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Ichane F, Duquenne S, Poubeau P, Dupin N, Bertolotti A. Secondary syphilis: An ecthyma-like syphilis case report. Ann Dermatol Venereol 2022; 149:209-210. [PMID: 35710538 DOI: 10.1016/j.annder.2022.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 10/01/2021] [Accepted: 01/14/2022] [Indexed: 10/18/2022]
Affiliation(s)
- F Ichane
- Service des maladies infectieuses, dermatologie, CHU La Réunion, 97448 Saint-Pierre Cedex, Reunion.
| | - S Duquenne
- Laboratoire d'anatomopathologie, CHU La Réunion, 97448 Saint-Pierre Cedex, Reunion
| | - P Poubeau
- Service des maladies infectieuses, dermatologie, CHU La Réunion, 97448 Saint-Pierre Cedex, Reunion
| | - N Dupin
- Service de dermatologie-vénéréologie, faculté de médecine, université Sorbonne Paris Descartes, Inserm, Institut Cochin U1016, laboratoire de dermatologie-CNR des IST bactériennes expertise Syphilis, AP-HP, groupe hospitalier Paris Centre Cochin-Hôtel Dieu-Broca, 27, rue du Faubourg Saint-Jacques, 75014 Paris, France
| | - A Bertolotti
- Service des maladies infectieuses, dermatologie, CHU La Réunion, 97448 Saint-Pierre Cedex, Reunion; Inserm CIC1410, CHU La Réunion, 97448 Saint-Pierre Cedex, Reunion
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Diallo K, Fanny A, Koumar Y, Manaquin R, Bertolotti A, Poubeau P. Impact d'une campagne de vaccination COVID-19 en population carcérale. MÉDECINE ET MALADIES INFECTIEUSES FORMATION 2022. [PMCID: PMC9152567 DOI: 10.1016/j.mmifmc.2022.03.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Introduction La population carcérale est précaire et peu médicalisée. Les maisons d'arrêt souffrent régulièrement de surpopulation, et ont un flux régulier important d'entrants et de sortants. Le niveau de connaissances médicales est faible et les détenus sont souvent peu ou mal informés quant à la vaccination contre la COVID-19. Nous avons mis en place dans une maison d'arrêt, pouvant accueillir théoriquement 115 détenus, une proposition de vaccination des détenus, par un vaccin ARN messager à partir de juillet 2021. Tous les détenus sont dépistés à l'entrée dans l'établissement. Une épidémie est survenue dans cette même maison d'arrêt fin janvier 2022. Matériels et méthodes Nous avons recensé le nombre de patients vaccinés du 1er juillet 2021 au 31 janvier 2022 et le nombre de doses reçues. Nous avons recensé les détenus positifs lors de l'épidémie et évalué leur statut vaccinal. Résultats La maison d'arrêt a enregistré 484 entrées avec des durées de séjours variables. Parmi eux, 115 détenus ont été vaccinés et un total de 195 doses ont été administrées. Nous avons réalisé 96 premières injections, 82 deuxièmes injections et 17 troisièmes injections. Nous avons recensé 16 tests positifs parmi les détenus au 31 janvier 2022, dont 10 (62,5 %) à partir du 26 janvier. Parmi eux, 4 avaient été vaccinés (25 %). Deux patients étaient éligibles à leur troisième dose, un patient avait eu 2 doses récentes et un patient n'avait eu qu'une seule dose. Aucune forme symptomatique n'a justifié une hospitalisation. Conclusion La vaccination est un enjeu de santé publique majeur en milieu carcéral, notamment vis-à-vis du SARS-CoV2. La promiscuité et la surpopulation favorisent la circulation de celui-ci, favorisant l'émergence d'épidémies chez une population dont l'état de santé reste fragile. Aucun lien d'intérêt
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Gérardin P, Maillard O, Bruneau L, Accot F, Legrand F, Poubeau P, Manaquin R, Andry F, Bertolotti A, Cecile L. Différencier la COVID-19 et la dengue des autres maladies fébriles dans un contexte de co-épidémie : développement et validation internes des scores COVIDENGUE. MÉDECINE ET MALADIES INFECTIEUSES FORMATION 2022. [PMCID: PMC9152492 DOI: 10.1016/j.mmifmc.2022.03.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Introduction Matériels et méthodes Résultats Conclusion
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Affiliation(s)
- P. Gérardin
- CHU Réunion / INSERM CIC1410, Saint Pierre, Réunion
| | - O. Maillard
- CHU Réunion / INSERM CIC1410, Saint Pierre, Réunion
| | - L. Bruneau
- CHU Réunion / INSERM CIC1410, Saint Denis, Réunion
| | - F. Accot
- CHU Réunion, Saint Pierre, Réunion
| | - F. Legrand
- Université de La Réunion, Saint Denis, Réunion
| | | | | | - F. Andry
- CHU Réunion, Saint Pierre, Réunion
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Diallo K, Rivière M, Gutierrez B, Andry F, Bertolotti A, Zemali N, Saint-Pastou Terrier C, Manaquin R, Koumar Y, Poubeau P. Cerebellar syndrome associated with legionellosis: A case report and literature review. Rev Med Interne 2022; 43:440-443. [DOI: 10.1016/j.revmed.2022.04.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 04/10/2022] [Accepted: 04/13/2022] [Indexed: 11/25/2022]
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Delfosse A, Bouscaren N, Dupin N, Jaubert J, Tran P, Saint-Pastou C, Manaquin R, Poubeau P, Gerardin P, Bertolotti A. Prévalence élevée de la syphilis chez les femmes enceintes, les mineurs et les patients précaires : étude transversale dans un centre de dépistage des infections sexuellement transmissibles dans un département d’outre-mer de 2017 à 2020. Infect Dis Now 2021. [DOI: 10.1016/j.idnow.2021.06.210] [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: 11/17/2022]
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Delfosse A, Bouscaren N, Dupin N, Jaubert J, Tran PL, Saint Pastou C, Manaquin R, Poubeau P, Gerardin P, Bertolotti A. High prevalence of syphilis in women, minors and precarious patients: a cross-sectional study in a Reunion Island sexually transmitted infection clinic, 2017-2020. J Eur Acad Dermatol Venereol 2021; 35:2287-2292. [PMID: 34331780 DOI: 10.1111/jdv.17572] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 06/24/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Syphilis is a sexually transmitted infection (STI) with a global prevalence estimated at 0.5% in 2012. Syphilis has been on the rise among men who have sex with men (MSM) in high-income countries and remains at endemic levels in low- and middle-income countries. This trend, however, has not been observed in Reunion Island. OBJECTIVES To determine the prevalence, clinical characteristics and risk factors of syphilis in at-risk patients visiting the South Reunion STI clinic in Reunion Island. METHODS This monocentric cross-sectional study included all patients who visited our STI clinic between 2017 and 2020. Syphilis serology was performed on all included patients, and data were collected using a standardized self-administered questionnaire. RESULTS Over the 3-year study period, 2593 patients were enrolled. The prevalence of syphilis was 7.52% (n = 195, 95% CI, 6.50-8.65%) in the overall study population, 11.76% (n = 18, 95% CI, 6.97-18.59%) in minors (aged under 18 years) and 36.36% (n = 16, 95% CI, 21-59%) in pregnant women. The risk factors identified in multivariate analysis were being female [adjusted Prevalence Ratio (aPR) 1.85, 95% CI, 1.10-3.11], being MSM (aPR 2.87, 95% CI, 1.71-4.80), being aged under 18 years (aPR 3.54, 95% CI, 1.90-6.57), living in precarious conditions [aPR 3.12, 95% CI, 2.11-4.62] and being born in Reunion Island (aPR 2.43, 95% CI, 1.42-4.13). The clinical presentation was heterogeneous (plaques and papules, chancre, atypical ulcerations, multiple ulcerations, condyloma lata, etc.). CONCLUSIONS These findings suggest a high prevalence of syphilis in at-risk patients visiting our STI clinic. Unlike the situation in other high-income countries, the people most at risk of syphilis in Reunion Island are local-born residents, minors, women and precarious patients. This is a source of concern, especially given the risk of resurgence of congenital syphilis on the island.
