RESUMEN
BACKGROUND: American histoplasmosis is a mycosis caused by Histoplasma capsulatum. A variety of clinical features of histoplasmosis have been commonly described ranging from asymptomatic infections to severe pulmonary infections. In immunocompromised individuals, progressive disseminated forms are frequent, leading to fatal outcome if untreated. However, H. capsulatum sinusitis is unusual with a few cases documented over the last three decades and may be underdiagnosed or confused with other fungal aetiologies, especially outside endemic regions. CASE PRESENTATION: In this study, we report an atypical case of Histoplasma capsulatum sinus fungus ball-like in a patient with Acquired Immunodeficiency Syndrome due to Human Immunodeficiency Virus complicated by a disseminated histoplasmosis with a death ending. Diagnosis relied on CT-Scan imaging and on both direct examination of H. capsulatum yeast forms (Gomory methenamine Grocott) in the sinus specimen (aspirate, biopsy) and on positivity of the culture further confirmed by qPCR. CONCLUSIONS: Since last few decades, among the eight reviewed patients, H. capsulatum sinusitis occurred mostly in HIV-immunocompromised patients and for three cases as a sinusitis with disseminated histoplasmosis. Even if this is a rare clinical presentation, its diagnosis is crucial as it could represent an early expression of an Histoplasma capsulatum exposure that can evolve into a disseminated fatal infection when immunity decreases.
Asunto(s)
Infecciones Oportunistas Relacionadas con el SIDA , Histoplasma , Histoplasmosis , Sinusitis , Femenino , Guyana Francesa , Humanos , Persona de Mediana EdadAsunto(s)
Programas de Optimización del Uso de los Antimicrobianos , Carbapenémicos/uso terapéutico , Prescripciones de Medicamentos/estadística & datos numéricos , Guyana Francesa , Humanos , Prescripción Inadecuada/prevención & control , Prescripción Inadecuada/estadística & datos numéricos , Evaluación de Programas y Proyectos de SaludRESUMEN
INTRODUCTION: Every year, 20,000 mastectomy are realized. The most common complication of these surgical procedure is seroma, occurring in a range of 10 to 85% of the cases, which may be responsible for an increased morbidity by complications: disunity of surgical flap, infection, and delay in administrating adjuvant therapies. OBJECTIVE: We focused on a post-mastectomy padding technique, aiming at decreasing incidence of postoperative seromas. PATIENTS AND METHODS: We conducted a retrospective study of patients treated with mastectomy from January 2012 to March 2014 in Amiens University Hospital. Forty-two patients were included: 20 to the "padding's" group and 22 to the "control's" group. RESULTS: Drainage flow was significantly decreased at Day 1, Day 2, Day 3 and throughout hospitalization after padding (358.5mL versus 685mL; P=0.02). Hospital stays were significantly shortened by 2 days (5.3 versus 7.3 days; P<0.05) for patients receiving padding surgery. DISCUSSION AND CONCLUSION: Our results show a benefit in the mastectomy padding flap. However, the retrospective character of our study and its strength character imply bias and data not available such as complications in type of wound dehiscence, pain, necrosis, the period from the establishment of the adjuvant therapies and aesthetic evaluation of technique. As such, we initiated a prospective randomized multicenter study late 2013, named PRELYMCA, which should be able to answer the pending questions.
Asunto(s)
Vendajes , Drenaje , Mastectomía/efectos adversos , Seroma/prevención & control , Estudios de Casos y Controles , Femenino , Humanos , Persona de Mediana Edad , Estudios Retrospectivos , Seroma/etiologíaRESUMEN
Maternal splenic cyst during pregnancy seems to be a rare disease whose treatment is not codified. The most feared complication of these cysts is the rupture. In case of rupture, 60% of cases occur during the third trimester of pregnancy and result in a significant maternal and fetal morbidity and mortality. We examine the two main modes of treatment used nowadays: surgical splenectomy or radiological drainage.
