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Resiere D, Mehdaoui H, Florentin J, Gueye P, Lebrun T, Blateau A, Viguier J, Valentino R, Brouste Y, Kallel H, Megarbane B, Cabie A, Banydeen R, Neviere R. Sargassum seaweed health menace in the Caribbean: clinical characteristics of a population exposed to hydrogen sulfide during the 2018 massive stranding. Clin Toxicol (Phila) 2021; 59:215-223. [PMID: 32633580 DOI: 10.1080/15563650.2020.1789162] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [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: 04/12/2020] [Revised: 06/20/2020] [Accepted: 06/23/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Since 2011, there have been ongoing massive unexplained increases of sargassum seaweed strandings along the coastlines of Caribbean countries. The objective of our study was to describe the clinical characteristics of patients exposed to noxious emissions of decomposing sargassum seaweed. METHODS This observational study included patients from January 2018 to December 2018 for complaints attributed to decomposing sargassum seaweed. History and geographical characteristics of sargassum seaweed strandings as well as detection of ambient air hydrogen sulfide (H2S) levels were documented during the inclusion period. FINDINGS A total of 154 patients were included. Mean exposure period was 3 months. Neurological (80%), digestive (77%) and respiratory (69%) disorders were the most frequent reasons for medical visit. Temporal distribution of medical visits was related to history of strandings. Geographical origins of patients were consistent with the most impacted areas of strandings as well as the most elevated ambient air H2S levels. INTERPRETATION The toxicological syndrome induced by sargassum seaweed exposure is close to the toxidrome associated with acute H2S exposure in the range of 0-10 ppm. Our study suggests that patients living in massive stranding areas may be exposed to H2S > 5 ppm for 50 days per year.
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Affiliation(s)
- Dabor Resiere
- Department of Toxicology, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- Department of Critical Care Medicine, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- Cardiovascular Research Team EA7525, Université des Antilles (University of the French West Indies), Fort de France, France
| | - Hossein Mehdaoui
- Department of Critical Care Medicine, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- Cardiovascular Research Team EA7525, Université des Antilles (University of the French West Indies), Fort de France, France
| | - Jonathan Florentin
- Department of Toxicology, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- Emergency Unit, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Papa Gueye
- Emergency Unit, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Thierry Lebrun
- Department of Anesthesiology, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Alain Blateau
- Regional Health Agency of Martinique (ARS), Fort-de-France, France
| | - Jerome Viguier
- Regional Health Agency of Martinique (ARS), Fort-de-France, France
| | - Ruddy Valentino
- Department of Critical Care Medicine, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Yannick Brouste
- Emergency Unit, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Hatem Kallel
- Department of Critical Care Medicine, General Hospital of Cayenne, Cayenne, France
| | - Bruno Megarbane
- Department of Medical and Toxicological Critical Care, Assistance Publique des Hôpitaux de Paris (AP-HP), Lariboisière Hospital, Paris, France
- Federation of Toxicology APHP, Paris-Diderot University, Paris, France
| | - André Cabie
- Department of Infectious Diseases, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- EA4537; INSERM CIC1424, Université des Antilles (University of the French West Indies), Fort-de-France, France
| | - Rishika Banydeen
- Cardiovascular Research Team EA7525, Université des Antilles (University of the French West Indies), Fort de France, France
- Department of Clinical Research, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Remi Neviere
- Cardiovascular Research Team EA7525, Université des Antilles (University of the French West Indies), Fort de France, France
- Department of Cardiology, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
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Sylvestre E, Thuny RM, Cecilia-Joseph E, Gueye P, Chabartier C, Brouste Y, Mehdaoui H, Najioullah F, Pierre-François S, Abel S, Cabié A, Dramé M. Health informatics support for outbreak management: How to respond without an electronic health record? J Am Med Inform Assoc 2020; 27:1828-1829. [PMID: 32761100 PMCID: PMC7454605 DOI: 10.1093/jamia/ocaa183] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 07/18/2020] [Indexed: 11/12/2022] Open
Affiliation(s)
- Emmanuelle Sylvestre
- U1099, French Institute of Health and Medical Research, Rennes, France.,Laboratoire Traitement du Signal et de l'Image, Université de Rennes 1, Rennes, France.,Department of Infectious Diseases, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique.,Centre de Données Cliniques, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - René-Michel Thuny
- Information Technology Department, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Elsa Cecilia-Joseph
