Sample records for cellulitis

  1. Cellulitis

    MedlinePLUS

    ... a cut, bite, or scratch. People who have body piercings may be susceptible to cellulitis because the hole ... feet, or face (particularly ear, nose, or eyebrow piercings) or if you have an ... elevating the affected part of your body or applying heat or warm soaks to the ...

  2. CARACTRES CYTOLOGIQUES DES CELLULES GONADOTROPES, THYROTROPES, CORTICOTROPES,

    E-print Network

    Boyer, Edmond

    , LTH, ACTH) et les distinguant du groupe des cellules à contenu glycoprotidique (FSH, LH, TSH). b) Bleu distribution très hétérogène des cellules TSH, à l'abondance des cellules ACTH, ces trois dernières catégories

  3. Reactive angioendotheliomatosis presenting as cellulitis.

    PubMed

    Rozenblat, M; Pessach, Y; Gat, A; Bergman, R; Sprecher, E; Goldberg, I

    2013-10-01

    Reactive angioendotheliomatosis (RAE) is a diagnostically challenging condition characterized by multiple possible clinical presentations, which makes diagnosis challenging. We present a rare case of RAE mimicking cellulitis in a 74-year-old woman with a valvular disease and also end-stage renal disease, for which she was being treated with haemodialysis. PMID:23496841

  4. Activation des cellules Natural Killer par les endocannabinodes

    E-print Network

    Activation des cellules Natural Killer par les endocannabinoïdes Anandamide et 2-Arachidonoyl Abréviations 6 Introduction 8 1. Les cellules Natural Killer 8 1.1. Les différents types de cellules NK : CD56

  5. Case Report: Cellulitis Due to Salmonella infantis.

    E-print Network

    Carr, Leslie

    1 Case Report: Cellulitis Due to Salmonella infantis. Authors Satish R Patil, Associate Professor. Cellulitis Due to Salmonella infantis. Online J Health Allied Scs. 2012;11(4):12. Available at URL Salmonella are highly adapted for the growth in both humans and animals and cause a wide spectrum of disease

  6. Management of preseptal and orbital cellulitis

    PubMed Central

    Lee, Seongmu; Yen, Michael T.

    2010-01-01

    Orbital cellulitis describes an infection involving the soft tissues posterior to the orbital septum, including the fat and muscle within the bony orbit. This condition may be associated with severe sight and life-threatening complications. Despite significant advances in antimicrobial therapies and diagnostic technologies, the management of orbital cellulitis often remains challenging, and rapid diagnosis and prompt initiation of therapy are important in minimizing complications and optimizing outcomes. This review summarizes the distinctive characteristics of preseptal and orbital cellulitis, with a focus on anatomic considerations, predisposing conditions, approaches to evaluation, and management strategies. PMID:23960899

  7. Skin Squamous Cell Carcinoma Presenting as Cellulitis

    PubMed Central

    Zhao, Min; Sasikumar, Katamreddy; Kinoshita, Masanosuke; Abdullah, Mahdi; Alhusaini, Hiyard; Alaie, Dariush; Petrillo, Richard L

    2015-01-01

    In general, skin squamous cell carcinoma (SCC) presents as papules or plaques with erythematous or pigmented appearance that may ulcerate the skin. Cellulitis caused by metastatic deposit from a known primary skin SCC has been reported once.1 We describe a patient who presented with cellulitis on the face that did not respond well to full course of antibiotics treatment, and turned out to be a newly diagnosed SCC after biopsy. Other differential diagnoses, such as malignancy, should be suspected in all unusual presentations and biopsy should be taken if patients do not show an optimal and desired improvement after receiving a full-course of antibiotic therapy for cellulitis. PMID:25635168

  8. Cellulitis

    MedlinePLUS

    ... 3/2015 Eye Terms & Conditions Most Common Searches Adult Strabismus Amblyopia Cataract Conjunctivitis Corneal Abrasions Dilating Eye Drops Lazy ... Screening Vision Screening Recommendations Loading... Most Common Searches Adult ... Abrasions Dilating Eye Drops Lazy ...

  9. Cellulitis

    MedlinePLUS

    ... skin: Clean the break carefully with soap and water. Apply an antibiotic cream or ointment every day. Cover with a bandage and change it every day until a scab forms. Watch for redness, pain, drainage, or other signs of ...

  10. Cellulitis

    MedlinePLUS

    ... scooter, or skate. Be sure to wear protective gear when playing sports. Always put on a helmet ... Us Partners Editorial Policy Privacy Policy & Terms of Use Visit the Nemours Web site. Note: All information ...

  11. Mastoiditis mimicry: retro-auricular cellulitis related to otitis externa.

    PubMed

    Block, Stan L

    2014-09-01

    Retro-auricular cellulitis associated with otitis externa is now the great mimicker of mastoiditis. It may be the most common cause of this specific cellulitis/auricular protrusion when it is associated with otitis externa. This column presents six cases of children who presented with peri-auricular redness, four of whom had protuberant ear and retro-auricular cellulitis. PMID:25198440

  12. Wells’ Syndrome Mimicking Facial Cellulitis: A Report of Two Cases

    PubMed Central

    Cormerais, Maxence; Poizeau, Florence; Darrieux, Laure; Tisseau, Laurent; Safa, Gilles

    2015-01-01

    Wells’ syndrome (WS), or eosinophilic cellulitis, is an uncommon inflammatory dermatosis of unknown etiology that typically presents with pruritic cellulitis-like plaques on the extremities. Therefore, WS is often misdiagnosed as bacterial cellulitis due to its similarity in presentation. Here, we report two cases of WS that masqueraded as bacterial facial cellulitis. Under treatment with oral prednisone and/or a combination therapy with levocetirizine and hydroxyzine, both patients showed a dramatic improvement of the skin lesions. These cases highlight the need for clinicians to consider WS in the differential diagnosis when evaluating a patient with facial cellulitis that does not respond to an initial antimicrobial regimen. In addition, our cases suggest that combination therapy with levocetirizine and hydroxyzine may be successfully used as corticosteroid-sparing treatment or to prevent relapse after the discontinuation of corticosteroid treatment. PMID:26120307

  13. Facial cellulitis revealing choreo-acanthocytosis: a case report

    PubMed Central

    Samia, Younes; Yosra, Cherif; Foued, Bellazreg; Mouna, Aissi; Olfa, Berriche; Jihed, Souissi; Hammadi, Braham; Mahbouba, Frih-Ayed; Amel, Letaief; Habib, Sfar Mohamed

    2014-01-01

    We report a 62 year-old-man with facial cellulitis revealing choreo-acanthocytosis (ChAc). He showed chorea that started 20 years ago. The orofacial dyskinisia with tongue and cheek biting resulted in facial cellulitis. The peripheral blood smear revealed acanthocytosis of 25%. The overall of chorea, orofacial dyskinetic disorder, peripheral neuropathy, disturbed behavior, acanthocytosis and the atrophy of caudate nuclei was suggestive of a diagnosis of ChAc. To our knowledge no similar cases of facial cellulitis revealing choreo-acanthocytosis (ChAc) were found in a review of the literature. PMID:25332750

  14. Necrolytic acral erythema masquerading as cellulitis.

    PubMed

    Iyengar, Sanjana; Chang, Shurong; Ho, Baran; Fung, Maxwell A; Konia, Thomas H; Prakash, Neha; Sharon, Victoria R

    2014-11-01

    Necrolytic acral erythema (NAE) is a rare cutaneous sign of hepatitis C virus infection and has recently been linked to zinc deficiency. It presents as well-demarcated erythematous plaques in a sandal-like distribution on the dorsal feet with psoriasiform epidermal hyperplasia on histology. Our patient reported a 9-month history of progressive bilateral lower extremity erythema, swelling, erosions, and nail dystrophy that failed to improve despite multiple courses of antibiotics for presumed lower extremity cellulitis. Serum studies revealed zinc deficiency. This case supports the association of NAE with both HCV infection and zinc deficiency and highlights the pitfalls in the diagnosis of chronic unrecognized NAE. Suspected cases of NAE should prompt evaluation for underlying HCV and zinc deficiency to avoid treatment delay and associated complications. PMID:25419746

  15. Persistence of cellulitis-associated Escherichia coli DNA ngerprints in successive broiler

    E-print Network

    Singer, Randall

    Persistence of cellulitis-associated Escherichia coli DNA ®ngerprints in successive broiler chicken in revised form 31 March 2000; accepted 31 March 2000 Abstract Avian cellulitis in broiler chickens of the broiler house, we designed a study to determine whether E. coli DNA ®ngerprints associated with cellulitis

  16. Anaerobic orbital cellulitis: a clinical and experimental study.

    PubMed Central

    Jedrzynski, M S; Bullock, J D; McGuire, T W; Elder, B L; Bullock, J D

    1991-01-01

    In this article we have reviewed the clinical and bacteriologic aspects of anaerobic orbital cellulitis and have presented six patients to illustrate these points. Physicians who treat patients with orbital cellulitis should have a high index of suspicion for possible instances involving anaerobes, so that appropriate management can be started early. To investigate this problem further, we created an animal model of anaerobic orbital cellulitis. This model may be useful in future studies of the pathogenesis and treatment of this serious and often devastating disease. Images FIGURE 1 FIGURE 2 FIGURE 3 FIGURE 4 FIGURE 5 FIGURE 6 FIGURE 7 FIGURE 8 FIGURE 9 FIGURE 10 FIGURE 11 FIGURE 12 FIGURE 13 FIGURE 14 FIGURE 15 FIGURE 16 FIGURE 17 FIGURE 18 FIGURE 19 PMID:1808813

  17. Epidemiological Characteristics of Lower Extremity Cellulitis after a Typhoon Flood

    PubMed Central

    Lin, Pei-Chen; Lin, Hung-Jung; Guo, How-Ran; Chen, Kuo-Tai

    2013-01-01

    Objective The flood after a typhoon may lead to increase in patients with cellulitis of lower limbs. However, the microbiological features of these cases are rarely reported. We conducted a study of patients with lower extremity cellulitis after a typhoon followed in southern Taiwan to study the risk factors of cellulitis and the bacteriological features of the patients. Methods We reviewed all the medical records of cellulitis at emergency departments of two teaching hospitals in southern Taiwan 30 days before and after the landing of Typhoon Morakot and collected data on the demographic and bacteriological characteristics. In addition, we evaluated the relationship between the daily number of patients and the rainfall in the Tainan area. Results The number of cellulitis patients increased from 183 to 344 during the 30-day period after the typhoon. The number peaked in the third and fourth days and lasted for 3 weeks. The proportion of patients with water immersion of the affected limb was higher after the typhoon (6% vs. 37%, odds ratio [OR]: 9.0, 95% Confidence interval [CI]: 4.7–17.2). We found cultures from the infected limbs with immersion had more polymicrobial (73% vs. 26%, OR: 7.8, 95% CI: 3.2–19.2) and Gram-negative bacilli infection (86% vs. 34%, OR: 11.8, 95% CI: 4.1–34.5). Conclusions Flood arose from Typhoon Morakot caused increases in cellulitis patients, which lasted for 3 weeks. Antibiotic treatment that were effective to both Gram-positive cocci and Gram-negative bacilli are recommended for patients with limbs emerged in the water. PMID:23785441

  18. Abdominal wall cellulitis and sepsis secondary to percutaneous cecostomy

    Microsoft Academic Search

    Thomas J. Maginot; Philip N. Cascade

    1993-01-01

    We report 1 case of abdominal wall cellulitis and sepsis which developed following percutaneous placement of a Cope catheter\\u000a for cecal decompression in a patient with Ogilvie's syndrome. This case highlights that further laboratory investigation and\\u000a clinical evaluation are needed to determine the safest and most efficacious technique of percutaneous drainage.

  19. UNIVERSITE D'ANGERS 2009 CELLULES SOLAIRES PHOTOVOLTAQUES PLASTIQUES

    E-print Network

    Paris-Sud XI, Université de

    ED 500 UNIVERSITE D'ANGERS 2009 N° 929 CELLULES SOLAIRES PHOTOVOLTAÏQUES PLASTIQUES NANOSTRUCTUREES Thèse de Doctorat Spécialité : Physique Ecole Doctorale d'Angers Soutenance prévue pour : le 3 juillet 2009 à Angers par Hassina DERBAL Devant le jury ci-dessous : Rapporteurs M. Denis MENCARAGLIA

  20. Orbital cellulitis in a neonate of the tooth bud origin : A case report

    PubMed Central

    Lavaju, Poonam; Badhu, Badri Prasad; Khanal, Basudha; Shrestha, Bhuwan Govinda

    2014-01-01

    Orbital cellulitis is a serious, yet uncommon infection in neonates. It can result in significant sight and life threatening complications. Most commonly, it occurs secondarily as the result of a spread of infection from the sinuses. Orbital cellulitis, secondary to dental infection is rare. We hereby report a case of orbital cellulitis secondary to dental infection in a 15-day-old neonate without any systemic features. PMID:25116779

  1. Clinical potential of resistin as a novel prognostic biomarker for cellulitis

    PubMed Central

    ERTURK, AYSE; CURE, MEDINE CUMHUR; CURE, ERKAN; KURT, AYSEL; CICEK, AYSEGUL COPUR; YUCE, SULEYMAN

    2015-01-01

    Cellulitis is an acute, subacute or chronic inflammation of the dermis and subdermal tissues, which is typically caused by bacteria, although other causes are possible. The present study aimed to evaluate the association between resistin levels and the recovery time of patients with cellulitis. In addition, the effect of resistin and insulin resistance on the prognosis of cellulitis was investigated. In total, 52 patients with cellulitis (male, 21; female, 31) and an age-matched group of 42 healthy individuals (male, 18; female, 24) were included in the study. The levels of serum resistin, fasting plasma glucose (FPG), homeostasis model assessment-insulin resistance (HOMA-IR), C-reactive protein (CRP) and other biochemical parameters were compared between the groups. The mean resistin levels in the cellulitis and control groups were 9.4±5.3 and 5.8±3.1 ng/ml, respectively. The levels of resistin, FPG, HOMA-IR and CRP were significantly higher in the cellulitis group compared with the control group (P<0.001). Furthermore, the mean recovery time of the patients with cellulitis was 21.2±5.6 days. Thus, increased levels of resistin (P=0.002) and HOMA-IR (P=0.005) could be used as predictive factors for the recovery time. The enhanced levels of resistin and HOMA-IR were shown to correlate with the high CRP levels in the cellulitis group. Therefore, the results indicated that increased levels of resistin may function as a prognostic marker for cellulitis.

  2. AVIAN DISEASES 46:4852, 2002 Virulence Factors of Escherichia coli from Cellulitis or

    E-print Network

    Singer, Randall

    Escherichia coli is the most common second- ary bacterial infection of commercial poultry flocks and may also48 AVIAN DISEASES 46:48­52, 2002 Virulence Factors of Escherichia coli from Cellulitis. This study was designed to compare virulence factors of cellulitis-derived Escherichia coli to colisepticemic

  3. Eosinophilic cellulitis (Wells' syndrome) caused by a temporary henna tattoo.

    PubMed

    Nacaroglu, Hikmet Tekin; Celegen, Mehmet; Kark?ner, Canan Sule Unsal; Günay, Ilker; Diniz, Güllden; Can, Demet

    2014-10-01

    Eosinophilic cellulitis (Wells' syndrome) is an uncommon condition of unknown etiology. Wells' syndrome is usually seen in adulthood but very rare in childhood. Although pathogenesis of the disease is not very clear, it is a hypersensitivity reaction developing against a variety of exogenous and endogenous antigenic stimuli. Paraphenylenediamine is a strong allergen frequently used as a temporary henna tattoo, which makes the color darker. Here, a 9-year-old male patient with Wells' syndrome is presented, which developed following a temporary henna tattoo and shown by the patch test sensitivity to paraphenylenediamine. PMID:25395929

  4. Eosinophilic cellulitis (Wells’ syndrome) caused by a temporary henna tattoo

    PubMed Central

    Celegen, Mehmet; Kark?ner, Canan Sule Unsal; Günay, Ilker; Diniz, Güllden; Can, Demet

    2014-01-01

    Eosinophilic cellulitis (Wells’ syndrome) is an uncommon condition of unknown etiology. Wells’ syndrome is usually seen in adulthood but very rare in childhood. Although pathogenesis of the disease is not very clear, it is a hypersensitivity reaction developing against a variety of exogenous and endogenous antigenic stimuli. Paraphenylenediamine is a strong allergen frequently used as a temporary henna tattoo, which makes the color darker. Here, a 9-year-old male patient with Wells’ syndrome is presented, which developed following a temporary henna tattoo and shown by the patch test sensitivity to paraphenylenediamine. PMID:25395929

  5. Point-of-care ultrasound differentiates pyomyositis from cellulitis.

    PubMed

    Sauler, Allison; Saul, Turandot; Lewiss, Resa E

    2015-03-01

    Pyomyositis (PM) is an infection of skeletal muscle, often associated with an abscess. Patients typically have predisposing risk factors or are immune compromised. The disease is often misdiagnosed, mistreated,and goes undetected until late in the patient's clinical course.We present a case of a patient without obvious predisposing risk factors who complained of right thigh pain, swelling, redness, and fevers for 4 days.Point-of-care ultrasound revealed muscle edema and subcutaneous emphysema without signs of an overlying cellulitis. Point-of-care ultrasound consequently led to an earlier diagnosis of PM and directly affected the immediate patient care in the emergency department. PMID:25245285

  6. Molecular Typing of Beta-Hemolytic Streptococci from Two Patients with Lower-Limb Cellulitis: Identical Isolates from Toe Web and Blood Specimens?

    PubMed Central

    Hilmarsdóttir, Ingibjörg; Valsdóttir, Freyja

    2007-01-01

    Intertriginous toe webs harboring cellulitis-causing bacteria constitute a risk factor for lower-limb cellulitis. Molecular typing of Streptococcus pyogenes and S. dysgalactiae subsp. equisimilis isolates from blood and toe webs of two cellulitis patients revealed identical strains for each species. This finding supports the role of toe webs as a potential site of entry for cellulitis pathogens. PMID:17609319

  7. Le contrôle de commutations dans une cellule bidirectionnelle bicommandable

    NASA Astrophysics Data System (ADS)

    Guillaud, X.; Deleu, A.; Degobert, P.; Hautier, J. P.

    1996-01-01

    A Power electronics static converter modulate the energy flowing between two different source types. This induce constraints in converter topology which need to be taken into account to drive the switches specially during the changeover between two switches belonging to the same cell. If the control logic is well known when using current or voltage bidirectionnal switches, we propose a method which fits to bidrivable, current and voltage bidirectionnal switches. Petri net are usefull tools to describe the switches themselves. Aplied to the cell description they permit us to generate a component logic drive in respect with energy constraints. Un convertisseur statique réalise une fonction de modulation de l'énergie transitant entre deux sources de nature différente. La nécessaire continuité énergétique induit des contraintes dans la topologie du convertisseur qui se répercutent sur la commande des composants qui le constituent, notamment lors de la phase de commutation entre deux interrupteurs d'une même cellule. Si les principes de commande sont bien connus pour les interrupteurs bidirectionnels en courant ou en tension, nous proposons dans cet article une méthode s'appliquant aux interrupteurs bicommandables et bidirectionnels à la fois en courant et en tension. Les réseaux de Petri constituent d'abord un outil de description précis des interrupteurs. Appliqués ensuite à la description du fonctionnement d'une cellule de commutation, ils deviennent alors un outil de synthèse conduisant à l'élaboration d'une logique de commande respectant les contraintes énergétiques dans tous les cas de figure.

  8. A prospective study of management and litter variables associated with cellulitis in California broiler flocks.

    PubMed

    Schrader, J S; Singer, R S; Atwill, E R

    2004-09-01

    Cellulitis has emerged as an economically important disease of broiler chickens. The impact of environmental risk factors on the incidence of cellulitis has not been evaluated in the United States. Escherichia coli (E. coli), the causative agent, is introduced through skin scratches during the grow out. Our previous work suggested that the litter was an important reservoir for cellulitis-associated E. coli. We hypothesized that factors contributing to a positive environment for E. coli growth would increase the opportunity for exposure of a broiler to an infectious dose of E. coli, capable of initiating a cellulitis lesion. This prospective study of 304 flocks on five farms from two integrated broiler companies was conducted to determine the effect of environmental factors on the prevalence of cellulitis in California broiler flocks. Environmental variables included temperature, wind velocity, and relative humidity (RH) at the litter surface. Litter variables measured included E. coli and total gram-negative bacteria load (colony forming units/g dry matter), water activity, and pH. Management variables such as clean out, the number of flocks reared on the same litter (litter run, LR), and downtime (DT) between flocks were also evaluated. Cellulitis ranged from 0.197% to 6.04%. Significant associations were identified using linear regression between farm, LR, DT, ambient temperature during the brooding period, gram-negative bacteria load in the litter during the brooding period, RH mid-grow out, and E. coli load late in the grow out. The significant variation in the rate of cellulitis between farms combined with the strong association of LR and DT with cellulitis demonstrated that management choices were highly influential in this disease syndrome. Based on these data and our previous findings, managers would be advised to increase DT between flocks and perform a total clean out of the house when a flock processes with a high incidence of cellulitis. PMID:15529974

  9. BIOLOGIE CELLULAIRE : ORGANISATION ET FONCTIONS DE LA CELLULE ; PATHOGE`NES

    E-print Network

    van Tiggelen, Bart

    23 BIOLOGIE CELLULAIRE : ORGANISATION ET FONCTIONS DE LA CELLULE ; PATHOGE`NES ET RELATIONS HO^ TES/PATHOGE`NES prions) en conditions patho- ge`nes ou pas, ­ relations ho^tes-agents infectieux : trans- mission

  10. Delayed breast cellulitis: An evolving complication of breast conservation

    SciTech Connect

    Indelicato, Daniel J. [Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL (United States); Grobmyer, Stephen R. [Department of Surgery, University of Florida, Gainesville, FL (United States); Newlin, Heather [Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL (United States); Morris, Christopher G. [Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL (United States); Haigh, Linda S. [Department of Surgery, University of Florida College of Medicine, Jacksonville, FL (United States); Copeland, Edward M. [Department of Surgery, University of Florida, Gainesville, FL (United States); Mendenhall, Nancy Price [Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL (United States)]. E-mail: mendenan@shands.ufl.edu

    2006-12-01

    Purpose: Delayed breast cellulitis (DBC) is characterized by the late onset of breast erythema, edema, tenderness, and warmth. This retrospective study analyzes the risk factors and clinical course of DBC. Methods and Materials: From 1985 through 2004, 580 sequential women with 601 stage T0-2N0-1 breast cancers underwent breast conserving therapy. Cases of DBC were identified according to accepted clinical criteria: diffuse breast erythema, edema, tenderness, and warmth occurring >3 months after definitive surgery and >3 weeks after radiotherapy. Potential risk factors analyzed included patient comorbidity, operative technique, acute complications, and details of adjunctive therapy. Response to treatment and long-term outcome were analyzed to characterize the natural course of this syndrome. Results: Of the 601 cases, 16%, 52%, and 32% were Stage 0, I, and II, respectively. The overall incidence of DBC was 8% (50/601). Obesity, ecchymoses, T stage, the presence and aspiration of a breast hematoma/seroma, removal of >5 axillary lymph nodes, and arm lymphedema were significantly associated with DBC. The median time to onset of DBC from the date of definitive surgery was 226 days. Ninety-two percent of DBC patients were empirically treated with antibiotics. Fourteen percent required more invasive intervention. Twenty-two percent had recurrent episodes of DBC. Ultimately, 2 patients (4%) underwent mastectomy for intractable breast pain related to DBC. Conclusion: Although multifactorial, we believe DBC is primarily related to a bacterial infection in the setting of impaired lymphatic drainage and may appear months after completion of radiotherapy. Invasive testing before a trial of antibiotics is generally not recommended.

  11. [Eosinophilic cellulitis (Wells syndrome) with involvement of para-articular muscles and fascia].

    PubMed

    Zloczower, M; Zur Nedden, D; Helweg, G; Knapp, R; Fritsch, P

    1994-08-01

    A 62-year-old woman developed eosinophilic cellulitis of her right arm, accompanied by systemic signs (fever, leucocytosis) and massive restriction of the motility of her right shoulder joint. Sonography and computed tomography revealed massive cutaneous and subcutaneous oedema, and accumulations of fluid around the deep muscular fasciae, interstices and (less severe) within the joint. High-dose systemic corticosteroid treatment led to rapid clearing of the skin lesions, and joint motility was restored several weeks later. This is the first case of eosinophilic cellulitis in which involvement of deep structures adjacent to joints has been demonstrated by modern imaging techniques. PMID:7960756

  12. trophorse bidimensionnelle sur cellules bo-vines du sang priphrique, sur la ligne bovine

    E-print Network

    Paris-Sud XI, Université de

    trophorèse bidimensionnelle sur cellules bo- vines du sang périphérique, sur la lignée bovine lymphoblastoïde BL-3 et sur des lignées bo- vines hétérozygotes, homozygotes ou ha- ploïdes pour les antigènes de T auxiliaires. Nos résultats montrent que, dans l'espèce bo- vine, l'organisation des gènes de classe Il pré

  13. Carcinomes cellules rnales et facteurs pronostiques Renal cell carcinoma and prognostic factors

    E-print Network

    Paris-Sud XI, Université de

    Carcinomes à cellules rénales et facteurs pronostiques Renal cell carcinoma and prognostic factors. Summary Renal cell carcinoma shows a very large pattern of expression, with difficulty in doing pronostiques, grade de Fuhrman, TNM, angiogénèse, thérapies ciblées. Key words : renal cell carcinoma

  14. UNIVERSITE D'ANGERS Anne 2010 Cellules stromales msenchymateuses comme vecteurs

    E-print Network

    Paris-Sud XI, Université de

    UNIVERSITE D'ANGERS Année 2010 N° 1081 Cellules stromales mésenchymateuses comme vecteurs 2010 à Angers par Mathilde ROGER Devant le jury ci-dessous : Dr Christine Vauthier Rapporteur Directeur, Université d'Angers Dr Anne Clavreul Co-Encadrante de thèse Ingénieur hospitalier, INSERM U646, Angers Pr

  15. THE RISK FACTORS AND CLINICAL CHARACTERISTICS OF CELLULITIS: A HOSPITAL-BASED CASE-CONTROL STUDY IN SINGAPORE

    Microsoft Academic Search

    Soondal Koomar Surrun; Mohammed Tauqeer Ahmad; Sheerin Afzal; Ban Hock Tan; Wattasit Siriwong; Robert Sedgwick Chapman

    2009-01-01

    Bacterial cellulitis is a worldwide problem and may lead to potentially fatal complications. The aim of this study was to identify the risk factors associated with, and the clinical characteristics of, cellulitis. A hospital-based case-control study of 150 patients and 150 unmatched controls was conducted. The mean age was 56.5 (±16.5) years in cases and 59.2 (±19.0) in controls, (p=0.195).

  16. The air forces on a systematic series of biplane and triplane cellule models

    NASA Technical Reports Server (NTRS)

    Munk, Max M

    1927-01-01

    The air forces on a systematic series of biplane and triplane cellule models are the subject of this report. The test consist in the determination of the lift, drag, and moment of each individual airfoil in each cellule, mostly with the same wing section. The magnitude of the gap and of the stagger is systematically varied; not, however, the decalage, which is zero throughout the tests. Certain check tests with a second wing section make the tests more complete and conclusions more convincing. The results give evidence that the present army and navy specifications for the relative lifts of biplanes are good. They furnish material for improving such specifications for the relative lifts of triplanes. A larger number of factors can now be prescribed to take care of different cases.

  17. Subcutaneous cellulitis of the thigh due to grass awn migration in a German shepherd dog

    Microsoft Academic Search

    A. S. Bigham; H. Nourani

    2009-01-01

    Cellulitis is a severe, deep, suppurative infection that is poorly defined and tends to dissect through tissue planes. When\\u000a a foreign body enters the body, white blood cells attack the site and fight the invading agent. Sometimes, this collection\\u000a of blood cells forms a packed of pus or an abscess within the body’s tissues, organs, or confined spaces. Chronic sinus

  18. Severe cellulitis and abdominal wall emphysema following laparoscopic colonic surgery: A case report.

    PubMed

    Tanaka, Ryo; Kameyama, Hitoshi; Chida, Tadasu; Kanda, Tatsuo; Kano, Yosuke; Ichikawa, Hiroshi; Hanyu, Takaaki; Ishikawa, Takashi; Kosugi, Shin-Ichi; Wakai, Toshifumi

    2015-05-01

    Abdominal wall emphysema is a common complication of laparoscopic surgery. This condition is usually harmless; however, if an infection occurs, it can develop into a serious condition such as necrotizing fasciitis. We report a case of a 51-year-old woman suffering from severe cellulitis that spread from an area of abdominal wall emphysema after laparoscopic surgery for sigmoid colon cancer. Recognizing this complication, early diagnosis, and prompt treatment are cornerstones for successful management of this potentially fatal disease. PMID:25913586

  19. European ST80 community-associated methicillin-resistant Staphylococcus aureus orbital cellulitis in a neonate

    PubMed Central

    2012-01-01

    Background Methicillin-resistant Staphylococcus aureus is a serious cause of morbidity and mortality in hospital environment, but also, lately, in the community. This case report is, to our knowledge, the first detailed description of a community-associated methicillin-resistant S. aureus ST80 orbital cellulitis in a previously healthy neonate. Possible predisposing factors of microbial acquisition and treatment selection are also discussed. Case presentation A 28-day-old Caucasian boy was referred to our hospital with the diagnosis of right orbital cellulitis. His symptoms included right eye proptosis, periocular edema and redness. Empirical therapy of intravenous daptomycin, rifampin and ceftriaxone was initiated. The culture of pus yielded a methicillin-resistant S. aureus isolate and the molecular analysis revealed that it was a Panton-Valentine leukocidine-positive ST80 strain. The combination antimicrobial therapy was continued for 42 days and the infection was successfully controlled. Conclusions Clinicians should be aware that young infants, even without any predisposing condition, are susceptible to orbital cellulitis caused by community-associated methicillin-resistant S. aureus. Prompt initiation of the appropriate empirical therapy, according to the local epidemiology, should successfully address the infection, preventing ocular and systemic complications. PMID:22490061

  20. Infratemporal fossa cellulitis caused by a remnant iatrogenic foreign body after a bimaxillary operation.

    PubMed

    Park, Do Yang; Choo, Oak-Sung; Hong, Sang Young; Kim, Hyun Jun

    2015-05-01

    Infratemporal fossa cellulitis is rare and mostly occurs because of sinusitis and dental procedures. Furthermore, cellulitis caused by iatrogenic foreign bodies is very rare.A 28-year-old woman who had previously undergone cosmetic bimaxillary operation visited our hospital complaining of left facial swelling, oppressive pain, and nasal obstruction since 2 years. She had been attending another clinic, but despite having additional procedures and taking medications, her symptoms persisted. A subsequent operation was performed, during which we found a remnant surgical gauze from the previous operation, which was decomposed and trapped around the necrotic soft tissue and had eroded the bony structure around the pterygoid fossa. The material was successfully removed by endoscopic surgery, and the necrotic tissue was debrided. After the operation, all symptoms disappeared, and the patient was discharged without sequelae.During any procedure, surgeons must meticulously check for remnant material. Additionally, physicians must carefully note patient history and perform a physical examination, even in patients without serious symptoms. We report a case of advanced infratemporal fossa cellulitis due to remnant gauze material during a previous operation that was undetected. PMID:25950522

  1. The role of beta-hemolytic streptococci in causing diffuse, nonculturable cellulitis: a prospective investigation.

    PubMed

    Jeng, Arthur; Beheshti, Manie; Li, John; Nathan, Ramesh

    2010-07-01

    Staphylococcus aureus and beta-hemolytic streptococci (BHS) are the 2 main types of bacteria causing soft-tissue infections. Historically, BHS were believed to be the primary cause of diffuse, nonculturable cellulitis. However, with the recent epidemic of community-associated methicillin-resistant S aureus (MRSA) causing culturable soft-tissue infections, it is currently unclear what role either of these bacteria has in cases where the cellulitis is diffuse and nonculturable. This uncertainty has led to broad-spectrum and haphazard use of antibiotics for this infection type, which has led to increased risk of adverse drug reactions, health care costs, and emergence of resistance in bacteria. To investigate this issue, we conducted a prospective investigation between December 2004 and June 2007, enrolling all adult patients admitted to the inpatient service at the Olive View-UCLA Medical Center, a county hospital of Los Angeles, with diffuse, nonculturable cellulitis. Acute and convalescent serologies for anti-streptolysin-O and anti-DNase-B antibodies were obtained. Patient data were analyzed for response to beta-lactam antibiotics. The primary outcome was the proportion of these cases caused by BHS, as diagnosed by serologies and/or blood cultures, and the secondary outcome was the response rate of patients to beta-lactam antibiotics. Of 248 patients enrolled, 69 were dropped from analysis because of loss to follow-up or exclusion criteria. Of the 179 remaining patients, 73% of nonculturable cellulitis cases were caused by BHS. Analysis of outcomes to beta-lactam antibiotic treatment revealed that patients diagnosed with BHS had a 97% (71/73) response, while those who did not have BHS had a 91% (21/23) response, with an overall response rate of 95.8% (116/121). Results of this large, prospective study show that diffuse, nonculturable cellulitis is still mainly caused by BHS, despite the MRSA epidemic, and that for this infection type, treatment with beta-lactam antibiotics is still effective. A cost-effective, evidence-based algorithm can be useful for the empiric management of uncomplicated soft-tissue infections based on the presence or absence of a culturable source. PMID:20616661

  2. Localisation humérale d'une tumeur à cellules géantes récidivantes (à propos d'un cas)

    PubMed Central

    Nader, Youssef; Serghini, Issam; Koulali, Idrissi Khalid; Salahi, Hicham; Galwia, Farid

    2015-01-01

    Les auteurs rapportent un cas de localisation rare d'une tumeur à cellules géantes au niveau de la palette humérale du coude droit chez un militaire de 36 ans de sexe masculin, la radio standard montrait une image kystique ne soufflant pas la corticale. L'examen anatomo-pathologique a permis d’ établir le diagnostic et le traitement a fait appel: au début a une Exérèse chirurgicale totale et une greffe osseuse par un greffon iliaque de la totalité de la palette huméral qui s'est compliquée à 6 mois de recule d une récidive locale. PMID:25995809

  3. Snake bite induced cellulitis leading to infected open dislocation of the first metacarpophalangeal joint - A rare complication.