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Affiliation(s)
- A Delfosse
- Service des Maladies Infectieuses - Dermatologie, CHU Réunion, Saint Pierre, France
| | - N Bouscaren
- Inserm CIC1410, CHU Réunion, Saint Pierre, France
| | - N Dupin
- Service de Dermatologie, Hôpital Cochin, AP-HP, CNR de la syphilis, Institut Cochin, U1016, Université Paris Descartes, Paris, France
| | - J Jaubert
- Laboratoire de Microbiologie, CHU Réunion, Saint Pierre, France
| | - P L Tran
- Service de Gynécologie Obstétrique, CHU Réunion, Saint Pierre, France
| | - C Saint Pastou
- Service des Maladies Infectieuses - Dermatologie, CHU Réunion, Saint Pierre, France
| | - R Manaquin
- Service des Maladies Infectieuses - Dermatologie, CHU Réunion, Saint Pierre, France
| | - P Poubeau
- Service des Maladies Infectieuses - Dermatologie, CHU Réunion, Saint Pierre, France
| | - P Gerardin
- Service des Maladies Infectieuses - Dermatologie, CHU Réunion, Saint Pierre, France
| | - A Bertolotti
- Service des Maladies Infectieuses - Dermatologie, CHU Réunion, Saint Pierre, France.,Inserm CIC1410, CHU Réunion, Saint Pierre, France
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Folio M, Bouscaren N, De Barbeyrac B, Boukerrou MC, Ricaud C, Hoang S, Levin C, Poubeau P, Gerardin P, Bertolotti A. Minors are the most affected by Chlamydia trachomatis in Reunion Island: A cross-sectional study, 2017-2018. Ann Dermatol Venereol 2021; 148:238-240. [PMID: 34176640 DOI: 10.1016/j.annder.2021.02.007] [Citation(s) in RCA: 3] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 10/14/2020] [Accepted: 02/12/2021] [Indexed: 12/01/2022]
Abstract
OBJECTIVES To determine the prevalence of Chlamydia trachomatis (CT) in the population screened at sexually transmitted infection (STI) clinics on Reunion Island and to identify risk factors for CT infection. PATIENTS AND METHODS This cross-sectional multicenter study was conducted in 2017-2018. Data were obtained from self-administered questionnaires and multiplex PCR tests. RESULTS The overall prevalence of CT in the screened population was 8.6% (95% CI 7.7-9.5%). The prevalence of urogenital CT was highest in women under 18 (13.2%, 95% CI 9.3-18.1%) and in men who have sex with men under 18 (13.3%, 95% CI 1.6-48.2%). Risk factors associated with CT infection in multivariate analysis were: female gender, being born in Reunion Island, having had a large number of sexual partners in the past year, and being co-infected with another STI. CONCLUSIONS The prevalence of CT in the screened population is higher in Reunion Island than in mainland France, especially in minors. Prevention campaigns targeting minors should be strengthened.
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Affiliation(s)
- M Folio
- Service des urgences, CHU Réunion, 97400 Saint-Denis, Reunion
| | - N Bouscaren
- Inserm CIC1410, CHU Réunion, 97400 Saint-Pierre, Reunion
| | - B De Barbeyrac
- USC infections humaines à mycoplasmes et Chlamydiae, Centre national de référence des infections à chlamydiae, university Bordeaux, 33076 Bordeaux cedex, France; Inra, USC infections humaines à mycoplasmes et Chlamydiae, 33076 Bordeaux cedex, France
| | - M C Boukerrou
- Service de gynécologie obstétrique, CHU Réunion, 97400 Saint-Pierre, Reunion
| | - C Ricaud
- Service des maladies infectieuses, CHU Réunion, 97400 Saint-Denis, Reunion
| | - S Hoang
- Service des maladies infectieuses, CHU Réunion, 97400 Saint-Denis, Reunion
| | - C Levin
- Service des maladies infectieuses - dermatologie, CHU Réunion, 97400 Saint-Pierre, Reunion
| | - P Poubeau
- Service des maladies infectieuses - dermatologie, CHU Réunion, 97400 Saint-Pierre, Reunion
| | - P Gerardin
- Inserm CIC1410, CHU Réunion, 97400 Saint-Pierre, Reunion
| | - A Bertolotti
- Inserm CIC1410, CHU Réunion, 97400 Saint-Pierre, Reunion; Service des maladies infectieuses - dermatologie, CHU Réunion, 97400 Saint-Pierre, Reunion.
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Duval C, Anthony N, Thore-Dupont E, Jaubert J, Camuset G, Von Theobald P, Franco JM, Poubeau P, Bruneau L, Bertolotti A. [Prevalence and Risk Factors of Chlamydia Trachomatis Infection Among Women Consulting at the Sexually Transmitted Infection Centre in la Reunion: A Cross-Sectional Study]. Med Trop Sante Int 2021; 1:mtsibulletin.n1.2021.69. [PMID: 35586641 PMCID: PMC9022755 DOI: 10.48327/mtsibulletin.n1.2021.69] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Accepted: 02/28/2021] [Indexed: 11/24/2022]
Abstract
Introduction Chlamydia trachomatis (CT) infection is the commonest bacterial sexually transmitted infection (STI) in the world. Often asymptomatic, it can lead to significant complications in women. In France, since 2003, systematic screening for CT in STI center has been recommended for women aged less than 25 year. The main objective of this study was to determine CT prevalence in patients attending STI centers in Reunion Island. The second objective was to explore the determinants of this infection. Method A cross-sectional survey using an anonymous questionnaire was conducted among women attending STI center in two hospitals in western and southern Reunion Island during one year. All women who had performed a CT PCR, based on vaginal self-swabs, were included. Results Among the 620 patients tested, the prevalence of infection was 6.6% (95% CI [4.7-8.6]). By age group, the highest prevalence was between 12 and 17 years with 14.3% positive tests compared to 7.5% and 3.9% respectively in 18-24 and 25-67 year age group (p = 0.003). The risk factors for CT were a young age (p = 0.02), a first sexual intercourse between 11 and 14 years old (p = 0.01), lack of previous STI screening history (p = 0.02), and the following motives for seeking screening: "partner unfaithfulness" (p = 0.01) and "infected partner" (p = 0.02). Conclusion This study highlights the high prevalence of CT among Reunionese minors. A more systematic screening and a reinforcement of STI awareness among young people in Reunion Island seem to be essential.