- Centre de Données Cliniques, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Papa Gueye
- SAMU de Martinique, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Cyrille Chabartier
- Intensive Care Unit, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Yannick Brouste
- Department of Emergency Medicine, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Hossein Mehdaoui
- Intensive Care Unit, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Fatiha Najioullah
- Virology Laboratory, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique.,EA 4537, French Institute of Health and Medical Research, Fort-de-France, Martinique
| | - Sandrine Pierre-François
- Department of Infectious Diseases, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Sylvie Abel
- Department of Infectious Diseases, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - André Cabié
- Department of Infectious Diseases, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique.,EA 4537, French Institute of Health and Medical Research, Fort-de-France, Martinique.,CIC-1424, Centre Hospitalier Universitaire de Martinique, French Institute of Health and Medical Research, Fort-de-France, Martinique
| | - Moustapha Dramé
- Department of Clinical Research and Innovation, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
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Resiere D, Mehdaoui H, Névière R, Olive C, Severyns M, Beaudoin A, Florentin J, Brouste Y, Banydeen R, Cabié A, Mégarbane B, Gutiérrez JM, Kallel H. Infectious Complications Following Snakebite by Bothrops lanceolatus in Martinique: A Case Series. Am J Trop Med Hyg 2020; 102:232-240. [PMID: 31628740 PMCID: PMC6947800 DOI: 10.4269/ajtmh.19-0369] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Infections secondary to snakebite occur in a number of patients and are potentially life-threatening. Bothrops lanceolatus bites in Martinique average 30 cases per year and may result in severe thrombotic and infectious complications. We aimed to investigate the infectious complications related to B. lanceolatus bite. A retrospective single-center observational study over 7 years (2011–2018) was carried out, including all patients admitted to the hospital because of B. lanceolatus bite. One hundred seventy snake-bitten patients (121 males and 49 females) were included. Thirty-nine patients (23%) presented grade 3 or 4 envenoming. Twenty patients (12%) developed wound infections. The isolated bacteria were Aeromonas hydrophila (3 cases), Morganella morganii (two cases), group A Streptococcus, and group B Streptococcus (one case each). Patients were treated empirically with third-generation cephalosporin (or amoxicillin–clavulanate), aminoglycoside, and metronidazole combinations. Outcome was favorable in all patients. The main factor significantly associated with the occurrence of infection following snakebite was the severity of envenoming (P < 0.05). Our findings clearly point toward the frequent onset of infectious complications in B. lanceolatus–bitten patients presenting with grade 3 and 4 envenoming. Thus, based on the bacteria identified in the wounds, we suggest that empiric antibiotic therapy including third-generation cephalosporin should be administered to those patients on hospital admission.
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Affiliation(s)
- Dabor Resiere
- Department of Critical Care, University Hospital of Martinique, Fort-de-France, France
| | - Hossein Mehdaoui
- Department of Critical Care, University Hospital of Martinique, Fort-de-France, France
| | - Rémi Névière
- Department of Cardiology, University Hospital of Martinique, Fort-de-France, France
| | - Claude Olive
- Department of Microbiology, University Hospital of Martinique, Fort-de-France, France
| | - Mathieu Severyns
- Department of Orthopedic Surgery, University Hospital of Martinique, Fort-de-France, France
| | - Adeline Beaudoin
- Department of Orthopedic Surgery, University Hospital of Martinique, Fort-de-France, France
| | - Jonathan Florentin
- Department of Critical Care, University Hospital of Martinique, Fort-de-France, France
| | - Yannick Brouste
- Department of Critical Care, University Hospital of Martinique, Fort-de-France, France
| | - Rishika Banydeen
- Department of Critical Care, University Hospital of Martinique, Fort-de-France, France
| | - André Cabié
- Department of Infectious Diseases, University Hospital of Martinique, INSERM CIC 1424, Antilles University, Fort-de-France, France
| | - Bruno Mégarbane
- Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS1144, Paris, France
| | - José María Gutiérrez
- Instituto Clodomiro Picado, Facultad de Microbiología, Universidad de Costa Rica, San José, Costa Rica
| | - Hatem Kallel
- Intensive Care Unit, Cayenne General Hospital, Cayenne, France
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Resiere D, Kallel H, Oxybel O, Chabartier C, Florentin J, Brouste Y, Gueye P, Megarbane B, Mehdaoui H. Clinical and Epidemiological Characteristics of Severe Acute Adult Poisoning Cases in Martinique: Implicated Toxic Exposures and Their Outcomes. Toxics 2020; 8:toxics8020028. [PMID: 32283693 PMCID: PMC7356022 DOI: 10.3390/toxics8020028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2020] [Revised: 04/07/2020] [Accepted: 04/08/2020] [Indexed: 12/27/2022]
