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Kayser D, Gravier S, Bonijoly T, Mohseni Zadeh M, Debriel D, Martinot M, Pachart A. Apport positif d’un test moléculaire rapide couplé VRS grippe au SAU et en réanimation. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.217] [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: 11/24/2022]
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Martinot M, Abou-Bacar A, Lamothe M, Tebacher MA, Zadeh MM, Dalle F, Favennec L, Costa D, Brunet J, Sellal F. Cryptosporidiosis after treatment with fingolimod: a case report and pharmacovigilance review. BMC Infect Dis 2020; 20:257. [PMID: 32228484 PMCID: PMC7106570 DOI: 10.1186/s12879-020-04988-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [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: 07/18/2019] [Accepted: 03/24/2020] [Indexed: 01/31/2023] Open
Abstract
Background Cryptosporidium sp. are common intracellular parasites responsible of severe diarrhea in T-cell-immunocompromised patients. We report the first case of a woman who contracted cryptosporidiosis after treatment with fingolimod, a drug labeled for multiple sclerosis and responsible for marked lymphopenia. Case presentation A 60-year-old woman was admitted for abdominal pain diarrhea and fever. The patient suffered from multiple sclerosis and had been treated with fingolimod from august 2017 to september 2018 time of occurrence of the first digestive symptoms. Stool culture was negative but parasitological examination was positive for Cryptosporidium sp. Blood biological examination profound lymphopenia of 240/mm3 [17 CD4/mm3 (7%) and 32 CD8/mm3 (14%)]. Fingolimod was stopped, and the patient was put on nitazoxanide 500 mg bid for 7 days. The diarrhea resolved and no relapse was observed. Six other cases were found in the Pharmacovigilance database. Conclusion Physicians should be aware of this association and screen for Cryptosporidium in cases of diarrhea in patients treated with fingolimod. Patients should be aware of this risk and advise to take appropriate measures to avoid such contamination.
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Affiliation(s)
- M Martinot
- Service de Maladies Infectieuses et Tropicales. Hôpitaux Civils de Colmar, 39 avenue de la liberté, 68024, Colmar, France.
| | - A Abou-Bacar
- Laboratoire de Parasitologie et de Mycologie Médicale, Plateau Technique de Microbiologie, Hôpitaux Universitaires de Strasbourg, 1 place de l'Hôpital, 67091, Strasbourg Cedex, France
| | - M Lamothe
- Centre régional de pharmacovigilance Hôpitaux Universitaires de Strasbourg, 1 place de l'Hôpital, F-67091, Strasbourg, France
| | - M Alt Tebacher
- Centre régional de pharmacovigilance Hôpitaux Universitaires de Strasbourg, 1 place de l'Hôpital, F-67091, Strasbourg, France
| | - M Mohseni Zadeh
- Service de Maladies Infectieuses et Tropicales. Hôpitaux Civils de Colmar, 39 avenue de la liberté, 68024, Colmar, France
| | - F Dalle
- Dijon University hospital François Mitterand, Laboratoire de Parasitologie Mycologie, Dijon, France
| | - L Favennec
- University of Medicine Pharmacy Rouen EA ESCAPE 7510, Rouen, France.,CNR LE Cryptosporidiosis, Santé Publique France, Rouen, France
| | - D Costa
- University of Medicine Pharmacy Rouen EA ESCAPE 7510, Rouen, France.,CNR LE Cryptosporidiosis, Santé Publique France, Rouen, France
| | - J Brunet
- Laboratoire de Parasitologie et de Mycologie Médicale, Plateau Technique de Microbiologie, Hôpitaux Universitaires de Strasbourg, 1 place de l'Hôpital, 67091, Strasbourg Cedex, France.,Institut de Parasitologie et Pathologie Tropicale, EA 7292, Fédération de Médecine Translationnelle, Université de Strasbourg, 3 rue Koeberlé, 67000, Strasbourg, France
| | - F Sellal
- Service de Neurologie. Hôpitaux Civils de Colmar, 39 avenue de la liberté, 68024, Colmar, France
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Martinot M, Greigert V, Gravier S, Klein S, Zadeh MM, Debriel D, Kaiser J, Pachart E, Gottwalles Y, Thibaud E. Apport positif d’un dépistage moléculaire rapide de grippe en service d’urgence (SAU) durant l’épidémie saisonnière de grippe 2017-18. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.253] [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: 10/26/2022]
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Martinot M, Gronnwald A, Gerber V, Greigert V, Rosolen B, De Briel D, Mohseni Zadeh M, Thibaud E. Analysis of delays in the prescription of oseltamivir in hospitals and potential for improvement. Med Mal Infect 2018; 49:59-62. [PMID: 30446349 DOI: 10.1016/j.medmal.2018.10.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Revised: 11/18/2017] [Accepted: 10/16/2018] [Indexed: 01/05/2023]
Abstract
OBJECTIVES Patients hospitalized for influenza should receive early treatment with a neuraminidase inhibitor. PATIENTS AND METHODS We conducted a retrospective study of the prescription of oseltamivir during the 2016-2017 influenza epidemic among patients hospitalized for influenza confirmed by RT-PCR in the infectious disease department. RESULTS Treatment with oseltamivir was initiated as recommended in 96% of hospitalized patients presenting with influenza. However, a delay in prescription was observed with only 18% of prescriptions made on the first day. The prescriptions were exclusively initiated in the infectious disease department. CONCLUSION To improve the early prescription of oseltamivir during the influenza season, two recommendations are essential: oseltamivir availability in the emergency department pharmacy, awareness of physicians of the need to prescribe to any patient hospitalized for a lower respiratory tract infection treatment with a neuraminidase inhibitor upon admission to the emergency department.