    PubMed

    Balaji, Gopisankar; Kumar, Anand; Menon, Jagdish

    2015-09-01

    Non-traumatic open dislocation of the first metacarpophalangeal joint is a rare phenomenon. We present a rare such occurrence secondary to snake bite induced cellulitis. A 22-year-old girl presented with pain and instability of her right thumb two months. She had snake bite two months back following which she developed cellulitis which gradually became infected. She presented with raw area over her dorsal aspect of the thumb with active infection. Radiographs revealed metacarpophalangeal joint dislocation. She underwent debridement, stabilisation and soft tissue coverage. At final follow up, she was pain free and the wound healed completely. PMID:26155057

  4. Poor Dental Hygiene in Pregnancy Leading to Submandibular Cellulitis and Intrauterine Fetal Demise: Case Report and Literature Review

    PubMed Central

    Mukherjee, Soma; Sharma, Surbhi; Maru, Laxmi

    2013-01-01

    Ludwig's angina is an infectious process involving submandibular, sublingual, and submental spaces that can rapidly progress to hemodynamic instability and airway obstruction. A 38-year-old unbooked multipara of low socioeconomic status with a poor oral and dental hygiene presented with bilateral submandibular cellulitis and intrauterine fetal demise. She delivered vaginally, and subsequently drainage was done for cellulitis. The report highlights the importance of dental hygiene during pregnancy, lest life-threatening complications like Ludwig's angina occur, complicating the course of pregnancy. PMID:23930173

  5. Snake bite induced cellulitis leading to infected open dislocation of the first metacarpophalangeal joint – A rare complication

    PubMed Central

    Balaji, Gopisankar; Kumar, Anand; Menon, Jagdish

    2015-01-01

    Non-traumatic open dislocation of the first metacarpophalangeal joint is a rare phenomenon. We present a rare such occurrence secondary to snake bite induced cellulitis. A 22-year-old girl presented with pain and instability of her right thumb two months. She had snake bite two months back following which she developed cellulitis which gradually became infected. She presented with raw area over her dorsal aspect of the thumb with active infection. Radiographs revealed metacarpophalangeal joint dislocation. She underwent debridement, stabilisation and soft tissue coverage. At final follow up, she was pain free and the wound healed completely.

  6. Helicobacter cinaedi bacteremia with cellulitis after ABO-incompatible living-donor liver transplantation: Case report

    PubMed Central

    Mishima, Kohei; Obara, Hideaki; Sugita, Kayoko; Shinoda, Masahiro; Kitago, Minoru; Abe, Yuta; Hibi, Taizo; Yagi, Hiroshi; Matsubara, Kentaro; Mori, Takehiko; Takano, Yaoko; Fujiwara, Hiroshi; Itano, Osamu; Hasegawa, Naoki; Iwata, Satoshi; Kitagawa, Yuko

    2015-01-01

    Helicobacter cinaedi (H. cinaedi), a Gram-negative spiral-shaped bacterium, is an enterohepatic non-Helicobacter pylori Helicobacter species. We report the first case of H. cinaedi bacteremia with cellulitis after liver transplantation. A 48-year-old male, who had been a dog breeder for 15 years, underwent ABO-incompatible living-donor liver transplantation for hepatitis C virus-induced decompensated cirrhosis using an anti-hepatitis B core antibody-positive graft. The patient was preoperatively administered rituximab and underwent plasma exchange twice to overcome blood type incompatibility. After discharge, he had been doing well with immunosuppression therapy comprising cyclosporine, mycophenolate mofetil, and steroid according to the ABO-incompatible protocol of our institution. However, 7 mo after transplantation, he was admitted to our hospital with a diagnosis of recurrent cellulitis on the left lower extremity, and H. cinaedi was detected by both blood culture and polymerase chain reaction analysis. Antibiotics improved his symptoms, and he was discharged at day 30 after admission. Clinicians should be more aware of H. cinaedi in immunocompromised patients, such as ABO-incompatible transplant recipients. PMID:26167092

  7. Helicobacter cinaedi bacteremia with cellulitis after ABO-incompatible living-donor liver transplantation: Case report.

    PubMed

    Mishima, Kohei; Obara, Hideaki; Sugita, Kayoko; Shinoda, Masahiro; Kitago, Minoru; Abe, Yuta; Hibi, Taizo; Yagi, Hiroshi; Matsubara, Kentaro; Mori, Takehiko; Takano, Yaoko; Fujiwara, Hiroshi; Itano, Osamu; Hasegawa, Naoki; Iwata, Satoshi; Kitagawa, Yuko

    2015-07-01

    Helicobacter cinaedi (H. cinaedi), a Gram-negative spiral-shaped bacterium, is an enterohepatic non-Helicobacter pylori Helicobacter species. We report the first case of H. cinaedi bacteremia with cellulitis after liver transplantation. A 48-year-old male, who had been a dog breeder for 15 years, underwent ABO-incompatible living-donor liver transplantation for hepatitis C virus-induced decompensated cirrhosis using an anti-hepatitis B core antibody-positive graft. The patient was preoperatively administered rituximab and underwent plasma exchange twice to overcome blood type incompatibility. After discharge, he had been doing well with immunosuppression therapy comprising cyclosporine, mycophenolate mofetil, and steroid according to the ABO-incompatible protocol of our institution. However, 7 mo after transplantation, he was admitted to our hospital with a diagnosis of recurrent cellulitis on the left lower extremity, and H. cinaedi was detected by both blood culture and polymerase chain reaction analysis. Antibiotics improved his symptoms, and he was discharged at day 30 after admission. Clinicians should be more aware of H. cinaedi in immunocompromised patients, such as ABO-incompatible transplant recipients. PMID:26167092

  8. Delayed resolution of eyelid swelling in preseptal cellulitis in a child: beware of causing occlusion amblyopia

    PubMed Central

    Upendran, Muralidharan R; McLoone, Eibhlin

    2013-01-01

    A 7-month-old child presented with a 6-day history of right eyelid swelling and redness. She was being treated with chloramphenicol ointment and oral flucloxacillin by the general practitioner. Clinical examination revealed features of preseptal cellulitis. There was no evidence of orbital involvement and the child was generally well otherwise. Her oral antibiotics were changed and she was adviced to attend for a review in 2?days time. However, the child did not return for a review. Three weeks later following resolution of the eyelid swelling, the child represented with a divergent squint in the right eye. Clinical and orthoptic investigations suggested occlusion amblyopia. The child is currently receiving patching treatment for the amblyopia and is awaiting surgery for squint eye. PMID:23476010

  9. [Necrotizing fasciitis and cellulitis of the upper limb resulting from centipede bite: two case reports].

    PubMed

    Uzel, A-P; Steinmann, G; Bertino, R; Korsaga, A

    2009-10-01

    Centipede bites occurring in tropical countries are rare, however vigilance must be exercised during activities in the open air and dwellings should be checked in the event of rain. The bite is very painful and can be accompanied by generalised signs. An initial wound disinfection and a check of antitetanus vaccination status is all that is usually needed to ensure an uneventful outcome. There are however, rare cases where local toxicity and a bacterial super-infection, often with Gram+ cocci, can lead to a cellulitis or even necrotizing fasciitis of the hand. The diagnosis of a centipede bite can be made by the double marks made by the fangs. Wound debridement and antibiotics led to a good outcome in both our cases. PMID:19574077

  10. Suppurative meckel diiverticulum in a 3-year-old girl presenting with periumbilical cellulitis.

    PubMed

    Park, Ji Sook; Lim, Chun Woo; Park, Taejin; Cho, Jae-Min; Seo, Ji-Hyun; Youn, Hee-Shang

    2015-03-01

    Meckel diverticulum (MD) is one of the most common congenital gastrointestinal anomalies and occurs in 1.2-2% of the general population. MD usually presents with massive painless rectal bleeding, intestinal obstruction or inflammation in children and adults. Suppurative Meckel diverticulitis is uncommon in children. An experience is described of a 3-year-old girl with suppurative inflammation in a tip of MD. She complained of acute colicky abdominal pain, vomiting and periumbilical erythema. Laparoscopic surgery found a relatively long MD with necrotic and fluid-filled cystic end, which was attatched to abdominal wall caused by inflammation. Herein, we report an interesting and unusual case of a suppurative Meckel diverticulitis presenting as periumbilical cellulitis in a child. Because of its varied presentations, MD might always be considered as one of the differential diagonosis. PMID:25866736

  11. Revetements antireflet-passivation a base de nitrure de silicium PECVD pour cellules solaires triple-jonction III-V/ Ge

    NASA Astrophysics Data System (ADS)

    Homier, Ram

    Dans le contexte environnemental actuel, le photovoltaïque bénéficie de l'augmentation des efforts de recherche dans le domaine des énergies renouvelables. Pour réduire le coût de la production d'électricité par conversion directe de l'énergie lumineuse en électricité, le photovoltaïque concentré est intéressant. Le principe est de concentrer une grande quantité d'énergie lumineuse sur des petites surfaces de cellules solaires multi-jonction à haute efficacité. Lors de la fabrication d'une cellule solaire, il est essentiel d'inclure une méthode pour réduire la réflexion de la lumière à la surface du dispositif. Le design d'un revêtement antireflet (ARC) pour cellules solaires multi-jonction présente des défis à cause de la large bande d'absorption et du besoin d'égaliser le courant produit par chaque sous-cellule. Le nitrure de silicium déposé par PECVD en utilisant des conditions standards est largement utilisé dans l'industrie des cellules solaires à base de silicium. Cependant, ce diélectrique présente de l'absorption dans la plage des courtes longueurs d'onde. Nous proposons l'utilisation du nitrure de silicium déposé par PECVD basse fréquence (LFSiN) optimisé pour avoir un haut indice de réfraction et une faible absorption optique pour l'ARC pour cellules solaires triple-jonction III-V/Ge. Ce matériau peut aussi servir de couche de passivation/encapsulation. Les simulations montrent que l'ARC double couche SiO2/LFSiN peut être très efficace pour réduire les pertes par réflexion dans la plage de longueurs d'onde de la sous-cellule limitante autant pour des cellules solaires triple-jonction limitées par la sous-cellule du haut que pour celles limitées par la sous-cellule du milieu. Nous démontrons aussi que la performance de la structure est robuste par rapport aux fluctuations des paramètres des couches PECVD (épaisseurs, indice de réfraction). Mots-clés : Photovoltaïque concentré (CPV), cellules solaires multi-jonction (MJSC), revêtement antireflet (ARC), passivation des semiconducteurs III-V, nitrure de silicium (Si?Ny), PECVD.

  12. Prevalence and predictors of initial oral antibiotic treatment failure in adult emergency department patients with cellulitis: a pilot study

    PubMed Central

    Quirke, Michael; Boland, Fiona; Fahey, Tom; O'Sullivan, Ronan; Hill, Arnold; Stiell, Ian; Wakai, Abel

    2015-01-01

    Introduction Assessment of cellulitis severity in the emergency department (ED) setting is problematic. Given the lack of research performed to describe the epidemiology and management of cellulitis, it is unsurprising that heterogeneous antibiotic prescribing and poor adherence to guidelines is common. It has been shown that up to 20.5% of ED patients with cellulitis require either a change in route or dose of the initially prescribed antibiotic regimen. The current treatment failure rate for empirically prescribed oral antibiotic therapy in Irish EDs is unknown. The association of patient risk factors with treatment failure has not been described in our setting. Lower prevalence of community-acquired methicillin-resistant Staphylococcus aureus-associated infection, differing antibiotic prescribing preferences and varying availability of outpatient intravenous therapy programmes may result in different rates of empiric antibiotic treatment failure from those previously described. Methods and analysis Consecutive ED patients with cellulitis will be enrolled on a 24/7 basis from 3 Irish EDs. A prespecified set of clinical variables will be measured on each patient discharged on empiric oral antibiotic therapy. A second independent study recruiter will assess at least 10% of cases for each of the predictor variables. Follow-up by telephone call will occur at 14?days for all discharged patients where measurement of the primary outcome will occur. Our primary outcome is treatment failure, defined as a change in route of antibiotic administration from oral to intravenous antibiotic. Our secondary outcome is change in dose or type of prescribed antibiotic. A cohort of approximately 152 patients is required to estimate the proportion of patients failing oral antibiotic treatment with a margin of error of 0.05 around the estimate. Ethics and dissemination Full ethics approval has been granted. An integrated dissemination plan, involving diverse clinical specialties and enrolled patients, is described. Trial registration number NCT 02230813. PMID:26112223

  13. Detection d'adduits benzoralpyrene-ADN dans les cellules mononucleaires peripheriques d'ouvriers de cokeries : correlation a la

    E-print Network

    Boyer, Edmond

    Detection d'adduits benzoralpyrene-ADN dans les cellules mononucleaires peripheriques d'ouvriers de ä l'ADN humain.La formation d'adduits de l'ADN etant consideree comme un ^venement critique de la formation d'adduits benzo[a3pyrene-ADN peut jouer un röle etiologique,tout au moins chez certaines personnes

  14. A case of cellulitis of the hands caused by a predatory bird attack

    PubMed Central

    Khan, M Adil Abbas; Farid, Mohammed; Sobani, Zain A; Ali, Syed Nadir; Malick, Huzaifa; Baqir, Maryam; Sharif, Hasanat; Beg, M Asim

    2011-01-01

    Many species have been drastically affected by rapid urbanization. Harris's hawks from their natural habitat of open spaces and a supply of rodents, lizards and other small prey have been forced to change their natural environment adapting to living in open spaces in sub- and peri-urban areas. Specific areas include playgrounds, parks and school courtyards. The migration of this predatory species into these areas poses a risk to individuals, and especially the children are often attacked by claws, talons and beaks intentionally or as collateral damage while attacking rodent prey. In addition, the diverse micro-organisms harbored in the beaks and talons can result in wound infections, presenting a challenge to clinical management. Here we would like to present a case of an 80-year-old man with cellulitis of both hands after sustaining minor injuries from the talons of a Harris's hawk and review the management options. We would also like to draw attention to the matter that, even though previously a rarity, more cases of injuries caused by birds of prey may be seen in hospital settings. PMID:23569751

  15. Cryptococcosis mimicking cutaneous cellulitis in a patient suffering from rheumatoid arthritis: a case report

    PubMed Central

    2010-01-01

    Background Cryptococcus neoformans is an encapsulated yeast and the most frequent cryptococcal species found in humans. Cryptococcosis is considered an opportunistic infection as it affects mainly immunosuppressed individuals. In humans, C. neoformans causes three types of infections: pulmonary cryptococcosis, cryptococcal meningitis and wound or cutaneous cryptococcosis. Case Presentation An 81-year-old woman developed severe necrotizing cellulitis on her left arm without any preceding injury. The patient had been treated with systemic corticosteroids over twenty years for rheumatoid arthritis (RA). Skin biopsies of the wound area were initially interpreted as cutaneous vasculitis of unknown etiology. However, periodic acid Schiff staining and smear analysis later revealed structures consistent with Cryptococcus neoformans, and the infection was subsequently confirmed by culture. After the initiation of therapy with fluconazole 400 mg per day the general condition and the skin ulcers improved rapidly and the patient was discharged to a rehabilitation facility. Subsequently surgical debridement and skin grafting were performed. Conclusions Opportunistic infections such as cryptococcosis can clinically and histologically mimic cutaneous vasculitis and have to be investigated rigorously as a differential diagnosis in immunosuppressed patients. PMID:20699010

  16. Régulation de la production, par des cellules endothéliales, de cytokines pro-inflammatoires après irradiation

    NASA Astrophysics Data System (ADS)

    van der Meeren, A.; Lafont, H.; Mathé, D.

    1998-04-01

    Gamma irradiation leads to an increased production of interleukin- (IL)-6 and IL-8 by human endothelial cells. In order to regulate the radio-induced production of these pro-inflammatory cytokines, we used the immunoregulatory cytokines IL-4 and IL-10. These agents were added either before or after a 10 Gy-irradiation. Our results show that it is possible to decrease the radio-induced production of IL-6 and IL-8 with the use of IL-4 and IL-10. Differences in the intensity of the response have been observed according to the time of treatment. The anti-inflammatory potential of both IL-4 and IL-10 was more pronounced when added after irradiation. Après irradiation gamma, des cellules endothéliales humaines ont une production accrue des interleukines (IL-) -6 et -8. Dans le but de réguler la production de ces cytokines pro-inflammatoires, nous avons utilisé des cytokines dites anti-inflammatoires, l'IL-4 et l'IL-10. Ces agents ont été ajoutés soit avant soit après une irradiation de 10Gy. Nos résultats montrent qu'il est possible de diminuer les productions radio-induites d'IL-6 et d'IL-8 par l'IL-4 et l'IL-10. Des différences dans l'intensité de la réponse ont toutefois été observées selon que l'IL-4 ou l'IL-10 ont été ajoutées avant ou après irradiation; leur efficacité anti-inflammatoire étant plus marquée lorsque les cytokines sont ajoutées après l'irradiation.

  17. Prophylactic antibiotics for the prevention of cellulitis (erysipelas) of the leg: results of the U.K. Dermatology Clinical Trials Network’s PATCH II trial

    PubMed Central

    2012-01-01

    Summary Background Cellulitis (erysipelas) of the leg is a common, painful infection of the skin and underlying tissue. Repeat episodes are frequent, cause significant morbidity and result in high health service costs. Objectives To assess whether prophylactic antibiotics prescribed after an episode of cellulitis of the leg can prevent further episodes. Methods Double-blind, randomized controlled trial including patients recently treated for an episode of leg cellulitis. Recruitment took place in 20 hospitals. Randomization was by computer-generated code, and treatments allocated by post from a central pharmacy. Participants were enrolled for a maximum of 3 years and received their randomized treatment for the first 6 months of this period. Results Participants (n = 123) were randomized (31% of target due to slow recruitment). The majority (79%) had suffered one episode of cellulitis on entry into the study. The primary outcome of time to recurrence of cellulitis included all randomized participants and was blinded to treatment allocation. The hazard ratio (HR) showed that treatment with penicillin reduced the risk of recurrence by 47% [HR 0·53, 95% confidence interval (CI) 0·26–1·07, P = 0·08]. In the penicillin V group 12/60 (20%) had a repeat episode compared with 21/63 (33%) in the placebo group. This equates to a number needed to treat (NNT) of eight participants in order to prevent one repeat episode of cellulitis [95% CI NNT(harm) 48 to ? to NNT(benefit) 3]. We found no difference between the two groups in the number of participants with oedema, ulceration or related adverse events. Conclusions Although this trial was limited by slow recruitment, and the result failed to achieve statistical significance, it provides the best evidence available to date for the prevention of recurrence of this debilitating condition. PMID:21910701

  18. Cellules solaires au GaAlAs/GaAs faible et fort niveaux de courant. Optimisation dtaille du rendement de conversion

    E-print Network

    Paris-Sud XI, Université de

    V) est proche de la valeur nécessaire à la conversion la plus grande du rayonnement solaire. La puissance uniquement dans la couche GaAs et les porteurs ainsi générés par le rayonnement solaire sont d'autant plus245 Cellules solaires au GaAlAs/GaAs à faible et fort niveaux de courant. Optimisation détaillée du

  19. A Homeopathic Arnica Patch for the Relief of Cellulitis-derived Pain and Numbness in the Hand

    PubMed Central

    Kaszkin-Bettag, Marietta

    2012-01-01

    Objectives: Arnica montana, belonging to the Compositae family, is a plant with a longstanding tradition of relieving pain and/or inflammation in muscles and joints and may thus represent an alternative to nonsteroidal antiinflammatory drugs, which are often ineffective or lead to a number of adverse effects. A homeopathic arnica patch (3X dilution according to the Homeopathic Pharmacopoeia of the United States) was developed to alleviate pain symptoms in the back and neck muscles and joints. Case Presentation: The present case report describes the treatment outcome after administration of the arnica patch in a 55-year-old female patient with pain in the right hand and numbness in the fourth finger after cellulitis in the palmar area. The cellulitis was treated with antibiotics, but pain symptoms remained at 7 points on a 0-to-10–point visual analog scale (VAS) for pain despite intake of oral ibuprofen and oral and topical application of an arnica-containing complex homeopathic ointment. Ten arnica patches were dispensed to the patient. She cut the patch into strips to cover all painful areas of the hand and applied them at night. After 3 days, she reported a substantial decrease in pain symptoms (VAS = 1) and a marked decrease in numbness and in the size of a tender nodule on the third metacarpal area. Moreover, the patient was able to sleep through the night without being awakened by the pain. The symptoms declined further during the next 2 days. Conclusion: This case demonstrates that after a relatively short period of time, the administration of the arnica patch on the hand provided a marked reduction of pain and recovery of functionality of the hand. PMID:24278813

  20. Life of lesions in eosinophilic cellulitis (Wells' syndrome)-a condition that may be missed at first sight.

    PubMed

    Peckruhn, Melanie; Tittelbach, Joerg; Schliemann, Sibylle; Elsner, Peter

    2015-02-01

    Eosinophilic cellulitis is an inflammation of, until now, unknown etiology that was first described by George Wells in 1971. Its dominating histological hallmarks are so-called "flame figures" and an eosinophilic infiltrate. Here, we report the case of a 46-year-old man who initially presented with excoriated papules that were histologically interpreted as consistent with "arthropod reactions." Later on, the clinical presentation changed to erythematous plaques, partially with cockade-like aspects. At this time, new biopsies were performed showing a superficial and deep perivascular lymphocytic and heavily eosinophilic infiltrate and flame figures, thus allowing to establish the diagnosis of Wells' syndrome. Under treatment with oral prednisolone and dapsone, the patient showed a rapid improvement of the condition. The presented case demonstrates both the clinical and histopathologic life of lesions of Well's syndrome in the course of the disease from unspecific to distinctive. The need for repeated biopsies is discussed. Current understanding of the pathogenesis of Wells' syndrome and its correlating histological features are elucidated. PMID:25238447

  1. Cellulitis and Erysipelas

    MedlinePLUS

    ... the NIAID Institute of Allergy and Infectious Diseases web site to work incorrectly. Please visit your browser settings and turn ... is inflammation of the skin and deep underlying tissues. Erysipelas is an inflammatory disease of ...

  2. What Is Cellulitis?

    MedlinePLUS

    ... Adults Over 60 Babies, Children & Teenagers Computer Usage Diabetes Diet & Nutrition Eye Injuries Eye Screening Guidelines Home Remedies for Simple Eye Problems Medical Marijuana for Glaucoma Pregnancy Preventing Eye Injuries Smokers Sports ...

  3. Fragmentation radioinduite de l'ADN et réparation étudiée par immunomarquage anti poly(ADP-ribose)polymérase (PARP) dans les cellules de hamster chinois (CHO)

    NASA Astrophysics Data System (ADS)

    Bidon, N.; Varlet, P.; Noël, G.; Demurcia, G.; Salamero, J.; Averbeck, D.

    1998-04-01

    The poly(ADP-ribose)polymerase is a nuclear ubiquitous enzyme capable of binding to DNA breaks. Chinese hamster ovary cells were (CHO-K1) cultured on slides and ?-irradiated (137Cs) at a high (12.8 Gy/min) or medium dose rate (5 Gy/min), and immunolabelling against (ADP-ribose) polymers immediatly or three hours after irradiation. Quantification and localisation of ?-ray induced breaks was performed by confocal microscopy. The results show a dose effect relationship, a dose-rate effect and the signal disappearence after 3 hours at 37 °C. The presence of PARP activity appears to reflect ?-rays induced DNA fragmentation. Le poly(ADP-ribose)polymérase est une enzyme nucléaire ubiquitaire capable de se fixer sur les cassures de l'ADN. Sur une lignée sauvage de cellules d'ovaire de hamster chinois (CHO-K1) cultivée sur lame et irradiée aux rayons ? à haut débit de dose (HD) 12,8 Gy/min ou à moyen débit de dose (MD) 5 Gy/min, nous avons réalisé un immunomarquage anti-polymères d'ADP-ribose immédiatement après l'irradiation ? ou après trois heures d'incubation à 37 °C. La quantification et la localisation des lésions radioinduites ont été réalisées par microscopie confocale. Les résultats montrent une relation dose-effet et un effet de débit de dose, ainsi qu'une disparition du signal après 3 heures à 37 °C. La présence de la PARP semble donc bien refléter la fragmentation radioinduite de l'ADN.

  4. Infantile Maxillary Sinus Osteomyelitis Mimicking Orbital Cellulitis

    PubMed Central

    Krishnan, Nagarajan; Ramamoorthy, Nathan; Panchanathan, Suresh; Balasundaram, Jothiramalingam S

    2014-01-01

    Periorbital soft tissue swelling may result due to primary orbital pathology or from adjacent facio-maxillary or sino-nasal inflammatory causes. Osteomyelitis of maxilla in the pediatric age group is a rare entity in this era of antibiotics. We present an 11-month-old female infant who was brought with peri-orbital selling and purulent nasal discharge. Computed Tomography showed erosions of the walls of maxillary sinus suggestive of osteomyelitis. Culture of sinus scraping showed Staphylococcus aureus growth and the child improved with intravenous cloxacillin therapy. This case is presented due to the rarity of its presentation in this age group and for awareness to consider this entity in children having fever and peri-orbital swelling. PMID:25191055

  5. Interactions initiales entre cellules dendritiques et micro-organismes impliqus

    E-print Network

    Boyer, Edmond

    %) n'était pas différente de celle des DC immatures (Dci). L'activation des DCs par cette mycobactérie signalisation différentes. Résultats 0 1000 2000 3000 4000 Dci LPS-DCs SR-DCs MI-DCs EA-DCs WS-DCs Pg/ml IL-8 IL surnageants 0 20 40 60 80 100 Dci LPS-DCs SR-DCs MI-DCs EA-DCs WS-DCs %expressionCD 0 20 40 60 80 LPS- DCs SR

  6. A case of cellulitis causing tissue defect during etanercept therapy.

    PubMed

    Deniz, Dulgeroglu; Ebru, Umay; Ajda, Bal; Gulsum, Tetik Menevse; Semih, Tatlican; Aytul, Cakci

    2012-01-01

    Tumor necrosis factor-alpha (TNF-?) antagonists are employed increasingly during recent years in patients with active rheumatoid arthritis who do not respond to disease-modifying anti-rheumatic drugs. Contraindications such as infections, auto-antibody formation and hypersensitive reactions can be observed during the treatment with TNF-? antagonist drugs. Our case was a 52-year-old woman, followed by several centers for a period of 21 years with a seropositive, erosive and nodular RA diagnosis. Anti TNF-? treatment was commenced due to the failure to control the disease. During the treatment, a serious cellulite developed, which required hospitalization and surgical debridement as well as intravenous antibiotics treatment. Through the present case, we aimed to draw attention to the skin infection during the use of etanercept in a patient with RA. PMID:20020139

  7. A case of cellulitis causing tissue defect during etanercept therapy

    Microsoft Academic Search

    Dulgeroglu Deniz; Umay Ebru; Bal Ajda; Tetik Menevse Gulsum; Tatlican Semih; Cakci Aytul

    Tumor necrosis factor-alpha (TNF-?) antagonists are employed increasingly during recent years in patients with active rheumatoid\\u000a arthritis who do not respond to disease-modifying anti-rheumatic drugs. Contraindications such as infections, auto-antibody\\u000a formation and hypersensitive reactions can be observed during the treatment with TNF-? antagonist drugs. Our case was a 52-year-old\\u000a woman, followed by several centers for a period of 21 years with

  8. Pathology Case Study: Fatigue, Easy Bruising, and Cellulitis

    NSDL National Science Digital Library

    Graur, Octavia

    This is a case study presented by the University of Pittsburgh Department of Pathology in which a 51-year-old man, with a history of pancytopenia, presented with â??fatigue, easy bruising, and a left lower leg cellulitesâ?. Results from a blood count along with a microscopic description and images of a marrow biopsy are provided here to help aid in understanding the diagnosis. The â??Final Diagnosisâ? section contains the attending doctorâ??s final diagnosis of the patient with commentary, and a detailed pathology. References are also included in this section. This is an excellent resource for students in the health sciences to familiarize themselves with using patient history and laboratory results to diagnose disease. It is also a helpful site for educators to use to introduce or test student knowledge of neuropathology.

  9. Intracranial brain abscess preceded by orbital cellulitis and sinusitis.

    PubMed

    Yeh, Chung-Hsin; Chen, Wen-Chao; Lin, Maggie S F; Huang, Hua-Tzu; Chao, Shih-Chun; Lo, Yi-Chen

    2010-05-01

    A 17-year-old boy with pyrexia, headache, and frequent drop attacks reported an acute onset of periorbital pain and swelling 1 month previously. Coronal computed tomography (CT) identified an ethmoid sinusitis, which was treated with functional endoscopic sinus surgery and intravenous gentamicin, prostaphylline, and metronidazone. Because of persistent symptoms, the patient returned 1 month later. The CT identified accumulation of debris in both frontal sinuses and a multilobulated lesion over the right frontal lobe. Bicoronal craniotomy was performed, and a mass located in the right frontal lobe was excised; the mass comprised chronic inflammatory tissues without evidence of malignancy. A postoperative brain CT confirmed the absence of a residual mass, and no recurrence or neurologic deficits were noted during the 3-month follow-up period. Intracranial complications cannot be prevented entirely even with the judicious use of antibiotics. Early application of the appropriate imaging modality and institution of aggressive therapy in any patient, not just pediatric patients, to prevent potential long-term disabilities and death are essential. PMID:20485088

  10. Etude d'une cellule photovoltaque jonction liquide : la cellule GaAs-n/(Se2-/Sen2-)/Pt

    E-print Network

    Paris-Sud XI, Université de

    ses performances. La faible décomposition de la photoanode est attribuée à la dégradation de l characteristics. The weak decomposition of the photoanode is attributed to a degradation of the electrolyte, which cette élec- trode semiconductrice. L'espèce oxydée, produite au niveau de la photoanode semiconductrice

  11. la cellule en cuivre en contact avec l'hydrogne liquide (fig. 3). La liaison entre la cellule et le rservoir tritium

    E-print Network

    Paris-Sud XI, Université de

    et le réservoir tritium gazeux est un tube d'acier inoxydable de 2 mm de diamètre. Les essais au tritium, dont le point triple est de 20,3 ~K (communiqué par J. K. Seagrave). Afin d'éviter une solidification dangereuse du tritium, une pressurisation de 0 à 100 g~cm2 environ est prévue sur le cryostat à

  12. Cellules solaires : quelques aspects des structures Schottky base de silicium amorphe hydrogn

    E-print Network

    Paris-Sud XI, Université de

    fortement dopé (n+ a-Si :H), décompositionplas- ma (glow discharge) de silane [10] et pulvérisation laser). - Hétérojonctions (monocristallines massives [4]) (ex. : GaAIAs-GaAs) de haut rendement (- 22

  13. Cancers bronchiques non à petites cellules : amélioration des chances de survie par la radiothérapie conformationnelle ?

    Microsoft Academic Search

    P Giraud; S Helfre; A Lavole; J. C Rosenwald; J. M Cosset

    2002-01-01

    The conformal radiotherapy approach, three-dimensional conformal radiotherapy (3DCRT) and intensity-modulated radiotherapy (IMRT), is based on modern imaging modalities, efficient 3D treatment planning systems, sophisticated immobilization devices and demanding quality assurance and treatment verification. The main goal of conformal radiotherapy is to ensure a high dose distribution tailored to the limits of the target volume while reducing exposure of healthy tissues.