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Affiliation(s)
- C. Duval
- CHU Réunion, Service des maladies infectieuses - dermatologie, Saint Pierre, La Réunion, France
| | - N. Anthony
- Inserm CIC1410, CHU Réunion, Saint Pierre, La Réunion, France
| | - E. Thore-Dupont
- CHU Réunion, Centre gratuit d'information de dépistage et diagnostic des IST, Saint Paul, La Réunion, France
| | - J. Jaubert
- CHU Réunion, Laboratoire de microbiologie, Saint Pierre, La Réunion, France
| | - G. Camuset
- CHU Réunion, Service des maladies infectieuses - dermatologie, Saint Pierre, La Réunion, France
| | - P. Von Theobald
- CHU Réunion, Service de gynécologie - obstétrique, Saint Denis, La Réunion, France
| | - J.-M. Franco
- Département de médecine générale universitaire, La Réunion, France
| | - P. Poubeau
- CHU Réunion, Service des maladies infectieuses - dermatologie, Saint Pierre, La Réunion, France
| | - L. Bruneau
- Inserm CIC1410, CHU Réunion, Saint Pierre, La Réunion, France
| | - A. Bertolotti
- CHU Réunion, Service des maladies infectieuses - dermatologie, Saint Pierre, La Réunion, France,Inserm CIC1410, CHU Réunion, Saint Pierre, La Réunion, France,*
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Bourgeois G, Grange P, Saint-Pastou Terrier C, Koumar Y, Manaquin R, Zemali N, Poubeau P, Dupin N, Jaubert J, Bertolotti A. Azithromycin resistance in Treponema pallidum in Reunion Island: A cross-sectional study. Ann Dermatol Venereol 2021; 148:165-167. [PMID: 33608114 DOI: 10.1016/j.annder.2020.12.003] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 09/21/2020] [Accepted: 12/02/2020] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Since the beginning of the 21st century, Reunion Island has experienced a syphilis epidemic. Infected patients are mostly heterosexual, with a high proportion of women, suggesting that congenital syphilis is present on the island. To determine whether azithromycin can be used for mass treatment of syphilis on Reunion Island, we assessed the prevalence of macrolide resistance in Treponema pallidum (TP). METHODS This monocentric cross-sectional study was conducted at the Reunion Island University Hospital. Samples were collected from lesions suggestive of primary or secondary syphilis. Samples positive for TP by multiplex polymerase chain reaction (PCR) were sent to the French National Reference Centre (NRC) for further analysis. Nested PCR-tpp47 was performed on these samples for detection of TP-DNA; 23s rRNA was amplified by PCR in confirmed positive samples. The Restriction Fragment Length Polymorphism (RFLP) technique was performed on samples with amplified 23s rRNA for detection of the A2058G mutation. RESULTS A total of 129 samples were collected from 119 patients. Of these, 18 tested positive for TP using multiplex PCR and were sent to the NRC. Fifteen (83.3%) of the 18 samples were confirmed positive by nested PCR-tpp47, and 23s rRNA was amplified in only 7 (38.9%) samples. Azithromycin resistance was detected in all TP strains with amplified 23s rRNA. CONCLUSION Amplification of 23s rRNA was successful in only 7 TP strains, all of which displayed resistance to macrolides. Keeping in mind the small sample size of our study, this suggests that azithromycin should not be used for mass treatment of syphilis in Reunion Island.
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Affiliation(s)
- G Bourgeois
- CHU de la Réunion, laboratoire de microbiologie, Saint-Pierre, 97, avenue du Président Mitterrand, La Réunion, France
| | - P Grange
- Service de dermatologie-vénéréologie, université Sorbonne Paris Descartes, faculté de médecine, Inserm, institut Cochin U1016, laboratoire de dermatologie-CNR des IST bactériennes expertise Syphilis, AP-HP, groupe hospitalier paris centre Cochin-Hôtel Dieu-Broca, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France
| | - C Saint-Pastou Terrier
- Service des maladies infectieuses-dermatologie, CHU de la Réunion, Saint Pierre, 97, avenue du Président-Mitterrand, La Réunion, France
| | - Y Koumar
- Service des maladies infectieuses-dermatologie, CHU de la Réunion, Saint Pierre, 97, avenue du Président-Mitterrand, La Réunion, France
| | - R Manaquin
- Service des maladies infectieuses-dermatologie, CHU de la Réunion, Saint Pierre, 97, avenue du Président-Mitterrand, La Réunion, France
| | - N Zemali
- CHU de la Réunion, laboratoire de microbiologie, Saint-Pierre, 97, avenue du Président Mitterrand, La Réunion, France
| | - P Poubeau
- Service des maladies infectieuses-dermatologie, CHU de la Réunion, Saint Pierre, 97, avenue du Président-Mitterrand, La Réunion, France
| | - N Dupin
- Service de dermatologie-vénéréologie, université Sorbonne Paris Descartes, faculté de médecine, Inserm, institut Cochin U1016, laboratoire de dermatologie-CNR des IST bactériennes expertise Syphilis, AP-HP, groupe hospitalier paris centre Cochin-Hôtel Dieu-Broca, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France
| | - J Jaubert
- CHU de la Réunion, laboratoire de microbiologie, Saint-Pierre, 97, avenue du Président Mitterrand, La Réunion, France
| | - A Bertolotti
- Service des maladies infectieuses-dermatologie, CHU de la Réunion, Saint Pierre, 97, avenue du Président-Mitterrand, La Réunion, France; Inserm CIC1410, CHU de Réunion, Saint-Pierre, 97, avenue du Président-Mitterrand, La Réunion, France.