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Affiliation(s)
- M Martinot
- Service de médecine E unité d'infectiologie, hôpital Pasteur, 39, avenue de la liberté, 68000 Colmar, France.
| | - A Gronnwald
- Service de médecine E unité d'infectiologie, hôpital Pasteur, 39, avenue de la liberté, 68000 Colmar, France
| | - V Gerber
- Service de médecine E unité d'infectiologie, hôpital Pasteur, 39, avenue de la liberté, 68000 Colmar, France
| | - V Greigert
- Service de médecine E unité d'infectiologie, hôpital Pasteur, 39, avenue de la liberté, 68000 Colmar, France
| | - B Rosolen
- Service de médecine E unité d'infectiologie, hôpital Pasteur, 39, avenue de la liberté, 68000 Colmar, France
| | - D De Briel
- Service de microbiologie, hôpital Pasteur, 68000 Colmar, France
| | - M Mohseni Zadeh
- Service de médecine E unité d'infectiologie, hôpital Pasteur, 39, avenue de la liberté, 68000 Colmar, France
| | - E Thibaud
- Service d'accueil des urgences, hôpital Pasteur, 68000 Colmar, France
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Martinot M, Ahle G, Petrossian I, Martinez C, Gorun M, Mohseni Zadeh M, Trebacher Alt M. Leucoencéphalite multifocale progressive (LEMP) et immunothérapie par inhibiteur de checkpoints (IC) Nivolumab. Med Mal Infect 2018. [DOI: 10.1016/j.medmal.2018.04.315] [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: 10/14/2022]
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Martinot M, Greigert V, Souply L, Rosolen B, De Briel D, Mohseni Zadeh M, Kaiser JD. Cerebrospinal fluid monocytes in bacterial meningitis, viral meningitis, and neuroborreliosis. Med Mal Infect 2018; 48:286-290. [PMID: 29628177 DOI: 10.1016/j.medmal.2018.03.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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: 07/15/2017] [Revised: 08/11/2017] [Accepted: 03/08/2018] [Indexed: 10/17/2022]
Abstract
OBJECTIVE Cerebrospinal fluid (CSF) leukocytes analysis is commonly used to diagnose meningitis and to differentiate bacterial from viral meningitis. Interpreting CSF monocytes can be difficult for physicians, especially in France where lymphocytes and monocytes results are sometimes pooled. PATIENTS AND METHODS We assessed SF monocytes in patients presenting with microbiologically confirmed meningitis (CSF leukocyte count>10/mm3 for adults or >30/mm3 for children<2 months), i.e. bacterial meningitis (BM), viral meningitis (VM), and neuroborreliosis (NB). RESULTS Two-hundred patients (82 BM, 86 VM, and 32 NB) were included. The proportions of monocytes were higher in VM (median 8%; range 0-57%) than in BM (median 5%; range 0-60%, P=0.03) or NB (median 5%; range 0-53%, P=0.46), with a high value overlap between conditions. CONCLUSION CSF monocytes should not be used to discriminate BM from VM and NB because of value overlaps.
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Affiliation(s)
- M Martinot
- Service de médecine interne et rhumatologie, unité d'infectiologie, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France.