  14. LES CELLULES CORTICOTROPES DE L'HYPOPHYSE DES BOVINS, OVINS et PORCINS

    E-print Network

    Paris-Sud XI, Université de

    la p-(r-2¢) cortioc- tropine conjuguée à la BSA en présence du même Ac. saturé par la BSA. Les ACTH-24) corticotropine. L'ACTH naturelle inhibe la réaction d'immunofluorescence à un taux voisin de celui de l'hor- mone synthétique. Le déterminant Ac. s'adresse à la fraction 1-24 biologiquement active de la molécule d'ACTH et ne

  15. Etude ultrastructurale de l’invasion des cultures primaires du foie par des cellules cancéreuses

    Microsoft Academic Search

    Tack-Ki Leung; Feridoun Babaï

    1978-01-01

    \\u000a Summary  In order to define the specific role of tumour pressure and cellular mobility in the pathogenesis of cancer invasion, in vitro\\u000a interactions between cancer cells and normal cells of the rat liver have been studied at the electron microscope level. The\\u000a experimental model consisted of mixed cultures with either Novikoff hepatoma or rhabdomyosarcoma NS-104 cells and primary\\u000a cultures of the

  16. L'infection persistante de cellules nerveuses humaines par le poliovirus

    E-print Network

    Paris-Sud XI, Université de

    -clés : Poliovirus - Poliomyélite paralytique - Syndrome post-polio - Infection persistante - Neurone - Système atteints de syndrome post-poliomyélitique, ainsi que le phénotype qu'elles confèrent au virus. Mots

  17. Ultrastructure de l'épithélium tégumentaire de Glossiphonia complanata (L.) (Hirudinée): cellules épithéliales et organes sensoriels de Bayer

    Microsoft Academic Search

    Denise Damas

    1973-01-01

    The integument of Glossiphonia complanata, built up by epithelial cells, contains numerous particular organs (Bayer organs), mainly on the dorsal side of the animal. They consist of a protuberant apical cell, which is surrounded by a ring-shaped muscle cell. All the integumentary formations are studied from an ultrastructural point of view. From the epithelial cells issue afferent nerve fibres, considered

  18. Nature chimique des inclusions cristallines nucléaires des cellules parenchymateuses voisines de l'épithème chez Stellaria media L

    Microsoft Academic Search

    André Perrin

    1970-01-01

    Summary The chemical composition of crystalline inclusions, which have been detected in the double nuclear membrane with the electron microscope (Perrin 1969) was studied by enzymatic digestion. The crystals were digested in thin sections by pepsin and after 1 hour of incubation, nearly all the crystalline inclusions had disappeared entirely leaving empty spaces.

  19. Les cellules souches embryonnaires humaines : de la transgression de l’embryon humain à la médecine régénératrice de demain

    Microsoft Academic Search

    J. De Vos; S. Assou; S. Tondeur; M. Dijon; S. Hamamah

    2009-01-01

    Human embryonic stem cells (hESC) are derived from the inner cell mass (ICM) of the human blastocyst at day 5 or 6 of the early embryo development. These cells display two cardinal features: they are able to differentiate into cell types from many if not all human tissue (pluripotency) and they proliferate strongly and indefinitely without senescence in vitro. Therefore, hESC

  20. Synthetic cell elements from block copolymers hydrodynamic aspectsÉléments de cellules synthétiques provenant de copolymères enbloc

    NASA Astrophysics Data System (ADS)

    Dalhaimer, Paul; Bates, Frank S.; Aranda-Espinoza, Helim; Discher, Dennis

    2003-03-01

    Amphiphilic block copolymers can self-assemble in water into various stable morphologies which resemble key cell structures, notably filaments and membranes. Filamentous 'worms' of copolymer, microns-long, are briefly introduced, and related dynamics of copolymer vesicle 'polymersomes' are reviewed. Fluorescence visualization of single worms stretched under flow demonstrates their stability as well as a means to control conformation. Polymersome membranes have been more thoroughly studied, especially copolymer molecular weight effects. We summarize results suggestive of a transition from Rouse-like behavior to entangled chains. Viewed together, the results ask the question: what physics are needed next to mimic cell activities such as crawling? To cite this article: P. Dalhaimer et al., C. R. Physique 4 (2003).

  1. Mucormycosis Caused byRhizopus microsporusvar.microsporus: Cellulitis in the Leg of a Diabetic Patient Cured by Amputation

    Microsoft Academic Search

    BURTON C. WEST; ARNOLD D. OBERLE; ANDKYUNG J. KWON-CHUNG

    1995-01-01

    Mucormycosis accompanied the development of bacterial infection in the leg of a diabetic African-American man. Local injury, diabetic ketoacidosis, renal insufficiency, and antimicrobial therapy were factors that con- tributedtothepathogenesisofthemucormycosis.ThecellulitiswascausedinpartbyRhizopusmicrosporusvar. microsporusandwascuredbyamputation.Wereportthisunusualcaseofmucormycosistoemphasizethevalue of fungal identification, to illustrate a dramatic and successful clinical result, and to draw attention to an apparentroleforbacterialinfectionanditstreatmentinthepathogenesisofmucormycosis.Itisthethirdcase report of mucormycosis in a human in whichR. microsporusvar.microsporuswas definitively identified as

  2. Chimioradiothérapie concomitante pour le traitement des cancers bronchiques non à petites cellules, localisés au thorax, inopérables ou non résécables

    Microsoft Academic Search

    C. Hennequin; F. Mornex; J. Trédaniel

    2008-01-01

    \\u000a Abstract  Concomitant chemoradiation is the standard strategy for unresectable locally advanced non-small cell lung cancer (NSCLC).\\u000a Its modalities used currently include three-dimensional conformal techniques, allowing dose escalation and sequential and\\u000a concurrent combination with new generation cytotoxic agents. Phase III trials have not demonstrated any benefit from induction\\u000a and consolidation chemotherapy in this setting. New techniques of radiation may also increase the

  3. CD43 : cellules T, monocytes et granulocytes; CD45 : gp 180, 190, 205, 220, tous les leuco-

    E-print Network

    Paris-Sud XI, Université de

    : leucocytes, Campath-1; - CD53 : leucocytes; - CD54 : monocytes, lymphocytes, augmente après activation; - CD-524; myeloid cells, 576- 602; platelets, 733-746; non-lineage restricted CD molecules, 788-803 Knapp W, Dorken), 756-762; CD molecules expressed on platelets (summary), 955-958 Aspects généraux des étapes précoces

  4. Combined enzyme mediated fermentation of cellulous and xylose to ethanol by Schizosaccharoyces pombe, cellulase, .beta.-glucosidase, and xylose isomerase

    DOEpatents

    Lastick, Stanley M. (Longmont, CO); Mohagheghi, Ali (Northglen, CO); Tucker, Melvin P. (Lakewood, CO); Grohmann, Karel (Winter Haven, FL)

    1994-01-01

    A process for producing ethanol from mixed sugar streams from pretreated biomass comprising xylose and cellulose using enzymes to convert these substrates to fermentable sugars; selecting and isolating a yeast Schizosaccharomyces pombe ATCC No. 2476, having the ability to ferment these sugars as they are being formed to produce ethanol; loading the substrates with the fermentation mix composed of yeast, enzymes and substrates; fermenting the loaded substrates and enzymes under anaerobic conditions at a pH range of between about 5.0 to about 6.0 and at a temperature range of between about 35.degree. C. to about 40.degree. C. until the fermentation is completed, the xylose being isomerized to xylulose, the cellulose being converted to glucose, and these sugars being concurrently converted to ethanol by yeast through means of the anaerobic fermentation; and recovering the ethanol.

  5. Simulation numerique de l'effet du reflecteur radial sur les cellules rep en utilisant les codes DRAGON et DONJON

    NASA Astrophysics Data System (ADS)

    Bejaoui, Najoua

    The pressurized water nuclear reactors (PWRs) is the largest fleet of nuclear reactors in operation around the world. Although these reactors have been studied extensively by designers and operators using efficient numerical methods, there are still some calculation weaknesses, given the geometric complexity of the core, still unresolved such as the analysis of the neutron flux's behavior at the core-reflector interface. The standard calculation scheme is a two steps process. In the first step, a detailed calculation at the assembly level with reflective boundary conditions, provides homogenized cross-sections for the assemblies, condensed to a reduced number of groups; this step is called the lattice calculation. The second step uses homogenized properties in each assemblies to calculate reactor properties at the core level. This step is called the full-core calculation or whole-core calculation. This decoupling of the two calculation steps is the origin of methodological bias particularly at the interface core reflector: the periodicity hypothesis used to calculate cross section librairies becomes less pertinent for assemblies that are adjacent to the reflector generally represented by these two models: thus the introduction of equivalent reflector or albedo matrices. The reflector helps to slowdown neutrons leaving the reactor and returning them to the core. This effect leads to two fission peaks in fuel assemblies localised at the core/reflector interface, the fission rate increasing due to the greater proportion of reentrant neutrons. This change in the neutron spectrum arises deep inside the fuel located on the outskirts of the core. To remedy this we simulated a peripheral assembly reflected with TMI-PWR reflector and developed an advanced calculation scheme that takes into account the environment of the peripheral assemblies and generate equivalent neutronic properties for the reflector. This scheme is tested on a core without control mechanisms and charged with fresh fuel. The results of this study showed that explicit representation of reflector and calculation of peripheral assembly with our advanced scheme allow corrections to the energy spectrum at the core interface and increase the peripheral power by up to 12% compared with that of the reference scheme.

  6. Skin Infections

    MedlinePLUS

    ... Multiforme Pityriasis Rosea Paronychia A to Z: Pilonidal Cyst Molluscum Contagiosum Abscess Cellulitis Taking Care of Your Skin Impetigo Abscess Cellulitis Paronychia Impetigo Pityriasis Rosea Ringworm ...

  7. IGF I (INSULIN-LIKE GROWTH FACTOR I) INDUIT LA PRODUCTION DU CORTISOL ET DE L'ANDROSTENEDIONE DANS LA CELLULE CORTICO-SURRENALIENNE BOVINE

    E-print Network

    Paris-Sud XI, Université de

    IGF I (INSULIN-LIKE GROWTH FACTOR I) INDUIT LA PRODUCTION DU CORTISOL ET DE L'ANDROSTENEDIONE DANS étudiée. Les niveaux de glucocorticoldes (cortisol + corticosterone) obtenus avec l'IGF 1 (750 ng+ 106, n = 8). Le rapport cortisol/corticostérone, augmentait à chaque fois sous l'effet de l'IGF 1, et s

  8. Mesures de la dure de vie des porteurs, dans la base et l'metteur de cellules solaires au silicium, partir des photorponses transitoires une impulsion laser

    E-print Network

    Boyer, Edmond

    élémentaire. QN+,P Charge stockée dans la région N+, dans la région P. s1,2; s'1E,2E Vitesse de recombinaison(t), sont étudiées en fonction des conditions d'excitation (durée, longueur d'onde, densité de porteurs excitation (duration, wavelength, intensity) and the solar cell properties (base width, back contact, emitter

  9. Realisation and study of a CO2 triple point thermometric cell Réalisation et étude d'une cellule thermométrique au point triple du CO2

    Microsoft Academic Search

    Mohamed Gamal AHMED; Khalid ALI; Yves HERMIER

    In the 83 K - 273 K temperature range, the International Temperature Scale of 1990 (ITS-90) is realised by interpolation between the triple point of water (T90 = 273,16 K), mercury (T90 = 234,315 6 K) and argon (T90 = 83,805 8 K). The calibration of thermometers below -38 °C therefore requires the realisation of the argon triple point realisation

  10. Etude ab initio des proprietes electroniques et optiques d'un systeme donneur-accepteur organique utilise dans les cellules photovoltaiques

    NASA Astrophysics Data System (ADS)

    Maillard, Arnaud

    The search for new sources of clean and renewable energy has recently been encouraged by the growing energy demand caused by the industrialization of developing countries and by population growth. In this context, the generation of electricity through the exploitation of solar energy with photovoltaic cells is particularly interesting, since this energy source is largely unused compared to its full potential. Nevertheless, large scale electricity generation with the current design of photovoltaic cells based on silicon is hindered by the large manufacturing cost of these devices. A new generation of photovoltaic cells, which includes organic photovoltaic cells that use semiconducting polymers, is under intense development in order to significantly reduce the manufacturing costs. The replacement of conventional materials with conjugated polymers in photovoltaic cells opens the possibility of using large scale manufacturing processes to produce large-area devices at low cost. However, the power conversion efficiency and the lifetime of organic photovoltaic cells are currently too low for these devices to be cost effective. A better understanding of the organic photovoltaic process is therefore necessary to improve the power conversion efficiency of these devices. The operating principle of photovoltaic cells requires the charge transfer between a polymer acting as an electron donor and a molecule acting as an electron acceptor to enable the dissociation of photogenerated excitons into free charge carriers. Furthermore, to ensure that the majority of the photogenerated excitons dissociates, the active region of an organic photovoltaic cell is typically formed by a bulk heterojunction between the donor and the acceptor. Many experimental studies have shown that the power conversion efficiency of these devices, which is proportional to the product of their short-circuit current Isc with their open circuit potential Voc, is strongly governed by the microstructure of the bulk heterojunction defined as the local order of the two phases and the organization of the donor-acceptor interfaces. Even though these studies have helped to increase the efficiency of organic photovoltaic cells, the relations linking the microstructure of the bulk heterojunction to their electronic and optical properties are still to be established. The objective of the research project is to computationally study the electronic and optical properties of organic bulk heterojunctions composed of regioregular poly(3-hexylthiophene) (rrP3HT) and C60, two materials typically used in organic photovoltaic cells. In this study, the microstructure of the donor-acceptor systems can be directly controlled, which facilitates the systematic study of the influence of this parameter on the electronic and optical properties of the organic bulk heterojunctions. The density functional theory (DFT) is used to study the ground state geometric and electronic properties of multiple bulk heterojunction systems, while the time dependent density functional theory (TDDFT) is used to study the optical properties of these systems. The SIESTA software package is used to study periodic systems representing perfectly crystalline materials. The results obtained in this research project show that the power conversion efficiency of organic photovoltaic cells is strongly modulated by the microstructure of the bulk heterojunctions. Indeed, the size of the rrP3HT crystalline domains must be optimized to maximize the efficiency of the photovoltaic devices, since Voc and Isc have opposite behaviors with respect to ?-stacking of the rrP3HT chains. In addition, the efficiency of organic photovoltaic cells could be improved by imposing geometrical constraints in the bulk heterojunctions through manufacturing methods in order to increase the value of Voc without altering the value of Isc. (Abstract shortened by UMI.).

  11. Rôle des cellules TCD4+ suppressives dans la pathogénie des maladies auto-immunes (dont la polyarthrite rhumatoïde). Faits et hypothèses

    Microsoft Academic Search

    Jean-Marie Berthelot; Yves Maugars

    2004-01-01

    Although uncontrolled clones of autoreactive T cells play a central role in the pathogenesis of autoimmunity, another mechanism potentially involved in many autoimmune diseases is deficiency of suppressor T cells, most notably those belonging to the antiidiopeptide TH3\\/Tr1 TCD4+CD25+(high) subset. Failure of suppressor mechanisms may be in part primary, due to defective positive selection of suppressor T cells in the

  12. Universit de Montral quations diffrentielles retard et leur application en

    E-print Network

    Bernard, Samuel

    cellules san- guines. Chaque jour, le corps humain produit 1012 cellules sanguines à partir des cel- lules cells each day from a pool of hematopoietic stem cells (HSC). Age and maturity structured partial

  13. Une collaboration centenaire Cartographie

    E-print Network

    Genève, Université de

    augmentant la quantité d'une protéine présente dans la mem- brane des cellules à insuline, les chercheurs ont réussi à accroître la production de cette hormone et à protéger ces mêmes cellules contre les attaques de

  14. Eyes - bulging

    MedlinePLUS

    ... very serious sign. It should be checked immediately. Hyperthyroidism (particularly Graves disease ) is the most common cause ... Glaucoma Graves disease Hemangioma Histiocytosis Hyperthyroidism ... Orbital cellulitis or periorbital cellulitis Rhabdomyosarcoma

  15. Amethyst violet as a stain for distinguishing cells with a damaged membrane from normal cells

    Microsoft Academic Search

    A. Novelli

    1962-01-01

    Riassunto Per distinguere le cellule a membrana integra da quelle con membrana alterata può essere vantaggiosamente usata una soluzione isotonica di violetto ametista: il colorante trova utile applicazione nel conteggio delle cellule vive e morte per il trapianto del cancro ascite di Ehrlich. Modificando la permeabilità delle cellule mediante azoto liquido si possono inoltre ottenere delle buone colorazioni delle strutture

  16. rencontre du non-lineaire 2004 73 Bifurcation dans un mod`ele non-lineaire de production du sang

    E-print Network

    Crauste, Fabien

    cellules dites "prog´eniteurs" (committed stem cells) qui `a leur tour se diff´erencient en cellules´ee phase G0) est un stage quiescent de la vie d'une cellule durant lequel elle ne peut se diviser. Les cel

  17. Experiments of in vitro cultures of larval epiderm of desert locust ( Schistocerca gregaria Forsk)

    Microsoft Academic Search

    A. Miciarelli; G. Sbrenna; G. Colombo

    1967-01-01

    Riassunto Negli espianti presi prima della moltiplicazione delle cellule epidermiche non si è avuto in vivo il picco di mitosi, ma solo ispessimento dell'endocuticola; nei frammenti espiantati al momento del picco delle mitosi si ha dopo alcuni giorni degenerazione delle cellule epidermiche; negli espianti di tegumento messi in coltura dopo la moltiplicazione delle cellule epidermiche si è ottenuta in vitro

  18. Periorbital cellulits – a mistaken diagnosis!

    Microsoft Academic Search

    Julia Fozard; Nikila Pandya; Ashok Pulikot; David Fish; Raman Malhotra; Damian Lake

    2011-01-01

    A 12-year-old girl presented with a 1 week history of orbital swelling associated with granuloma, purulent discharge from the eye and preauricular and submandibular lymphadenopathy. Initial conventional treatment for presumed preseptal cellulitis was unsuccessful. Despite treatment with broad spectrum antibiotics, the preseptal cellulitis progressed to orbital cellulitis with restriction of eye movements in addition to the marked conjunctival chemosis and

  19. mis en prsence de cellules rnales porcines (RPTG) infectes par le virus GET, sont capables d'inhiber 75 95 % de la multiplication du virus. Simultanment, de I'IFN a apparat dans le milieu d'incubation.

    E-print Network

    Paris-Sud XI, Université de

    E, La Bonnardière C, 1985. Interferon-induced enhancement of newborn pig Natural Killing (NK) acti) (accepté pour publication). Charley B, Fradelizi D. 1987. Differential effects of human and porcine interleukin 2 on natural killing (NK) activity of newborn piglets and adult pigs lymphocytes. Ann Rech Vet 18

  20. Intérêt de la tomographie par émission de positons au [18F]-fluoro-2-désoxyglucose dans la détermination des volumes cibles de radiothérapie. Application à l'irradiation conformationnelle des cancers bronchiques non à petites cellules

    Microsoft Academic Search

    J.-M. Bachaud; D. Marre; I. Dygai; O. Caselles; D. Hamelin; M. Bègue; A. Laprie; S. Zerdoud; M. Gancel; F. Courbon

    2005-01-01

    Traditional radiation treatment planning relies on density imaging such as Computed Tomography for anatomic information of various structures of interest including target and normal tissues. However, the difficulties to distinguish malignant from normal tissue on CT slides often leads to inaccurate outlining of the GTV and\\/or to geographic misses. 18F-fluorodeoxyglucose positron emission tomography (FDG–PET) has shown an increase in both

  1. Ce rapport a t rdig par l'quipe de la Cellule Etudes et Transfert, Ple halieutique AGROCAMPUS OUEST. Ce document fait le bilan de l'action RMD mene dans le cadre de la

    E-print Network

    Paris-Sud XI, Université de

    OUEST. Ce document fait le bilan de l'action RMD menée dans le cadre de la phase pilote pour la mise en.lesueur@agrocampus-ouest.fr © AGROCAMPUS OUEST 2011 #12;Les publications du Pôle halieutique AGROCAMPUS OUEST n°6 Page impaire BILAN Phase................................................................................................ 16 5. IMPACTS BIOLOGIQUES DU SCHEMA DE TRANSITION PROPOSE PAR LA COMMISSION EUROPEENNE POUR UNE

  2. Influence du son sur le pancras exocrine chez le rat, par Madou FOFANA, J. CHARIOT, M. SOUCHARD, C. ROZ, Biologie et Physiologie des Cellules Digestives (U. 239 INSERM), Facult

    E-print Network

    Boyer, Edmond

    l'augmentation. 3) Les concentrations, contenus totaux et activités spécifiques de la lipase, du : 1) Les contenus intestinaux en lipase sont augmentés significativement chez les rats S ( x 2,2 ; P modifiées. 2) Chez les rats S, les activités spécifiques de la lipase et du trypsinogène sont augmentées (P

  3. Organisation et nature de l'inclusion cristalline des organites du type «crystal-containing body» rencontrés dans les cellules de l'épithème des hydathodes de Cichorium intybus L. et Taraxacum officinale Weber

    Microsoft Academic Search

    André Perrin

    1972-01-01

    Summary Single-membrane-bounded organelles containing crystalline inclusions surrounded by a granular matrix are found abundantly in the cells of epithem. Special attention is devoted to changes which occured in the fine structure of these crystalline inclusions and variations in their morphology are described.

  4. La chromatine rserve bien des surprises: cet assemblage complexe qui, en liant des protines l'ADN des cellules, forme une gaine autour de nos chromosomes, ne joue pas seulement un rle

    E-print Network

    van Tiggelen, Bart

    La chromatine réserve bien des surprises: cet assemblage complexe qui, en liant des protéines à l'ADN transcription des gènes, comme on le pensait. Depuis une dizaine d'années, on sait qu'elle sert à réparer l'ADN façon ciblée des cassures sur les brins d'ADN. Cet outil inédit lui a permis d'obtenir des financements

  5. Studying a disease with no home - lessons in trial recruitment from the PATCH II study

    Microsoft Academic Search

    Kim S Thomas

    2010-01-01

    BACKGROUND: Cellulitis is a very common condition that often recurs. The PATCH II study was designed to explore the possibility of preventing future episodes of cellulitis, with resultant cost savings for the NHS. This was the first trial to be undertaken by the UK Dermatology Clinical Trials Network. As such, it was the first to test a recruitment model that

  6. CELL-MEDIATED CYTOTOXICITY AGAINST HAMSTER CELLS TRANSFORMED BY AVIAN SARCOMA VIRUSES.

    E-print Network

    Boyer, Edmond

    CELL-MEDIATED CYTOTOXICITY AGAINST HAMSTER CELLS TRANSFORMED BY AVIAN SARCOMA VIRUSES. 1 A MEDIATION CELLULAIRE ENVERS DES CELLULES DE HAMSTER TRANS- FORMEES PAR DES VIRUS DE SARCOMES AVIAIRES. 1. Description de la réaction. - La présence de nouveaux antigènes apparus à la surface de cellules de hamster

  7. CELL-MEDIATED CYTOTOXICITY AGAINST HAMSTER CELLS TRANSFORMED BY AVIAN SARCOMA VIRUSES

    E-print Network

    Paris-Sud XI, Université de

    CELL-MEDIATED CYTOTOXICITY AGAINST HAMSTER CELLS TRANSFORMED BY AVIAN SARCOMA VIRUSES 2 CYTOTOXICITE A MEDIATION CELLULAIRE ENVERS DES CELLULES DE HAMSTER TRANS- FORMEES PAR DES VIRUS DE SARCOMES apparus à la surface de différents clones de cellules de hamster transformées par des virus de sarcomes

  8. tel-00996997,version1-27May2014 tel-00996997,version1-27May2014

    E-print Network

    Paris-Sud XI, Université de

    -Jérôme dans sa cellule, 1514, gravure au burin sur cuivre, détail. tel-00996997,version1-27May2014 #12;Albrecht Dürer, St-Jérôme dans sa cellule, 1514, 24,5/18,6 cm, gravure au burin, sur cuivre. tel-00996997 sept fois par Dürer. Dans son journal de voyage, cette gravure au burin est présentée comme le pendant

  9. Wells syndrome

    PubMed Central

    Bansal, Manish; Rai, Tulika; Pandey, Shyam S.

    2012-01-01

    Wells syndrome or eosinophilic cellulitis is characterized clinically by an acute dermatitis resembling cellulitis and histopathologically by dermal eosinophilic infiltration. Various morphological presentations have been described. We report a 32-year-old female with recurrent, erythematous plaques on left forearm of 8 months duration, associated with mild itching that resolved leaving mild hyperpigmentation. PMID:23189251

  10. DE LA SCRTION LACTE 291 pasteuris. Ces dfectuosits peuvent tre dues la destrrictionde

    E-print Network

    Paris-Sud XI, Université de

    destructiva Plown. Le mycelium se développant sur lactose-agar nutritif forme un tapis épais, et est composé d~hyphes cloisonnés, ~amifiés. Les cellules des/hyphes aériens sont longs, 4 à 5 fois leur largeur, mais la longueur et le diamètre des cellules des hyphes submergés varient considérablem:ent. Comparativement peu d'hyphes

  11. The influence of phytochrome in the water exchange of epidermal cells of Taraxacum officinale

    Microsoft Academic Search

    M. S. Carceller; R. A. Sánchez

    1972-01-01

    Résumé La qualité de la lumière a modifié le passage de l'eau dans les cellules épidermiques des pétioles deTaraxacum officinale. L'irradiation par du rouge sombre a augmenté la rapidité avec laquelle l'eau entre dans la cellule et la lumière rouge clair a renversé cet effet.

  12. JOURNAL DE PHYSIQUE ColloqueC2, supplmentau no11-12,Tome 34, Novembre-Dcembre 1973,pageC2-9 TUDE EXPRIMENTALE DES MCANISMES D'ABSORPTION

    E-print Network

    Paris-Sud XI, Université de

    intervient par le jeu d'une cellule de Pockels et d'un polariseur ; la sélection de modes s'effectue par un comprend 5 amplificateurs dont la section va croissant (2, 4, 8, 16, 32 cm2). Deux cellules de Pockels

  13. CANERA HOMORAPHIQUE Commissariat A llEnergieAtomique, Centre d1Etudesde Limeil

    E-print Network

    Paris-Sud XI, Université de

    impulsion de 1,5 ns de large. On utilise pour cela une cellule de Pockels P pla- cée entre 2 polariseurs de pose en changeant le temps d'ouver- ture de la cellule de Pockels (entre 0,5 et 2 4 Article published

  14. Evolution du Sexe : le Maintien de la Sexualit.

    E-print Network

    Laloi, David

    de deux cellules. Echange d'ADN entre cellules au cours du processus de reproduction. #12;2 Bactéries génétiques L'ADN est soumis de façon chronique à des dommages. La réparation de la molécule d'ADN demande une, précédant les phénomènes de sexualité. - Mécanisme de réparation de l'ADN N.B. La méiose est monophylétique

  15. Les bactriophages comment les bactries tombent maladescomment les bactries tombent malades.

    E-print Network

    Paris-Sud 11, Université de

    repliement Composition déterminée par l'ADN #12;ADN Chromosome Cellule eucaryote Hélice d'ADN Informations nécessaires à la production des protéines Séquence ADN Code génétique Chaîne (protéine) Cytosine Guanine + queue Tê idTête ou capside ADN QueueQueue Fibres #12;· Les bactéries (et autres cellules) se

  16. Lesson of the month 1: A rash decision.

    PubMed

    Sedgwick, Catherine L; Hall, Peter E; Ratnarajah, Abarna; Natkunarajah, Janakan; Hogh, Louise

    2015-04-01

    Cellulitis is a common condition and several mimics exist which should be considered in patients who fail to respond to antibiotics. We describe the case of a patient with anaplastic large cell lymphoma masquerading as a lower leg cellulitis. The patient had failed to respond to intravenous antibiotics and a skin biopsy confirmed her diagnosis. She received radical radiotherapy to the lower leg but later developed shortness of breath and was identified to have pulmonary infiltration of the lymphoma. She died shortly afterwards from lobar pneumonia. This case highlights the importance of regularly reassessing patients with suspected cellulitis and considering alternative diagnoses in cases that fail to respond to treatment. PMID:25824078

  17. AnimAl BehAvior AnimAl Biology Anthropology AviAn ScienceS BiochemiStry, moleculAr, cellulAr AnD DevelopmentAl Biology BiologicAl SyStemS engineering BiomeDicAl engineering BiophySicS BioStAtiSticS clinicAl reSeArch

    E-print Network

    Schladow, S. Geoffrey

    , human evolution, molecular anthropology, archaeological theory, hunter-gatherers, and North American, animal management and welfare, physiology and behavior, behavior and conservation, primate behavior, behavioral ecology of nonhuman primates, biological anthropology, evolution of primate and human behavior

  18. FACULTE DE DROIT, D'ECONOMIE ET DE FINANCE Les enseignants chercheurs autoriss diriger des recherches

    E-print Network

    van der Torre, Leon

    Recherche en Economie Appliquée International Finance, International Economics FR - EN michel and Development Economics, Applied Econometrics FR - EN luisito.bertinelli@uni.lu BOURGAIN Arnaud Assistant-Professeur CREA - Cellule de Recherche en Economie Appliquée Economic and Financial Integration, International

  19. CYTOGENETIC STUDIES IN NORTH AMERICAN MINNOWS (CYPRINIDAE).

    E-print Network

    Avise, John

    formation des cellules triploides n'est pas connu. & n'a pas vu de diplochromosomes.Chez ce spkcimen la been reported in animals, including man (Holt, 1917; Schwarzacher and Schnedl, 1965; Kelly and Almy

  20. 21 CFR 520.88g - Amoxicillin trihydrate and clavulanate potassium film-coated tablets.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... spp., and Escherichia coli. Treatment of periodontal infections due to susceptible strains of aerobic and anaerobic bacteria. (iii) Limitations. Wounds, abscesses, cellulitis, and superficial/juvenile pyoderma: Treat for 5 to...

  1. 21 CFR 520.88g - Amoxicillin trihydrate and clavulanate potassium film-coated tablets.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... spp., and Escherichia coli. Treatment of periodontal infections due to susceptible strains of aerobic and anaerobic bacteria. (iii) Limitations. Wounds, abscesses, cellulitis, and superficial/juvenile pyoderma: Treat for 5 to...

  2. THESE DE DOCTORAT DE L UNIVERSITE PARIS-EST

    E-print Network

    Paris-Sud XI, Université de

    of bronchial angiogenesis and VEGF airway epithelial synthesis in bronchiectasis: Roles of Pseudomonas epithelial cells. Our data indicates that bronchial infection c pour le gène cftr et par inhibition de CFTR sur des cultures de cellules épithéliales. Nos données

  3. PROGRAMME JEUNES CHERCHEUSES ET JEUNES

    E-print Network

    Philippe, Michel

    , ORGANISATION DU PROJET / SCIENTIFIC AND TECHNICAL PROGRAMME, PROJECT MANAGEMENT..................... 9 3'Erythropoïèse : des Protéines à la Population de Cellules Titre du projet en anglais Mathematical Methods ............................................................................... 3 2. DESCRIPTION SCIENTIFIQUE ET TECHNIQUE / SCIENTIFIC AND TECHNICAL DESCRIPTION

  4. notes on the sheet FOREST MAP OF SOUTH INDIA

    E-print Network

    Paris-Sud XI, Université de

    ;© Institut Français de Pondichéry, 1995 (ISSN 0971 -3107) Composition - Cellule d'édition IFP Impression) 26 REFERENCES ON THE SHEET (or cited in the text) 28 ANNEXES: Floristic lists of the forest types 31

  5. 21 CFR 520.88h - Amoxicillin trihydrate and clavulanate potassium for oral suspension.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...milligrams of amoxicillin and 12.5 milligrams clavulanic acid) twice daily. (ii) Indications for use. Treatment of feline skin and soft tissue infections, such as wounds, abscesses and cellulitis/dermatitis due to susceptible strains of...

  6. 21 CFR 520.88h - Amoxicillin trihydrate and clavulanate potassium for oral suspension.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...milligrams of amoxicillin and 12.5 milligrams clavulanic acid) twice daily. (ii) Indications for use. Treatment of feline skin and soft tissue infections, such as wounds, abscesses and cellulitis/dermatitis due to susceptible strains of...