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Calas A, Zemali N, Camuset G, Jaubert J, Manaquin R, Saint-Pastou C, Koumar Y, Poubeau P, Gerardin P, Bertolotti A. Prevalence of urogenital, anal, and pharyngeal infections with Chlamydia trachomatis, Neisseria gonorrhoeae, and Mycoplasma genitalium: a cross-sectional study in Reunion island. BMC Infect Dis 2021; 21:95. [PMID: 33478403 PMCID: PMC7818901 DOI: 10.1186/s12879-021-05801-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [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: 10/21/2020] [Accepted: 01/13/2021] [Indexed: 12/31/2022] Open
Abstract
Background Recommendations for sexually transmitted infection (STI) screening vary significantly across countries. This study evaluated the prevalence of urogenital and extragenital infections with Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Mycoplasma genitalium (MG) in patients visiting a French STI clinic in the Indian Ocean region to determine whether current STI screening practices should be updated. Methods This cross-sectional study examined all patients who visited the STI clinic between 2014 and 2015. Triplex polymerase chain reaction screening for CT, NG, and MG was performed on urine, vaginal, pharyngeal, and anal specimens (FTD Urethritis Basic Kit, Fast Track Diagnostics, Luxembourg). Results Of the 851 patients enrolled in the study, 367 were women (367/851, 43.2%) and 484 were men (484/851, 56.0%). Overall, 826 urogenital specimens (826/851, 97.1%), 606 pharyngeal specimens (606/851, 71.2%), and 127 anal specimens (127/851, 14.9%) were taken from enrolled patients. The prevalence of urogenital CT and MG was high in women ≤25 years (19/186, 10.21%; 5/186, 2.69%) and in men who have sex with women ≤30 years (16/212, 7.54%; 5/212, 2.36%). Among patients with urogenital CT infection, 13.7% (7/51) had urethritis. All patients with urogenital MG infection were asymptomatic. Men who have sex with men had a high prevalence of pharyngeal CT (2/45, 4.44%) and NG (3/44, 6.81%) and a high prevalence of anal CT (2/27, 7.41%), NG (2/27, 7.40%), and MG (1/27, 3.70%). After excluding patients with concomitant urogenital infection, extragenital infections with at least 1 of the 3 pathogens were found in 20 swabs (20/91, 21.9%) taken from 16 patients (16/81, 19.7%), all of them asymptomatic. Conclusions Routine multisite screening for CT, NG, and MG should be performed to mitigate the transmission of STIs in high-risk sexually active populations. Supplementary Information The online version contains supplementary material available at 10.1186/s12879-021-05801-9.
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Affiliation(s)
- A Calas
- CHU Réunion, Service des Maladies Infectieuses - Dermatologie, Saint Pierre, La Réunion, France
| | - N Zemali
- CHU Réunion, Laboratoire de microbiologie, Saint Pierre, La Réunion, France
| | - G Camuset
- CHU Réunion, Service des Maladies Infectieuses - Dermatologie, Saint Pierre, La Réunion, France
| | - J Jaubert
- CHU Réunion, Laboratoire de microbiologie, Saint Pierre, La Réunion, France
| | - R Manaquin
- CHU Réunion, Service des Maladies Infectieuses - Dermatologie, Saint Pierre, La Réunion, France
| | - C Saint-Pastou
- CHU Réunion, Service des Maladies Infectieuses - Dermatologie, Saint Pierre, La Réunion, France
| | - Y Koumar
- CHU Réunion, Service des Maladies Infectieuses - Dermatologie, Saint Pierre, La Réunion, France
| | - P Poubeau
- CHU Réunion, Service des Maladies Infectieuses - Dermatologie, Saint Pierre, La Réunion, France
| | - P Gerardin
- Inserm CIC1410, CHU Réunion, Saint Pierre, La Réunion, France
| | - A Bertolotti
- CHU Réunion, Service des Maladies Infectieuses - Dermatologie, Saint Pierre, La Réunion, France. .,Inserm CIC1410, CHU Réunion, Saint Pierre, La Réunion, France.
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Deltombe T, Richier Q, Foucher A, Roussin C, Randrianjohany A, Gerber A, Poubeau P, Raffray L. L’artérite à cellules géantes à La Réunion, un territoire cosmopolite de l’Hémisphère Sud. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.135] [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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Aubin A, Eldin C, Zemali N, Jaubert J, Koumar Y, Moiton M, Poubeau P, Braunberger E, Gerardin P, Bertolotti A. Données cliniques autour de la fièvre Q aiguë à La Réunion : étude de cohorte rétrospective. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.423] [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: 11/28/2022]
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Moussiegt A, Jaubert J, Traversier N, Bertolotti A, Degagne I, Poubeau P, Moiton M, Raffray L. Arthrites gonococciques : Série de 47 cas hospitaliers. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.022] [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: 11/16/2022]
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Grouteau G, Lancelot O, Bertolotti A, Poubeau P, Manaquin R, Foucher A, Jaubert J, Parola P, Pagès F, Camuset G. Emergence of murine typhus in La Réunion, France, 2012-2017. Med Mal Infect 2019; 50:22-27. [PMID: 31387814 DOI: 10.1016/j.medmal.2019.06.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [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: 05/27/2018] [Revised: 09/01/2018] [Accepted: 06/11/2019] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Murine typhus (MT) is an acute zoonosis caused by Rickettsia typhi, a flea-borne rickettsiosis. The first autochthonous case was reported in 2012. Once autochthonous transmission of Rickettsia typhi was proven, we performed a prospective study to describe and raise awareness of this often-misdiagnosed disease among physicians. PATIENTS AND METHODS We performed a prospective observational study of MT cases in La Réunion from 2012 to 2017. MT cases were defined as clinically compatible illnesses with a specific positive serology and/or PCR. RESULTS Sixty-one confirmed cases were collected. The main clinical features were prolonged fever (90%), asthenia (87%), and headaches (79%). The main biological abnormalities were elevated liver enzymes (84%) and thrombopenia (75%). Renal function was normal in 90% of cases; it was an important feature because leptospirosis is a frequent cause of acute renal failure. A seasonal factor was observed with 79% of cases reported in the warm season and most of them in the west and south of the island (i.e., the dry areas). CONCLUSION MT is an emerging disease in La Réunion, and local conditions could lead to an endemic situation. Cases of acute undifferentiated fever with headaches should guide to the diagnosis of MT especially in the warm season and dry areas. Leptospirosis is an alternative diagnosis, which differs from MT by its epidemiological characteristics and by the associated frequent renal dysfunction.
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Affiliation(s)
- G Grouteau
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion.
