiat F, Giot JB, Leonard P, Marée R, Mayasi N, Meuris C, Mukeba Tshialala D, Rahmouni S, Uurlings F, Vaira D, Wehenkel L, Demonty J, Moutschen M. [New approaches to the treatment of the HIV-infected patient]. Rev Med Liege 2007; 62 Spec No:47-50. [PMID: 18214360] [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
HIV infection remains a major problem of public health in Belgium as well as globally. The number of new diagnosies of HIV infection in Belgium remains between two and three daily. Given the dramatic effect of antiretroviral therapy on the mortality due to HIV infection, the number of patients is constantly increasing. The different problems related to HIV care are also changing. Aging of the patients and chronic exposure to antiretroviral medications have induced new complications. We will present in this brief article several new experimental and clinical approaches in which our centre has participated during the last two years.
Collapse
Affiliation(s)
- K Chandrika
- Service des Maladies Infectieuses et de Médecine Interne Générale, CHU Sart-Tilman, Liège, Belgique
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
15
|
Bourhaba M, Giot JB, Tshialala DM, Leonard P, Frippiat F, Moutschen M. [A review about nephropathia epidemica]. Rev Med Liege 2006; 61:322-8. [PMID: 16910256] [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
We propose a review of history, aetiology, physiopathology, clinical features, treatment and prevention of nephropathia epidemica (NE) which represents the only form of Hantavirus infection in Belgium.
Collapse
|
16
|
Giot JB, Franchimont N, Moutschen M. [Alteration of bone metabolism in HIV-infected patients treated by HAART]. Rev Med Liege 2003; 58:155-63. [PMID: 12723509] [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: 03/02/2023]
Abstract
For several years already, a growing number of studies reports modifications in the bone metabolism among HIV-infected patients. Some of these studies, published even before the use of HAART, involved the infection itself. With the experience already available as concerns HAART, antiretroviral treatments (ART) seem however to be called into question. Data are divergent yet. Some studies tend to invalidate the collected data about the harmful role of HAART and prove the absence of effect or even the beneficial action of ART on bone. Moreover, the three important classes of ART are implied, even if the proteases inhibitors are most commonly charged. Pathogenic mechanism remain hypothetical. While the impact on morbidity seems to be weak for the time being, long-term repercussions are still unknown, in particular when children are concerned. In such conditions, it appears difficult to set up coherent politics of screening, prevention and treatment. Nevertheless beyond the divergences, the multifactorial character of alteration of HIV-infected patient's bone metabolism seems to be undeniable. The identification of the different parameters should in the future clarify the situation and enable the publishing of exact criteria of screening, prevention and treatment.
Collapse
Affiliation(s)
- J B Giot
- Service de Rhumatologie, Université de Liège
| | | | | |
Collapse
|