  7. Article original Comparaison des ectomycorhizes naturelles

    E-print Network

    Paris-Sud XI, Université de

    abondants dans le manteau et des hyphes intracellulaires se développent dans les cellules raci- naires du hêtre. L'ectomycorhize à L subdulcis est fréquemment infectée par un ascomycète dont les hyphes sont

  8. A smart bilayer scaffold of elastin-like recombinamer and collagen for soft tissue engineering

    E-print Network

    Hasýrcý, Vasýf

    the introduction of a gene in the genetic content of a microorganism, plant or other eukaryotic organisms), and for targeting of specific B. Kinikoglu Á O. Damour Banque de Tissus et Cellules, Hospices Civils de Lyon, 69437

  9. Qu'y-a-t-il l'intrieur? Quels mouvements l'animent?

    E-print Network

    Paris-Sud 11, Université de

    ;Presse multi-enclumes #12;La cellule à enclumes diamants #12;Sources de rayonnement X synchrotron Spring magnétique nous protège du vent solaire Sinon: destruction ozone , ETC. Vent solaire #12;Les mouvements dans

  10. Conception et ralisation de nouvelles architectures optimises De gnrateur photovoltaque

    E-print Network

    Ingrand, François

    'architectures distribuées de convertisseurs déjà en cours d'études, en y rajoutant : - Des fonctions avancées de protection convertisseurs au plus près d'une cellule ou d'un groupement de cellules, de nouvelles stratégies de connectivité rendre la conception du convertisseur et de sa commande optimale. La deuxième consistera à utiliser un

  11. La citologia della cellula epatica in rapporto alla qualità dell'alimento introdotto

    Microsoft Academic Search

    Giulio Muggia; Lorenzo Masuelli

    1932-01-01

    1.Fu ricercato come si trasformi I'intima struttura delle cellule epatiche del ratto per alimentazioni differenti e negli animali nutriti in modo insufficente.2.In massima fu constatato che i condriosomi mantengono costantemente forma allungata nei ratti in inanizione, come pure in quelli alimentati con grasso, zucchero. albume d'uovo.3.Nei ratti alimentati con grasso da un lato e con zucchero dall'altro, le cellule epatiche

  12. CROISSANCE DES TISSUS DU RAT ET RDUCTION DE L'APPORT NERGTIQUE DE LA RATION;

    E-print Network

    Boyer, Edmond

    désoxyribonucléique (ADN), proportionnelle au nombre de cellules, du rapport poids frais/ADN proportionnel à la taille des cellules - des rapports protéines/ADN et ARN/ADN. En comparant témoins et restreints de même poids témoins, la concentration de l'ADN est peu modifiée ; concentration des protéines est légèrement augmentée

  13. Carcinome muco-épidermoide chez une jeune fille de 21 ans

    PubMed Central

    Khouchilia, Fatima Zahra; El khattabi, Wiam; Bopaka, Régis Gothard; Aichane, Abdelaziz; Afif, Hicham

    2015-01-01

    Les carcinomes muco-épidermoïdes font partie d'un groupe rare de tumeurs pulmonaires malignes. Ces tumeurs sont le plus souvent retrouvées chez lessujets jeunes. La croissance de la tumeur est en général endo-bronchique et concerne les bronches de grande taille. L'aspect histo-pathologique révèle des cellules produisant du mucus, des cellules épithéliales et des cellules mixtes. Dans cet article nous rapportons l'observation d'une jeune fille de 21 ans avec une tumeur de la bronche souche droite, qui après résection endo-bronchique s'est avéré être un carcinome muco-épidermoïde pulmonaire. La patiente a subi une pneumonectomie droite élargie à la carène avec un curage ganglionnaire médiastinale. Elle est actuellement en rémission après un suivi de 7 mois. Aucun traitement standard n'est défini pour ces tumeurs. Le pronostic dépend du grade histologique, et peut, notamment chez les sujets âgés, être très péjoratif. PMID:25995803

  14. Preliminary biplane tests in the variable density wind tunnel

    NASA Technical Reports Server (NTRS)

    Shoemaker, James M

    1928-01-01

    Biplane cellules using the N.A.C.A.-M6 airfoil section have been tested in the variable density wind tunnel of the National Advisory Committee for Aeronautics. Three cellules, differing only in the amount of stagger, were tested at two air densities, corresponding to pressures of one atmosphere and of twenty atmospheres. The range of angle of attack was from -2 degrees to +48 degrees. The effect of stagger on the lift and drag, and on the shielding effect of the upper wing by the lower at high angles of attack was determined.

  15. Itinraire d'un chercheur gt Chercheur FNRS l'IRIBHM, Cdric Blanpain est le premier Europen dcrocher le prix

    E-print Network

    Cerf, Nicolas

    décrocher le prix annuel du jeune investigateur le plus méritant dans le domaine des cellules souches. Une récompense prestigieuse supplémentaire pour celui qui multiplie les prix et les publications majeures sa génération : Prix du Young EMBO investigateur, « Starting Grant » de l'ERC (Conseil européen de la

  16. NOTE TECHNIQUE INHIBITION DE LA SPERMATOGENSE DU GUPPY

    E-print Network

    Paris-Sud XI, Université de

    injection ou dans l'eau de l'aquarium) sur les différentes catégories de cellules germi- nales chez le Guppy sont répartis en lots de io dans des aquariums en chlorure de polyvinyle contenant i litre d'eau ; le contenu de ces aquariums est renouvelé tous les 2 jours par de l'eau prélevée dans un grand bassin où

  17. En vue de l'obtention du DDOOCCTTOORRAATT DDEE LL''UUNNIIVVEERRSSIITT DDEE TTOOUULLOOUUSSEE

    E-print Network

    Paris-Sud XI, Université de

    le mercredi 20 novembre 2013 Titre : Contrôle modulaire décentralisé - Application aux convertisseurs générique et évolutive, nous nous sommes intéressés à lutilisation dun réseau de micro- convertisseurs dimensionnement dun micro-convertisseur optimisé qui joue le rôle de cellule élémentaire ou de brique de base pour

  18. J. Phys. III IYance 7 (1997) 1829-1850 SEPTEMBER1997, PAGE 1829 M4thode de synthAse de la structure des convertisseurs

    E-print Network

    Paris-Sud XI, Université de

    1997-01-01

    des convertisseurs multi-niveaux P. Barthoiomdfis (*), P. Le Moigne et C. Rombaut Laboratoire d Rdsumd. Une m6thode d'6tude des structures de convertisseurs r6ahs6s h partir de cellules multi-niveaux h 1. Introduction Le domaine privi14gid des convertisseurs multi-niveaux est celui dei hautes tensions

  19. Presence of modified fibroblasts in granulation tissue and their possible role in wound contraction

    Microsoft Academic Search

    G. Gabbiani; G. B. Ryan; G. Majno

    1971-01-01

    Résumé Au cours de la contraction du tissu de granulation, de nombreux fibroblastes acquièrent des caractéristiques ultrastructurelles qui les rendent semblables à des cellules musculaires lisses. Il est probable que ces éléments modifiés jouent un rôle dans le processus de contraction des plaies.

  20. Formalisme thermodynamique, analyse multifractale et recurrence de Poincare dans les syst`emes dynamiques

    E-print Network

    Saussol, Benoît

    emprunt´ee `a l'incontournable Lecture Note de Bowen, motiv´ee par la physique statistique, on d cellules en interaction). Pour unifier l'´ecriture on posera i,i(a, a) = e(a), d'o`u i(¯a) = j i,j(ai, aj

  1. Pour obtenir le grade de DOCTEUR DE L'UNIVERSIT DE GRENOBLE

    E-print Network

    Paris-Sud XI, Université de

    thermiquement (TAS-MRAM) 35 1.3.3.1. Fonctionnement des points mémoires TAS-MRAM 36 · Principe de la lecture et-statiques : 60 2.3. ETUDE DYNAMIQUE DE L'ECRITURE DES CELLULES MEMOIRES TAS- MRAM 63 2.3.1. Principe physique de

  2. To print higher-resolution math symbols, click the Hi-Res Fonts for Printing button on the jsMath control panel.

    E-print Network

    Paris-Sud XI, Université de

    'interactions au sein de la cellule. Nous n'en parlerons pas ici. Où sont les gènes ? Nous avions laissé Gregor Mendel concluant que les caractères phénotypiques étaient hérités au moyen de gènes, dont chacun peut'un hérité de son père, l'autre de sa mère. Avant même que la conception de Mendel ressurgisse (de Vries

  3. La place du godcisionnel dans les systmes de surveillance maritime de

    E-print Network

    Boyer, Edmond

    La place du géodécisionnel dans les systèmes de surveillance maritime de nouvelle génération Apport du géodécisionnel dans la surveillance maritime Arnaud Van De Casteele* -- Aldo Napoli* * Mines Paris.napoli@crc.mines-paristech.fr RÉSUMÉ. Afin d'être plus performantes, les cellules en charge de la surveillance maritime s'équipent en

  4. Risk Factors for Erysipelas of the Leg in Tunisia: A Multicenter Case-Control Study

    Microsoft Academic Search

    Mourad Mokni; Alain Dupuy; Mohamed Denguezli; Raouf Dhaoui; Samir Bouassida; Montacer Amri; Sami Fenniche; Faten Zeglaoui; Nejib Doss; Rafiaa Nouira; Amel Ben Osman-Dhahri; Jamel Zili; Insaf Mokhtar; Mohamed Ridha Kamoun; Abdelmajid Zahaf; Olivier Chosidow

    2006-01-01

    Background: Risk factors for erysipelas (cellulitis) were rarely evaluated in controlled studies. Regional variations of these risk factors have never be assessed. Objective: To assess risk factors for erysipelas of the leg in Tunisia. Subjects and Methods: Case-control study in seven hospital centers in Tunisia. Cases were 114 consecutive patients with erysipelas of the leg [sudden onset (<24 h) of

  5. Production of embryos on the stem of Ranunculus sceleratus L

    Microsoft Academic Search

    R. N. Konar; K. Nataraja

    1965-01-01

    Résumé Les embryoïdes se développant à partir du bourgeon de calle deRanunculus sceleratus deviennent des plantules. Ces plantules produisent des embryons surnuméraires à l'extrémité radiculaire ainsi que tout le long de la surface de la tige. Les études anatomiques révèlent que ces embryons sont d'origine épidermique. C'est une nouvelle preuve de la totipotence des cellules.

  6. J. Phys. III France 5 (1995) 77-89 IANUARY 1995, PAGE 77 Classification

    E-print Network

    Paris-Sud XI, Université de

    1995-01-01

    TRNSYS qui permet la moddlisation de systkmes complexes. Abstract. The analysis of thermoelectric'effet Peltier T coefficient de Thomson Introduction LeS therrnodldments sont utilisds couramment pour la calculs effectuds sur des systkmes utilisant des cellules Peltier IT-E-P-) supposent que ces dernikres ont

  7. UNIVERSIT D'ANGERS Anne 2007 N d'ordre 848

    E-print Network

    Paris-Sud XI, Université de

    UNIVERSITÉ D'ANGERS Année 2007 N° d'ordre 848 INTERACTIONS CELLULE-MATRICE ASSOCIÉES AU REMODELAGE ÉCOLE DOCTORALE D'ANGERS Pésentée et soutenue publiquement Le : 23 novembre 2007 À : Montréal Par Montréal Daniel HENRION PhD, Directeur du laboratoire de biologie neurovasculaire intégrée, Université d'Angers

  8. The man who got too close to his cows

    Microsoft Academic Search

    Shane Silver; Donald C. Vinh; John M. Embil

    2008-01-01

    Trichophyton verrucosum is one of the more common chronic zoophilic dermatophytes. Its presentation is diverse, including aggressive inflammatory skin lesions, and it can be accompanied by constitutional symptoms, such as fever and lymphadenopathy. As such, it may be misdiagnosed as bacterial cellulitis and undergo multiple antibiotic courses unsuccessfully, without consideration of a fungal skin infection. We present a cattle farmer

  9. A hydrostatic high-pressure cell for neutron scattering experiments at room temperature

    E-print Network

    Paris-Sud XI, Université de

    'une cellule haute pression utilisable pour des études de diffusion. Le choix des constituants de base pour la inevitably occur in the outer conical alumina cylinder. The next sections will deal respectively of the teflon assembly above 20 kbar. The vessel is inserted into the alumina conical cylinder, which has been

  10. Wind Tunnel Pressure Distribution Tests on a Series of Biplane Wing Models

    NASA Technical Reports Server (NTRS)

    Knight, Montgomery; Noyes, Richard

    1929-01-01

    This report is on the changes in forces on each wing of a biplane cellule when either the stagger or the gap is varied. Since each test was carried up to a 90 degree angle of attack, the results may be used in the study of stalled flight and of spinning as well as in the structural design of biplane wings.

  11. Streptococcal Infections

    MedlinePLUS

    ... Strep throat - a sore, red throat, sometimes with white spots on the tonsils Scarlet fever - an illness that follows strep throat. It causes a red rash on the body. Impetigo - a skin infection Toxic shock syndrome Cellulitis and necrotizing fasciitis (flesh-eating disease) Group ...

  12. JOURNAL DE PHYSIQUE Colloque C5, suppl6ment au nO1O,Tome 44, octobre 1983 page C5-353

    E-print Network

    Paris-Sud XI, Université de

    as a function of the yearly energy p OF TRANSIENT ANNEALING TO SOLAR CELL PROCESSING G.G. Bentini C.N.R. I s t i t u t o LAMEL Via Castagnoli 1 a transient dans la fabrication de les cellules solaires ont et6 brievement discut-5. Ces techniques peuvent

  13. Influence of kinetic and electrostatic properties of interface states on the efficiency of a MIS tunnel solar cell

    E-print Network

    Paris-Sud XI, Université de

    write and resolve numerically the complete equations goveming the working of a MIS tunnel diode under of a MIS tunnel solar cell G. Pananakakis, G. Kamarinos and P. Viktorovitch « Physique des Composants à résolvons les équations de transport complètes décrivant le fonctionnement d'une cellule solaire MIS tunnel

  14. CONCOURS I.T.R.F. SESSION 2014 DESCRIPTIF DE POSTE

    E-print Network

    Herrmann, Samuel

    ://referens.univ-poitiers.fr/version/men MISSIONS : Trois axes de travail principaux sont définis dans le cadre du poste de Chargé de gestion administrative et d'aide au pilotage ­ Cellule APOGEE : AXE 1 - Assurer un pilotage fonctionnel de l'application APOGEE AXE 2 - Développer les fonctionnalités de l'application APOGEE AXE 3 - Encadrer une équipe et

  15. Exobiologie http://exobio.chez-alice.fr/newsfev2000.htm#hemo 1 of 1 3/5/2008 12:54 PM

    E-print Network

    Alam, Maqsudul

    qui a fait cette découverte est dirigée par Maqsudul Alam, professeur associé de microbiologie et des organismes plus évolués," dit Alam, l'auteur principal du papier. Les cellules doivent a environ 1 ou 2 milliards d'années était une bénédiction et une malédiction," dit Alam. L'oxygène est une

  16. Original article Double staining (CTC-DAPI) for detection and

    E-print Network

    Paris-Sud XI, Université de

    -culturable Campylobacter jejuni cells JM Cappelier B Lazaro2 A Rossero A Fernandez-Astorga2 M Federighi 1 École nationale jejllni obtained by starvation more easily than with the direct viable count procedure. Campylobacter-DAPI) pour la détection et le comptage des cellules viables mais non cultivables de Campylobacter jejuni. Des

  17. Louvain-la-Neuve, le 4 octobre 2013 Un chercheur UCL la pointe du traitement contre le diabte par pancras

    E-print Network

    Nesterov, Yurii

    , au niveau du pancréas, le 1% de cellules qui sont réellement intéressantes en termes de production d'insuline de diabète de type 1 (DT1) sont, dans 95% des cas, l'injection d'insuline exogène, ou dans un petit porc produisent de l'insuline porcine qui a été utilisée durant plus de 50 ans chez l'homme pour les

  18. Baculovirus et Thrapie CNRS UPS3044 Production de Protines Recombinantes

    E-print Network

    van Tiggelen, Bart

    Baculovirus et Thérapie CNRS UPS3044 Production de Protéines Recombinantes en cellules d'insectes Anticorps recombinants Martine Cérutti CNRS UPS3044, Baculovirus et Thérapie « Les insectes au service des hommes » Colloque Bioprocédés et Bioproduction 10 juillet 2014 PARIS Colloque Bioprocédés et

  19. Gas gangrene infection of the eyes and orbits

    Microsoft Academic Search

    G W Crock; W J Heriot; P Janakiraman; J M Weiner

    1985-01-01

    The literature on Clostridium perfringens infections is reviewed up to 1983. An additional case is reported with bilateral clostridial infections of the eye and orbit. One eye followed the classical course of relentless panophthalmitis, amaurosis, and orbital cellulitis ending in enucleation. The second eye contained intracameral mud and gas bubbles that were removed by vitrectomy instrumentation. Subsequent removal of the

  20. THE PERFORMANCE OF THIN FILM SOLAR CELLS EMPLOYING PHOTOVOLTAIC Cu22014x Te-CdTe HETEROJUNCTIONS (1)

    E-print Network

    Paris-Sud XI, Université de

    195 THE PERFORMANCE OF THIN FILM SOLAR CELLS EMPLOYING PHOTOVOLTAIC Cu22014x Te-CdTe. Résumé. 2014 Bref rapport sur le perfectionnement des cellules solaires à couches minces de Cu22014xTe-CdTe jonctions Cu22014xTe-CdTe, et pour orienter le travail sur les couches minces. Le problème le plus urgent

  1. MATERIALS FOR SOLAR PHOTOCELLS : PLACE OF CdTe Laboratoire de Physique des Solides C. N. R. S., 1, place Aristide-Briand, 92190 Meudon, France

    E-print Network

    Paris-Sud XI, Université de

    MATERIALS FOR SOLAR PHOTOCELLS : PLACE OF CdTe M. RODOT Laboratoire de Physique des Solides C. N. R général, puis appliqués à CdTe. On montre que CdTe est l'un des matériaux les plus prometteurs. Une revue des cellules au CdTe doivent encore être obtenues. Abstract. 2014 The choice of the best materials

  2. HOMOJONCTION CdTe PAR CROISSANCE PITAXIQUE EN PHASE VAPEUR J. MIMILA-ARROYO (*), A. BOUAZZI and G. COHEN-SOLAL

    E-print Network

    Boyer, Edmond

    423 HOMOJONCTION CdTe PAR CROISSANCE ÉPITAXIQUE EN PHASE VAPEUR J. MIMILA-ARROYO (*), A. BOUAZZI'étude des propriétés de cellules solaires à largeur de bande interdite variable CdTe-CdxHg1-xTe. On sait qu'un quasi-champ électrique interne. Une partie du programme concerne la croissance épitaxique de CdTe par la

  3. MOLECULAR CLONING OF THE BOVINE VIRAL DIARRHEA VIRUS GENOMIC RNA

    E-print Network

    Paris-Sud XI, Université de

    virus de la maladie des muqueuses (BVD) a été cloné chez E.coli. Sa séquence complète a été déterminée été exprimés chez E.coli, dans les cellules eucaryotes et in vitro. Nous suggérons que ce virusMOLECULAR CLONING OF THE BOVINE VIRAL DIARRHEA VIRUS GENOMIC RNA RENARD A SCHMETZ Dominique1 GUIOT

  4. Appearance of anti-bacterial agglutinins in X-irradiated rabbits receiving immune spleen nucleoproteins

    Microsoft Academic Search

    H. Friedman

    1963-01-01

    Résumé Le transfert de noyaux, de mitochondries, de désoxyribonucléoprotéines et de fractions ribonucléoproteques, dérivant de cellules de ganglion lymphatique préparées à partir de lapins donneurs, immunisés contre Shigella a provoqué l'apparition d'agglutinines anti-Shigella dans le sérum de lapins, soumis aux rayons X durant 24 h.

  5. Strangulated umbilical hernia in a child.

    PubMed Central

    Vyas, I. D.; MacKinnon, A. E.

    1983-01-01

    We describe a case of strangulated umbilical hernia in a girl aged 5 years. She presented with an acute inflammatory lesion at the umbilicus which was initially thought to be due to cellulitis with possible abscess formation. Exploration revealed an umbilical hernia containing necrotic greater omentum. PMID:6657544

  6. Original article Exopolysaccharides from Lactobacillus rhamnosus

    E-print Network

    Paris-Sud XI, Université de

    Original article Exopolysaccharides from Lactobacillus rhamnosus RW-9595M stimulate TNF, IL-6) from Lactobacillus rhamnosus RW- 9595M have been pre- pared from bacterial cultures, isolated exopolysaccharides du Lactobacillus rhamnosus RW-9595M. Différence entre les réponses de cellules de sang

  7. Le Lait, 1988, 68 (4), 393-408 Properties and specificity of a ce II-wall proteinase

    E-print Network

    Boyer, Edmond

    Lactobacillus helveticus Claude ZEVACO and J .-c. GRIPON INRA, Laboratoire de Biochimie et Technologie laitières of Lactobacillus helvetieus grown on MRS medium. The enzyme was characterized after DEAE-Trisacryl chrornatog cellules de Lactobacillus helveti- eus cultivées sur milieu MRS. L'enzyme était caractérisée après

  8. DIESEL et CANCER Dominique Lafon

    E-print Network

    Boyer, Edmond

    , des aberrations chromosomiques sur cellules de hamster chinois ou sur lymphocytes humains. Certaines principales ont été des études par inhalation sur des rats, des souris, des hamsters ou des singes. Les gazeuse. Les études effectuées chez les hamsters (2) et les singes (1) ont toutes été négatives. Les

  9. Effetti immunostimolanti in vitro ed in vivo di un nuovo estratto standardizzato di Echinacea angustifolia radice (Polinacea TM )

    Microsoft Academic Search

    P. Morazzoni; A. Cristoni; F. Di Pierro; C. Avanzino; D. Ravarino; S. Stornello; M. Zucca; T. Musso

    2005-01-01

    Polinacea TM è un nuovo estratto idroalcolico standardizzato ottenuto dalle radici di Echinacea angustifolia contenente echinacoside (> 4%), un polisaccaride con elevato peso molecolare identificato come IDN 5405 (> 5%) ed una frazione isobutilamidica (< 0,1%). Per i test in vitro è stata preparata Polinacea TM priva di lipopolisaccaridi batterici (LPS-free) al fine di evitare risposte non specifiche delle cellule

  10. Cellulite nécrosante périnéale révélant un adénocarcinome rectal

    Microsoft Academic Search

    A Lamy; B Tissot; F Pigot

    2003-01-01

    We report one case of rectal cancer disclosed by a perineal cellulitis in a diabetic woman. This infrequent association has a bad prognosis. Diagnosis is mainly clinical. Treatment is urgent with large spectrum antibiotic therapy, surgical debridement, colostomy and hyperbaric oxygen if available. Surgical treatment of the rectal cancer can be done immediately or delayed.

  11. d'ordre : 224-2006 Annee 2006 presentee

    E-print Network

    Poignard, Clair

    'occasion de travailler `a nouveau avec vous. Je remercie ´egalement Jon Chapman et Olivier Lafitte d cellule biologique 7 3. Probl´ematique 10 4. Etat de l'art et d´emarche suivie 11 5. Plan et principaux r

  12. Critical thickness of a hybrid aligned nematic liquid crystal cell G. Barbero (*) and R. Barberi

    E-print Network

    Paris-Sud XI, Université de

    609 Critical thickness of a hybrid aligned nematic liquid crystal cell G. Barbero (*) and R discuss the director deformation inside a hybrid aligned nematic (HAN) cell, assuming that the surface analysé la déformation des cristaux liquides nématiques dans une cellule avec alignement planaire sur une

  13. www.upmc.fr MEB-StephanBORENSZTAJN

    E-print Network

    Arleo, Angelo

    27 74 67 dritt-saic@upmc.fr Peptides inhibiteurs de l'IGF-1 Université Pierre et Marie Curie Bureau prolifération cellulaire et du cancer en particulier · Inhibition ciblée de l'activité d'IGF-1, visant les cellules exprimant les récepteurs d'IGF-1 · Pas d'effet toxique attendu, ni induction de la production d

  14. Cutaneous cryptococcosis in a diabetic renal transplant recipient

    Microsoft Academic Search

    R. K. Gupta; M. R. N. Nampoory; M. M. Mikhail; V. Johny

    2004-01-01

    A diabetic renal transplant recipient with cellulitis caused by Cryptococcus neoformans, serotype A, is described. The diagnosis was based on the demonstration of capsulated, budding yeast cells in the aspirated material and tissue from the cellulitic lesion and isolation of the aetiological agent in culture. The isolate formed well-developed capsules in the brain tissue of experimentally infected mice and produced

  15. Relapsing polychondritis

    Microsoft Academic Search

    Ronald P. Rapini; Noranna B. Warner

    2006-01-01

    Relapsing polychondritis is a rare disease most commonly presenting as inflammation of the cartilage of the ears and nose. Auricular chondritis, with red ears resembling infectious cellulitis, is the most common initial finding. Antibodies to type II collagen in cartilage are found, and the earlobes are classically spared. Chronic disease may result in a flabby, droopy ear, cauliflower ear, or

  16. Research Note--Prevalence of Pathogenic Escherichia coli in the

    E-print Network

    Singer, Randall

    Research Note-- Prevalence of Pathogenic Escherichia coli in the Broiler House Environment J. S sampling of Escherichia coli from broiler house litter and bird lesions of either cellulitis in the environment. Isolates were collected from six broiler flocks representing six geographically disparate ranches

  17. Production des rayons X Le tube rayons X

    E-print Network

    Paris-Sud 11, Université de

    dans une cellule Vs Film mince à 20 K #12;XANES et EXAFS · X-ray Absorption Near-Edge Structure valence XANES Continuum EXAFS XANES : Oxidation, coordinance, symétrie petites déformations EXAFS'onde vaut : #12;EXAFS a) Absorption du photon b) Emission de l'électron (onde sphérique) c) Propagation de l

  18. Bilateral panophthalmitis as the initial presentation of meningococcal meningitis in an infant

    Microsoft Academic Search

    Sotirios P. Gartaganis; Maria J. Eliopoulou; Constantinos D. Georgakopoulos; John X. Koliopoulos; Ephigenia K. Mela

    2001-01-01

    Endophthalmitis is a well-recognized, frequently devastating ophthalmic disease. The colonization of the eye and the subsequent development of endophthalmitis may be exogenous (including postsurgical and post-traumatic infections) or it may be of endogenous origin, representing a metastasis from a focus of infection elsewhere in the body associated with bacteremia (such as meningitis or cellulitis).

  19. A 60 year old Ethiopian farmer diagnosed with tick paralysis at Adera Medical Center.

    PubMed

    Bane, Abate

    2014-07-01

    A 60 year old farmer from west Shewa in Ethiopia presented on February 13 2014, with right arm flaccid monoplegia after bitten by a tick stuck to his right arm pit. The case was initially misdiagnosed as cellulitis. To our knowledge, tick paralysis has not been reported from Ethiopia. We report the case presentation with literature review. PMID:25812288

  20. The Potential of Phage Therapy in Bacterial Infections of the Eye

    Microsoft Academic Search

    Andrzej Górski; Jan Borysowski

    2009-01-01

    Antibiotic resistance has become a major health challenge which poses a significant threat, also in ophthalmology. For example, methicillin-resistant Staphylococcus aureus may cause dramatic complications, including bilateral blindness as a consequence of orbital cellulitis and panophthalmitis. This menace has provoked a greatly revived interest in phage therapy. In recent years, a number of papers have been published suggesting its efficacy

  1. Jeudi 25 juillet 2014 Recherche UCL : premire mondiale

    E-print Network

    Nesterov, Yurii

    contre le cancer. Cette première mondiale, des chercheurs de l'UCL l'ont effectuée avec succès sur des pharmaceutiques dont l'action empêche l'apparition de métastases tumorales. Ce tour de force, les chercheurs l'ont'usine énergétique des cellules. Mais lorsque leur fonctionnement est altéré, comme les chercheurs de l'UCL l'ont

  2. Original article Purification and characterisation of bovine

    E-print Network

    Boyer, Edmond

    , depleting CD2+ T cells by sheep red blood cells (SRBC), and finally depleting CD4+ and CD8+ T cells, and the purity of the isolated WC1+ T cells was more than 97% as analysed by flow cytometry (FACS). Cytokines du mouton, et enfin la déplétion des cellules T CD4+ et CD8+ par la technique de « Magnetic cell

  3. Portes ouvertes Vendredi 20 novembre 14 h 30 16 h Samedi 21 novembre 10 h 18 h

    E-print Network

    Ingrand, François

    produire de l'électricité par transformation d'une partie du rayonnement solaire grâce a des modules Alonso Description : L'énergie solaire photovoltaïque est une forme d'énergie renouvelable permettant de solaires photovoltaïques, comprenant plusieurs cellules reliées entre elles. Actuellement, l

  4. UNIVERSITE JOSEPH FOURIER GRENOBLE IUNIVERSITE JOSEPH FOURIER GRENOBLE I UFR DE BIOLOGIEUFR DE BIOLOGIE

    E-print Network

    Paris-Sud XI, Université de

    développement du lignage oligodendrocytaire_____________________________ 31 3.1 Du précurseur à l'oligodendrocyte _______________________________________________ 33 3.1.2 Les cellules progénitrices d'oligodendrocytes _____________________________________ 35 3.1.3 Le pro-oligodendrocyte et le pré-oligodendrocyte __________________________________ 38 3.1.4 L'oligodendrocyte

  5. TH`ESE DE DOCTORAT UNIVERSITE PARIS DESCARTES

    E-print Network

    Boyer, Edmond

    synaptique et non-synaptique entre neurones et cellules pr´ecurseurs d'oligodendrocytes dans le cortex/R´esum´e vii Acknowledgments xi Preface xiii I Introduction 1 1 Oligodendrocyte Precursor Cells (OPCs) 3 1-01017183,version1-9Jul2014 #12;vi tel-01017183,version1-9Jul2014 #12;Abstract/R´esum´e Oligodendrocyte

  6. LVATION DU TAUX DE LH DANS L PLASMA SANGUIN DU BLIER APRS CASTRATION

    E-print Network

    Paris-Sud XI, Université de

    NOTE ÉLÉVATION DU TAUX DE LH DANS LÉ PLASMA SANGUIN DU BÊLIER APRÈS CASTRATION J. PELLETIER G système hypothalamo-hypophysaire chez le Bélier après castration doit être précisé : en effet, à la. Enfin les cellules hypophysaires, dites « en chaton de bague o, caractéristiques de la castration chez

  7. THESE DE DOCTORAT DE L'UNIVSERSITE PIERRE ET MARIE CURIE

    E-print Network

    Paris-Sud XI, Université de

    DOCTEUR de l'UNIVERSITÉ PIERRE ET MARIE CURIE « Etude des cellules NK au cours des infections par le virus du Chikungunya et le virus de la Dengue. » Soutenue le Vendredi 16 mai 2014 Devant le jury composé de NK au cours des infections virales...................................10 1.1. Activation précoce des

  8. Universit Joseph Fourier / Universit Pierre Mends France / Universit Stendhal / Universit de Savoie / Grenoble INP

    E-print Network

    Paris-Sud XI, Université de

    : Nano Électronique et Nano Technologies Arrêté ministériel : 7 août 2006 Présentée par Jérôme MAZURIER technologie FDSOI : du transistor aux cellules mémoires SRAM Thèse soutenue publiquement le 24 octobre 2012 Technologie de l'Information (LETI), dans le Département des COmposants Silicium (DCOS) et dans le Laboratoire

  9. Review article Secretion of virulence factors by Escherichia coli

    E-print Network

    Paris-Sud XI, Université de

    . Such a system is found in attach- ing and effacing E. coli and in diffusely adhering E. coli. © Inra facteurs de virulence qui peuvent modi- fier le métabolisme des cellules de l'hôte, contribuant à la attachantes et effaçantes et chez les E. coli à adhérence diffuse. © Inra/Elsevier, Paris. sécretion / E

  10. Intelligence Artificielle. Espce en voie d'apparition ?

    E-print Network

    Dutech, Alain

    -action entrées sorties #12;John von Neumann 1903 - 1953 #12;Jeu de la Vie Une cellule à l'état 0 passe à l ? ? = #12;2007 #12;2001 #12;1997 #12;1980 #12;1976 #12;1964 #12;1957~1960 #12;1956 We propose that a 2 month

  11. Charcot Foot: The Diagnostic Dilemma

    Microsoft Academic Search

    TODD C. SOMMER

    2001-01-01

    Primary care physicians involved in the management of patients with diabetes are likely to encounter the diagnostic and treatment challenges of pedal neuropathic joint disease, also known as Charcot foot. The acute Charcot foot is characterized by erythema, edema and ele- vated temperature of the foot that can clinically mimic cellulitis or gout. Plain film radiographic findings can be normal

  12. MAINTIEN ET RESTAURATION DE LA SPERMATOGENESE PAR UN EXTRAIT ACTONIQUE HYPOPHYSAIRE

    E-print Network

    Paris-Sud XI, Université de

    LE CYPRIN (CARASSIUS AURATUS) TRAITÉ AU MÉTHALLIBURE R. BILLARD, B. BRETON Anne-Marie ESCAFFRE rouge (Carassius auratus) une inhibition de la spermatogenèse qui intéresse toutes les cellules germi'inhiber la spermatogenèse des poissons ; chez Gasteyosteus acculeatus et Carassius auyatus (HoAR et al., 1967

  13. Carcinome mucineux primitif cutané: à propos de deux cas et d'une revue de la literature

    PubMed Central

    Souaf, Ihsane; Ameurtesse, Hassania; Debbagh, Fatema Zehra; Idrissi, Karima; Znati, Kawter; Amarti, Affaf

    2014-01-01

    Le carcinome mucineux primitif cutané est une tumeur annexielle rare, développée à partir des glandes sudoripares. Il se localise en générale à l'extrémité céphalique, surtout la région périorbitaire. Nous rapportons deux observations d'un carcinome mucineux primitif de la face et de la région axillaire, chez deux patients âgés de 60 ans. L’étude histologique montrait une prolifération tumorale dermohypodermique, faite de cellules organisées en cordons, en amas et en massif cribriformes, au sein d'une substance mucoïde. En immunohistochimie les cellules tumorales exprimaient la cytokératine 7, l'EMA et les récepteurs hormonaux. L'actine musculaire lisse a bien marqué les cellules myoépithéliales au niveau de la composante in situ dans un seul cas. Le carcinome mucineux primitif cutané est difficile à différencier d'une métastase mammaire ou digestive. La mise en évidence de carcinome in situ ou de cellules myoépithéliale est en faveur de l'origine cutanée primitive. C'est une tumeur à croissance lente, avec des métastases exceptionnelles. Le traitement est chirurgical et le taux de récidive est très élevé. Et à travers ces deux observations, les auteurs mettent en relief les principaux aspects cliniques, histologiques, thérapeutiques de cette entité avec une revue de la littérature. PMID:25574316

  14. Article de synthse Rotavirus : structure et fonction des principaux

    E-print Network

    Paris-Sud XI, Université de

    Article de synthèse Rotavirus : structure et fonction des principaux polypeptides D. Vautherot structurales permet de définir les différents constituants du rotavirus. La capside externe est constituée de 3 polypeptides : VP7, VP3 et VP9. VP7 a un rôle important dans la fixation du rotavirus aux cellules et dans le

  15. Bone scintigraphy for neonatal osteomyelitis: simulation by extravasation of intravenous calcium

    SciTech Connect

    Balsam, D.; Goldfarb, C.R.; Stringer, B.; Farruggia, S.