Abstract
The epidemiology of severe acute poisonings in the French overseas departments of the Americas remains poorly reported. The main objective of this study was to determine the epidemiology and characteristics of severe acutely poisoned adult patients. METHODS A retrospective descriptive study was conducted from 1 January 2000 to 31 December 2010 in severely poisoned patients presenting to the emergency department (ED) of the University Hospital of Martinique, and the general public hospitals of Lamentin and Trinité. RESULTS During the study period, 291 patients were admitted for severe poisoning, giving an incidence rate of 7.7 severe cases/100,000 inhabitants. The mean age was 46 ± 19 years and 166 (57%) were male. Psychiatric disorders were recorded in 143 (49.8%) patients. Simplified Acute Psychological Score (SAPS II) at admission was 39 ± 23 points and Poisoning Severity Score (PSS) was 2.7 ± 0.8 points. Death was recorded in 30 (10.3%) patients and hospital length of stay was 6 ± 7 days. The mode of intoxication was intentional self-poisoning in 87% of cases and drug overdose was recorded in 13% of cases. The toxic agent involved was a therapeutic drug in 58% and a chemical product in 52% of cases. The predominant clinical manifestations were respiratory failure (59%), hemodynamic failure (27%), neurologic failure (45%), gastrointestinal manifestations (27%), and renal failure (11%). Polypnea, shock, ventricular fibrillation or tachycardia, and gastro-intestinal disorders were the main symptoms associated with death. The main biological abnormalities associated with death in our patients were metabolic acidosis, hypokalemia, hyperlactatemia, hypocalcemia, renal injury, rhabdomyolysis, increased aspartate aminotransferases, and thrombocytopenia. Extracorporal membrane oxygenation (ECMO) was used in three patients and specific antidotes were used in 21% of patients. CONCLUSIONS Acute poisonings remain a major public health problem in Martinique with different epidemiological characteristics to those in mainland France, with a high incidence of poisoning by rural and household toxins.
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Affiliation(s)
- Dabor Resiere
- Intensive Care Unit, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (O.O.); (C.C.); (H.M.)
- Correspondence: ; Tel.: +1-(596)-6-9620-3184
| | - Hatem Kallel
- Intensive Care Unit, Cayenne General Hospital; 97300 Cayenne, French Guiana,
| | - Odile Oxybel
- Intensive Care Unit, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (O.O.); (C.C.); (H.M.)
| | - Cyrille Chabartier
- Intensive Care Unit, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (O.O.); (C.C.); (H.M.)
| | - Jonathan Florentin
- Department of Emergency Medicine, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (J.F.); (Y.B.)
| | - Yannick Brouste
- Department of Emergency Medicine, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (J.F.); (Y.B.)
| | - Papa Gueye
- Emergency Medical Services (Service d’aide médicale d’urgence 972), 97261 Martinique, France;
| | - Bruno Megarbane
- Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMR-S 1144, 75013 Paris, France;
| | - Hossein Mehdaoui
- Intensive Care Unit, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (O.O.); (C.C.); (H.M.)
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Godaert L, Bartholet S, Gazeuse Y, Brouste Y, Najioullah F, Kanagaratnam L, Césaire R, Fanon JL, Dramé M. Misdiagnosis of Chikungunya Virus Infection: Comparison of Old and Younger Adults. J Am Geriatr Soc 2018; 66:1768-1772. [PMID: 30080240 DOI: 10.1111/jgs.15492] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [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: 04/02/2018] [Revised: 05/18/2018] [Accepted: 05/18/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To assess the frequency of diagnostic errors in older adults presenting to the emergency department (ED) with symptoms suggestive of Chikungunya virus infection (CVI) and to compare the rates of misdiagnosis of older and younger adults. DESIGN Cross-sectional study performed in the University Hospitals of Martinique from retrospective cases. SETTING Emergency department. PARTICIPANTS Individuals aged 65 and older who attended the ED and underwent reverse transcription polymerase chain reaction (RT-PCR) testing for CVI between January and December 2014 (n=333, mean age 80±8) were considered eligible and were compared with a randomly selected sample of younger adults (< 65) (n=143, mean age 45±13). MEASUREMENTS Misdiagnosis rates. RESULTS The rate of misdiagnosis of CVI in the ED was 30.6% in individuals aged 65 and older and 6.3% in those younger than 65 (p<.001). The overdiagnosis rate was 9.0% in individuals aged 65 and older and 3.5% in those younger than 65 (p=.04). The underdiagnosis rate was significantly higher (p<.001) in individuals aged 65 and older (21.6%) than in those younger than 65 (2.8%). CONCLUSION Misdiagnosis of CVI during an epidemic is statistically more frequent in older than younger adults because clinical presentation is often atypical in older adults. Specific diagnostic tools for older adults and better awareness of ED physicians of different presentations in different age groups could help to reduce the rate of misdiagnosis of CVI in the ED.