| | - O Lancelot
- Service d'accueil des Urgences, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - A Bertolotti
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - P Poubeau
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - R Manaquin
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - A Foucher
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - J Jaubert
- Service de bactériologie, virologie, parasitologie, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - P Parola
- Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, 13005 Marseille, France
| | - F Pagès
- Santé Publique France, 2, bis avenue Georges-Brassens, 97743 Saint-Denis cedex 9, Reunion
| | - G Camuset
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
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Bourgeois G, Grange P, Saint Pastou Terrier C, Koumar Y, Manaquin R, Zemali N, Poubeau P, Dupin N, Jaubert J, Bertolotti A. Résistance de Treponema pallidum à l’azithromycine dans un département d’Outre-mer. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.201] [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: 11/28/2022]
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16
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Devos S, Camuset G, Thore E, Porcher M, Manaquin R, Gaud C, Menudier L, Poubeau P, Rodet R, Bertolotti A. Augmentation du nombre de syphilis chez les jeunes hétérosexuels dans un DOM : données de la surveillance régionale de 2007 à 2017. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.191] [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: 11/16/2022]
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17
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Duval C, Thore E, Bruneau L, Camuset G, Ricou-Berthelot A, Jaubert J, Von Theobald P, Franco JM, Poubeau P, Bertolotti A. Prévalence de Chlamydia trachomatis chez les femmes consultant en centres de dépistage à la Réunion : étude transversale. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.474] [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: 10/27/2022]
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18
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Grouteau G, Lancelot O, Poubeau P, Manaquin R, Foucher A, Bertolotti A, Jaubert J, Pagès F, Camuset G, Parola P. Le Typhus murin dans l’océan Indien : caractéristiques cliniques, biologiques, et épidémiologiques. Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.279] [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: 10/19/2022]
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19
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Bertolotti A, Zemali N, Manaquin R, Borgherini G, Foucher A, Jaubert J, Picot S, Gerardin P, Poubeau P, Camuset G. Impact de Mycoplasma genitalium dans un CDAG d’outre-mer à la lumière des autres maladies sexuellement transmissibles : étude transversale. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.490] [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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20
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Duvignaud A, Fianu A, Bertolotti A, Borgherini G, Jaubert J, Michault A, Poubeau P, Malvy D, Gérardin P. EMERG-05 Rhumatisme et fatigue chronique, les deux facettes du chikungunya. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30365-1] [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: 11/25/2022]
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21
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Manaquin R, Pagès F, Jaffar-Bandjee M, Roquebert B, Moiton M, Camuset G, Borgherini G, Poubeau P, Cazanave C. IST-03 - Infections sexuellement transmissibles chez la femme à La Réunion, place de Mycoplasma genitalium. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30434-6] [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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22
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Guilleminault L, Laurent S, Foucher A, Poubeau P, Paganin F. Pulmonary arterial hypertension in adult onset Still's disease: a case report of a severe complication. BMC Pulm Med 2016; 16:72. [PMID: 27160441 PMCID: PMC4862120 DOI: 10.1186/s12890-016-0237-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [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: 02/15/2016] [Accepted: 05/01/2016] [Indexed: 12/02/2022] Open
Abstract
Background Adult onset of Still’s disease (AOSD) is a rare systemic inflammatory disease. Cardiorespiratory complications are mainly represented by pleural and pericardial disorders and are less frequent than cutaneous and articular complaints. Pulmonary arterial hypertension (PAH) occurring in AOSD is rarely described in literature. Case presentation We present the case of a young patient who developed severe PAH 2 years after diagnosis of AOSD. This is a rare and severe complication which is probably underestimated. Conclusions PAH in AOSD can be lethal, and unfortunately its occurrence is unpredictable. Echocardiographic screening of AOSD patients should be evaluated in further trials. Currently, the most suitable treatment is still unknown. Electronic supplementary material The online version of this article (doi:10.1186/s12890-016-0237-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- L Guilleminault
- Service de Pneumologie, CHU Reunion/GHSR, Saint-Pierre, F-97410, France. .,Inserm, UMR 1188 Diabète athérothrombose Thérapies Réunion Océan Indien (DéTROI), plateforme CYROI, Sainte-Clotilde, F-97490, France. .,Université de La Réunion, UMR 1188, Sainte-Clotilde, F-97490, France. .,Service de Pneumologie, Groupe Hospitalier Sud Réunion, BP 350, 97448, Saint-Pierre cedex, France.
| | - S Laurent
- Service de Pneumologie, CHU Reunion/GHSR, Saint-Pierre, F-97410, France
| | - A Foucher
- Service de maladies infectieuses, CHU Reunion/GHSR, Saint-Pierre, F-97410, France
| | - P Poubeau
- Service de maladies infectieuses, CHU Reunion/GHSR, Saint-Pierre, F-97410, France
| | - F Paganin
- Service de Pneumologie, CHU Reunion/GHSR, Saint-Pierre, F-97410, France.,Université de La Réunion, UMR 1188, Sainte-Clotilde, F-97490, France
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Cerland C, Lamaury I, Rigollier I, Melot B, Ouka M, Poubeau P, Stegman S, Pierre-François S, Cabié A, Hoen B, Gaud C. Comparative study of the epidemiological characteristics of people living with HIV (PLHIV) in French overseas territories. J Virus Erad 2016. [DOI: 10.1016/s2055-6640(20)31222-x] [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: 11/15/2022] Open
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Borgherini G, Camuset G, Foucher A, Maiza JC, Thibault FM, Picot S, Poubeau P. The first autochthonous case of human melioidosis in Reunion Island. Med Mal Infect 2015; 45:47-9. [PMID: 25596804 DOI: 10.1016/j.medmal.2014.11.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2014] [Revised: 11/13/2014] [Accepted: 11/30/2014] [Indexed: 11/19/2022]
Affiliation(s)
- G Borgherini
- Service de maladies infectieuses, centre hospitalier universitaire de Saint-Pierre, BP 350, 97448 Saint-Pierre, Reunion.
| | - G Camuset
- Service de maladies infectieuses, centre hospitalier universitaire de Saint-Pierre, BP 350, 97448 Saint-Pierre, Reunion
| | - A Foucher
- Service de maladies infectieuses, centre hospitalier universitaire de Saint-Pierre, BP 350, 97448 Saint-Pierre, Reunion
| | - J C Maiza
- Endocrinologie, centre hospitalier universitaire de Saint-Pierre, 97448 Saint-Pierre, Reunion
| | - F M Thibault
- Institut de recherche biomédicale des Armées, 91220 Brétigny-sur-Orge, France
| | - S Picot
- Microbiologie, centre hospitalier universitaire de Saint-Pierre, 97448 Saint-Pierre, Reunion
| | - P Poubeau
- Service de maladies infectieuses, centre hospitalier universitaire de Saint-Pierre, BP 350, 97448 Saint-Pierre, Reunion
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25
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Raffray L, Assenjee L, Yvin JL, Gerber A, Bouquillard E, Renou F, Roussin C, Thirapathi-Appadu Y, Foucher A, Poubeau P, Ferrandiz D. Épidémiologie de la sclérodermie systémique à La Réunion. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.03.090] [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: 11/29/2022]
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26
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Montani D, Bergot E, Günther S, Savale L, Bergeron A, Bourdin A, Bouvaist H, Canuet M, Pison C, Macro M, Poubeau P, Natali D, Guignabert C, Perros F, O’callaghan DS, Jais X, Zalcman G, Sitbon O, Simonneau G, Humbert M. Hypertension artérielle pulmonaire induite par le dasatinib (dual Src/Abl kinase inhibitor). Rev Mal Respir 2012. [DOI: 10.1016/j.rmr.2011.10.072] [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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27
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Paganin F, Bourdin A, Borgherini G, Dalban C, Poubeau P, Tixier F, Gouix A, Noel JB, Cotte L, Arvin-Berod C. Pulmonary manifestations of leptospirosis. Rev Mal Respir 2011; 28:e131-9. [PMID: 22123152 DOI: 10.1016/j.rmr.2011.09.024] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2008] [Accepted: 06/09/2009] [Indexed: 11/16/2022]
Abstract
BACKGROUND Pulmonary manifestations in leptospirosis are considered a major complication and are related to a poor prognosis. We present a large series of patients with pulmonary involvement using a practical approach based on the presence of acute respiratory failure (ARF). METHODS A retrospective study of patients with confirmed leptospirosis. RESULTS One hundred and sixty-nine patients with a laboratory-confirmed diagnosis of leptospirosis were investigated. One hundred and thirty-four patients (36.7±14 years of age) had pulmonary involvement. Severe pulmonary involvement was defined by evidence of ARF. Univariate analysis found the following factors related to severe pulmonary leptospirosis: dyspnoea (OR=10.14, p<0.0001), pulmonary crepitations (OR=4.8, p<0.0004), abnormal chest X-ray (OR=9.88, p<0.007) with alveolar shadowing (OR=8.12, p<0.0001), oliguria/anuria (OR=5.48, p<0.0001), hepatomegaly (OR=7.11, p< 0.0001), shock (OR=8.38, p< 0.0001), ICU admission (OR=60.08, p< 0.0001), dialysis (OR=4.87, p< 0.001), mechanical ventilation (OR=216, p< 0.0001) and development of nosocomial infection (OR=21.5, p< 0.0001). The mortality rate was significantly different between severe (40%) and non-severe (5.3%) pulmonary forms (OR=11.87, p< 0.0001). Multivariate analysis found two independent factors related to severe pulmonary involvement: dyspnoea (OR=10.18, p< 0.0001) and oliguria/anuria (OR=4.87, p< 0.0009). We performed a multivariate analysis to assess independent factors related to mortality and found: mechanical ventilation requirement (OR=27.85, p< 0.0001) and AST greater than 150 IU/L (OR=4.57, p< 0.02). Haemoptysis was associated with survival (OR=0.2, p< 0.02). CONCLUSIONS Severe pulmonary involvement in leptospirosis is associated with extensive disease involving other organs. The association of multiple factors is associated with severe forms of the disease and a high mortality rate.