    1980-04-01

    Intravenously administered calcium gluconate has become increasingly popular in the treatment of neonatal tetany. Occasionally, extravasation results in cellulitis, leading to a clinical diagnosis of superimposed osteomyelitis. Osseous scintigraphy, as the accepted modality in the early detection of osteomyelitis, would tend to be used in this circumstance. This case illustrates a false-positive result, probably due to soft-tissue calcification.

  16. REVUE DE PHYSIQUE APPLIQUE Colloque C4, Supplment au n4. Tome 24, Avril 1989 C4-33

    E-print Network

    Paris-Sud XI, Université de

    ROUTE TO ORGANIC AEROGELS - MECHANISM, STRUCTURE, AND PROPERTIES R.W. PEKALA and F.M. KONG Lawrence "clusters" produit des gels qui sont séchés sous des conditions hypercri- tiques pour obtenir des aerogels organiques de faible densité (aerogels sont transparents et sont constitués de cellules

  17. Journes Techno du LPS : jeudi 7 et vendredi 8 juin 2012 Prsentations orales (15 + 5 min) : jeudi 14h -15h20

    E-print Network

    Paris-Sud 11, Université de

    15h30 - 17h30 1. Cellule à humidité contrôlée pour la diffusion par rayons X de nanotubes de carbone mesures rayons X / neutrons / Raman sous conditions extrêmes de pression - Gilles Guillier, P. Foury, M method for measuring cell size in foams - Clément Honorez, Eusebio Solórzano, M.A. Rodriguez

  18. Graduat en Biologie mdicale, options chimie clinique et cytologie. Haute Ecole Andr Vsale Quai du Barbou, 2 4020 Lige -: 04/344 7812/14

    E-print Network

    Liège, Université de

    du Barbou, 2 à 4020 Liège - : 04/344 7812/14 Extraction de l'ADN de cellules végétales Matériel · Un blanc muqueux d'ADN genre « méduse ». · Prendre une pipette Pasteur dont on a replié l'extrémité effilée filament d'ADN. Retirer l'ADN et le déposer sur une lame pour microscope. · Si on dispose du colorant

  19. I. Analyse de squences biologiques Catherine Matias

    E-print Network

    /08/11 20:33 chromosome télomère centromère télomère chromatides paires de bases histones ADN double brins nucléosomes cellule noyau #12;L'information génétique : l'ADN Chez l'Homme : 3.4 milliards de nucléotides;Réplication de l'ADN et variabilité de l'information génétique réplication très dèle, dite semi

  20. Le gnome doit tre rpliqu en deux exemplaires lors de la division cellulaire. Ce processus s'effectue au niveau des fourches de rplica-

    E-print Network

    Rochaix, Jean-David

    long des brins d'ADN séparés. Dans les cellules tumorales, les fourches de ré- plication sont souvent endommagées, ce qui provoque des cassures des deux brins d'ADN. Une étude internationale pilotée par Thanos'abord répliquer son ADN, soit quelque 6,4 milliards de paires de nucléotides. Le double brin d'ADN s'ouvre, comme

  1. Canal de Propagation 3me anne Tlcom-Rseaux

    E-print Network

    Dobigeon, Nicolas

    1 Canal de Propagation 3ème année Télécom-Réseaux 2007-2008 Martial COULON #12;2 #12;3 Chap. I VHF/UHF Pico-Cellules : qques m, haut débit. #12;5 I.2. Définition du Canal Radio Mobile · Canal de ( entre 100km et 1mm) Canal montant (Reverse Channel ou Uplink Channel) Mobiles vers BS Transmissions

  2. Quelques approches mathmatiques en gnomique

    E-print Network

    Lafont, Yves

    Analyses de données de transcriptome #12;Une celluleNoyau Ribosomes Mitochondries, Chloroplastes ADN jusqu'à 103 #12;Structures ADN: double brin (la sequence et sa complementaire reverse), double hélice Proteines : structures très complexes La structure est essentielle à la fonction, pas toujours déterminée

  3. In vivo intestinal absorption of sugars and electrolytes

    Microsoft Academic Search

    G. Esposito; A. Faelli; V. Capraro

    1972-01-01

    Riassunto Nell'intestino tenue di ratto in vivo è stato osservato che la concentrazione intracellulare di glucosio o di 3-O-metilglucosio, durante l'assorbimento di questi zuccheri, è sempre minore che nel siero. Ciò lascia presumere che esista una pompa per l'estrusione degli zuccheri a livello della membrana serosale delle cellule assorbenti intestinali.

  4. N d'ordre : 2927 DEVANT L'UNIVERSITE DE RENNES 1

    E-print Network

    Paris-Sud XI, Université de

    : Remote sensing, radar polarimetry, synthetic aperture radar, rough soil, surface scattering, multi électromagnétique d'une surface rugueuse dépend aussi de la taille de la cellule de résolution radar. La relation, polarimétrie radar, radar à synthèse d'ouverture, sol rugueux, diffusion de surface, multi-fréquentielle, multi

  5. Quality Control in Chronic Wound Management: The Role of Local PovidoneIodine (Betadine®) Therapy

    Microsoft Academic Search

    Judit Daróczy

    2006-01-01

    Background: The treatment of venous leg ulcers is often inadequate, because of incorrect diagnosis, overuse of systemic antibiotics and inadequate use of compression therapy. Stasis dermatitis related to chronic venous insufficiency accompanied by infected superficial ulcers must be differentiated from erysipelas, cellulitis and contact eczema. Objectives: To assess the effectiveness of (1) topical povidone-iodine with and (2) without compression bandages,

  6. Guidelines for the Diagnosis, Treatment and Prevention of Postoperative Infections

    PubMed Central

    Hager, W. David; Livengood, Charles H.; Hoyme, Udo

    2003-01-01

    Bacterial contamination of the operative site is a common occurrence in obstetrics and gynecology. The widespread use of antibiotic prophylaxis has reduced but not eliminated serious postoperative infections. For most operations, a single dose of a limited-spectrum drug has been as effective as a multidose regimen. In the differential diagnosis it is important to consider cellulitis, abscess, necrotizing fasciitis and septic pelvic thrombophlebitis. Abscess and necrotizing fasciitis are expected to require invasive therapy in addition to antibiotics, while cellulitis and septic pelvic thrombophlebitis should respond to medical management alone. Although a postoperative fever is a warning sign of possible infection, it may also be caused by the antibiotics that are given for treatment. The use of prolonged courses of antibiotics once the patient is clinically well is discouraged. While clinical guidelines are provided for use in the diagnosis and management of postoperative infections, these recommendations are intended for general direction and not as an exclusive management plan. PMID:12839635

  7. Radionuclide imaging in the evaluation of osteomyelitis and septic arthritis

    SciTech Connect

    Kim, E.E.; Haynie, T.P.; Podoloff, D.A.; Lowry, P.A.; Harle, T.S. (Univ. of Texas M.D. Anderson Hospital, Houston (USA))

    1989-01-01

    Despite controversy over its exact role, radionuclide imaging plays an important role in the evaluation of patients suspected of having osteomyelitis. The differentiation between osteomyelitis and cellulitis is best accomplished by using a three-phase technique using Tc-99m methylene diphosphonate (MDP). Frequently, it is necessary to obtain multiple projections and magnification views to adequately assess suspected areas. It is recommended that a Ga-67 or In-111 leukocyte scan be performed in those cases where osteomyelitis is strongly suspected clinically and the routine bone scan is equivocal or normal. Repeated bone scan after 48 to 72 h may demonstrate increased radioactivity in the case of early osteomyelitis with the initial photon-deficient lesion. In-111 leukocyte imaging is useful for the evaluation of suspected osteomyelitis complicating recent fracture or operation, but must be used in conjunction with clinical and radiographic correlation. The recognition of certain imaging patterns appears helpful to separate osteomyelitis from septic arthritis or cellulitis. 83 references.

  8. Pressure-Distribution Measurements on O-2H Airplane in Flight

    NASA Technical Reports Server (NTRS)

    Pearson, H A

    1937-01-01

    Results are given of pressure-distribution measurements made over two different horizontal tail surfaces and the right wing cellule, including the slipstream area, of an observation-type biplane. Measurements were also taken of air speed, control-surface positions, control-stick forces, angular velocities, and accelerations during various abrupt maneuvers. These maneuvers consisted of push-downs and pull-ups from level flight, dive pull-outs, and aileron rolls with various thrust conditions. The results from the pressure-distribution measurements over the wing cellule are given on charts showing the variation of individual rib coefficients with wing coefficients; the data from the tail-surface pressure-distribution measurements are given mainly as total loads and moments. These data are supplemented by time histories of the measured quantities and isometric views of the rib pressure distributions occurring in abrupt maneuvers.

  9. Chaetomium globosum Cutaneous Fungal Infection Confirmed by Molecular Identification: A Case Report from Malaysia.

    PubMed

    Mohd Tap, Ratna; Sabaratnam, Parameswari; Ahmad, Nur Ashikin; Abd Razak, Mohd Fuat; Hashim, Rohaidah; Ahmad, Norazah

    2015-08-01

    An 11-year-old girl presented with multiple blisters on her the right foot complicated with cellulitis. The conventional and molecular identification were performed on the culture. The internal transcribed spacer (ITS) region in rRNA gene of the isolate was amplified by PCR. The sequence of the amplified ITS region matched 99 % with that of Chaetomium globosum in the GenBank. This is the first report describing C. globosum causing cutaneous infection in Malaysia. PMID:25894509

  10. En vue de l'obtention du DDOOCCTTOORRAATT DDEE LL''UUNNIIVVEERRSSIITT DDEE TTOOUULLOOUUSSEE

    E-print Network

    Recanati, Catherine

    aux convertisseurs multi- phasés isolés entrelacés et magnétiquement couplés VVVeeerrrsssiiiooonnn réseau de micro- convertisseurs optimisés, de faible puissance, que lon peut associer en série et en est à porter sur le dimensionnement dun micro-convertisseur optimisé qui joue le rôle de cellule

  11. Nouvelle mthode d'analyse des interfrences lectromagntiques (IEM) dans les convertisseurs statiques

    E-print Network

    Boyer, Edmond

    Nouvelle méthode d'analyse des interférences électromagnétiques (IEM) dans les convertisseurs dans les convertisseurs d'électronique de puissance. Le développement d'une méthode simple, précise et cellule de commutation. Un convertisseur équipé par des semi-conducteurs de technologie carbure de

  12. Increased Serum Levels of Epidermal Growth Factor in Children with Autism

    Microsoft Academic Search

    Elvan ??eri; Esra Güney; Mehmet F. Ceylan; Ay?egül Yücel; Arzu Aral; ?ahin Bodur; ?ahnur ?ener

    2011-01-01

    The etiology of autism is unclear, however autism is considered as a multifactorial disorder that is influenced by neurological,\\u000a environmental, immunological and genetic factors. Growth factors, including epidermal growth factor (EGF), play an important\\u000a role in the celluler proliferation and the differentiation of the central and peripheral nervous system. In this study we\\u000a hypothesized that EGF may play a role

  13. Herpes zoster with dissemination.

    PubMed

    Singal, Archana; Mehta, Shilpa; Pandhi, Deepika

    2006-04-01

    Herpes zoster or shingles is an acute vesico-bullous cutaneous infection characterized by dermatomal distribution, predominantly in adults. Extensive cutaneous dissemination has been reported in immunocompromised patients. However, its existence is documented in immunocompetent individuals as well. We report two children with disseminated herpes zoster, one of whom was immunocompromised secondary to severe mal-nutrition and had associated orbital septal cellulitis. PMID:16651676

  14. NOUVELLESMAGAZINE M/S n 8-9, vol. 22, aot-septembre 2006

    E-print Network

    Paris-Sud XI, Université de

    infectés après la liaison des glycoprotéines d'enveloppe du VIH-1 sur le co-récepteur CXCR4. Lorsque l'accumulationd'autophagosomesdanslecytoplasmedeslymphocytesTCD4noninfectés après liaison de Env sur CXCR4. B. Western-blot montrant l'accumulation de la protéine autophagi- que ATG6/Beclin 1 dans les lymphocytes T CD4 non infectés après liaison de Env sur CXCR4. Cellule

  15. Improvement of a Clinical Score for Necrotizing Fasciitis: ‘Pain Out of Proportion’ and High CRP Levels Aid the Diagnosis

    PubMed Central

    Siegel, Ekkehard; Hanke, Eric; von Stebut, Esther

    2015-01-01

    Necrotizing fasciitis (NF) is a rare mono-/polymicrobial skin infection that spreads to underlying tissues. NF is quickly progressing and leads to life threatening situations. Immediate surgical debridement together with i.v. antibiotic administration is required to avoid fatal outcome. Early diagnosis is often delayed due to underestimation or confusion with cellulitis. We now compared the initial clinical and laboratory presentation of NF and cellulitis in detail to assess if a typical pattern can be identified that aids timely diagnosis of NF and avoidance of fatal outcome. 138 different clinical and laboratory features of 29 NF patients were compared to those of 59 age- and gender matched patients with severe erysipelas requiring a subsequent hospitalization time of ?10 days. Differences in clinical presentation were not obvious; however, NF patients suffered significantly more often from strong pain. NF patients exhibited dramatically elevated CRP levels (5-fold, p>0.001). The overall laboratory risk indicator for necrotizing fasciitis (LRINEC) score was significantly higher in NF patients as compared to cellulitis. However, a modification of the score (alteration of laboratory parameters, addition of clinical parameters) led to a clear improvement of the score with a higher positive predictive value without losing specificity. In summary, clinical differentiation of NF from cellulitis appears to be hard. ‘Pain out of proportion’ may be an early sign for NF. An improvement of the LRINEC score emphasizing only relevant laboratory and clinical findings as suggested may aid the early diagnosis of NF in the future leading to improvement of disease outcome by enabling rapid adequate therapy. PMID:26196941

  16. Posttonsillectomy pain in children.

    PubMed

    Sutters, Kimberly A; Isaacson, Glenn

    2014-02-01

    Tonsillectomy, used to treat a variety of pediatric disorders, including obstructive sleep apnea, peritonsillar cellulitis or abscesses, and very frequent throat infection, is known to produce nausea, vomiting, and prolonged, moderate-to-severe pain. The authors review the causes of posttonsillectomy pain, current findings on the efficacy of various pharmacologic and nonpharmacologic interventions in pain management, recommendations for patient and family teaching regarding pain management, and best practices for improving medication adherence. PMID:24445532

  17. Presentation, Diagnosis, and Management of Arterial Mycotic Pseudoaneurysms in Injection Drug Users

    Microsoft Academic Search

    Jack W. Tsao; Shelley R. Marder; Jerry Goldstone; Allan I. Bloom

    2002-01-01

      Injection drug users frequently present with abscess, cellulitis, and endocarditis. The development of arterial mycotic pseudoaneurysm\\u000a (AMP) as a sequela of injection drug use, however, is much less frequently reported. We undertook a study to determine the\\u000a prevalence and presenting clinical characteristics of AMP, utilizing a retrospective review of all emergency department cases\\u000a seen at one city public hospital for

  18. Angiosarcome du sein : à propos de deux cas

    Microsoft Academic Search

    K. Berroho; M. Iraqi; A. Achiq; M. H. Alami; N. Saadi; A. Fillali; L. El Barnoussi; A. Benzekri; T. Kebdani; N. Benjaafar; B. K. El Gueddari; R. Bezad; C. Chraibi

    Résumé  L’angiosarcome du sein est une tumeur conjonctive très rare, elle est de diagnostic difficile et de très mauvais pronostic.\\u000a Sa définition est anatomopathologique; il s’agit d’une prolifération maligne primitive des cellules endothéliales du tissu\\u000a vasculaire de la glande mammaire. Notre étude a porté sur deux cas d’angiosarcome du sein pris en charge à la maternité des\\u000a Orangers puis à l’Institut

  19. Protection of Chickens against Escherichia coli Infections by DNA Containing CpG Motifs

    Microsoft Academic Search

    Susantha Gomis; Lorne Babiuk; Dale L. Godson; Brenda Allan; Tannis Thrush; Hugh Townsend; Philip Willson; Edwin Waters; Rolf Hecker; Andrew Potter

    2003-01-01

    Synthetic oligodeoxynucleotides (ODN) containing CpG motifs (CpG-ODN) have been shown to be effective immunoprotective agents in murine models for a variety of viral, intracellular bacterial, and protozoan infections. Until now, the use of CpG-ODN to protect against extracellular bacterial infections has not been reported. The objective of this study was to investigate the effect of CpG-ODN against cellulitis and coliba-

  20. Combined endovascular treatment of aorto-oesophageal fistula with mediastinitis

    PubMed Central

    Berna, Pascal; Pequignot, Aurélien; De Temmerman, Pierre; De Dominicis, Florence

    2013-01-01

    False aortic aneurysm is an uncommon complication after oesophageal perforation and results in a high rate of mortality. A 63-year-old patient presented with acute chest pain. Biochemical tests (cardiac enzymes) and electrocardiogram were normal. A thoracic and abdominal CT scan was performed, and showed a foreign body in the posterior mediastinum, with mediastinal cellulitis and a false aortic aneurysm. Surgical endovascular management was performed, with stenting of the thoracic aorta and oesophageal exploration. PMID:23042800

  1. Influence of Infectious Bursal Disease and Chicken Anemia Vaccines on the Development of Cellulites and Myositis Lesions in Cage-Reared Broilers

    Microsoft Academic Search

    Chengming Wang; Kenneth S. Macklin; James T. Krehling; Robert A. Norton

    2005-01-01

    Wang, C., Macklin, K.S., Krehling, J.T. and Norton, R.A. 2005. Influence of infectious bursal disease and chicken anemia vaccines on the development of cellulitis and myositis lesions in cage-reared broilers. J. Appl. Anim. Res., 27: 65–69.The present set of experiments was designed to explore the influence of Infectious Bursal Disease Virus (IBDV) and Chicken Anemia Virus (CAV) vaccines on the

  2. Le Soleil et le rayonnement ultraviolet

    Microsoft Academic Search

    J.-P. Césarini

    \\u000a Le rayonnement ultraviolet (UV) est une composante importante du rayonnement solaire dans notre environnement. Il est également\\u000a émis par les appareils de bronzage et par de nombreuses sources utilisées dans l’industrie. L’énergie véhiculée par ce rayonnement\\u000a d’une part et son absorption par certaines molécules du vivant d’autre part déclenche des réactions importantes, surtout au\\u000a niveau du patrimoine génétique des cellules

  3. Toxigenic Corynebacterium ulcerans in a fatal human case and her feline contacts, France, March 2014.

    PubMed

    Vandentorren, S; Guiso, N; Badell, E; Boisrenoult, P; Micaelo, M; Troché, G; Lecouls, P; Moquet, M J; Patey, O; Belchior, E

    2014-01-01

    In March 2014, a person in their eighties who was diagnosed with extensive cellulitis due to toxigenic Corynebacterium ulcerans died from multiple organ failure. Environmental investigation also isolated C. ulcerans in biological samples from two stray cats in contact with the case. This finding provides further evidence that pets can carry toxigenic C. ulcerans and may be a source of the infection in humans. PMID:25306877

  4. The charcot foot: Medical and surgical therapy

    Microsoft Academic Search

    Jan S. Ulbrecht; Dane K. Wukich

    2008-01-01

    Charcot neuro-osteoarthropathy (CN) is among the most devastating complications of neuropathy and now most commonly occurs\\u000a in the feet of diabetic patients. Because it is relatively rare and because most patients and practitioners do not expect\\u000a major bone pathology in the absence of significant pain, CN is often misdiagnosed as cellulitis, deep venous thrombosis, or\\u000a gout. Also, radiographs early in

  5. Radionucleotide scanning in osteomyelitis

    SciTech Connect

    Sachs, W.; Kanat, I.O.

    1986-07-01

    Radionucleotide bone scanning can be an excellent adjunct to the standard radiograph and clinical findings in the diagnosis of osteomyelitis. Bone scans have the ability to detect osteomyelitis far in advance of the standard radiograph. The sequential use of technetium and gallium has been useful in differentiating cellulitis and osteomyelitis. Serial scanning with technetium and gallium may be used to monitor the response of osteomyelitis to antibiotic therapy.

  6. Skin mucormycosis presenting as an erythema-nodosum-like rash in a renal transplant recipient: a case report

    Microsoft Academic Search

    Nader Nouri-Majalan; Mansour Moghimi

    2008-01-01

    INTRODUCTION: Cutaneous mucormycosis is a rare entity related to kidney transplantation. It usually presents with ecthyma-like lesions and black necrotic cellulitis. We report an unusual case of primary cutaneous mucormycosis presenting as erythema-nodosum-like lesions in a woman who had received a renal transplant. CASE PRESENTATION: A 49-year-old woman with diabetes received a living-unrelated kidney transplant. Her clinical course was uneventful

  7. Plesiomonas shigelloides in acute cholecystitis: a case report.

    PubMed Central

    Claesson, B E; Holmlund, D E; Lindhagen, C A; Mätzsch, T W

    1984-01-01

    Plesiomonas shigelloides was isolated as the sole pathogen from gallbladder bile and wall in a 58-year-old woman with acute cholecystitis. The patient developed an unusual postoperative complication characterized by culture-negative discharge from the wound in combination with extensive abdominal cellulitis and afebrility. Agglutinating antibodies to P. shigelloides were demonstrated in the serum of the patient by the microscopic Widal agglutination test. PMID:6511879

  8. Citologia della Cellula Epatica nel Corso della Iperglicemia Sperimentale

    Microsoft Academic Search

    Mario Milletti

    1938-01-01

    L'A. ha studiato le successive modificazioni citologiche delle cellule epatiche in seguito alla introduzione in circolo di glucosio in dosi varie, ma sempre elevate. Con il metodo di Hagedorn-Jensen sono state determinate le curve glicemiche durante tutto il periodo degli esperimenti (48–60 ore). Come animale da esperimento è stato usato il coniglio e gli esperimenti sono stati condotti in 4

  9. en vue de l'obtention du grade de Docteur de l'cole Normale Suprieure de Lyon -Universit de Lyon

    E-print Network

    Paris-Sud XI, Université de

    -échelle de l'ADN, de la double-hélice à la chromatine Dans le noyau des cellules eucaryotes, l'ADN s double-hélice de l'ADN jusqu'aux chromosomes micrométriques, sont essentielles aux mécanismes com- plexes utilisons des simulations de dynamique moléculaire d'oligomères d'ADN pour étudier l'ADN double-hélical à

  10. Bien que les rcents progrs technologiques aient considrablement rduit le cot du squenage de l'ADN, ce procd a jusqu' prsent

    E-print Network

    Loewith, Robbie

    l'ADN, ce procédé a jusqu'à présent été peu exploité. «1000 génomes» est le premier projet de grande'être passé de l'accomplissement du pre- mier séquençage de l'ADN humain en 2003 à celui de plus de 1000 des cellules vivantes provenant des 1092 individus dont l'ADN a été séquencé. Tout l'intérêt est d

  11. Insuffisances rénales aiguës secondaires à une rhabdomyolyse ou à une hémolyse

    Microsoft Academic Search

    Vincent Das; Vincent Loos; Bertrand Guidet

    La rhabdomyolyse est une lésion du muscle strié, réversible ou non, altérant suffisamment l’intégrité de la membrane des cellules\\u000a pour permettre la libération de leur contenu dans le milieu extracellulaire (1). Depuis la description princeps, par Bywaters, de l’insuffisance rénale aiguë (IRA) secondaire au « syndrome d’écrasement\\u000a » (« crush syndrome »), au cours des bombardements de Londres durant la

  12. Sensitivity to mutagens of Rumex acetosa chromosomes

    Microsoft Academic Search

    N. Degaraeve; J. Moutschen

    1973-01-01

    Résumé Des graines deRumex acetosa ont été soit irradiées par les rayons ? du60Co (100 à 3000 rads) soit traitées par deux agents mutagènes chimiques: le MMS et le MNU. Le MNU est plus efficace que le MMS comme inducteur de lésions chromosomiques. Les spectres des différents types d'aberrations chromosomiques produites par les 3 agents sont différents et les cellules

  13. Police drug crackdowns and hospitalisation rates for illicit-injection-related infections in New York City

    Microsoft Academic Search

    Hannah L. F. Cooper; David Wypij; Nancy Krieger

    2005-01-01

    Using longitudinal data, this analysis tests the hypothesis that eight police drug crackdowns implemented in 27 New York City police precincts between 1995 and 1999 were associated with subsequent increases in monthly precinct-specific hospitalisation rates for illicit-injection-related abscesses, cellulitis, and endocarditis. Crackdowns are sustained police initiatives designed to reduce the possession and sale of illicit drugs through heightened surveillance and

  14. Gunshot-like wound caused by sling shot injury – a case report

    PubMed Central

    Vinuthinee, Naidu; Azreen-Redzal, Anuar; Juanarita, Jaafar; Zunaina, Embong

    2015-01-01

    We report a rare case of sling shot injury that presented with a gunshot-like wound with preseptal cellulitis, in a toddler. An 11-month-old Malay child presented with a gunshot-like wound over the forehead following sling shot injury. On examination, he had a deep circular laceration wound over the forehead, measuring 2.0 cm in diameter, with minimal bleeding. There was no obvious foreign body seen inside the wound and no palpable foreign body surrounding the wound. The gunshot-like wound was associated with left preseptal cellulitis. A skull X-ray showed a white opaque foreign body in the left frontal bone. Computed tomography (CT) scan of orbit and brain revealed a left comminuted fracture of the left orbital roof, and left frontal brain contusion with prelesional edema. Wound exploration was performed and revealed a 0.5 cm unshattered marble embedded in the left frontal bone. The marble and bone fragments were removed. The left preseptal cellulitis responded well to intravenous antibiotic and topical antibiotic. PMID:25709507

  15. Differential Diagnosis of the Swollen Red Eyelid.

    PubMed

    Carlisle, Robert Thomas; Digiovanni, John

    2015-07-15

    The swollen red eyelid is a common presentation in primary care. An understanding of the anatomy of the orbital region can guide care. Factors that guide diagnosis and urgency of care include acute vs. subacute onset of symptoms, presence or absence of pain, identifiable mass within the eyelid vs. diffuse lid swelling, and identification of vision change or ophthalmoplegia. Superficial skin processes presenting with swollen red eyelid include vesicles of herpes zoster ophthalmicus; erythematous irritation of contact dermatitis; raised, dry plaques of atopic dermatitis; and skin changes of malignancies, such as basal or squamous cell carcinoma. A well-defined mass at the lid margin is often a hordeolum or stye. A mass within the midportion of the lid is commonly a chalazion. Preseptal and orbital cellulitis are important to identify, treat, and differentiate from each other. Orbital cellulitis is more often marked by changes in ability of extraocular movements and vision as opposed to preseptal cellulitis where these characteristics are classically normal. Less commonly, autoimmune processes of the orbit or ocular tumors with mass effect can create an initial impression of a swollen eyelid. PMID:26176369

  16. Studying a disease with no home - lessons in trial recruitment from the PATCH II study

    PubMed Central

    2010-01-01

    Background Cellulitis is a very common condition that often recurs. The PATCH II study was designed to explore the possibility of preventing future episodes of cellulitis, with resultant cost savings for the NHS. This was the first trial to be undertaken by the UK Dermatology Clinical Trials Network. As such, it was the first to test a recruitment model that involved many busy clinicians each contributing just a few patients. Methods A double-blind randomised controlled trial comparing prophylactic antibiotics (penicillin V) with placebo tablets, for the prevention of repeat episodes of cellulitis of the leg. Primary outcome was time to subsequent recurrence of cellulitis. Results The PATCH II study was closed to recruitment having enrolled 123 participants from a target of 400. Whilst the recruitment period was extended by 12 months, it was not possible to continue beyond this point without additional funds. Many factors contributed to poor recruitment: (i) changes in hospital policy and the introduction of community-based intravenous teams resulted in fewer cellulitis patients being admitted to hospital; ii) those who were admitted were seen by many different specialties, making it difficult for a network of dermatology clinicians to identify suitable participants; and iii) funding for research staff was limited to a trial manager and a trial administrator at the co-ordinating centre. With no dedicated research nurses at the recruiting centres, it was extremely difficult to maintain momentum and interest in the study. Attempts to boost recruitment by providing some financial support for principal investigators to employ local research staff was of limited success. Discussion The model of a network of busy NHS clinicians all recruiting a few patients into large clinical studies requires further testing. It did not work very well for PATCH II, but this was probably because patients were not routinely seen by dermatologists, and recruitment took place prior to research support being available through the Comprehensive Clinical Research Network (CCRN). There is a balance to be struck between asking a lot of centres to recruit just a few patients, and asking a few centres to recruit a lot of patients. Giving modest funds to principal investigators to buy local research nurse time did not work well, probably because too little research time was bought, and it was difficult to separate research tasks from the nurses existing clinical duties. National research infrastructure networks such as the Comprehensive Clinical Research Network will overcome many of the problems encountered in the PATCH II trial. Trial Registration The trial registration number is ISRCTN03813200. PMID:20196846

  17. Effects of vitamin D and yeast extract supplementation on turkey mortality and clostridial dermatitis incidence in a dexamethasone immunosuppression model.