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Affiliation(s)
- Lidvine Godaert
- Department of Geriatrics, University Hospitals of Martinique, Martinique, France
| | - Seendy Bartholet
- Department of Geriatrics, University Hospitals of Martinique, Martinique, France
| | - Yannick Gazeuse
- Department of Emergency Medicine, University Hospitals of Martinique, Martinique, France
| | - Yannick Brouste
- Department of Emergency Medicine, University Hospitals of Martinique, Martinique, France
| | - Fatiha Najioullah
- Department of Virology, University Hospitals of Martinique, Martinique, France
| | - Lukshe Kanagaratnam
- Faculty of Medicine, University of Reims Champagne-Ardenne, Reims, France.,Department of Research and Public Health, University Hospital of Reims, Robert Debré Hospital, Reims, France
| | - Raymond Césaire
- Department of Virology, University Hospitals of Martinique, Martinique, France
| | - Jean-Luc Fanon
- Department of Geriatrics, University Hospitals of Martinique, Martinique, France
| | - Moustapha Dramé
- Faculty of Medicine, University of Reims Champagne-Ardenne, Reims, France.,Department of Research and Public Health, University Hospital of Reims, Robert Debré Hospital, Reims, France
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Rozé B, Najioullah F, Fergé JL, Dorléans F, Apetse K, Barnay JL, Daudens-Vaysse E, Brouste Y, Césaire R, Fagour L, Valentino R, Ledrans M, Mehdaoui H, Abel S, Leparc-Goffart I, Signate A, Cabié A, Aïm V, Arrigo A, Cabre P, Chabartier C, Colombani S, Cuziat J, Deligny C, Desbois N, Dessoy AL, Dunoyer G, Duvauferrier R, Duc N, Edimonana M, Garrigou P, Gaucher S, Gourgoudou S, Guitteaud K, Hochedez P, Ivanes G, Jacquens Y, Julié S, Jean-Etienne A, Jeannin S, Julien J, Jérémie P, Lamaignère JL, Laudarin I, Le Gall M, Legris-Allusson V, Mejdoubi M, Michel C, Michel F, Miossec C, Moinet F, Minerva C, Olive C, Olive P, Pailla K, Paysant C, Pierre-François S, Pircher M, Polomat K, Putot A, René-Corail P, Resiere D, Richer C, Risson JR, Rome K, Sabia M, Schloesser M, Simonnet-Vigeral P, Théodose R, Vilain R. Guillain-Barré Syndrome Associated With Zika Virus Infection in Martinique in 2016: A Prospective Study. Clin Infect Dis 2018; 65:1462-1468. [PMID: 29020245 DOI: 10.1093/cid/cix588] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [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: 02/23/2017] [Accepted: 07/06/2017] [Indexed: 11/14/2022] Open
Abstract
Background Guillain-Barré syndrome (GBS) has been reported to be associated with Zika virus (ZIKV) infection in case reports and retrospective studies, mostly on the basis of serological tests, with the problematic cross-reacting antibodies of the Flavivirus genus. Some GBS cases do not exhibit a high level of diagnostic certainty. This prospective study aimed to describe the clinical profiles and the frequency of GBS associated with ZIKV during the ZIKV outbreak in Martinique in 2016. Methods We recorded prospective data from GBS meeting levels 1 or 2 of diagnostic certainty for the Brighton Collaboration, with proof of recent ZIKV infection and negative screening for etiologies of GBS. Results Of the sample of 34 patients with suspected GBS during the outbreak, 30 had a proven presence of GBS, and 23 had a recent ZIKV infection. The estimated GBS incidence rate ratio (2016 vs 2006-2015) was 4.52 (95% confidence interval, 2.80-7.64; P = .0001). Recent ZIKV infection was confirmed by urine reverse-transcription polymerase chain reaction (RT-PCR) analysis in 17 cases and by serology in 6 cases. Patients, 65% of whom were male, had a median age of 61 years (interquartile range, 56-71 years) and experienced severe GBS. Electrophysiological tests were consistent with the primary demyelinating form of the disease. Conclusions ZIKV infection is usually benign, when symptomatic, but in countries at risk of ZIKV epidemics, adequate intensive care bed capacity is required for management of severe GBS cases. Arbovirus RNA detection by RT-PCR should be part of the management of GBS cases.