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Affiliation(s)
- F Paganin
- Service de pneumologie et maladies infectieuses, GHSR, BP 350, Saint-Pierre, Reunion.
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28
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29
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D'Ortenzio E, Renault P, Jaffar-Bandjee M, Gaüzère B, Lagrange-Xélot M, Fouillet A, Poubeau P, Winer A, Bourde A, Staikowsky F, Morbidelli P, Rachou E, Thouillot F, Michault A, Filleul L. A review of the dynamics and severity of the pandemic A(H1N1) influenza virus on Réunion Island, 2009. Clin Microbiol Infect 2010; 16:309-16. [DOI: 10.1111/j.1469-0691.2010.03171.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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30
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Paganin F, Bourdin A, Borgherini G, Dalban C, Poubeau P, Tixier F, Gouix A, Noel JB, Cotte L, Arvin-Berod C. Manifestations pulmonaires de la leptospirose. Rev Mal Respir 2009; 26:971-9. [DOI: 10.1016/s0761-8425(09)73332-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [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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31
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Thouillot F, Do C, Balleydier E, Rachou E, Staikowsky F, Morbidelli P, Jacques-Antoine Y, Bourde A, Lagrange-Xélot M, Poubeau P, Winer A, Gauzere BA, Michault A, Jaffar-Bandjee MC, Henrion G, Filleul L, D’Ortenzio E. Preliminary analysis of the pandemic H1N1 influenza on Réunion Island (Indian Ocean): surveillance trends (July to mid-September 2009). Euro Surveill 2009; 14. [DOI: 10.2807/ese.14.42.19364-en] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
First infections with the 2009 pandemic H1N1 influenza virus were identified on Réunion Island in July 2009. By the end of July, sustained community transmission of the virus was established. Pandemic H1N1 influenza activity peaked during week 35 (24 to 30 August), five weeks after the beginning of the epidemic and has been declining since week 36. We report preliminary epidemiological characteristics of the pandemic on Réunion Island in 2009 until week 37 ending September 13.
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Affiliation(s)
- F Thouillot
- Regional office (Cire) of the French Institute for Public Health Surveillance (Institut de veille sanitaire), Réunion, France
| | - C Do
- Regional office (Cire) of the French Institute for Public Health Surveillance (Institut de veille sanitaire), Réunion, France
| | - E Balleydier
- Regional office (Cire) of the French Institute for Public Health Surveillance (Institut de veille sanitaire), Réunion, France
| | - E Rachou
- Regional Health Observatory (Observatoire régional de la santé), Réunion, France
| | - F Staikowsky
- Emergency Department (Service des urgences), Regional Hospital Centre of Saint-Pierre, Réunion, France
| | - P Morbidelli
- Emergency Department (Service des urgences), Hospital Centre of Saint-Paul, Réunion, France
| | - Y Jacques-Antoine
- Emergency Department (Service des urgences), Clinic of Saint-Benoît, Réunion, France
| | - A Bourde
- Emergency Department (Service des urgences), Regional Hospital Centre of Saint-Denis, Réunion, France
| | - M Lagrange-Xélot
- Infectious Diseases Unit (Unité des maladies infectieuses), Regional Hospital Centre of Saint-Denis, Réunion, France
| | - P Poubeau
- Infectious Diseases Unit (Unité des maladies infectieuses), Regional Hospital Centre of Saint-Pierre, Réunion, France
| | - A Winer
- Intensive Care Unit (Service de réanimation), Regional Hospital Centre of Saint-Pierre, Réunion, France
| | - B A Gauzere
- Intensive Care Unit (Service de réanimation), Regional Hospital Centre of Saint-Denis, Réunion, France
| | - A Michault
- Laboratory for Bacteriology, Parasitology, Virology and Hospital Hygiene (Laboratoire de de bactériologie, parasitologie, virologie et hygiène hospitalière), Regional Hospital Centre of Saint-Pierre, Réunion, France
| | - M C Jaffar-Bandjee
- Laboratory for Microbiology, Regional Hospital Centre of Saint-Denis, Réunion, France
| | - G Henrion
- Hospital Based Mobile Emergency Unit (SAMU), Regional Hospital Centre of Saint-Denis, Réunion, France
| | - L Filleul
- Regional office (Cire) of the French Institute for Public Health Surveillance (Institut de veille sanitaire), Réunion, France
| | - E D’Ortenzio
- Regional office (Cire) of the French Institute for Public Health Surveillance (Institut de veille sanitaire), Réunion, France
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Borgherini G, Gouix A, Paganin F, Jossaume A, Arvin Berod C, Michault A, Poubeau P. COL7-03 Arthralgies persistantes après une infection à Chikungunya a l’île de La Réunion. Med Mal Infect 2008. [DOI: 10.1016/s0399-077x(08)73043-9] [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: 10/21/2022]
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Paganin F, Poubeau P, Davy N, Khelif D, Lassalarié J, Noël J, Leroux F, Benard M, Amat C, Arvin-Berod C. 205 Cancers primitifs bronchiques à l’Île de la Réunion : évolution épidémiologique des années 2000 à 2005. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72581-0] [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: 10/22/2022]
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Portier H, Brambilla C, Garre M, Paganin F, Poubeau P, Zuck P. Moxifloxacin monotherapy compared to amoxicillin-clavulanate plus roxithromycin for nonsevere community-acquired pneumonia in adults with risk factors. Eur J Clin Microbiol Infect Dis 2005; 24:367-76. [PMID: 15944847 DOI: 10.1007/s10096-005-1347-1] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The objective of this study was to assess the efficacy and safety of moxifloxacin versus amoxicillin-clavulanate plus roxithromycin (comparator) in adult community-acquired pneumonia (CAP) patients with risk factors. In this comparative, randomized, multicenter, open-label study, patients hospitalized for CAP received a 10-day oral treatment with either moxifloxacin (400 mg o.d.) or amoxicillin-clavulanate (1,000/125 mg t.i.d.) plus roxithromycin (150 mg b.i.d.). Clinical and bacteriological outcomes were assessed during test of cure and follow-up visits (5-7 days and 21-28 days after the end of treatment, respectively). Of 349 randomized patients, 346 were included in the intent-to-treat analysis and 289 in the per-protocol analysis. Their baseline characteristics were comparable. The most frequent risk factors for mortality were age >65 years (50.0%), alcoholism (23.1%), and comorbidities (50.6%); chronic obstructive pulmonary disease (COPD) (25.4%) and diabetes mellitus (13.6%) were