    PubMed

    Huff, G R; Huff, W E; Ratha, N C

    2014-12-01

    Clostridial dermatitis (CD) is a production disease of commercial turkeys that is characterized by sudden mortality in market-aged male birds and by lesions that include fluid and air bubbles under the skin of the thigh, breast, and tail area. We have developed a model for CD using dexamethasone (Dex) injection that suggests this disease may be related to stressors during the last stages of turkey production. Male turkeys were provided with control feed and water or with feed supplemented with a commercial yeast extract (YE) product, water supplemented with vitamin D (VD), or the combination. At 6, 11, and 15 wk of age birds were treated with three intramuscular injections of Dex over a 5-day period. Both YE and VD, but not the combination, decreased early mortality. At week 7 mortality was increased by VD, and cellulitis lesions were seen in 7/8 mortalities. Mortality at week 12 was decreased by both YE and the combination of YE and VD, and cellulitis lesions were seen in 8/17 mortalities. There were no significant differences in mortality at week 16. Total mortality was 66 birds, and 23 of these had cellulitis lesions (38%). There were no YE-treated birds with CD lesions; however, 67% of VD-treated birds had CD lesions. This study suggests that feed supplementation with YE may improve the ability of turkeys to withstand the stressors during late production and provide protection against the development of CD; however, high levels of VD supplementation may be detrimental. PMID:25619002

  18. Differents aspects du fer dans l'organisme

    PubMed Central

    Bessis, Marcel; Breton-Gorius, Janine

    1959-01-01

    Des cellules réticulaires remplies de molécules de ferritine et d'hémosidérine se trouvent au centre "d'ilots érythroblastiques." Dans la zone de contact entre la cellule réticulaire chargée de ferritine et les érythroblastes, on voit des invaginations et des petites vacuoles au bord desquelles adhérent des molécules de ferritine. Il est postulé que la ferritine passe de la cellule réticulaire centrale dans les érythroblastes par ce mécanisme, apparenté à la pinocytose (rhophéocytose). Dans tous les érythroblastes normaux, il existe du fer sous forme de ferritine. Celle-ci peut se trouver à l'état dispersé ou agglomérée en amas. Lorsque ces amas sont assez gros, ils sont visibles au microscope optique: ce sont les granules des sidéroblastes. On trouve du fer dans les mitochondries, mais rarement à l'état normal. Il est soit sous forme de granules ferritiniques soit sous forme de micelles ferrugineuses. Dans les thalassémies et d'autres maladies s'accompagnant d'un trouble de l'hémoglobinogénèse, on trouve, en grande quantité, du fer visible au microscope électronique, dans les érythroblastes. Il s'y trouve sous forme de ferritine, en amas ou dispersé. Il existe parfois en grande quantité dans les mitochondries soit sous forme de ferritine, soit sous forme de micelles ferrugineuses. Il semble que soit objectivé ainsi le trouble de la synthèse de l'hémoglobine: le fer inutilisé s'accumule dans des érythroblastes hypochromes. Il est probable qu'à l'etat normal, le fer est métabolisé dans les mitochondries. Dans le thalassémies et les anémies hypochromes hypersidérémiques, il semble souvent bloqué dans ces organites. PMID:13800105

  19. Type and location of injection drug use-related soft tissue infections predict hospitalization.

    PubMed

    Takahashi, Traci A; Merrill, Joseph O; Boyko, Edward J; Bradley, Katharine A

    2003-03-01

    The prevalence of soft tissue infections (abscesses, cellulitides, infected ulcers) among injection drug users (IDUs) is estimated to be between 21% and 32%. Little is known regarding the health care utilization associated with these infections. This study describes IDUs seeking emergency department (ED) care for soft tissue infections, their inpatient health care utilization, including operating room procedures, and the types and locations of infections associated with increased inpatient health care utilization. This study used a medical record case series of all IDUs seeking initial care for soft tissue infections at an urban, public emergency department from November 1999 through April 2000. Initial care for IDU-related soft tissue infections was sought by 242 patients. Most were male (63.6%), Caucasian (69.4%) and without health insurance (52.0%), and most had abscesses (72.3%). All patients with only cellulitis had arm or leg infections, while most abscesses were arm, deltoid, or buttock infections (81.1%). Forty percent of the patients were hospitalized, and 44.3% of the hospitalizations were for 3 or more days. Patients with only cellulitis were more likely to be hospitalized compared to those with abscesses. Among those with abscesses, deltoid abscesses were 5.2 times more likely to receive an operating room procedure compared to other abscess locations. IDUs with cellulitis and deltoid abscesses commonly required inpatient care and operating room procedures. The morbidity associated with such infections and the intensive use of hospital services needed to treat these infections provide strong rationale for the development of preventive interventions and improved care for this neglected clinical problem. PMID:12612102

  20. Avoidable Antibiotic Exposure for Uncomplicated Skin and Soft Tissue Infections in the Ambulatory Care Setting

    PubMed Central

    Hurley, Hermione J.; Knepper, Bryan C.; Price, Connie S.; Mehler, Philip S.; Burman, William J.; Jenkins, Timothy C.

    2014-01-01

    Background Uncomplicated skin and soft tissue infections are among the most frequent indications for outpatient antibiotics. A detailed understanding of current prescribing practices is necessary to optimize antibiotic use for these conditions. Methods This was a retrospective cohort study of children and adults treated in the ambulatory care setting for uncomplicated cellulitis, wound infection, or cutaneous abscess between March 1, 2010 and February 28, 2011. We assessed the frequency of avoidable antibiotic exposure, defined as: use of antibiotics with broad gram-negative activity, combination antibiotic therapy, or treatment for 10 or more days. Total antibiotic-days prescribed for the cohort were compared to antibiotic-days in four hypothetical short-course (5 – 7 days), single-antibiotic treatment models consistent with national guidelines. Results 364 cases were included for analysis (155 cellulitis, 41 wound infection, and 168 abscess). Antibiotics active against methicillin-resistant Staphylococcus aureus were prescribed in 61% of cases of cellulitis. Of 139 cases of abscess where drainage was performed, antibiotics were prescribed in 80% for a median of 10 (interquartile range 7 – 10) days. Of 292 total cases where complete prescribing data were available, avoidable antibiotic exposure occurred in 46%. This included use of antibiotics with broad gram-negative activity in 4%, combination therapy in 12%, and treatment for 10 or more days in 42%. Use of the short-course, single-antibiotic treatment strategies would have reduced prescribed antibiotic-days by 19 – 55%. Conclusions Nearly half of uncomplicated skin infections involved avoidable antibiotic exposure. Antibiotic use could be reduced through treatment approaches utilizing short courses of a single antibiotic. PMID:24262724

  1. Rare diagnosis of nodular lymphangitis caused by Mycobacterium marinum: MDCT imaging findings

    PubMed Central

    Pedrosa, Margarita; Soriano, Alex; Zboromyrska, Yuliya; Tudo, Griselda; Garcia, Sebastian; Pomes, Jaime

    2014-01-01

    Mycobacterium marinum is an atypical mycobacterium that usually causes a solitary nodule on the hand (“fish tank granuloma”) or less commonly, secondary erythematous channels and nodules spread along lymphatic drainage of the extremity, mimicking sporothricoid skin lesions of nodular lymphangitis. This report presents a case of this rare entity, a nodular lymphangitis caused by Mycobacterium marinum. Multidetector computed tomography (MDCT) imaging was very useful in determining the morphology (cellulitis with a few small subcutaneous nodules and channels) and the extension of the lesion. PMID:24778804

  2. Oncogènes et carcinogenèse au niveau du tractus digestif

    Microsoft Academic Search

    R. Turpini; Anna Scotti; Francesca Turpini

    1986-01-01

    Résumé  Au cours des dernières années, de nouvelles informations ont été acquises à propos de l’étiopathogénie des tumeurs malignes,\\u000a justifiant une mise au point des mécanismes impliqués\\u000a \\u000a L’identification, dans le patrimoine génétique normal, de génes proto-oncogéniques, a montré une potentialité carcinogénétique\\u000a intrinsèque à chaque cellule, la transformation néoplasique étant déclenchée par des stimuli de nature variée.\\u000a \\u000a \\u000a \\u000a Les groupes les plus importants

  3. Rhino-orbito-cerebral mucormycosis in patients with diabetic ketoacidosis.

    PubMed

    Gen, Ramazan; Horasan, Elif ?ahin; Vayso?lu, Yusuf; Arpaci, Rabia Bozdo?an; Ersöz, Gülden; Özcan, Cengiz

    2013-03-01

    Mucormycosis is a life-threatening fungal infection that occurs in immunocompromised patients. The most common predisposing risk factor for mucormycosis is diabetes mellitus. Rhino-orbito-cerebral mucormycosis is the most common form in diabetic patients and is characterized by paranasal sinusitis, ophthalmoplegia with blindness, and unilateral proptosis with cellulitis, facial pain with swelling, headache, fever, rhinitis, granular or purulent nasal discharge, nasal ulceration, epistaxis, hemiplegia or stroke, and decreased mental function. Diabetic ketoacidosis is the most common and serious acute complication of diabetic patients. We herein report 2 cases of fatal rhino-orbito-cerebral mucormycosis in a patient with diabetic ketoacidosis. PMID:23524816

  4. La tolérance aux opiacés existe-t-elle dans le traitement de la douleur chronique?

    Microsoft Academic Search

    A. Muller; G. Sudbrack; B. Laugner

    1992-01-01

    Résumé  La tolérance est un état qui se caractérise par la perte d’efficaité progressive d’une dose donnée d’opiacé lors d’une administration\\u000a chronique. En situation expérimentale de laboratoire, la tolérance ainsi définie est un phénomène constant que l’on observe\\u000a aussi bien sur des cultures de cellules isolées que sur des systèmes neuronaux ou sur l’animal entier soumis à des stimulations\\u000a nociceptives aiguës

  5. Parenteral organophosphorus poisoning in a rural emergency department: a case report

    PubMed Central

    2013-01-01

    Background Poisoning is a common presentation in the emergency department. Oral exposures to organophosphorus compounds are especially frequent in rural and agricultural regions of South Asia and throughout the developing world. Case presentation Here we report a case of deliberate self-harm with an organophosphorus pesticide via the relatively uncommon parenteral route. A young woman injected herself with chlorpyriphos. Although the cholinergic effects were mild, cellulitis and abscess development were noted as a result. Conclusion Resource limited agricultural countries like Nepal present health care workers with numerous challenges in poisoning management. This case represents a rare but potentially morbid method of agrochemical poison exposure. PMID:24321121

  6. [Management of skin lesions in returning travelers].

    PubMed

    Monsel, Gentiane; Caumes, Éric

    2015-04-01

    Dermatoses in returning travellers are common. These dermatoses are mainly infectious, the most common being bacterial infections of cosmopolitan origin (cellulitis, pyoderma and abcess). Others dermatoses are environmental diseases such as sunburns, arthropod-related reactions and superficial injuries. The most common tropical skin disease is hookworm-related cutaneous larva migrans but treating physicians may also face patients with localized cutaneous leishmaniasis, tungiasis, or myiasis. Also some systemic infections can be associated with skin manifestations. The most useful treatments in this setting are oral antihistamines, topical steroids, antibiotics effective against bacterial skin infection, booster for tetanus immunization, and rabies vaccination in case of animal exposure. PMID:26058193

  7. Fatal necrotizing fasciitis and myositis in a captive common bottlenose dolphin (Tursiops truncatus) associated with Streptococcus agalactiae.

    PubMed

    Zappulli, Valentina; Mazzariol, Sandro; Cavicchioli, Laura; Petterino, Claudio; Bargelloni, Luca; Castagnaro, Massimo

    2005-11-01

    A common bottlenose dolphin (Tursiops truncatus) was presented for necropsy after acute onset of gastrointestinal signs and cutaneous lesions that rapidly progressed to death. Gross and microscopic findings were characterized by locally extensive severe necrohemorrhagic fasciitis and cellulitis, and severe necrotizing myositis in the head and dorsocranial thorax, with numerous disseminated gram-positive cocci. Streptococcus agalactiae was isolated from the lesions and from visceral organs (liver and lung), and it was identified by standard microbiology techniques. This communication is the first report of necrotizing fasciitis in a marine mammal associated with S. agalactiae. PMID:16475528

  8. Management of Large Erupting Complex Odontoma in Maxilla

    PubMed Central

    Murphy, Colm; O'Connell, John Edward; Cotter, Edward; Kearns, Gerard

    2014-01-01

    We present the unusual case of a large complex odontoma erupting in the maxilla. Odontomas are benign developmental tumours of odontogenic origin. They are characterized by slow growth and nonaggressive behaviour. Complex odontomas, which erupt, are rare. They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry. This present paper describes the presentation and management of an erupting complex odontoma, occupying the maxillary sinus with extension to the infraorbital rim. We also discuss various surgical approaches used to access this anatomic area. PMID:25580339

  9. New developments in clinical aspects of lymphatic disease

    PubMed Central

    Mortimer, Peter S.; Rockson, Stanley G.

    2014-01-01

    The lymphatic system is fundamentally important to cardiovascular disease, infection and immunity, cancer, and probably obesity — the four major challenges in healthcare in the 21st century. This Review will consider the manner in which new knowledge of lymphatic genes and molecular mechanisms has demonstrated that lymphatic dysfunction should no longer be considered a passive bystander in disease but rather an active player in many pathological processes and, therefore, a genuine target for future therapeutic developments. The specific roles of the lymphatic system in edema, genetic aspects of primary lymphedema, infection (cellulitis/erysipelas), Crohn’s disease, obesity, cancer, and cancer-related lymphedema are highlighted. PMID:24590276

  10. Bilateral parotid enlargement following snake bite: a rare sign.

    PubMed

    Deepak, Madi; Basavaprabhu, Achappa; Ramapuram, John T; Nithyananda, Chowta; Mahalingam, Soundarya

    2013-02-01

    Snakebite is a common medical emergency in India. Unusual complications may occur after viper bite. Bilateral parotid enlargement after viper bite is a rare entity. An 18-year old gentleman presented to our hospital with history of viper bite. On examination he had cellulitis of right lower limb. He developed swelling of both the parotid glands 12 h after admission. He developed coagulopathy, acute renal failure and died within 48 h of hospital admission. Development of parotid swelling after snake bite is associated with poor prognosis. This case is found worth reporting as it is an unusual complication having prognostic value. PMID:23593596

  11. Capnocytophaga canimorsus sepsis misdiagnosed as plague--New Mexico, 1992.

    PubMed

    1993-02-01

    Since 1961, 200 human isolates of Capnocytophaga canimorsus--a gram-negative bacterium--have been sent to CDC for identification. Infections with this organism may result in a spectrum of manifestations ranging from self-limiting cellulitis to fatal septicemia; most fatal infections have occurred in persons with a history of asplenia, alcoholism, or hematologic malignancy. In most (77%) cases, infection is preceded by a bite or other exposure to dogs. This report summarizes the investigation by the New Mexico Health and Environment departments and CDC of a fatal case of C. canimorsus infection in a resident of New Mexico. This case was initially misdiagnosed as human plague. PMID:8429807

  12. Acquired Lymphangiectasis Following Surgery and Radiotherapy of Breast Cancer

    PubMed Central

    Rao, Angoori Gnaneshwar

    2015-01-01

    Acquired lymphangiectasia (AL) is a significant and rare complication of surgery and radiotherapy. We report lymphangiectasia in a 40-year-old woman who had undergone radical mastectomy and radiotherapy. After 4 years of combined therapy, she developed multiple vesicles and bullae. Skin biopsy confirmed the diagnosis of lymphangiectasia. The case is unique as it is not associated with lymphedema, which is a usual accompaniment of lymphangiectasia following surgery and radiotherapy. AL is usually asymptomatic, but trauma may cause recurrent cellulitis. Treatment modalities include electrodessication, surgical excision, sclerotherapy and carbon dioxide laser ablation. PMID:25657438

  13. [Persistent swelling after flushing of an abscess with Octenisept®].

    PubMed

    Bauer, B; Majic, M; Rauthe, S; Bröcker, E-B; Kerstan, A

    2012-12-01

    We report the case of a long-lasting cutaneous side effect after inappropriate use of Octenisept® solution (containing octenidine and phenoxyethanol). Following lavage of an abscess in the inguinal region, a painful erythematous induration mimicking cellulitis persisted for several months. Manual lymphatic drainage considerably improved the symptoms. Octenisept® shows considerable tissue toxicity in vivo including - but not restricted to - blood vessel damage. Deterioration of endothelial cells followed by oedema and continued tissue damage can be seen histologically. Despite the fact that there is a circular letter issued by the manufacturer as well as a boxed warning on the bottles, the awareness to avoid this misuse of Octenisept® is still lacking. PMID:22101779

  14. Human Dirofilaria repens Infection in Romania: A Case Report

    PubMed Central

    Popescu, Ioana; Tudose, Irina; Racz, Paul; Muntau, Birgit; Giurcaneanu, Calin; Poppert, Sven

    2012-01-01

    Human dirofilariasis is a zoonotic infectious disease caused by the filarial nematodes of dogs Dirofilaria repens and Dirofilaria immitis. Depending on the species involved, human infections usually manifest as one cutaneous or visceral larva migrans that forms a painless nodule in the later course of disease. Dirofilariae are endemic in the Mediterranean, particularly in Italy. They are considered as emerging pathogens currently increasing their geographical range. We present one of the few known cases of human dirofilariasis caused by D. repens in Romania. The patient developed unusual and severe clinical manifestations that mimicked pathological conditions like cellulitis or deep venous thrombosis. PMID:22567488

  15. Léiomyosarcome de la veine cave inférieure: un cas clinique

    PubMed Central

    Hammoune, Nabil; El Guendouz, Faycal; Elhaddad, Siham; Latib, Rachida; Chami, Imane; Boujida, Najib; Hommadi, Abdelaziz

    2015-01-01

    Le léiomyosarcome de la veine cave inférieure est une tumeur maligne rare développée aux dépens des cellules musculaires lisses de la paroi vasculaire. L'imagerie radiologique par tomodensitométrie ou résonance magnétique nucléaire est un élément important au diagnostic et au bilan d'extension tumorale. Le traitement est chirurgical. Nous illustrons l'apport de l'imagerie à travers un cas de léiomyosarcome révélé par des épigastralgies paroxystiques, dont le diagnostique était orienté par la TDM, et confirmé par l’étude histologique. L’évolution était favorable. Après 2 ans de recul, la patiente était indemne de toute récidive tumorale.

  16. Skin infections in Tanna, Vanuatu in 1989.

    PubMed

    Harris, M; Nako, D; Hopkins, T; Powell, D M; Kenny, C; Carroll, C; Carroll, K

    1992-06-01

    Skin infections are an important health problem in Vanuatu and other Pacific island countries. In this study, 18,223 people, representing 90% of the population of the southern island of Tanna in Vanuatu, were examined. Scabies was found in 16% of those screened, with 24% of children under 10 years affected. Other skin infections were predominantly furuncles, abscesses, impetigo and cellulitis and were found in 12% overall and in 16% of children under 10 years of age. These infections were found to be more common in larger households and in the vicinity of the volcano Yasur. Strategies for prevention and management of skin infections in Vanuatu are discussed. PMID:1509813

  17. Gas gangrene infection of the eyes and orbits.

    PubMed Central

    Crock, G W; Heriot, W J; Janakiraman, P; Weiner, J M

    1985-01-01

    The literature on Clostridium perfringens infections is reviewed up to 1983. An additional case is reported with bilateral clostridial infections of the eye and orbit. One eye followed the classical course of relentless panophthalmitis, amaurosis, and orbital cellulitis ending in enucleation. The second eye contained intracameral mud and gas bubbles that were removed by vitrectomy instrumentation. Subsequent removal of the toxic cataract resulted in a final aided visual acuity of 6/18, N8. This is the third report of a retained globe, and we believe the only known case where the patient was left with useful vision. Images PMID:3967002

  18. L’irradiation des spermatozoïdes au Laser HeNe à faible énergie chez la souris et chez l’homme

    Microsoft Academic Search

    Y. Soffer; R. Lubart; H. Breitbart

    2000-01-01

    Résumé  L’irradiation de lignées somatiques diverses, de spermatozoïdes et des cellules embryonnaires au laser HeNe de faible énergie\\u000a (LFE) agirait sur des aspects divers de leur métabolisme cellulaire. Cette action porterait notamment sur l’activité proliferative\\u000a et respiratoire, ainsi que la synthèse de l’ATP ou l’afflux intracellulaire de Ca2+. Le but de ce travail est d’examiner les effets de l’irradiation au LFE:

  19. Plasmocytome costal solitaire: à propos d'un cas

    PubMed Central

    Razafimanjato, Narindra Njarasoa Mihaja; Ravoatrarilandy, Manjakaniaina; Rakotoarisoa, Andriamihaja Jean Claude; Hasiniatsy, Rodrigue; Hunald, Allen Francis; Rakototiana, Auberlin Felantsoa; Rafaramino, Florine; Rakotovao, Hanitrala Jean Louis

    2014-01-01

    Les auteurs rapportent un cas de plasmocytome solitaire particulière par leur localisation costale. Le diagnostic est basé sur la mise en évidence d'une tumeur localisée, constituée de cellules plasmocytaires monoclonales cytologiquement identiques à celles du myélome multiple, en l'absence d'autres signes en faveur d'une forme disséminée. Nous rapportons un cas de plasmocytome solitaire à localisation costale et nous discutons les aspects diagnostiques et thérapeutiques de cette affection potentiellement menacée dans son évolution par la transformation en myélome multiple. PMID:25419306

  20. Acquired lymphangiectasis after breast conservation treatment for breast cancer: report of a case.

    PubMed

    Tasdelen, Ismet; Gokgoz, Sehsuvar; Paksoy, Ela; Yerci, Omer; Cetintas, Sibel Kahraman; Demiray, Mutlu; Samsa, Veysi

    2004-01-01

    Acquired lymphangiectasis is a dilatation of lymphatic vessels that can result as a complication of surgical intervention and radiation therapy for malignancy. Acquired lymphangiectasis shares clinical and histological features with the congenital lesion, lymphangioma circumscriptum. Diagnosis and treatment of these vesiculobullous lesions is important because they may be associated with pain, chronic drainage, and cellulitis. We describe patient who had these lesions after treatment for cancer. Although a number of treatment options are available, we have found cryosurgery and electrocautery to be particularly effective. PMID:15347491

  1. Radionuclide evaluation of nonmalignant bone disorders

    SciTech Connect

    Winzelberg, G.G.

    1983-02-01

    Recent advances in nuclear imaging have improved the noninvasive evaluation of patients with nonmalignant bone disorders. When bone scanning agents are combined with bone marrow scanning agents and gallium-67 scintigraphy, a more accurate diagnosis can be obtained. By selecting the appropriate imaging sequence, it is often possible to distinguish cellulitis from underlying osteomyelitis. In patients with total hip replacements, it may be possible to separate postsurgical changes from prosthetic loosening or infection. Stress fractures in joggers may be detected by radionuclide bone scintigraphy before radiographs become abnormal. These nuclear imaging procedures can be done in most hospitals.

  2. Improved early diagnosis of acute inflammatory skeletal-articular diseases in children: A two-radiopharmaceutical approach

    SciTech Connect

    Handmaker, H.; Giammona, S.T.

    1984-05-01

    The febrile child with a painful bone or joint still presents a difficult pediatric diagnostic problem. Acute hematogenous osteomyelitis, septic arthritis, and cellulitis are the most common causes of this symptom. Thirty-seven patients with these disorders were studied. Because findings from technetium-99m phosphate bone scans and roentgenograms are often normal in patients in the early stages of acute hematogenous osteomyelitis, children suspected of having this disorder were tested using gallium-67 citrate scans in addition to the other diagnostic procedures. The increased diagnostic accuracy of this approach over that of bone scan and roentgenogram studies alone was observed in the children with fever and bone or joint pain.

  3. Computed tomographic detection of sinusitis responsible for intracranial and extracranial infections

    SciTech Connect

    Carter, B.L.; Bankoff, M.S.; Fisk, J.D.

    1983-06-01

    Computed tomography (CT) is now used extensively for the evaluation of orbital, facial, and intracranial infections. Nine patients are presented to illustrate the importance of detecting underlying and unsuspected sinusitis. Prompt treatment of the sinusitis is essential to minimize the morbidity and mortality associated with complications such as brain abscess, meningitis, orbital cellulitis, and osteomyelitis. A review of the literature documents the persistence of these complications despite the widespread use of antibiotic therapy. Recognition of the underlying sinusitis is now possible with CT if the region of the sinuses is included and bone-window settings are used during the examination of patients with orbital and intracranial infection.

  4. Carcinome neuroendocrine du sein: à propos d'un cas et revue de la littérature

    PubMed Central

    El Fatemi, Hinde; Hammas, Nawal; Moumna, Kaoutar; Bedahou, Mouhcine; Mellas, Nawfel; Mesbahi, Omar

    2012-01-01

    Le carcinome neuroendocrine primitif du sein est une tumeur rare qui a été reconnue par la dernière édition de la classification OMS du cancer du sein publiée en 2003. Le diagnostic est évoqué sur des critères morphologiques et confirmé par l'expression des marqueurs neuroendocrines (chromogranine et synaptophysine) par plus de 50% des cellules tumorales. Nous rapportons un nouveau cas de carcinome neuroendocrine primitif du sein, et à travers une revue de la littérature, nous détaillons les aspects épidémiologiques, morphologiques et immuno-histochimiques de cette tumeur rare. PMID:23330031

  5. Frequent bacterial skin and soft tissue infections: diagnostic signs and treatment.

    PubMed

    Sunderkötter, Cord; Becker, Karsten

    2015-06-01

    Skin and soft tissue infections rank among the most frequent infections worldwide. Classic erysipelas is defined as a non-purulent infection by beta-hemolytic streptococci. The typical signs are tender, warm, bright erythema with tongue-like extensions and early systemic symptoms such as fever or at least chills. Erysipelas always and best responds to penicillin. Limited soft tissue infection or limited cellulitis are the terms we have introduced for infections frequently caused by S. aureus and often originating from chronic wounds or acute trauma. Clinically, they are marked by tender, erythematous swelling which, unlike erysipelas, exhibit a darker red hue and is not always accompanied by fever or chills at onset. Severe cellulitis is a purulent, partially necrotic infection extending to the fascia, with general symptoms of infection, requiring surgical management in addition to antibiotics. It often fulfils criteria of so-called complicated soft tissue infections according to the definition of the FDA, due to their frequent association with e.g. severe diabetes mellitus, peripheral arterial occlusive disease or severe immunosuppression. In contrast, the rare necrotizing skin and soft tissue infections represent a distinct entity, characterized by rapid progression to ischemic necroses and shock due to special bacterial toxins. Limited cellulitis should be treated with cephalosporins group 1 or 2, or, when S.aureus is the isolated or highly likely causative agent, isoxazolyl-penicillins (exploiting their minimal selection pressure on other bacteria). For severe cellulitis, initial antibiotic treatment (mostly iv) includes - depending on the location - agents also active against gram-negative and/or anaerobic bacteria. (e.g. clindamycine, aminopeniclilline with inhibitors of betalaktamase, fluochinolons, cephalosporines group 4). For cutaneous abscesses, drainage presents the therapy of choice. Only under certain conditions additional antibiotic therapy is required. Adherence to the diagnostic criteria and to evidence-based or consensus-derived treatment recommendations as presented herein should allow for an antibiotic therapy with a good balance of efficacy, tolerability by patients and low selection pressure for highly resistant bacteria. PMID:26018361

  6. [Human dirofilariasis in southern Italy. I. The Puglia Region].

    PubMed

    Pampiglione, S; Arlotta, M R; Carlà, T G; D'Ambrosio, E; Filotico, R; Primiceri, O; Vetrugno, M

    1994-10-01

    Nine new cases of human Dirofilariasis by Dirofilaria repens, in subjects living in Apulia, aged 30 to 60 years, are reported. Six were subcutaneous and three subconjunctival. Many of them occurred a number of years ago and were identified thanks to a specific joint investigation carried out by a parasitologist, some histopathologists and ophthalmologists. Of special relevance is one subcutaneous case with contemporary presence of 2 nodules in different regions of the body (mamma and forearm) and another subconjuctival case with strong inflammatory reaction (episcleritis, chemosis, orbital cellulitis) associated with the passage of the nematode under the Tenon's capsule. PMID:7739879

  7. Ultrasonography and computed tomography of inflammatory abdominal wall lesions

    SciTech Connect

    Yeh, H.C.; Rabinowitz, J.G.

    1982-09-01

    Twenty-four patients with inflammatory lesions of the abdominal wall were examined by ultrasonography. Nine of these patients underwent computed tomographic (CT) scanning as well. Both ultrasonography and CT clearly delineated the exact location and extent of abdominal wall abscesses. Abscesses were easily differentiated from cellulitis or phlegmon with ultrasound. The peritoneal line was more clearly delineated on ultrasonograms than on CT scans; abscesses were also more distinct on the ultrasonograms because of their low echogenicity compared with the surrounding structures. Gas bubbles, fat density with specific low attenuation values, and underlying inflamed bowel loops in obese patients with Crohn's disease were better delineated by CT.

  8. COLE CENTRALE DES ARTS ET MANUFACTURES

    E-print Network

    Paris-Sud XI, Université de

    de surveillance de l'ADN et analyse des interrégulations entre le mécanisme de surveillance de l'ADN l'intégrité de l'ADN et d'autre part la répartition équitable du génome dupliqué dans les cellules checkpoint du fuseau mitotique, tandis que les checkpoints de l'ADN sont activés suite à des lésions de l'ADN

  9. Modlisation de ractions chimiques dans les rseaux de gnes. Problme de convergence de processus markoviens

    E-print Network

    Boyer, Edmond

    cellule contient un matériel génétique : l'ADN. L'ADN : L'ADN est une macromolécule complexe, constituée d bactéries, l'ADN est en général présent dans le cytoplasme sous la forme d'un seul chromosome circulaire. Chez les eucaryotes, l'ADN est généralement sous forme de plusieurs chromosomes. Cet ADN se situe dans

  10. Multiple nontuberculous scrofulodermas showing dramatic response to clarithromycin.

    PubMed

    Parimalam, Kumar; Senthil, G; Vinnarasan, M; Arumugakani, V; Amutha, B M; Lalitha, S; Swarna, S

    2015-01-01

    Atypical mycobacteria are distinct from the Mycobacterium tuberculosis. Mycobacterium chelonae, a non-pigment producing rapid grower, can be found in many cutaneous sites; infection occurs most commonly after skin trauma from surgery, injections, or minor injuries. In immune competent patients, the infection is more frequently localized as a cellulitis or a nodule, whereas, in the immunocompromised patient, dissemination (more than five lesions) can occur. Because the organism is resistant to antituberculous therapy, abscess can develop and follow a chronic, indolent course. We report a case of multiple scrofuloderma due to nontuberculous infection caused by M. chelonae showing dramatic response to clarithromycin. PMID:25657914

  11. Surgical Site Infection Caused by Aeromonas hydrophila in a Patient with Underlying Malignancy.

    PubMed

    Baruah, Frincy Khandelwal; Ahmed, Nishat Hussain; Grover, Rajesh Kumar

    2015-01-01

    Aeromonas skin and soft tissue infections in cancer patients can lead to serious life threatening conditions such as cellulitis, necrotizing fasciitis and myonecrosis. We report here a case of surgical site infection, post radical mastectomy, in a 58-year-old female with carcinoma breast. Cultures of exudates from the wound grew Aeromonas hydrophila on repeated occasions. Recovery was uneventful following targeted antimicrobial therapy and regular dressing of the wound. Early suspicion, diagnosis, and treatment with potent antibiotics are needed to prevent any further complications resulting from infection by this emerging pathogen. PMID:25737989

  12. Surgical Site Infection Caused by Aeromonas hydrophila in a Patient with Underlying Malignancy

    PubMed Central

    Ahmed, Nishat Hussain; Grover, Rajesh Kumar

    2015-01-01

    Aeromonas skin and soft tissue infections in cancer patients can lead to serious life threatening conditions such as cellulitis, necrotizing fasciitis and myonecrosis. We report here a case of surgical site infection, post radical mastectomy, in a 58-year-old female with carcinoma breast. Cultures of exudates from the wound grew Aeromonas hydrophila on repeated occasions. Recovery was uneventful following targeted antimicrobial therapy and regular dressing of the wound. Early suspicion, diagnosis, and treatment with potent antibiotics are needed to prevent any further complications resulting from infection by this emerging pathogen. PMID:25737989

  13. Squamous cell carcinoma and eosinophilia in a long-term course of pansclerotic morphea.

    PubMed

    Grewal, Inderjote; Khan, Omar; Davis, William

    2014-01-01

    Pansclerotic morphea is a rare subtype of localised scleroderma. Very few cases have been reported in the literature. This case discusses a young man with a 15-year history of pansclerotic morphea, illustrating the clinical course and complications of this disease. Notably, recurrent squamous cell carcinomas with several high-risk features and frequent cellulitis were the basis of many admissions. As often seen with this disease, autoimmune markers were negative. However, marked eosinophilia was noted late in the course. Furthermore, this disease is quite resistant to treatment. Immunosuppressive therapy thus far has perhaps slowed the progression, although not cured the disease in this patient. PMID:25312894

  14. “The Clock Is Ticking”: The Timely Management of a Painful Skin Rash in a Seventy-Year-Old Woman

    PubMed Central

    Patel, Vijaykumar G.; Nichols, Michelle L.