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Quistes/complicaciones , Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/cirugía , Enfermedades del Bazo/complicaciones , Adulto , Alcoholes , Quistes/diagnóstico , Quistes/cirugía , Drenaje/métodos , Femenino , Edad Gestacional , Humanos , Imagen por Resonancia Magnética , Embarazo , Radiografía , Enfermedades del Bazo/diagnóstico , Enfermedades del Bazo/cirugía , UltrasonografíaRESUMEN
OBJECTIVES: We evaluated prospectively our protocol for screening diabetes during pregnancy. PATIENTS AND METHODS: We applied recommendations of the French National College for Obstetricians and Gynecologists with screening by O'Sullivan's test and HGPO with 100g when the result was greater than 1.40 g/l. This protocol was discussed and approved by our team including a neonatalogist. RESULTS: We included 780 patients delivered between the 1(st) January and the 1(st) October 2005. Between them, 628 were screened (80.5%) and 39 presented gestational diabetes (39/628=6.2%). Fetal ultrasound at 38 weeks of amenorrhea was included in our protocol but applied only for 25.8% of our patients. In the subgroup with gestational diabetes, the rate of induction of labor was 38.4% (15/39), with a cesarean delivery for 23% (9/39) and macrosomia for 20.5% (8/39) of the newborn. CONCLUSIONS: This study showed us that we have to improve the application of our protocol and to try to obtain a shorter time between the two test, O'Sullivan and HGPO, when performed.
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Protocolos Clínicos , Diabetes Gestacional/diagnóstico , Tamizaje Masivo/métodos , Adolescente , Adulto , Cesárea/estadística & datos numéricos , Femenino , Macrosomía Fetal/epidemiología , Humanos , Trabajo de Parto Inducido/estadística & datos numéricos , Persona de Mediana Edad , Embarazo , Estudios Prospectivos , Adulto JovenRESUMEN
Human trichinellosis is a potentially severe parasitic disease occurring after ingestion of undercooked meat infected with Trichinella sp. larvae. We report the case of a patient who ate an undercooked bear meat hunted in Canada; he presented with the usual symptoms of trichinellosis (i.e, facial oedema, myalgias and fever) complicated with an asymptomatic myocarditis. Myocarditis is a rare, but potentially lethal complication of trichinellosis. Myocarditis should be screened systematically even when specific symptoms are missing; dosage of troponin serum is a simple and reliable mean for such screening.
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Miocarditis/etiología , Viaje , Triquinelosis/complicaciones , Troponina/sangre , Albendazol/administración & dosificación , Albendazol/uso terapéutico , Animales , Antihelmínticos/administración & dosificación , Antihelmínticos/uso terapéutico , Antiinflamatorios/administración & dosificación , Antiinflamatorios/uso terapéutico , Western Blotting , Quimioterapia Combinada , Electrocardiografía , Ensayo de Inmunoadsorción Enzimática , Glucocorticoides/administración & dosificación , Glucocorticoides/uso terapéutico , Humanos , Masculino , Carne/efectos adversos , Persona de Mediana Edad , Miocarditis/diagnóstico , Prednisolona/administración & dosificación , Prednisolona/uso terapéutico , Factores de Tiempo , Resultado del Tratamiento , Triquinelosis/diagnóstico , Triquinelosis/tratamiento farmacológico , Triquinelosis/etiología , UrsidaeAsunto(s)
Artralgia/microbiología , Artritis Infecciosa/etiología , Cadera/microbiología , Nefrostomía Percutánea/efectos adversos , Infecciones Estafilocócicas/etiología , Humanos , Masculino , Persona de Mediana Edad , Infecciones Estafilocócicas/diagnóstico , Staphylococcus aureus/aislamiento & purificaciónRESUMEN
OBJECTIVES: To examine the willingness of patients to participate in a resuscitation study that requires exception from informed consent and to determine if willingness to participate is associated with demographic and other characteristics. METHODS: Adult patients in an emergency department and in a geriatric outpatient clinic were surveyed. Patients were asked to imagine that they presented to an emergency department with cardiac arrest and asked about their willingness to (1) receive a new drug outside of a study, (2) receive a new drug as part of a study and (3) participate in a randomised controlled trial (RCT) for a new drug. Patients were also asked about participation in studies of invasive procedures. RESULTS: 213 patients from a geriatric clinic and 207 from an emergency department were surveyed. Two thirds of patients from the geriatric clinic and 83% from the emergency department were willing to receive an experimental drug outside of a study. Patients were less willing to participate in a study of the new drug and even less likely to participate in an RCT for the new drug (chi(2) test for trend, p<0.001 for both settings). Patients were less likely to participate in a study of thoracotomy than in a study that required placement of a femoral catheter (p = 0.008 for the geriatric clinic, p = 0.01 for the emergency department). Willingness to participate was not associated with trust in the doctors. CONCLUSIONS: Study design and invasiveness of the intervention were associated with the willingness of patients to participate in resuscitation studies that require exception from informed consent.