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Affiliation(s)
- Benoît Rozé
- Infectious and Tropical Diseases Unit, University Hospital of Martinique.,Intensive Care Unit, University Hospital of Martinique
| | - Fatiha Najioullah
- Laboratory of Virology, University Hospital of Martinique, Université des Antilles EA4537, Fort de France
| | | | - Frédérique Dorléans
- French National Public Health Agency, Regional Unit Antilles Guyane, Saint-Maurice
| | | | | | - Elise Daudens-Vaysse
- French National Public Health Agency, Regional Unit Antilles Guyane, Saint-Maurice
| | | | - Raymond Césaire
- Laboratory of Virology, University Hospital of Martinique, Université des Antilles EA4537, Fort de France
| | - Laurence Fagour
- Laboratory of Virology, University Hospital of Martinique, Fort de France
| | | | - Martine Ledrans
- French National Public Health Agency, Regional Unit Antilles Guyane, Saint-Maurice
| | | | - Sylvie Abel
- Infectious and Tropical Diseases Unit, University Hospital of Martinique
| | | | | | - André Cabié
- Infectious and Tropical Diseases Unit, University Hospital of Martinique, Université des Antilles, EA4537, INSERM CIC1424, Fort de France, France
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7
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Resiere D, Arias AS, Villalta M, Rucavado A, Brouste Y, Cabié A, Névière R, Césaire R, Kallel H, Mégarbane B, Mehdaoui H, Gutiérrez JM. Preclinical evaluation of the neutralizing ability of a monospecific antivenom for the treatment of envenomings by Bothrops lanceolatus in Martinique. Toxicon 2018; 148:50-55. [PMID: 29654867 DOI: 10.1016/j.toxicon.2018.04.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [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: 03/15/2018] [Revised: 04/08/2018] [Accepted: 04/10/2018] [Indexed: 12/28/2022]
Abstract
Bothrops lanceolatus is an endemic viperid species in the Lesser Caribbean island of Martinique. Envenomings by this species are characterized by local and systemic effects, among which the development of thrombosis in various organs is the most severe complication. An experimental toxicological characterization of this venom was performed using in vivo mouse tests and various in vitro assays. The venom induced lethal, local and systemic hemorrhagic, edema-forming, myotoxic, thrombocytopenic, proteinase and phospholipase A2 activities. The preclinical efficacy of a batch of monospecific Bothrofav® antivenom currently in use in Martinique was assessed. The antivenom was highly effective in the neutralization of all activities tested, in agreement with its described clinical efficacy. This batch of antivenom showed a higher preclinical efficacy as compared to a previous batch used in the past.
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Affiliation(s)
- Dabor Resiere
- Service des Urgences et de Reanimation Polyvalente, Centre Hospitalier Universitaire, Fort-de-France, Martinique, France
| | - Ana Silvia Arias
- Instituto Clodomiro Picado, Facultad de Microbiología, Universidad de Costa Rica, San José, Costa Rica
| | - Mauren Villalta
- Instituto Clodomiro Picado, Facultad de Microbiología, Universidad de Costa Rica, San José, Costa Rica
| | - Alexandra Rucavado
- Instituto Clodomiro Picado, Facultad de Microbiología, Universidad de Costa Rica, San José, Costa Rica
| | - Yannick Brouste
- Service des Urgences et de Reanimation Polyvalente, Centre Hospitalier Universitaire, Fort-de-France, Martinique, France
| | - André Cabié
- Service des Urgences et de Reanimation Polyvalente, Centre Hospitalier Universitaire, Fort-de-France, Martinique, France
| | - Rémi Névière
- Service des Urgences et de Reanimation Polyvalente, Centre Hospitalier Universitaire, Fort-de-France, Martinique, France
| | - Raymond Césaire
- Service des Urgences et de Reanimation Polyvalente, Centre Hospitalier Universitaire, Fort-de-France, Martinique, France
| | - Hatem Kallel
- Intensive Care Unit, Cayenne General Hospital, French Guiana
| | - Bruno Mégarbane
- Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM 1144, 75010 Paris, France
| | - Hossein Mehdaoui
- Service des Urgences et de Reanimation Polyvalente, Centre Hospitalier Universitaire, Fort-de-France, Martinique, France
| | - José María Gutiérrez
- Instituto Clodomiro Picado, Facultad de Microbiología, Universidad de Costa Rica, San José, Costa Rica.