the most common associated comorbidities. A causative pathogen was documented in 66 of 346 (19.1%) of the patients (including 21 with positive blood cultures). Respective per-protocol clinical success rates at test-of-cure (primary efficacy endpoint) for moxifloxacin and comparator were 131 of 151 (86.8%) and 120 of 138 (87.0%), with a 95% confidence interval (CI) of -8.0-7.6 for the difference. Bacteriological success rates (eradication) were 23 of 30 (76.7%) and 23 of 31 (74.2%); rates for patients with positive blood cultures were 10 of 14 and 4 of 6. Persistent clinical success rates at follow-up were 118 of 120 (98.3%) and 102 of 106 (96.2%), with a 95%CI of -2.2-6.4 for the difference. The intent-to-treat analysis confirmed these results. Adverse events associated with moxifloxacin and the comparator drug were reported for 42 of 171 (24.6%) and 50 of 175 (28.6%) of the patients, respectively, and comprised predominantly digestive disorders, which occurred in 9.4% and 21.1%. On the basis of these results, once-daily oral moxifloxacin alone is as effective as amoxicillin-clavulanate plus roxithromycin for the treatment of CAP in patients with risk factors.
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Affiliation(s)
- H Portier
- CHU de Dijon, Hôpital du Bocage, BP 1542, 21034 Dijon Cedex, France.
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Poubeau P, Bottier S, Paganin F, Davy N, Bensiali A, Michault A, Arvin Berod C. 35 Pneumopathie à pneumocystis jiroveci chez les patients non infectés par le VIH : analyse de 7 observations et revue de la littérature. Rev Mal Respir 2004. [DOI: 10.1016/s0761-8425(04)71661-7] [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: 11/25/2022]
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36
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Paganin F, Poubeau P, Lugagne N, Bourdin A, Arvin-Berod C. Aspergillose pulmonaire chronique nécrosante fatale chez un homme diabétique et éthylique. Med Mal Infect 2003. [DOI: 10.1016/j.medmal.2003.03.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [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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Perrot E, Davy N, Poubeau P, Arvin-Berod C. [Chemotherapy with paclitaxel for lung metastases of cystic adenoid carcinoma. A case report and review of the literature]. Rev Pneumol Clin 2003; 59:371-374. [PMID: 14745344] [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: 05/24/2023]
Abstract
Cystic adenoid carcinoma, which generally develops in the salivary glands, is a rare primary lung tumor. Locoregional treatment classically associates surgery and radiotherapy. Approximately half of the patients develop metastases; appropriate treatment with chemotherapy remains to be defined. We report the case of a woman who developed lung and pleural metastases of a right submaxillary cystic adenoid carcinoma. Chemotherapy with paclitaxel provided partial tumor response after three cycles. We present a review of the literature on chemotherapy for cystic adenoid carcinoma.
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Affiliation(s)
- E Perrot
- Service de Pneumologie et de Maladies Infectieuses, CHU, Saint-Pierre, Ile de La Réunion.
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38
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Brengel-Pesce K, Innocenti-Francillard P, Morand P, Michault A, Poubeau P, Barin F, Saragosti S, Seigneurin JM. Serologic and genetic characterization of HIV type 1 subtypes on Reunion Island. AIDS Res Hum Retroviruses 1999; 15:787-92. [PMID: 10381166 DOI: 10.1089/088922299310683] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The aim of this study was to determine the HIV subtypes present on Reunion Island, a French island located in the Indian Ocean, where the first case of AIDS was diagnosed in 1987. Paired sera and blood samples were collected between September 1996 and September 1997 from 53 HIV-1-positive patients. Subtyping was performed by serotyping with a previously described subtype-specific enzyme immunoassay (SSEIA) and by genotyping with the heteroduplex mobility assay (HMA). When samples gave uninterpretable results with either of the methods, or discordant results, the V3 env region was sequenced and genetic subtypes were determined by phylogenetic analysis. Genetic subtyping showed that 48 of 53 patients were infected with HIV-1 subtype B (90.5%). This high prevalence of subtype B on Reunion Island is probably due to the regular exchanges with metropolitan France. The other five patients were infected with subtype A (9.5%); they had been directly linked to African populations. Of the 48 subtype B samples, 44 (91.7%) were correctly subtyped by SSEIA and 43 (89.6%) by HMA. However, the SSEIA did not allow the subtyping of A strains in three of five patients. Thus, the SSEIA could be an alternative routine technique for screening subtype B versus nonsubtype B HIV-1 strains.
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Affiliation(s)
- K Brengel-Pesce
- Department of Virology/RHAP CNRS, Faculty of Medicine/University Hospital, Grenoble, France
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39
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Courtin JP, Di Francia M, Du Couëdic I, Poubeau P, Mahé C, Bapteste J, Arvin-Berod C. [Respiratory manifestations of leptospirosis. A retrospective study of 91 cases (1978-1984)]. Rev Pneumol Clin 1998; 54:382-392. [PMID: 10100353] [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: 05/23/2023]
Abstract
Leptospirosis, an ubiquitous zoonotic disease, is a systemic infection usually producing fever with hepatorenal involvement, meningoenephalitis, and hemorrhage. Respiratory manifestations are less well known but have been described in certain regions such as Southeast Asia or the Reunion Island. From January 1978 through December 1994, 154 cases of documented leptospirosis were admitted to the South Reunion Hospital Center. Pulmonary involvement was observed in 91 of these cases (59.1%) with hemoptysis (37.4%) and radiological evidence of bilateral reticulonodular infiltration (40%). Extra-pulmonary manifestations in most cases suggested leptospirosis at admission. Thirteen consecutive patients underwent endoscopy explorations with bronchoalveolar lavage: intra-alveolar hemorrhage was evidenced in all cases. This highly typical pattern of cytolysis would emphasize (20.8%) when the classical extra-pulmonary signs are too discrete to suggest the diagnosis. In this series, 10 patients required ventilatory assistance and 2 were given corticosteroid boluses for massive hemoptysis. Mortality due to leptospirosis is two-fold higher in cases with pulmonary involvement.