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Consentimiento Informado/psicología , Participación del Paciente/psicología , Resucitación/psicología , Adulto , Factores de Edad , Anciano , Urgencias Médicas , Femenino , Paro Cardíaco/tratamiento farmacológico , Humanos , Masculino , Ensayos Clínicos Controlados Aleatorios como Asunto , Proyectos de Investigación , Factores Sexuales , Factores SocioeconómicosRESUMEN
OBJECTIVE: To evaluate our clinical practice for Group B streptococcus (GBS) screening during pregnancy and antibiotic therapy during delivery. MATERIAL AND METHODS: We performed a retrospective evaluation of our SBS screening protocol, by vaginal swab, for a period of two years, including 1,674 asymptotic patients. Intra partum antibiotic prophylaxis was administrated for GBS-positive women. RESULTS: The rate of GBS carriage was 6.9%. Antibiotics were administrated for 79.3% patients with GBS-positive culture. Of these women only 39% had an interval greater than four hours between antibiotic injection and delivery. In the group of patients with positive GBS culture, no newborn was infected and only 5% were colonised. In the GBS-negative group with 1.3% of the newborns were GBS positive. CONCLUSION: We were surprised by our low rate of GBS carriage and the non optimal application of antibiotics during labor. We reviewed our results with all our team and a prospective evaluation has been initiated.
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Streptococcus agalactiae/aislamiento & purificación , Adulto , Antibacterianos/administración & dosificación , Parto Obstétrico , Femenino , Humanos , Recién Nacido , Embarazo , Estudios Retrospectivos , Infecciones Estreptocócicas/prevención & control , Vagina/microbiologíaRESUMEN
BACKGROUND: Trophoblastic diseases correspond to a very heterogeneous group of rare pathology in young women which fertility should be preserved. PATIENT AND METHODS: We conducted a retrospective study from 1997 to 2003, including all patients with molar pregnancy or trophoblatic tumor in our department of Obstetrics and Gynecology. RESULTS: Fifteen patients were identified with 9 molar pregnancies, 5 trophoblastic tumors and 1 placental tumor of implantation site. The outcome was favorable for 14, and one patient died from her metastatic disease. For 4 patients we asked our university colleague for the optimal approach. DISCUSSION: Management of molar pregnancies is well established. Persistent gestational disease is more rare and problematic with potential metastatic dissemination. Multidisciplinary care is often needed. CONCLUSION: Persistent gestational disease should be managed in a highly specialized centre, as developed in the Lyon University Hospital.