    2014-01-01

    Necrotizing fasciitis is an uncommon but a potentially fatal condition and can affect any part of the body. Most patients have pre-existing conditions that render them susceptible to infection, although etiology is unclear. Diagnosis is primarily clinical and is often delayed because of the unfamiliarity of the condition among clinicians. Management consists of immediate resuscitation, early surgical debridement, and administration of broad spectrum intravenous antibiotics. We report a case of a 70 year old woman who presented with a painful erythematous rash, was admitted as a case of cellulitis, later developed worsening of symptoms and septic shock, and was diagnosed as necrotizing fasciitis. PMID:24715917

  15. Teleconsultation by using the mobile camera phone for remote management of the extremity wound: a pilot study.

    PubMed

    Tsai, Hui-Hong; Pong, Ya-Ping; Liang, Chi-Cheng; Lin, Pao-Yuan; Hsieh, Ching-Hua

    2004-12-01

    To assess the feasibility of remote management of extremity wound by using a mobile camera phone to transfer clinical images and online communication, teleconsultations were carried out on 60 patients between January and August 2003 for 82 extremity wounds presented to the emergency room between residents and consultant plastic surgeons. A questionnaire about wound descriptors (gangrene, necrosis, erythema, and cellulitis/infection), as well as clinical opinions regarding treatment with antibiotics or debridement, was filled out. In this study, 3 surgeons were able to make 80%, 76%, 66%, and 74% agreement, respectively, in the remote diagnosis regarding presence of gangrene, necrosis, erythema, and cellulitis/infection. Recognition of gangrene had the highest agreement percent (80%), sensitivity (85%), and specificity (93%). There were 68% to 90% of image sets that could be made with equivalent diagnoses of wound descriptors and 83% of wounds managed as per the remote treatment recommendation regarding whether to use antibiotics or to perform debridement. The preliminary results showed that the camera phone is valuable and bears potential for remote management of the extremity wound. PMID:15602257

  16. Poultry abattoir survey of carcass condemnation for standard, vegetarian, and free range chickens.

    PubMed Central

    Herenda, D; Jakel, O

    1994-01-01

    During the period April 1991 to March 1992, data concerning the condemnation rate of standard, vegetarian, and free-range chickens were collected and summarized from one federally inspected abattoir in Ontario. The purpose of this study was to discuss the effects of diet, management, and breed of chickens on pathological lesions, ensuing condemnation rates, and consequent losses to the growers and the poultry industry. The data collected at this abattoir revealed that vegetarian chickens showed a higher condemnation rate (5.23%) for disease and nondisease conditions compared with standard (1.48%) and free-range (0.94%) chickens. Free-range chickens were approximately two weeks older than vegetarian and standard chickens at the time of slaughter. The most common causes of condemnation in vegetarian chickens was cellulitis (1.18%), followed by ascites (0.77%). Ascites and cellulitis (0.26% both) were also the most common causes of condemnation in standard chickens. Cyanosis (0.21%) and mutilation (0.17%) represented the highest rate of condemnation in free-range chickens. The low rate of pathological lesions in free-range chickens is a positive trend in poultry disease management. PMID:8050075

  17. Bilateral intraorbital abscesses with intracranial complications in a young Cameroonian girl: a case report

    PubMed Central

    Abdouramani, Oumarou; Nguefack, S; Dohvoma, VA; Moifo, B; Eballé, André Omgbwa; Moho, A; Epee, E; Mbonda, E; Bella, AL

    2012-01-01

    Background: Intraorbital abscess is a very severe infection with ophthalmologic and neurologic complications that are sometimes life-threatening. Objective: To report the etiologic, clinical, radiologic, and prognostic features of one case of bilateral intraorbital abscesses with intracranial complications. Case report: A 15-year-old Cameroonian girl in a comatose state (11/15 on the Glasgow Coma Scale) with meningeal signs, right hemiplegia, right facial palsy, and bilateral exophthalmia was admitted for meningitis and cerebral abscess secondary to orbital cellulitis. A lumbar tap was carried out, no organisms were seen by Gram stain, and culture was negative due to previous antibiotic therapy. A computed tomography scan showed a left internal capsule infarct and a pansinus opacification. Bilateral superior orbitotomies were performed and the abscess evacuated. Microscopy and culture of surgical material were negative. The patient was discharged 4 weeks after hospital admission with a visual acuity of 0.1 in both eyes, aphasia, and right hemiplegia. Nine months later, there was complete visual recovery (visual acuity 1.0 in both eyes). Anterior and posterior segments were normal on slit-lamp examination. There was no aphasia, but right-sided hemiparesis persisted. Conclusion: The authors emphasize the need for prevention, early diagnosis, and adequate treatment of orbital cellulitis in order to avoid complications. PMID:22969290

  18. Comparative studies of multiple-dose cefoxitin vs. single-dose cefonicid for surgical prophylaxis in patients undergoing biliary tract operations or hysterectomy.

    PubMed

    Maki, D G; Lammers, J L; Aughey, D R

    1984-01-01

    Three hundred one patients were studied in ongoing, double-blinded, randomized clinical trials of the efficacy and safety of multiple-dose cefoxitin and single-dose cefonicid for the prevention of postoperative surgical infection in patients undergoing elective biliary tract operations or hysterectomy. In the biliary surgery trial, one patient (1.5%) of 66 assessable patients given cefoxitin and three (4.7%) of 64 given cefonicid developed incisional infection of the abdominal wound (P = not significant [NS] ). Two (6%) of 31 patients undergoing vaginal hysterectomy who were given cefoxitin and four (14%) of 29 given cefonicid developed vaginal cuff cellulitis (P = NS); three (6%) of 49 patients undergoing abdominal hysterectomy who were given cefoxitin and none of 37 given cefonicid developed pelvic cellulitis (P = NS). Adverse effects ascribable to one of the study drugs were infrequent and minor in both groups. Levels of cefonicid in serum and the uterus or gallbladder wall 2-3 hr after the preoperative dose--before wound closure--were high (mean, 30-40 micrograms/ml), values five to six times higher than those for cefoxitin. The duration of postoperative hospitalization and the costs of hospital care for the two treatment groups were similar in both trials. These studies suggest that a single preoperative dose of cefonicid provides protection against surgical infection following biliary tract operations and hysterectomy that is comparable to that provided by cefoxitin given both preoperatively and 24 hr postoperatively. PMID:6395279

  19. Spectrum of dermatoses in 165 travelers returning from the tropics with skin diseases.

    PubMed

    Ansart, Séverine; Perez, Lucia; Jaureguiberry, Stéphane; Danis, Martin; Bricaire, François; Caumes, Eric

    2007-01-01

    The spectrum of dermatoses occurring in travelers returning from tropical areas is poorly documented. We analyzed the relative frequency of travel-associated dermatoses and their possible relationships to travel characteristics in all persons who came to our hospital between November 2002 and May 2003 for a cutaneous disorder related to travel in a tropical country. One hundred sixty-five travelers were included. The main dermatoses identified were infectious cellulitis (12.7%), scabies (10.3%), and pruritus of unknown origin (PUO) (9.1%). Tropical dermatoses accounted for 33.9% of the cutaneous disorders. Univariate analysis showed statistically significant correlations of infectious cellulitis with females, PUO with older age and immigrant status, pyoderma with expatriate status, scabies with tourism and travel to Africa, myiasis with tourism and travel to Africa and America, filariasis with travel to Africa and immigrant status, and cutaneous larva migrans with tourism. Dermatoses diagnosed in travelers returning from the tropics seemed to be influenced by traveler status and region visited. PMID:17255251

  20. Epidemiology of Orthopaedic Trauma Admissions Over One Year in a District General Hospital in England

    PubMed Central

    Taylor, A; Young, A

    2015-01-01

    Introduction : Admission to district general hospitals in England has undergone change in recent years due to both an aging population and the reconfiguration of the major trauma network throughout the United Kingdom. Methods : We utilised a retrospective cohort study to analyse the epidemiology over a 12-month period at a district general hospital. Data was collected and divided into groups: upper limb, lower limb, vertebral disc disease, vertebral fracture, cellulitis without bone involvement and deep infection including metalwork. Results : 2817 patients were admitted over the 12-month period. There were 893 upper limb fractures, 1511 lower limb fractures, 126 vertebral disc disease, 55 vertebral fractures, 108 cellulitis without bone involvement and 124 deep infections with 19 admissions not specified due to coding. AN average of 242 patients were admitted each month with the majority admitted during the summer months. Conclusion : Although fractures make up the majority of the reason for which a person is admitted, there are also many other injuries/morbidities, which may necessitate admission. There is an increasing incidence of elderly osteoporotic fractures in females, which is balancing out the previously more common fractures seen in younger adults and adolescents. PMID:26069514

  1. Ostéosarcome primitif du rein avec évolution métastatique au foie. Étude de cas et revue de la littérature

    PubMed Central

    Gharbi, Olfa; Trabelsi, Amel; Hochlef, Makram; Kriaa, Soulef; Limam, Sami; Ben Fatma, Leila; Landolsi, Amel; Gahbiche, Selma; Mokni, Moncef; Mosbeh, T.A.; Ben Ahmed, Slim

    2009-01-01

    Résumé L’ostéosarcome primitif du rein est une pathologie très rare dont l’histogénèse n’est pas claire. Les récidives locales et les métastases sont fréquentes et le pronostic est très mauvais. Nous décrivons ici le cas d’une patiente de 59 ans qui présentait des douleurs lombaires gauches et un amaigrissement. Une échographie abdominale et une tomodensitométrie abdominale ont révélé une masse rétropéritonéale de 13 × 8 × 9 cm avec macrocalcifications. Le bilan d’extension n’a pas révélé d’autres lésions. On a procédé à une néphrectomie élargie gauche; l’examen histologique a révélé une prolifération tumorale constituée de cellules fusiformes de taille variable, ces cellules manifestement atypiques produisant directement du tissu ostéoïde évoquant un ostéosarcome rénal. Dix mois plus tard, la patiente présentait des lésions métastatiques au niveau hépatique sans autre lésion secondaire ni récidive locale. La patiente est actuellement en cours de traitement par chimiothérapie par doxorubicine et cisplatine avec un recul de 17 mois. Les caractéristiques anatomocliniques et les modalités thérapeutiques de cette pathologie rare sont discutées ci-dessous. PMID:19424475

  2. Common infection-related conditions and risk of lymphoid malignancies in older individuals

    PubMed Central

    Anderson, L A; Atman, A A; McShane, C M; Titmarsh, G J; Engels, E A; Koshiol, J

    2014-01-01

    Background: Chronic antigenic stimulation may initiate non-Hodgkin (NHL) and Hodgkin lymphoma (HL) development. Antecedent, infection-related conditions have been associated, but evidence by lymphoproliferative subtype is limited. Methods: From the US SEER-Medicare database, 44?191 NHL, 1832 HL and 200?000 population-based controls, frequency-matched to all SEER cancer cases, were selected. Logistic regression models, adjusted for potential confounders, compared infection-related conditions in controls with HL and NHL patients and by the NHL subtypes diffuse large B-cell, T-cell, follicular and marginal zone lymphoma (MZL). Stratification by race was undertaken. Results: Respiratory tract infections were broadly associated with NHL, particularly MZL. Skin infections were associated with a 15–28% increased risk of NHL and with most NHL subtypes, particularly cellulitis with T-cell lymphoma (OR 1.36, 95%CI 1.24–1.49). Only herpes zoster remained associated with HL following Bonferroni correction (OR 1.55, 95% CI 1.28–1.87). Gastrointestinal and urinary tract infections were not strongly associated with NHL or HL. In stratified analyses by race, sinusitis, pharyngitis, bronchitis and cellulitis showed stronger associations with total NHL in blacks than whites (P<0.001). Conclusions: Infections may contribute to the aetiologic pathway and/or be markers of underlying immune modulation. Precise elucidation of these mechanisms may provide important clues for understanding how immune disturbance contributes to lymphoma. PMID:24691420

  3. Tumeur brune du maxillaire révélatrice d'hyperparathyroidie primaire: à propos d'un cas et revue de la littérature

    PubMed Central

    Malika, Fassih; Taali, Loubna; Akssim, Mohamed; Reda, Abada; Rouadi, Sami; Mahtar, Mohamed; Roubal, Mohamed; Essaadi, Mustapha; Kadiri, Mohamed Fatmi El

    2013-01-01

    Les tumeurs brunes sont des lésions ostéolytiques rarement révélatrices des hyperparathyroïdies. Elles surviennent habituellement au stade terminal de l'hyperparathyroïdie primaire ou secondaire. Durant les 3 dernières décennies, le diagnostic des hyperparathyroïdies est le plus souvent fait à la phase asymptomatique grâce aux dosages systématiques du calcium et l'avènement des nouvelles techniques, de dosage de la parathormone. Nous rapportons l'observation d'une patiente avec hyperparathyroïdie primaire révélée par une tumeur du maxillaire, dont la TDM avait mis en évidence un processus ostéolytique agressif. L'intervention chirurgicale a consisté en une maxillectomie droite avec reconstruction. Le résultat anatomo-pathologique a conclu en une tumeur à cellule géantes bénigne du maxillaire. Le diagnostic de tumeur brune a été évoqué et confirmé après la réalisation d'un bilan phosphocalcique qui a mis en évidence une hypercalcémie, avec une hypophosphorémie. La recherche étiologique a objectivé à la TDM cervicale un processus en situation rétro et infra thyroïdienne droite en faveur d'un adénome parathyroïdien. Le dosage de la parathormone: 322 pmol/L a confirmé le diagnostic. Nous rappelons à travers cette observation la difficulté d’établir un diagnostic correct chez les patients avec un processus ostéolytique du maxillaire et la nécessité de rechercher une hyperparathyroïdie devant une lésion à cellules géantes vue le caractère insidieux de cette endocrinopathie. PMID:23503933

  4. Pigmented casts.

    PubMed

    Miteva, Mariya; Romanelli, Paolo; Tosti, Antonella

    2014-01-01

    Pigmented casts have been reported with variable frequency in scalp biopsies from alopecia areata, trichotillomania, chemotherapy-induced alopecia and postoperative (pressure induced) alopecia. Their presence and morphology in other scalp disorders has not been described. The authors assessed for the presence and morphology of pigmented casts in 308 transversely bisected scalp biopsies from nonscarring and scarring alopecia, referred to the Department of Dermatology, University of Miami within a year. The pigmented casts were present in 21 of 29 cases of alopecia areata (72%), 7 of 7 cases of trichotillomania (100%), 1 case of friction alopecia, 4 of 28 cases of central centrifugal cicatricial alopecia (14%), and 4 of 4 cases of dissecting cellulitis (100%). They did not show any distinguishing features except for the morphology in trichotillomania, which included twisted, linear (zip), and "button"-like pigment aggregation. The linear arrangement was found also in friction alopecia and dissecting cellulitis. Pigmented casts in the hair canals of miniaturized/vellus hairs was a clue to alopecia areata. Pigmented casts can be observed in biopsies of different hair disorders, but they are not specific for the diagnosis. Horizontal sections allow to better assess their morphology and the follicular level of presence of pigmented casts, which in the context of the other follicular findings may be a clue to the diagnosis. PMID:23823025

  5. Métastase vésicale d'un adénocarcinome gastrique en bague à chaton

    PubMed Central

    Seddik, Youssef; Al Jarroudi, Ouissam; Brahmi, Sami Aziz; Afqir, Said

    2014-01-01

    Bien que le cancer primitif de la vessie représente le deuxième cancer urologique après le cancer de la prostate, les métastases vésicales sont rares et le primitif gastrique reste exceptionnel. On rapporte le cas d'un patient âgé de 46 ans, avec des épigatsralgies chroniques, qui présentait une hématurie totale avec des signes irritatifs urinaires. La cystoscopie a montré une vessie inflammatoire sans lésion tumorale décelable. La biopsie vésicale avec une étude anatomopathologique a été en faveur d'un adénocarcinome peu différencié à cellules indépendantes. Le scanner thoraco-abdomino-pelvien a montré un épaississement vésical et gastrique. La fibroscopie oeso-gastroduodénale a montré une tumeur bourgeonnante ulcérée fundique qui a été biopsiée. L’étude anatomo-pathologique a montré un adénocarcinome gastrique à cellules indépendantes mucipares. Le patient a eu 6 cures de chimiothérapie palliative de première ligne type EOX à base d'Epirubicine, Oxaliplatine, et Capécitabine, avec une légère régression tumorale puis une chimiothérapie de maintenance à base de Capécitabine. PMID:25821549

  6. Rare complication of silicone fluid injection presenting as multiple calcification and skin defect in both legs: a case report.

    PubMed

    Lee, Jun Ho; Choi, Hwan Jun

    2015-03-01

    In the past, many materials have been injected for soft tissue augmentation including paraffin (mineral oil) and other non-biocompatible products. Liquid silicone as one of these materials has a long and notorious history as an injectable material for soft tissue augmentation. However, complications, including cellulitis, ulcerations, migration, and nodule formation, have also been reported with silicone injections. This article aims to demonstrate the diagnosis and treatment of multiple calcification and skin defect after silicone fluid injection for soft tissue augmentation. A 65-year-old female presented with skin defect and calcifications had been steadily increasing in size over a 3-month period. Examination confirmed pain, swelling, induration, and 5 × 5 cm sized skin defect with marginal and adjacent calcification in the left lateral malleolar area. She had been injected silicone fluid for soft tissue of lower extremity augmentation and contouring 30 years ago. Serial surgical debridement of this entire zone of calcification and ulceration was undertaken. The defect was closed by a split thickness skin graft. She was satisfied with the aesthetic appearance of the lateral malleolar area, relieving the symptoms of cellulitis. PMID:25564484

  7. An unusual complication of chronic suppurative otitis media: bezold abscess progressing to scapular abscess.

    PubMed

    Pradhananga, Rabindra

    2014-10-01

    Introduction?Suppurative otitis media is still the most common ear disease in developing countries. Otogenic complications of this disease have decreased considerably because of the advent of antibiotics, and few rare complications have been encountered. Objective?To report a case of a patient with scapular abscess and lumber cellulitis that had progressed from Bezold abscess as a complication of squamous-type chronic suppurative otitis media. Resumed Report?A 14-year-old girl presented with foul-smelling, purulent, left ear discharge of 1-year duration and decreased hearing on same ear of 6-month duration. She developed painful swelling in left side of neck with restricted neck movement and high-grade fever of 3-day duration and swelling over the left scapular area of 1-day duration. The examination and investigation diagnosed squamous-type chronic suppurative otitis media with Bezold abscess progressing to scapular abscess and lumber cellulitis. Final Comment?Chronic suppurative otitis media can lead to abscess in any part of body. PMID:25992134

  8. [Surgical managing of current cutaneous infections in children].

    PubMed

    Gonnelli, D; Degardin, N; Guidicelli, T; Magalon, G; Bardot, J

    2010-09-01

    The cutaneous infectious pathology of the child is varied and frequent. Authors deal with surgical infections seen in current pediatrics, which often have to appeal to a plastic pediatric surgeon for their treatment. Superficial infections of skin and pilo-sebaceous follicles are common in big children. The folliculitis and the boil are the most frequent. Their treatment is medical and surgical and does not require an antibiotic treatment in most of the cases. The primitive abscesses or following an anterior lesion recover from a similar treatment. Some localizations or risky context need a particular follow-up. The whitlow is a particular example and needs to have a particular follow-up because of the risk of hand cellulitis. Nails embodied of the child require a specialized notice because of their numerous clinical forms, which must be distinguished according to the age. Finally the necrotizing cellulitis and fasciitis are surgical emergencies and have a well-codified treatment. These infections in children must benefit from an attentive care because when they are badly treated, they can involve the aesthetic, functional and vital forecast. PMID:20691574

  9. Successfully treated descending necrotizing mediastinitis through thoracotomy using a pedicled muscular serratus anterior flap.

    PubMed

    Haremza, Céline; De Dominicis, Florence; Merlusca, Geoni; Berna, Pascal

    2011-10-01

    Descending necrotizing mediastinitis (DNM) is rare and aggressive. A 68-year-old female with no medical history, was admitted to our institution for cervical cellulitis. After a conventional medical treatment, multiple abscesses of the upper mediastinum appeared on computed tomography (CT) findings. Although two cervicotomies were performed, a new necrotic abscess appeared in the anterior upper and middle mediastinum. An extensive debridement of cellulitis and abscess extended to the pericardium was made by thoracotomy. Middle mediastinum and pericardium were covered and reconstructed by a right pedicled serratus anterior flap. After radical surgery, follow-up was uneventful. Early extensive and complete debridement of cervical and mediastinal collections and irrigation with broad-spectrum intravenous antibiotics is essential. Combined surgery is the best approach in DNM. The use of a pedicled muscular flap helps control the sepsis. In such cases, serratus anterior flap is a flap of choice because it is reliable and always available even in a skinny patient, contrary to omentum. In this life-threatening disease, an early aggressive combined surgery with debridement of all necrotic tissues extended to the pericardium if necessary associated with a pedicled flap is mandatory. PMID:21791516

  10. Evaluation of extremity pain in children using technetium-99m MDP bone scan: A general hospital experience

    SciTech Connect

    Park, H.M.; Rothschild, P.A.; Kernek, C.B.

    1984-01-01

    This study was undertaken to evaluate the efficacy of three-phase bone scan in detection of significant pathology i.e., osteomyelitis (OM), septic joint, cellulitis, etc., in children with symptoms of extremity pain. A total of 100 consecutive patients (age 9 days - 16 yrs, 63 boys and 37 girls) were studied. The authors reviewed their scans, x-rays and hospital records. The final diagnoses were based on the findings of needle aspiration, surgical drainage, biopsy, culture, and on the therapeutic response. In 87%, sufficiently long clinical follow-up was available to confirm the final diagnoses. In the remaining 13%, the symptoms resolved quickly and follow-up was not felt necessary. The scan was essential in pinpointing the lesions in pts with referred or nonlocalizing extremity pain. The +ve and -ve predictive values of the scan and OM were 89% and 96% respectively. One spiral fracture was misinterpreted as diffuse OM. One ''Subacute epiphyseal OM'' was not detected. In two cases, cellulitis and septic joint obscured underlying OM. Prior antibotic therapy resulted in one equivocal scan. Although less sensitive (29%) in early OM, radiographs play an important complimentary role. Bone scans detected underlying pathology for extremity pain in 61% of all pts studied.

  11. Periocular cutaneous anthrax in Jimma Zone, Southwest Ethiopia: a case series

    PubMed Central

    2013-01-01

    Background Anthrax is a zoonotic disease caused by Bacillus anthracis. Naturally occurring human infection is rare and is generally the result of contact with anthrax-infected animals or animal products. Case presentation We examined three patients who had contact with presumed anthrax-infected animal and/or its product and presented with preseptal cellulitis with a localized itchy erythematous papule of the eyelid and non-pitting periorbital edema, followed by ulceration and dark eschar formation. All the three patients responded to intravenous antibiotics, and the lesion resolved leaving scars which caused cicatricial ectropion in all cases. Conclusion Anthrax is a rare disease but should be considered in the differential diagnosis of ulcerative (and eschar forming) preseptal cellulitis with a history of contact with anthrax-infected animals or animal products. Furthermore, cicatrization of the eyelids, one of the sequelae of periocular cutaneous anthrax, should be addressed. Urgent case report to the local zoonotic disease and infection control body and other responsible authorities is recommended. PMID:23924443

  12. Safety and tolerability of denosumab for the treatment of postmenopausal osteoporosis

    PubMed Central

    Lewiecki, E Michael

    2011-01-01

    Denosumab is a fully human monoclonal antibody to receptor activator of nuclear factor kappa-B ligand (RANKL), a cytokine member of the tumor necrosis factor family that is the principal regulator of osteoclastic bone resorption. Postmenopausal osteoporosis (PMO) is a systemic skeletal disease associated with high levels of RANKL, resulting in a high rate of bone remodeling and an imbalance of bone resorption over bone formation. By inhibiting RANKL in women with PMO, denosumab reduces the rate of bone remodeling, thereby increasing bone mineral density, improving bone strength, and reducing the risk of fractures. In clinical trials of women with osteoporosis and low bone mineral density, denosumab has been well tolerated, with overall rates of adverse events and serious adverse events in women treated with denosumab similar to those receiving placebo. In the largest clinical trial of denosumab for the treatment of women with PMO, there was a significantly greater incidence of cellulitis reported as a serious adverse event, with no difference in the overall incidence of cellulitis, and a significantly lower incidence of the serious adverse event of concussions with denosumab compared with placebo. The evidence supports a favorable balance of benefits versus risks of denosumab for the treatment of PMO. Assessments of the long-term safety of denosumab are ongoing. Denosumab 60 mg subcutaneously every 6 months is an approved treatment for women with PMO who are at high risk for fracture. PMID:22279412

  13. Evidence for increasing severity of community-onset boils and abscesses in UK General Practice.

    PubMed

    Shallcross, L J; Hayward, A C; Johnson, A M; Petersen, I

    2015-08-01

    In England, hospital admissions for severe staphylococcal boils and abscesses trebled between 1989 and 2004. We investigated this trend using routine data from primary and secondary care. We used The Health Improvement Network (THIN), a large primary-care database and national data on hospital admissions from Hospital Episode Statistics (HES). Time trends in the incidence of primary-care consultations for boils and abscesses were estimated for 1995-2010. HES data were used to calculate age-standardized hospital admission rates for boils, abscesses and cellulitis. The incidence of boil or abscess was 450 [95% confidence interval (CI) 447-452] per 100 000 person-years and increased slightly over the study period (incidence rate ratio 1·005, 95% CI 1·004-1·007). The rate of repeat consultation for a boil or abscess increased from 66 (95% CI 59-73) per 100 000 person-years in 1995 to peak at 97 (95% CI 94-101) per 100 000 person-years in 2006, remaining stable thereafter. Hospital admissions for abscesses, carbuncles, furuncles and cellulitis almost doubled, from 123 admissions per 100 000 in 1998/1999 to 236 admissions per 100 000 in 2010/2011. Rising hospitalization and recurrence rates set against a background of stable community incidence suggests increased disease severity. Patients may be experiencing more severe and recurrent staphylococcal skin disease with limited treatment options. PMID:25530161

  14. Reactions to small pox vaccine in naïve and previously-vaccinated individuals.

    PubMed

    Auckland, Cressida; Cowlishaw, Alexandra; Morgan, Dilys; Miller, Elizabeth

    2005-07-14

    Two hundred health care workers in England and Wales were vaccinated with the Lister/Elstree strain of the vaccinia virus, and completed health diaries for 21 days or until the lesion had scabbed over. Pain and temperature were measured daily, and all other symptoms recorded freehand by the vaccinee. One hundred and forty two (71%) vaccinees reported pain, of which 25% considered it to be moderate or severe; 32 vaccinees (16%) recorded a temperature of >37.7 degrees C, two of which exceeded 39 degrees C. Other, mainly trivial, adverse events were common; itch was reported in 72%, erythema in 27%, axillary pain or lymphadenopathy in 38%, malaise or flu-like symptoms in 40% and headache in 23%. The incidences of minor adverse events were lower in re-vaccinees, compared with naïve vaccine recipients, significantly so in the case of erythema and general malaise (p=0.001 and 0.006, respectively), perhaps reflecting pre-existing immunity. Major adverse events occurred in two vaccinees (hospital admission, one with cellulitis and one with headache and possible encephalitis), and a further five were treated with antibiotics for local cellulitis. This is the first study to report results derived from active follow-up by diaries in recipients of the Lister/Elstree strain of vaccinia, and to document reductions in trivial adverse events in re-vaccinees. PMID:15916840

  15. Diagnosis of skin lesions in condemned or downgraded broiler carcasses - a microscopic and macroscopic study.

    PubMed

    Fallavena, L C; Moraes, H L; Salle, C T; Silva, A B; Vargas, R S; Nascimento, V P; Canal, C W

    2000-12-01

    Eight hundred skin samples from broiler carcasses condemned or downgraded for skin lesions were collected at five processing plants. Histologically, 45.25% were cellulitis, 19.00% were atypical fowlpox, 3.25% were dermal squamous cell carcinoma (DSCC), 17.00% were non-specific dermatitis, 0.5% were focal haemorrhages and 0.25% were haemangiomas. Of the samples, 14.75% were histologically normal. Macroscopically, increased thickening of the skin was a frequent finding occurring in all the skin diseases, as well as skin discoloration, dark nodules in feather follicles and crusts. Skin scratches were associated with all of the diseases, except DSCC. Crater-like ulcers occurred in DSCC and fowlpox. Cellulitis was more frequent on the abdomen, fowlpox on the dorsum, DSCC in thighs, and non-specific dermatitis on the dorsum, thighs, legs and breast. It was concluded that macroscopic changes are not specific and examinations at slaughterhouses do not allow classification of broiler skin diseases. Histological examination appears to be an important tool to provide more accurate data. PMID:19184851

  16. Efficacy of Slimming Cream Containing 3.5% Water-Soluble Caffeine and Xanthenes for the Treatment of Cellulite: Clinical Study and Literature Review

    PubMed Central

    Byun, Sang-Young; Kwon, Soon-Hyo; Heo, Su-Hak; Shim, Jae-Seong; Du, Mi-Hee

    2015-01-01

    Background Cellulite is a 'cottage cheese-like' cutaneous change caused by subcutaneous fat bulging into the dermis that usually leads to cosmetic problems. Slimming cream containing 3.5% water-soluble caffeine and xanthenes exhibits a lipolytic effect with penetration into the dermis. Objective To evaluate the efficacy and safety of slimming cream for the treatment of cellulite. Methods Fifteen subjects with cellulite applied slimming cream to the thighs and inner side of the upper arms twice daily for 6 weeks. Efficacy was assessed using a standard visual scale, changes in the circumferences of the thighs and upper arms, and patient satisfaction by a questionnaire at baseline, week 3, and week 6. Safety was assessed by inquiring about adverse events through questionnaires. Results The standard visual scale score improved significantly by 0.49 points (19.8%) at week 6. Thigh and upper-arm circumferences decreased by 0.7 cm (1.7%) and 0.8 cm (2.3%), respectively, at week 6. Slight itching and transient flushing were commonly reported, but no serious adverse event occurred. Conclusion The slimming cream tested appears to be effective for the treatment of cellulitis without serious adverse effects. However, additional large clinical trials are required to confirm the efficacy and safety of slimming cream for the treatment of cellulitis. PMID:26082579

  17. Variation in antibiotic treatment for diabetic patients with serious foot infections: A retrospective observational study

    PubMed Central

    2010-01-01

    Background Diabetic foot infections are common, serious, and diverse. There is uncertainty about optimal antibiotic treatment, and probably substantial variation in practice. Our aim was to document whether this is the case: A finding that would raise questions about the comparative cost-effectiveness of different regimens and also open the possibility of examining costs and outcomes to determine which should be preferred. Methods We used the Veterans Health Administration (VA) Diabetes Epidemiology Cohorts (DEpiC) database to conduct a retrospective observational study of hospitalized patients with diabetic foot infections. DEpiC contains computerized VA and Medicare patient-level data for VA patients with diabetes since 1998, including demographics, ICD-9-CM diagnostic codes, antibiotics prescribed, and VA facility. We identified all patients with ICD-9-CM codes for cellulitis/abscess of the foot and then sub-grouped them according to whether they had cellulitis/abscess plus codes for gangrene, osteomyelitis, skin ulcer, or none of these. For each facility, we determined: 1) The proportion of patients treated with an antibiotic and the initial route of administration; 2) The first antibiotic regimen prescribed for each patient, defined as treatment with the same antibiotic, or combination of antibiotics, for at least 5 continuous days; and 3) The antibacterial spectrum of the first regimen. Results We identified 3,792 patients with cellulitis/abscess of the foot either alone (16.4%), or with ulcer (32.6%), osteomyelitis (19.0%) or gangrene (32.0%). Antibiotics were prescribed for 98.9%. At least 5 continuous days of treatment with an unchanged regimen of one or more antibiotics was prescribed for 59.3%. The means and (ranges) across facilities of the three most common regimens were: 16.4%, (22.8%); 15.7%, (36.1%); and 10.8%, (50.5%). The range of variation across facilities proved substantially greater than that across the different categories of foot infection. We found similar variation in the spectrum of the antibiotic regimen. Conclusions The large variations in regimen appear to reflect differences in facility practice styles rather than case mix. It is unlikely that all regimens are equally cost-effective. Our methods make possible evaluation of many regimens across many facilities, and can be applied in further studies to determine which antibiotic regimens should be preferred. PMID:20604922

  18. Septic shock due to Fournier’s gangrene of the scrotum

    PubMed Central

    Callaghan, Michael Andrew; Baggott, Richard; D’Arcy, Frank T

    2011-01-01

    A 57-year-old morbidly obese (160 kg) man presented with a 12 h history of severe bilateral scrotal pain and swelling. His scrotum was erythematous, with cellulitis advancing superiorly along the anterior abdominal wall. He was in septic shock. Following resuscitation with intravenous fluids, commencement of vasopressor infusion and broad-spectrum antimicrobials, he underwent surgical exploration and debridement. This revealed a devitalised gangrenous scrotum with abscess formation noted in the ischio-rectal spaces. This was debrided posteriorly to the wall of the rectum. The penis was de-gloved. Both testicles were spared. A colostomy was performed on day 3 to maintain a clean environment for healing. Subsequent scrotal reconstruction and grafting was performed with a pedicled gracilis flap and split skin grafting. The colostomy was reversed at 5 months. PMID:22675057

  19. Orbital inflammatory disease: Pictorial review and differential diagnosis

    PubMed Central

    Pakdaman, Michael N; Sepahdari, Ali R; Elkhamary, Sahar M

    2014-01-01

    Orbital inflammatory disease (OID) represents a collection of inflammatory conditions affecting the orbit. OID is a diagnosis of exclusion, with the differential diagnosis including infection, systemic inflammatory conditions, and neoplasms, among other conditions. Inflammatory conditions in OID include dacryoadenitis, myositis, cellulitis, optic perineuritis, periscleritis, orbital apicitis, and a focal mass. Sclerosing orbital inflammation is a rare condition with a chronic, indolent course involving dense fibrosis and lymphocytic infiltrate. Previously thought to be along the spectrum of OID, it is now considered a distinct pathologic entity. Imaging plays an important role in elucidating any underlying etiology behind orbital inflammation and is critical for ruling out other conditions prior to a definitive diagnosis of OID. In this review, we will explore the common sites of involvement by OID and discuss differential diagnosis by site and key imaging findings for each condition. PMID:24778772