| | - V Greigert
- Service de médecine interne et rhumatologie, unité d'infectiologie, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France
| | - L Souply
- Service de microbiologie, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France
| | - B Rosolen
- Service de médecine interne et rhumatologie, unité d'infectiologie, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France
| | - D De Briel
- Service de microbiologie, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France
| | - M Mohseni Zadeh
- Service de médecine interne et rhumatologie, unité d'infectiologie, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France
| | - J-D Kaiser
- Service de pharmacie, unité de recherche clinique, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France
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Martinot M, Krause V, Souply L, Rosolen B, Mohseni Zadeh M, De Briel D. ZOO-02 - Facteurs de risque de pasteurellose invasive. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30579-0] [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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Martinot M, Parisi E, Étienne E, Grawey I, Mohseni Zadeh M, De Briel D, Hansmann Y. COL6-04 Prévalence des déficits en immunoglobulines (Ig) au cours des infections invasives à pneumocoques et Haemophilus influenzae (HI). Med Mal Infect 2009. [DOI: 10.1016/s0399-077x(09)74289-1] [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: 10/20/2022]
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Mohseni Zadeh M, Martinot M, Rey D, Batard M, Beck-Wirth G, Lang J, Hansmann Y. A-02 Statut vaccinal de la population séropositive VIH en Alsace en 2007 : étude prospective observationnelle. Med Mal Infect 2008. [DOI: 10.1016/s0399-077x(08)73062-2] [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: 11/27/2022]
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Mohseni Zadeh M. Traitement et suivi des phases secondaire et tertiaire de la borréliose de Lyme. Med Mal Infect 2007; 37:368-80. [PMID: 17707605 DOI: 10.1016/j.medmal.2006.01.030] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2006] [Accepted: 01/15/2006] [Indexed: 10/22/2022]
Abstract
The aim of this review was to analyze the current strategies of treatment and follow-up of disseminated and late Lyme borreliosis. A comprehensive search was performed using the Medline database. Only relevant reviews, expert guidelines and randomized controlled clinical trials were selected and, if necessary, open trials. Major drugs used in these studies were amoxicillin, doxycycline, penicillin G, and ceftriaxone. Oral administration of antibiotics was preferred in Lyme arthritis whereas parenteral drugs were mostly used in neuroborreliosis. The treatment duration usually ranged from 14 to 30 days. Prolonged antibiotic courses recommended by some authors in post-Lyme syndromes were not validated by several randomized placebo controlled studies. Follow up patterns were analyzed in order to determine possible prognosis parameters allowing to distinguih active Borrelia burgdorferi infection from a sequel of infection.
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Affiliation(s)
- M Mohseni Zadeh
- Service de médecine interne et de maladies infectieuses et tropicales, hôpital civil, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
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Abstract
Leukocyte adhesion deficiency is a rare syndrome with autosomal recessive pattern of inheritance. An eleven-month-old boy, whose parents were first degree relatives, was referred to clinic with recurrent episodes of pneumonia, otitis and extensive necrotic wounds of perianal area since neonatal period. His umbilical cord had separated 30 days after birth. Laboratory findings included marked leukocytosis, chemotaxis abnormality, and very low levels of CD 11 (0.5%) and CD 18 (2%). Leukocyte Adhesion Defect (LAD) is rare genetic defect of a group of leukocyte membrane glycoproteins. LAD affects nearly one out of every million individuals and is characterized by recurrent bacterial and fungal infections of skin and mucous membranes, diminished pus formation, delayed umbilical cord separation, granulocytosis, poor wound healing and progressive periodontitis. This is the first report of a case of LAD in Isfahan of Iran.
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Affiliation(s)
- H Akbari
- Division of Pediatric Allergy and Immunology, Faculty of Medicine, Isfahan University of Medical Sciences, Iran
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Abstract
OBJECTIVE To evaluate the use of influenza vaccine, rapid influenza testing, and influenza antiviral medication in nursing homes in the US to prevent and control outbreaks. METHODS Survey questionnaires were sent to 1017 randomly selected nursing homes in nine states. Information was collected on influenza prevention, detection and control practices, and on outbreaks during three influenza seasons (1995-1998). RESULTS The survey response rate was 78%. Influenza vaccine was offered to residents and staff by 99% and 86%, respectively, of nursing homes. Among nursing homes offering the influenza vaccine, the average vaccination rate was 83% for residents and 46% for staff. Sixty-seven percent of the nursing homes reported having access to laboratories with rapid antigen testing capabilities, and 19% reported having a written policy for the use of influenza antiviral medications for outbreak control. Nursing homes from New York, where organized education programs on influenza detection and control have been conducted for many years, were more likely to have reported a suspected or laboratory-confirmed influenza outbreak (51% vs 10%, P = .01), to have access to rapid antigen testing for influenza (92% vs 63%, P = .01), and to use antivirals for prophylaxis and treatment of influenza A for their nursing home residents (94% vs 55%, P = .01) compared with nursing homes from the other eight states. CONCLUSIONS Influenza outbreaks among nursing home residents can lead to substantial morbidity and mortality when prevention measures are not rapidly instituted. However, many nursing homes in this survey were neither prepared to detect nor to control influenza A outbreaks. Targeted, sustained educational efforts can improve the detection and control of outbreaks in nursing homes.
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Affiliation(s)
- M M Zadeh
- Influenza Branch, Centers for Disease Control and Prevention, National Centers for Infectious Disease, Division of Viral and Rickettsial Diseases, Atlanta, Georgia 30333, USA
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