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Enfermedad Trofoblástica Gestacional , Adolescente , Adulto , Femenino , Enfermedad Trofoblástica Gestacional/diagnóstico , Enfermedad Trofoblástica Gestacional/epidemiología , Enfermedad Trofoblástica Gestacional/terapia , Humanos , Persona de Mediana Edad , Embarazo , Estudios RetrospectivosRESUMEN
BACKGROUND: HER-2 amplification is an important prognostic biomarker and treatment determinant in breast carcinoma. AIMS: To correlate immunocytochemical (ICC) expression of HER-2 and gene amplification determined by chromogenic in situ hybridisation (CISH) using liquid based cytology (LBC) with immunohistochemistry (IHC) and CISH using histological samples of the same breast carcinomas. METHODS: Frozen sections and cytobrushings of 103 breast carcinomas were analysed. Four techniques were performed on each tumour: two on LBC samples (ICC, and CISH, both graded as positive, indeterminate, or negative) and two on histological samples (IHC and CISH). Two cell lines (MCF-7, negative; BT 474, positive) were used as controls for cytological analysis. A complementary fluorescence in situ hybridisation technique was carried out in histological samples with low amplification (4-10 dots/nucleus). RESULTS: Interobserver agreement for the four techniques calculated by the kappa coefficient indicated a substantial agreement. Nine cases failed in cytology because of poor cellularity. Among 94 cases, 19 were amplified; 73, 12, and 9 tumours were scored 0 or 1+, 2+, and 3+, respectively by IHC and 75, 13, and 6, respectively, by ICC. CISH found no amplification in 72 tumours. Correlations between the IHC and CISH results in the histological and cytological samples were always significant. CONCLUSIONS: Her-2 status could be determined in LBC samples and correlated well with reference histological methods using in situ hybridisation. ICC was less reliable because of the presence of the cytoplasmic membrane. However, these results should be confirmed by a large multicentre study.
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Biomarcadores de Tumor/metabolismo , Neoplasias de la Mama/metabolismo , Receptor ErbB-2/metabolismo , Adulto , Anciano , Anciano de 80 o más Años , Neoplasias de la Mama/genética , Neoplasias de la Mama/patología , Carcinoma Ductal/genética , Carcinoma Ductal/metabolismo , Carcinoma Ductal/patología , Femenino , Genes erbB-2 , Humanos , Técnicas para Inmunoenzimas , Hibridación in Situ , Hibridación Fluorescente in Situ , Persona de Mediana Edad , Proteínas de Neoplasias/metabolismo , Pronóstico , Estudios Prospectivos , Células Tumorales CultivadasRESUMEN
BACKGROUND: Cryptococcosis and alternariosis are rare opportunistic infections often observed in immunocompromised patients. Because Cryptococcus and Alternaria are ubiquitous fungi found in soil, the presence of fungi in the dermis has to be observed on histological examination to confirm a real cutaneous, invasive, infection. PATIENT: We report the first case of concomitant cutaneous cryptococcosis and cutaneous alternariosis, in an immunocompromised patient treated for a metastatic thymoma. CONCLUSION: This observation underlines the fact that the possible co-existence of several rare infections in immunocompromised patients should take into consideration pathogen identification in order to adapt the therapy to individual patient requirements.
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Alternaria/aislamiento & purificación , Criptococosis/complicaciones , Cryptococcus neoformans/aislamiento & purificación , Dermatomicosis/complicaciones , Huésped Inmunocomprometido , Neoplasias Pleurales/microbiología , Timoma/microbiología , Neoplasias del Timo/microbiología , Anciano , Criptococosis/patología , Dermatomicosis/patología , Resultado Fatal , Femenino , Antebrazo , Humanos , Pierna , Neoplasias Pleurales/secundario , Timoma/secundario , Neoplasias del Timo/patologíaRESUMEN
A case of metronidazole- and albendazole-resistant giardiasis in a patient with the acquired immunodeficiency syndrome was successfully treated with nitazoxanide (1.5 g twice a day for 30 days). Animal studies and in vitro assays showed that the isolate was resistant to both metronidazole and albendazole and susceptible to nitazoxanide.