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Rozé B, Najioullah F, Ferge J, Apetse K, Brouste Y, Cesaire R, Leparc-Goffart I, Valentino R, Signate A, Cabié A. Syndromes de Guillain-Barré associés au virus Zika, une étude prospective dans la Caraïbe. Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.147] [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: 12/01/2022]
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9
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Cuziat J, Rozé B, Signate A, Fergé J, Brouste Y, Guitteaud K, Meniane J, Leparc-Goffart I, Najioullah F, Cabié A. Complications neurologiques (hors syndrome de Guillain-Barré) associées au virus Zika, une étude prospective dans la Caraïbe. Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.054] [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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10
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Rozé B, Najioullah F, Signate A, Apetse K, Brouste Y, Gourgoudou S, Fagour L, Abel S, Hochedez P, Cesaire R, Cabié A. Zika virus detection in cerebrospinal fluid from two patients with encephalopathy, Martinique, February 2016. ACTA ACUST UNITED AC 2017; 21:30205. [PMID: 27123558 DOI: 10.2807/1560-7917.es.2016.21.16.30205] [Citation(s) in RCA: 71] [Impact Index Per Article: 10.1] [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: 04/04/2016] [Accepted: 04/21/2016] [Indexed: 11/20/2022]
Abstract
We report two cases of encephalopathy (one with seizures, one with electroencephalogram changes) in patients with Zika virus infection. The cases occurred on Martinique in February 2016, during the Zika virus outbreak. Awareness of the various neurological complications of Zika virus infection is needed for patients living in areas affected by Zika virus infections or for travellers to these areas.
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Affiliation(s)
- Benoît Rozé
- Infectious and Tropical Diseases Department, University Hospital of Martinique, Fort-de-France, France
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Rozé B, Najioullah F, Fergé JL, Apetse K, Brouste Y, Cesaire R, Fagour C, Fagour L, Hochedez P, Jeannin S, Joux J, Mehdaoui H, Valentino R, Signate A, Cabié A. Zika virus detection in urine from patients with Guillain-Barré syndrome on Martinique, January 2016. ACTA ACUST UNITED AC 2016; 21:30154. [PMID: 26967758 DOI: 10.2807/1560-7917.es.2016.21.9.30154] [Citation(s) in RCA: 85] [Impact Index Per Article: 10.6] [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: 02/15/2016] [Accepted: 03/03/2016] [Indexed: 11/20/2022]
Abstract
We report two cases of Guillain-Barré syndrome who had concomitant Zika virus viruria. This viruria persisted for longer than 15 days after symptom onset. The cases occurred on Martinique in January 2016, at the beginning of the Zika virus outbreak. Awareness of this possible neurological complication of ZikV infection is needed.
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Affiliation(s)
- Benoît Rozé
- Infectious and Tropical diseases Unit, Universitary Hospital of Martinique, Fort de France, France
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Najioullah F, Cabie A, Thomas L, Martial J, Viron F, Brouste Y, Cesaire R. Dengue: Relationships between the severity of illness, virus serotype, immune status and viremia. Int J Infect Dis 2014. [DOI: 10.1016/j.ijid.2014.03.1095] [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] Open
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Thomas L, Brouste Y, Najioullah F, Hochedez P, Hatchuel Y, Moravie V, Kaidomar S, King J, Besnier F, Abel S, Carmès S, Schmitt S, Brihier P, Meunier C, Cardoso T, Rosine J, Quenel P, Césaire R, Cabié A. Prospective and descriptive study of adult dengue cases in an emergency department, in Martinique. Med Mal Infect 2010; 40:480-9. [DOI: 10.1016/j.medmal.2009.10.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2009] [Revised: 04/30/2009] [Accepted: 10/27/2009] [Indexed: 11/29/2022]
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Thomas L, Kaidomar S, Kerob-Bauchet B, Moravie V, Brouste Y, King JP, Schmitt S, Besnier F, Abel S, Mehdaoui H, Plumelle Y, Najioullah F, Fonteau C, Richard P, Césaire R, Cabié A. Prospective observational study of low thresholds for platelet transfusion in adult dengue patients. Transfusion 2009; 49:1400-11. [DOI: 10.1111/j.1537-2995.2009.02132.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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