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Affiliation(s)
- J P Courtin
- Service de Pneumologie et Maladies Infectieuses, Centre Hospitalier Sud Réunion, Saint-Pierre, La Réunion
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40
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Du Couëdic L, Courtin JP, Poubeau P, Tanguy B, Di Francia M, Arvin-Berod C. [Patent and occult intra-alveolar hemorrhage in leptospirosis]. Rev Mal Respir 1998; 15:61-7. [PMID: 9551516] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
PURPOSE Pulmonary involvement (PI) is common in leptospiral infection, usually characterized by hemoptysis and diffuse bilateral infiltrates on chest radiographs. Alveolar haemorrhage (AH) has already been proved by autopsy and some case-reports with fiberoptic bronchoscopy (FB) and bronchoalveolar lavage (BAL). The purpose of this study was 1/to evaluate the incidence of AH in leptospirosis 2/to define the impact of BAL on the early diagnosis of the infection. PATIENTS AND METHODS FB with BAL were performed in 23 consecutive patients with leptospirosis (13 patients with patent signs of PI: group 1, 10 patients without: group 2). AH was defined by a percentage of siderophages > or = 20% and/or a Golde score > 100 and/or an haemorrhagic aspect of BAL fluid. Culture tests were performed on specific medium. RESULTS We diagnosed AH in all patients of group 1 and in 7 patients of group 2. Filaments were seen in 6 specimens of BAL fluid, initially thought to be leptospires, but culture tests were negative. CONCLUSION AH is identified in all cases of leptospirosis with PI. Occult AH often occurs to patients without any respiratory symptom. Physicians should consider leptospiral infection in the differential diagnosis of AH. Culture-tests for leptospirosis in BAL do no help in diagnosing leptospirosis.
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Affiliation(s)
- L Du Couëdic
- Service de Pneumologie, CH Saint-Denis, CHD Félix-Guyon, Nord-Réunion
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41
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Parola P, Poubeau P, Courtin JP, Di Francia M, Arvin-Berod C. [Pulmonary complications disclosing polymyositis. 2 new cases]. Presse Med 1997; 26:903. [PMID: 9232061] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Affiliation(s)
- P Parola
- Service des Maladies infectieuses et tropicales, Hôpital Houphouët-Boigny, Marseille
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42
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Hervé P, Launay JM, Scrobohaci ML, Brenot F, Simonneau G, Petitpretz P, Poubeau P, Cerrina J, Duroux P, Drouet L. Increased plasma serotonin in primary pulmonary hypertension. Am J Med 1995; 99:249-54. [PMID: 7653484 DOI: 10.1016/s0002-9343(99)80156-9] [Citation(s) in RCA: 400] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
PURPOSE Pulmonary hypertension can occur in patients who have disorders associated with altered platelet serotonin storage, including collagen vascular disease and platelet storage pool disease. We tested the hypothesis that primary pulmonary hypertension (PPH) may be also associated with impaired handling of serotonin by platelets, resulting in increased plasma serotonin levels. PATIENTS AND METHODS We used radioenzymatic assays to measure serotonin in platelets and plasma and serotonin released during in vitro platelet aggregation in 16 patients with PPH, and in 16 normal controls matched for age and sex. Six patients were restudied after heart-lung transplantation to determine whether serotonin abnormalities persisted after pulmonary arterial pressure returned to normal. RESULTS Patients had decreased platelet serotonin concentration (1.8 +/- 0.6 x 10(-18) mol/platelet versus 3.2 +/- 0.2 x 10(-18) mol/platelet in controls; P < 0.01) and increased plasma serotonin concentration (30.1 +/- 9.2 x 10(-9) mol/L versus 0.6 +/- 0.1 x 10(-9) mol/L in controls; P < 0.001). Serotonin released during in vitro platelet aggregation was higher in patients than in controls. After heart-lung transplantation, platelet serotonin concentrations remained decreased and plasma levels remained increased. CONCLUSIONS Abnormal handling of serotonin by platelets leading to an increase in plasma serotonin occurs in PPH. The persistent decrease in platelet storage of serotonin after heart-lung transplantation suggests that this platelet abnormality is not secondary to PPH.
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Affiliation(s)
- P Hervé
- Service de Pneumologie et Réanimation Respiratoire, Hôpital Antoine Béclère, Université Paris Sud, Clamart, France
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Quieffin J, Poubeau P, Laaban JP, Brechot JM, Capron F, Rochemaure J. Mycobacterium kansasii infection presenting as an endobronchial tumor in a patient with the acquired immune deficiency syndrome. Tuber Lung Dis 1994; 75:313-5. [PMID: 7949080 DOI: 10.1016/0962-8479(94)90139-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
We report a case of Mycobacterium kansasii endobronchial infection presenting as a tumor obstructing 2 segmental bronchi in a patient with the acquired immune deficiency syndrome. Biopsies of the lesions revealed granuloma with acid-fast organisms. Culture grew M. kansasii. To our knowledge, this is the first case of M. Kansasii infection presenting with endobronchial mass.
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Affiliation(s)
- J Quieffin
- Department of Respiratory Medicine and Intensive Care, Hôtel-Dieu Hospital, Paris, France
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Courtin JP, Di Francia M, Poubeau P, Arvin-Berod C. [Efficacy of octreotide acetate in the treatment of a pancreatic-pleural fistula. Apropos of a case]. Rev Pneumol Clin 1994; 50:74-76. [PMID: 7839054] [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: 05/22/2023]
Abstract
Diseases organs below the diaphragm should be considered in the aetiologic diagnosis of liquid effusion in the pleura. We observed a cases of pleuritis resulting from chronic pancreatitis and present here the diagnostic methods and therapeutic protocol undertake for cure. The level of amylase (including the isoforms) should be measured in the pleural effusion. The effectiveness of octreotide acetate in the treatment of pancreatico-pleural fistula was confirmed in this case.
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Affiliation(s)
- J P Courtin
- Service de Pneumologie et Maladies Infectieuses, Centre Hospitalier Général de Saint-Pierre Le Tampon
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Doré MF, Bréchot JM, Orvoën-Frija E, Poubeau P, Rochemaure J. Acute pulmonary effects of aerosolized pentamidine. Chest 1991; 100:1177. [PMID: 1914590 DOI: 10.1378/chest.100.4.1177a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
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46
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Patey O, Debussche C, Chaplain C, Poubeau P, Dublanchet A, Lafaix C. Le mal de pott de l'adulte. Apport de la tomodensitometrie et de l'imagerie par resonance magnetique dans le bilan d'extension de l'infection. Med Mal Infect 1989. [DOI: 10.1016/s0399-077x(89)80269-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [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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Bricaire F, Poubeau P. [Adrenal cortex function in patients with the acquired immunodeficiency syndrome]. Presse Med 1988; 17:1814. [PMID: 2978328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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