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Infecciones Oportunistas Relacionadas con el SIDA/tratamiento farmacológico , Albendazol/farmacología , Antiprotozoarios/uso terapéutico , Giardiasis/tratamiento farmacológico , Metronidazol/farmacología , Tiazoles/uso terapéutico , Infecciones Oportunistas Relacionadas con el SIDA/inmunología , Infecciones Oportunistas Relacionadas con el SIDA/parasitología , Adulto , Animales , Antiprotozoarios/administración & dosificación , Antiprotozoarios/farmacología , Farmacorresistencia Microbiana , Giardia lamblia/efectos de los fármacos , Giardia lamblia/aislamiento & purificación , Giardiasis/inmunología , Giardiasis/parasitología , Humanos , Masculino , Nitrocompuestos , Tiazoles/administración & dosificación , Resultado del TratamientoRESUMEN
We report a very rare case of ovarian gastrinoma in the context of multiple endocrine neoplasia type I, including primary hyperparathyroidism and Zollinger-Ellison syndrome. Somatostatin receptor scintigraphy revealed the ovarian involvement at an early stage. Oophorectomy led to the final diagnosis and complete healing.
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Gastrinoma/diagnóstico , Neoplasia Endocrina Múltiple Tipo 1/diagnóstico , Neoplasias Ováricas/diagnóstico , Adulto , Femenino , Gastrinoma/complicaciones , Gastrinoma/cirugía , Humanos , Hiperparatiroidismo/complicaciones , Neoplasia Endocrina Múltiple Tipo 1/complicaciones , Neoplasias Ováricas/complicaciones , Neoplasias Ováricas/cirugía , Ovariectomía , Embarazo , Cintigrafía , Receptores de Somatostatina/análisis , Ultrasonografía , Síndrome de Zollinger-Ellison/complicacionesRESUMEN
Female genital mutilation (FGM) is considered as the most dangerous custom still ritually practiced and 2 million girls undergo the ordeal each year. This practice is anchored and fixed firmly in numerous African people's culture and Western countries are confronted to it through African immigrants. In order to understand the justifications and the consequences of FGM we interviewed 14 genitally mutilated African women living in France. Unfortunately and despite the conscious knowledge of consequences and absurd side of such practice, yet it seems to be perpetuated over the descendants. Educational approach is the best solution to fight female genital mutilation fixed firmly in numerous African people's culture.
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Circuncisión Femenina/efectos adversos , Cultura , Adolescente , África/etnología , Actitud Frente a la Salud , Femenino , Francia , Humanos , Educación del Paciente como Asunto , SexualidadRESUMEN
We report two cases of moderate maternal poisoning during the third trimester. They underwent hyperbaric oxygen therapy at 2.5 atmospheres for 90 minutes and were delivered at term. In one case the newborn presented an antenatal ischemic cerebral lesion probably due to monoxide poisoning. Pathophysiology and treatment of such accidents are discussed.
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Intoxicación por Monóxido de Carbono/complicaciones , Complicaciones del Embarazo , Resultado del Embarazo , Adulto , Isquemia Encefálica/etiología , Intoxicación por Monóxido de Carbono/terapia , Femenino , Enfermedades Fetales/etiología , Humanos , Oxigenoterapia Hiperbárica , Recién Nacido , Masculino , EmbarazoRESUMEN
OBJECTIVE: To determine if the presence of cells having a DNA content > 5c and occurring at very low frequency is related to breast cancer outcome. STUDY DESIGN: Feulgen-stained imprints of fresh tumors used for routine standard DNA image cytometry were reanalyzed, with the aim of detecting hyperploid (> 5c) cells or minor stemlines. Specially adapted software was used. RESULTS: The new DNA analysis showed discordance of 47.3% with standard DNA cytometry. Minor stemline or rarely occurring 5c exceeding cells were found. These were not detected by the first DNA analysis. The presence of both DNA hyperploid cells occurring as rare events and a DNA hyperploid stemline was related to outcome. CONCLUSION: The detection of DNA hyperploid cells, even in very small numbers, appears essential to outcome, particularly in diploid or single DNA aneuploid breast cancers.