  20. Mucocèle appendiculaire: à propos d'un cas observé à Lubumbashi

    PubMed Central

    Wakunga, Eric; Mukuku, Olivier; Bugeme, Marcellin; Tshiband, Moïse; Kipili, Audifax; Mobambo, Pitchou; Arung, Willy; Wakunga, Warach

    2014-01-01

    La mucocèle appendiculaire est une entité pathologique rare, mais potentiellement dangereuse, elle se présente sous différentes formes cliniques. Nous rapportons ici un cas d'une patiente âgée de 49 ans sans antécédents chirurgicaux chez qui nous avons découvert d'une façon fortuite cette affection. La clinique était celle d'un syndrome appendiculaire aigu patent et elle révélait une masse dans la fosse iliaque droite. Les examens de laboratoire ont montré une hyperleucocytose et une vitesse de sédimentation augmentée. L’échographie a démontré une masse kystique péricaecal. La patiente a subi une appendicectomie avec cæcectomie partielle et la pièce opératoire appendiculaire mesurait 153 mm de longueur et 64 mm de diamètre. L'analyse anatomopathologique de celle-ci a confirmé le diagnostic de mucocèle appendiculaire sans cellules de malignité. Les suites opératoires ont été simples et la patiente est sortie au cinquième jour postopératoire. PMID:25368725

  1. Kawasaki Disease with Retropharyngeal Edema following a Blackfly Bite

    PubMed Central

    Watanabe, Toru

    2014-01-01

    We describe a patient with Kawasaki disease (KD) and retropharyngeal edema following a blackfly bite. An 8-year-old boy was referred to our hospital because of a 3-day-history of fever and left neck swelling and redness after a blackfly bite. Computed tomography of the neck revealed left cervical lymph nodes swelling with edema, increased density of the adjacent subcutaneous tissue layer, and low density of the retropharyngeum. The patient was initially presumed to have cervical cellulitis, lymphadenitis, and retropharyngeal abscess. He was administered antibiotics intravenously, which did not improve his condition. The patient subsequently exhibited other signs of KD and was diagnosed with KD and retropharyngeal edema. Intravenous immunoglobulin therapy and oral flurbiprofen completely resolved the symptoms and signs. A blackfly bite sometimes incites a systemic reaction in humans due to a hypersensitive reaction to salivary secretions, which may have contributed to the development of KD in our patient. PMID:25349761

  2. Radiofrequency thermoneurolysis for the treatment of Morton's neuroma.

    PubMed

    Moore, Joshua L; Rosen, Ritchard; Cohen, Jeffrey; Rosen, Brad

    2012-01-01

    Pedal neuroma is a common disorder. The authors undertook a review of 32 feet in 29 patients with a symptomatic neuroma treated between January 2007 and January 2010 to evaluate the effectiveness of radiofrequency thermoneurolysis therapy in alleviating symptoms. Overall relief of symptoms was rated as complete by 24 (83%) patients, with 5 patients experiencing minimal to no relief. Two patients were lost to follow-up after 1 month, 2 patients opted for no further intervention, and 1 patient went to open resection of the neuroma. Average follow-up was 13 months and total recovery time was 2 days. Complications included 1 foot with cellulitis treated by a course of oral antibiotics. The results of this retrospective study indicate radiofrequency thermoneurolysis therapy is a safe, effective, and minimally invasive alternative treatment for symptomatic neuromas of the foot. PMID:22055491

  3. Differential diagnosis of leukocoria and strabismus, first presenting signs of retinoblastoma

    PubMed Central

    Balmer, Aubin; Munier, Francis

    2007-01-01

    Leukocoria in infants is always a danger signal as retinoblastoma, a malignant retinal tumor, is responsible for half of the cases in this age group. More common signs should also be considered suspicious until proved otherwise, such as strabismus, the second most frequent sign of retinoblastoma. Less frequent manifestations are inflammatory conditions resistant to treatment, hypopyon, orbital cellulitis, hyphema or heterochromia. Other causal pathologies, including persistent hyperplastic primary vitreous (PHPV), Coats’ disease, ocular toxocariasis or retinopathy of prematurity, may also manifest the same warning signs and require specialized differential diagnosis. Members of the immediate family circle are most likely to notice the first signs, the general practitioner, pediatrician or general ophthalmologist the first to be consulted. On their attitude will depend the final outcome of this vision and life-threatening disease. Early diagnosis is vital. PMID:19668520

  4. A review of dental treatment of head and neck cancer patients, before, during and after radiotherapy: part 1.

    PubMed

    Jawad, H; Hodson, N A; Nixon, P J

    2015-01-01

    The incidence of head and neck cancer is on the rise. Most head and neck cancers are treated with surgery, radiotherapy, chemotherapy or a combination of these modalities. Patients undergoing radiotherapy can experience several unwanted oral side effects, which have both short and long term implications. Dental general practitioners should be aware of these implications and should liaise closely with the restorative consultants and the oncology team to establish the best oral care pathway. This two-part series is a review of the oral changes that occur during and after radiotherapy and the oral management of head and neck oncology before, during and after radiotherapy. This article deals with both immediate sequelae such as cellulitis, mucositis, dysphagia, dysguesia and weight loss as well as long term sequelae such as rampant caries, trismus, xerostomia and osteoradionecrosis. It also encompasses the importance and need for pre-radiotherapy assessment. PMID:25613260

  5. Bilateral Renal Tubular Neoplasm in a Channel-billed Toucan (Ramphastos vitellinus).

    PubMed

    Mainez, Mireia; Cardona, Teresa; Such, Roger; Juan-Sallés, Carles; Garner, Michael M

    2015-03-01

    An adult male channel-billed toucan (Ramphastos vitellinus) was presented with a history of weakness, dyspnea, and severe dilatation of the coelomic cavity, which was caused by accumulation of serohemorrhagic fluid. Radiographs revealed increased radiodensity and thickness of the descending aorta and a pectoral mass, and blood test results revealed anemia, hypocalcemia, hypoproteinemia, and hyperuricemia. On ultrasound examination, a hyperechoic enlarged soft tissue mass was found in the caudodorsal region of the coelom. The bird did not respond to supportive care and died. Postmortem examination revealed severe, bilateral nephromegaly due to multifocal to coalescing renal tubular adenomas (adenomatosis), which was complicated with renal gout and soft tissue mineralization. Relevant concurrent diseases included hepatic hemochromatosis, subcutaneous cestodiasis with cellulitis, and systemic amyloidosis. There are few documented cases of neoplasms in ramphastid birds and to our knowledge, this is the first report of a renal neoplasm in a channel-billed toucan. PMID:25867666

  6. Infective endocarditis and septic pulmonary embolism following scorpion sting envenoming in an 11-year-old child.

    PubMed

    Prakash, Vellasamy; Krishnamurthy, Sriram; Mahadevan, Subramanian; Bethou, Adhisivam; Deepak Barathi, S

    2014-05-01

    Scorpion sting is one of the common paediatric toxicological problems encountered in southern India. This rural emergency often results in an autonomic storm causing peripheral circulatory failure and/or congestive cardiac failure, leading to pulmonary oedema. A rare case of scorpion sting envenoming in an 11-year-old boy that led to local cellulitis, dyspnoea and congestive heart failure is presented. This was followed by a persistent high-grade fever which lasted for more than 2 weeks and was complicated by fatal Staphylococcus aureus infective endocarditis and septic pulmonary embolism. Although infective endocarditis has been reported occasionally in adults following scorpion sting, this is the first case of infective endocarditis in a native valve in a child following scorpion sting. The literature is reviewed and the mechanisms for this association are discussed. PMID:24199685

  7. Truth under a masquerade!

    PubMed Central

    Gonsalves, Sarita R J; Lobo, Geover Joslen; Mendonca, Norman

    2013-01-01

    A 32-year-old woman presented with bilateral periorbital oedema of 2?days duration which progressed to proptosis, chemosis with diminution of vision rapidly within a week. She was a known case of adenocarcinoma of the rectum who was treated with surgery and chemotherapy 6?months earlier. Metastasis workup carried out then was negative. On examination, she had bilateral axial proptosis with sluggish pupillary reactions with restricted extra ocular movements. Fundus examination was normal. Systemically, the patient was of poor build and was undernourished. Haemogram showed raised total counts and erythrocyte sedimentation rate. CT orbit and brain showed metastasis to the frontal bones and orbit. On investigating further, the patient had liver and lung metastasis. The patient was started on chemotherapy, but she succumbed to the disease within a week. This case is reported to highlight how bilateral orbital cellulitis can be a presenting sign of systemic metastasis in treated malignancies. PMID:23821637

  8. Complicated coexisting pyogenic and tuberculous otitis media affecting the temporozygomatic, infratemporal, and parotid areas: report of a rare entity.

    PubMed

    Brar, Tripti; Mrig, Sumit; Passey, J C; Agarwal, A K; Jain, Shayma

    2013-01-01

    We report an unusual case in which a 28-year-old woman presented with a long-standing history of ear discharge, hearing loss, facial weakness with ipsilateral facial swelling and cellulitis, a postauricular fistula, and an abscess of the temporozygomatic, infratemporal, and parotid areas. The pus stained positive for bacteria and acid-fast bacilli, and culture was positive for Proteus vulgaris and mycobacteria. Based on these findings, a diagnosis of tuberculous otitis media with complications was made. Computed tomography showed extensive destruction of the tympanic and mastoid part of the temporal bone, as well as lytic lesions in the skull. The patient was placed on antituberculosis drug therapy. Although her facial nerve palsy and hearing loss persisted, she otherwise responded well and did not require surgery. PMID:23354894

  9. [Lipedema complicated with lymphedema and chyloderma].

    PubMed

    Ignjatovi?, M; Jevti?, M; Cerovi?, S

    2000-01-01

    Lipedema never reveals clinical picture of extreme lymphedema-elephantiasis, and skin signs and complications have not been observed. Aim of this paper is to present a case of lipedema with the initial lymphedema in which, after one episode of lymphangiitis and cellulitis, came to the rapid development of lymphedema followed by chyloderma. During the local treatment of extreme chyloderma with excessive exudation, semiocclusive synthetic dressings have been used for moist wound healing. The treatment was completed after 20 weeks with total epithelizsation, without maceration and irritation, without additional spreading of the chyloderma field, without wound infections, with fast and full relief of the pain. Lipedem with extreme lymphedema can be followed by skin complications of lymphedema like chylodermia. PMID:11039316

  10. Syndrome de levée d’obstacle : physiopathologie et prise en charge

    PubMed Central

    Ziouziou, Imad; Daoudi, Anass; Nouri, Anass; Karmouni, Tarik; El Khader, Khalid; Koutani, Abdellatif; Andaloussi, Ahmed Iben Attya

    2012-01-01

    Résumé Le syndrome de levée d’obstacle est une polyurie massive faisant suite au traitement d’une insuffisance rénale obstructive. Les mécanismes physiopathologiques sont multiples : un état de surcharge hydrique qui dépend du caractère complet ou incomplet de l’obstacle, des anomalies tubulaires (atteinte de la capacité de dilution et de concentration des urines, diminution de la réabsorption du sodium, fuites de potassium, troubles de l’acidification des urines, insensibilité des cellules tubulaires à l’hormone antidiurétique), ainsi que des facteurs biochimiques et immunologiques sont mis en jeu. La levée d’un obstacle nécessite une surveillance clinique et biologique stricte (diurèse horaire, état hémodynamique, état d’hydratation, créatininémie, urémie, ionogramme sanguin). Le traitement a pour but d’éviter les troubles hémodynamiques et métaboliques graves, et repose sur le principe de la compensation des pertes hydroélectrolytiques. PMID:23283096

  11. Ethmoid osteoma as a culprit of orbital emphysema: a case report.

    PubMed

    Zhuang, Ai; Li, Yinwei; Lin, Ming; Shi, Wodong; Fan, Xianqun

    2015-05-01

    Orbital emphysema is generally recognized as a complication of orbital fractures involving any paranasal sinuses. The recognition about its etiology has extended beyond sole trauma, but few articles mentioned tumors to be a possible cause.In this case report, we present a patient with orbital emphysema associated with ethmoid osteoma without orbital cellulitis or trauma history. The patient developed sudden proptosis, eyelid swelling, and movement limitation of the left eye, peripheral diplopia, and left periorbital crepitus after a vigorous nose blowing.Complete surgical resection of ethmoid osteoma followed by repair of the orbital medial wall was performed with assistance of combined endoscopy and navigational techniques. Twelve-month follow-up showed no residual lesion or recurrence; the orbital medial wall was accurately repaired with good visual function and facial symmetry.Tumors should be considered for differential diagnosis of orbital emphysema, and combined endoscopy and navigational techniques may improve safety, accuracy, and effectiveness of orbital surgeries. PMID:25950683

  12. Infective Endocarditis Caused by Neisseria elongata on a Native Tricuspid Valve and Confirmed by DNA Sequencing

    PubMed Central

    Yoo, Yeon Pyo; Kang, Ki-Woon; Yoon, Hyeon Soo; Yoo, Seungmin; Lee, Myung-Shin

    2014-01-01

    Neisseria elongata, a common oral bacterium, has been recognized as a cause of infections such as infective endocarditis, septicemia, and osteomyelitis. Neisseria-induced infective endocarditis, although infrequently reported, typically arises after dental procedures. Without antibiotic therapy, its complications can be severe. We report the case of a 27-year-old man who presented with fever, severe dyspnea, and a leg abscess from cellulitis. An echocardiogram showed a vegetation-like echogenic structure on the septal leaflet of the patient's native tricuspid valve, and an insignificant Gerbode defect. Three blood cultures grew gram-negative, antibiotic-susceptible coccobacilli that were confirmed to be N. elongata. Subsequent DNA sequencing conclusively isolated N. elongata subsp nitroreducens as the organism responsible for the infective endocarditis. The patient recovered after 21 days of antibiotic therapy. In addition to the patient's unusual case, we discuss the nature and isolation of N. elongata and its subspecies. PMID:24808790

  13. Orbital Relapsing Polychondritis: A Unique Presentation, Complication, and Treatment.

    PubMed

    Moore, Grant H; Rootman, Daniel B; Roybal, Nathaniel; Goldberg, Robert A

    2014-07-28

    An 87-year-old man with a history of relapsing polychondritis presented to the emergency department after 4 days of worsening left periorbital swelling and erythema. On examination, he demonstrated clinical features consistent with orbital cellulitis and was treated with a trial of intravenous antibiotics. His condition did not improve over the next 36 hours and intravenous methylprednisolone was initiated. This led to rapid improvement in orbital symptoms and signs, and a diagnosis of specific orbital inflammation secondary to relapsing polychondritis was made. The patient was discharged on a tapering dose of prednisone. As a steroid-sparing measure, adalimumab was initiated; however, the patient developed Sweet Syndrome. Adalimumab was subsequently discontinued, steroid dose was increased, and anakinra treatment was initiated. This therapeutic course led to significant clinical improvement. Since initiating anakinra, the patient has had no recurrences of Sweet Syndrome. Anakinra may be a useful adjunct therapy for ophthalmic manifestations of relapsing polychondritis. PMID:25072220

  14. Infective endocarditis caused by Neisseria elongata on a native tricuspid valve and confirmed by DNA sequencing.

    PubMed

    Yoo, Yeon Pyo; Kang, Ki-Woon; Yoon, Hyeon Soo; Yoo, Seungmin; Lee, Myung-Shin

    2014-04-01

    Neisseria elongata, a common oral bacterium, has been recognized as a cause of infections such as infective endocarditis, septicemia, and osteomyelitis. Neisseria-induced infective endocarditis, although infrequently reported, typically arises after dental procedures. Without antibiotic therapy, its complications can be severe. We report the case of a 27-year-old man who presented with fever, severe dyspnea, and a leg abscess from cellulitis. An echocardiogram showed a vegetation-like echogenic structure on the septal leaflet of the patient's native tricuspid valve, and an insignificant Gerbode defect. Three blood cultures grew gram-negative, antibiotic-susceptible coccobacilli that were confirmed to be N. elongata. Subsequent DNA sequencing conclusively isolated N. elongata subsp nitroreducens as the organism responsible for the infective endocarditis. The patient recovered after 21 days of antibiotic therapy. In addition to the patient's unusual case, we discuss the nature and isolation of N. elongata and its subspecies. PMID:24808790

  15. Fatal clostridium septicum myonecrosis in a captive canada lynx (Lynx canadensis).

    PubMed

    Izer, Jenelle M; Wilson, Ronald P; Cooper, Timothy K

    2014-09-01

    A 1-yr-old female Canada lynx (Lynx canadensis) presented for sudden onset of rapidly progressive bilateral pelvic limb paralysis. The lynx was chemically immobilized to perform a physical examination but expired shortly thereafter. On postmortem radiographs, there were myriad small irregular, round-to-spherical gas densities within the skeletal muscle of the right thigh and epaxial musculature. At gross necropsy, the muscles of the right thigh, right lateral abdominal wall, and epaxial region were emphysematous and necrohemorrhagic, with subcutaneous and muscular crepitant swelling. Multiple skin puncture wounds, consistent with bites, were present over the affected tissues. Clostridium septicum was isolated in pure anaerobic culture from the musculature of the right hind limb. Histopathologic examination confirmed the diagnosis of acute, severe necrohemorrhagic and gangrenous myositis and cellulitis. Gram stains demonstrated large gram-positive bacilli with subterminal spores. This is the first known documented case of C. septicum myonecrosis in a nondomestic felid. PMID:25314833

  16. Long head of biceps femoris flap in anal fistula treatment : anatomical study and case report.

    PubMed

    Terryn, F X; Leonard, D; Chateau, F

    2015-01-01

    In case of complex anal fistulae, the treatment can include muscular flaps. The gracilis transposition flap is the gold-standard in perineal reconstructive surgery, with wide use during the past decades. However, in some cases, this flap is too short to reach difficult locations such as the posterior perineum. The long head of the biceps femoris, which has already been studied in the electrically stimulated neosphincter formation, could be more appropriate in such clinical situations. Furthermore, its potential advantages, amongst which an excellent functional outcome, would be to allow persistent prone position, during both treatment and reconstruction, as well as a more favorable intramuscular vascularisation. We report the case of a 39-year-old man with a complex recurrent transphincteric posterior anal fistula with an external orifice in the right buttock and complicated with a severe cellulitis, treated with an endo-anal flap combined with a long head of biceps femoris pediculised flap. PMID:26021955

  17. In Vitro Activity of Tedizolid Against Gram-Positive Bacteria in Patients With Skin and Skin Structure Infections and Hospital-Acquired Pneumonia: A Korean Multicenter Study.

    PubMed

    Lee, Yangsoon; Hong, Sung Kuk; Choi, Sunghak; Im, Weonbin; Yong, Dongeun; Lee, Kyungwon

    2015-09-01

    We compared the activities of tedizolid to those of linezolid and other commonly used antimicrobial agents against gram-positive cocci recovered from patients with skin and skin structure infections (SSSIs) and hospital-acquired pneumonia (HAP) in Korean hospitals. Gram-positive isolates were collected from 356 patients with SSSIs and 144 patients with HAP at eight hospitals in Korea from 2011 to 2014. SSSIs included impetigo, cellulitis, erysipelas, furuncles, abscesses, and infected burns. Antimicrobial susceptibility was tested by using the CLSI agar dilution method. All of the gram-positive isolates were inhibited by ?1 ?g/mL tedizolid. The minimum inhibitory concentration [MIC]?? of tedizolid was 0.5 ?g/mL for methicillin-resistant Staphylococcus aureus, which was 4-fold lower than that of linezolid. Tedizolid may become a useful option for the treatment of SSSIs and HAP caused by gram-positive bacteria. PMID:26206690

  18. Langerhans cell histiocytosis with presentation as orbital disease

    PubMed Central

    Bhanage, Ashok B.; Katkar, Anand D.; Ghate, Prajakta S.

    2015-01-01

    Langerhans cell histiocytosis (LCH) is an uncommon multisystem disease with an abnormal polyclonal proliferation of Langerhans cells that invade various organs. In rare instances, the affection of the orbit is the only and the first symptom. We report an unusual case of an 18-month-old male who presented with orbital disease as the first symptom, in the form of chronic presentation of periorbital swelling (2 months duration) with acute inflammation (1-week duration) giving a suspicion of orbital cellulitis. Histopathology after radical excision confirmed the diagnosis of LCH and was advised initial therapy as per Histiocyte Society Evaluation and Treatment Guidelines (2009) but was lost to follow-up only reappearing with progression (multisystem LCH with risk organ involvement) and developed progressive active disease on treatment after 5 weeks. He was treated with salvage therapy for risk patients achieving complete remission.

  19. Primary Cutaneous Cryptococcosis Treated with Debridement and Fluconazole Monotherapy in an Immunosuppressed Patient: A Case Report and Review of the Literature

    PubMed Central

    Wang, Jennifer; Bartelt, Luther; Yu, Deborah; Joshi, Anjali; Weinbaum, Bradley; Pierson, Tiffany; Patrizio, Michael; Warren, Cirle A.; Hughes, Molly A.; Donowitz, Gerald

    2015-01-01

    Cryptococcus neoformans is an opportunistic yeast present in the environment. Practitioners are familiar with the presentation and management of the most common manifestation of cryptococcal infection, meningoencephalitis, in patients with AIDS or other conditions of immunocompromise. There is less awareness, however, of uncommon presentations where experience rather than evidence guides therapy. We report a case of primary cutaneous cryptococcosis (PCC) in a patient who had been immunosuppressed by chronic high-dose corticosteroid for the treatment of severe asthma. This case highlights the importance of early recognition of aggressive cellulitis that fails standard empiric antibiotic treatment in an immunocompromised patient. It also demonstrates successful treatment of PCC with a multispecialty approach including local debridement and fluconazole monotherapy. PMID:25722900

  20. Upper body pain and functional disorders in patients with breast cancer.

    PubMed

    Stubblefield, Michael D; Keole, Nandita

    2014-02-01

    Upper body pain and dysfunction are common in survivors of breast cancer. Disorders of the upper body can result directly from breast cancer or from the surgery, chemotherapy, radiotherapy, or hormonal therapies used in its treatment. Although considerable information is available regarding impairments such as pain and restricted shoulder range of motion associated with breast cancer and its treatment, relatively little information is available about the specific neuromuscular, musculoskeletal, lymphovascular, and other diagnostic entities that underlie those impairments. This article will detail the common and specific causes of upper body pain and dysfunction in breast cancer survivors, including postsurgical pain, rotator cuff disease, adhesive capsulitis, arthralgias, cervical radiculopathy, brachial plexopathy, mononeuropathy, postmastectomy pain syndrome, lymphedema, axillary web syndrome, deep vein thrombosis, and cellulitis. Diagnostic specificity is a key first step to safely and effectively restore function and quality of life to breast cancer survivors. PMID:24360839

  1. Postoperative erosions of the Mersilene suburethral sling mesh for antiincontinence surgery.

    PubMed

    Wohlrab, Kyle J; Erekson, Elisabeth A; Myers, Deborah L

    2009-04-01

    The objective of the study was to describe the presentation of vaginal mesh erosions following Mersilene suburethral slings for urinary incontinence. We performed a retrospective review of all Mersilene suburethral slings placed at a tertiary referral center from 1996 to 2007. A total of 772 women underwent placement of a Mersilene suburethral sling. We identified 62 women that underwent surgical revision due to mesh erosion for an overall erosion rate of 8%. The most common presenting symptom was vaginal discharge reported in 37% of women. Other symptoms included vaginal bleeding in 31%, pain or dyspareunia in 13%, and voiding dysfunction in 21% of women. Seven women were found to have the mesh in the bladder on cystoscopy. Cellulitis complicated 8.3% of erosions. Patients with erosions of Mersilene mesh slings commonly complain of vaginal bleeding and discharge and may present up to 20 years after the surgery. PMID:19082911

  2. Canaliculitis in supernumerary puncta and canaliculi

    PubMed Central

    Yong, Ku Chui; Kah, Tan Aik; Annuar, Faridah Hanom

    2011-01-01

    We report the first case of supernumerary puncta and canaliculi presented with canaliculitis. A-59 year-old gentleman presented with painful swelling of the left lower lid for a week, which was associated with epiphora. The swelling was confined to the nasal aspect of the left lower lid (0.5×0.5 mm) with inflamed overlying skin. Two puncta (0.5 mm apart) were noted. The outer punctum at the normal anatomical position was a cul-de-sac while the inner punctum it the caruncle was patent. We described the embryology leading to supernumerary puncta and canaliculi to explain the paradoxical patency of the abnormally located punctum as well as the pathomechanism leading to canaliculitis. The patient was treated with oral cloxacillin 500 mg, 6 hourly for 5 days; the cellulitis subsided after three days. PMID:24765320

  3. The technetium phosphate bone scan in the diagnosis of osteomyelitis in childhood

    SciTech Connect

    Howie, D.W.; Savage, J.P.; Wilson, T.G.; Paterson, D.

    1983-04-01

    We reviewed the technetium phosphate scans of 280 patients who had been referred with a clinical diagnosis of osteomyelitis in order to establish the diagnostic accuracy of this procedure. Strict criteria were established to define two subgroups: one of patients with proved osteomyelitis and one of patients who definitely did not have osteomyelitis. The scan correctly identified osteomyelitis at fifty-five of sixty-two sites, and was correctly negative in seventy-four of seventy-nine patients without osteomyelitis. The scan correctly distinguished all cases of cellulitis or soft-tissue abscess from osteomyelitis, but identified osteomyelitis in eight of thirty-nine patients with septic arthritis. The phosphate bone scan maintained this accuracy through any duration of symptoms, and performed almost equally well at all skeletal sites and in all age groups.

  4. Experimental infections of the musculoskeletal system: evaluation with MR imaging and Tc-99m MDP and Ga-67 scintigraphy

    SciTech Connect

    Beltran, J.; McGhee, R.B.; Shaffer, P.B.; Olsen, J.O.; Bennett, W.F.; Foster, T.R.; McCalla, M.S.; Iskra, L.A.; Blagg, R.L.; Biller, D.S.

    1988-04-01

    Acute osteomyelitis, soft-tissue infection, or both were experimentally produced in 38 New Zealand white rabbits, and three-phase technetium-99m methylene diphosphonate, gallium-67, and magnetic resonance (MR) images were obtained 7 or 14 days after infection. There was no significant difference between radionuclide studies and MR images in the detection of osteomyelitis, but MR imaging was significantly more sensitive (100% vs. 69%; P less than .01) in the detection of soft-tissue infection. In addition, cellulitis could not be distinguished from soft-tissue abscess on radionuclide studies, whereas MR imaging was 92% accurate in depicting soft-tissue abscesses. Further research is necessary to determine how to relate these findings to true human clinical situations.

  5. Chronic osteomyelitis of the clavicle

    SciTech Connect

    Granick, M.S.; Ramasastry, S.S.; Goodman, M.A.; Hardesty, R.

    1989-07-01

    Osteomyelitis of the clavicle is an uncommon disease, but it should be considered in patients who present with pain, cellulitis, or drainage in the sternoclavicular area following head and neck surgery, irradiation, subclavian vein catheterization, or immunosuppression. An idiopathic presentation is possible. In contrast to primary osteomyelitis of the clavicle, which is occasionally seen in children, secondary osteomyelitis is quite rare. It is often mistaken for a fracture or a possible neoplasm on plain x-rays. Tomograms and CT scanning are confirmatory, and in early cases, technetium-99m bone scanning can be helpful. Treatment must include early, aggressive surgical debridement of all affected tissues, followed by wound coverage with a well-vascularized flap and perioperative antibiotics.

  6. Computerized tomography of pelvic osteomyelitis in patients with spinal cord injuries

    SciTech Connect

    Firooznia, H.; Rafii, M.; Golimbu, C.; Sokolow, J.

    1983-12-01

    Computerized tomography (CT) was performed in 19 patients with spinal cord injury (SCI) who had large pressure sores and in whom other complications were suspected. CT detected the depth, extent, and degree of undermining of the edges of the pressure sores in 19 of 27 lesions. Conventional radiography detected four cases of pelvic osteomyelitis. CT detected eight additional cases of pelvic osteomyelitis, as well as eight clinically unsuspected peripelvic and intrapelvic abscesses. Technetium-99m bone scanning was not very helpful because of localization in chronic proliferative changes of bone and widespread foci of myositis ossificans, as well as in osteomyelitis. Gallium-67 scanning detected only one of six abscesses. It was not very helpful because of confusion of abscess and osteomyelitis with intense soft tissue swelling and cellulitis, which are often associated with pressure sores in patients with chronic SCI. CT was found to be, by far, the modality of choice for detection of pelvic osteomyelitis and abscess in patients with SCI.

  7. Disseminated Mycobacterium chelonae infection: Complicating a case of hidradenitis suppurativa.

    PubMed

    Patnaik, Satyadarshi; Mohanty, Indrani; Panda, Pritilata; Sahu, Susmita; Dash, Muktikesh

    2013-10-01

    Mycobacteium chelonae is a rapidly growing atypical mycobacteria known to be pathogenic in humans. We report a case of Hidradenitis Suppurativa (HS) with diabetes complicated by infection of the lesions with Staphylococcus aureus and M. chelonae leading to non-healing and discharging lesions. HS is a rare, insidious and debilitating disease characterized by swollen, painful, inflamed lesions in the axillae, groin, and other parts of the body that contain apocrine glands. Discharge from HS lesions are often found to be sterile, however, polymicrobial bacterial colonization commonly occurs within sinus tracts which can lead to offensive smelling discharge, infection, cellulitis, and superinfection. The incidence of HS is very low and the association with M. chelonae makes it a rare and interesting case. PMID:24350020

  8. Plants used to treat skin diseases

    PubMed Central

    Tabassum, Nahida; Hamdani, Mariya

    2014-01-01

    Skin diseases are numerous and a frequently occurring health problem affecting all ages from the neonates to the elderly and cause harm in number of ways. Maintaining healthy skin is important for a healthy body. Many people may develop skin diseases that affect the skin, including cancer, herpes and cellulitis. Some wild plants and their parts are frequently used to treat these diseases. The use of plants is as old as the mankind. Natural treatment is cheap and claimed to be safe. It is also suitable raw material for production of new synthetic agents. A review of some plants for the treatment of skin diseases is provided that summarizes the recent technical advancements that have taken place in this area during the past 17 years. PMID:24600196

  9. Erythema nodosum migrans successfully treated with indomethacin: A rare entity

    PubMed Central

    Mokhtari, Fatemeh; Abtahi-Naeini, Bahareh; Pourazizi, Mohsen

    2014-01-01

    Erythema nodosum migrans (subacute nodular migratory panniculitis) is a panniculitis characterized by migrating subcutaneous nodules or plaque on the lower extremity. We describe a 75-year-old woman with idiopathic erythema nodosum migrans which was manifest centrifugally spreading, slightly morpheaform erythematous plaque on the lower left leg successfully treated with indomethacin. She was initially diagnosed and treated as a case with cellulitis and with poor clinical response. A biopsy specimen from this lesion showed that the septal was thickening; fibrous tissue was also seen with lymphohistiocytic infiltrate and occasional multinucleated giant cells with some inflammatory cells infiltrated into the periphery of the fat lobules. Erythema nodosum migrans should be kept in mind in the differential diagnosis of any morpheaform centrifugally expended plaque, especially in the lower extremities in cases of unknown etiology. PMID:25625103

  10. METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS INFECTIONS OF THE EYE AND ORBIT (AN AMERICAN OPHTHALMOLOGICAL SOCIETY THESIS)

    PubMed Central

    Blomquist, Preston Howard

    2006-01-01

    Purpose To ascertain if methicillin-resistant Staphyloccocus aureus (MRSA) ophthalmic infections are increasing. Methods A retrospective review of all patients with a culture positive for MRSA in the Parkland Health and Hospital System, the urban public healthcare system for Dallas County, Texas, for the years 2000 through 2004 was performed. Patients with ocular, orbital, and ocular adnexal infection were identified, and isolates were categorized as nosocomial or community-acquired (CA). Results A total of 3,640 patients with a culture positive for MRSA were identified, with 1,088 patients (30%) considered to have acquired the isolate via nosocomial transmission and 2,552 patients (70%) considered to have CA-MRSA. Forty-nine patients (1.3%) had ophthalmic MRSA involvement. For both ophthalmic and nonophthalmic cases, the number of CA-MRSA patients increased each year, whereas the numbers of nosocomial patients remained fairly constant. Patients with ophthalmic MRSA tended to be younger than other MRSA patients (P = .023). The most common manifestation of ophthalmic MRSA infection was preseptal cellulitis and/or lid abscess followed by conjunctivitis, but sight-threatening infections, including corneal ulcers, endophthalmitis, orbital cellulitis, and blebitis, also occurred. Empirical antibiotic coverage was initially prescribed in 48 (98%) of ophthalmic cases and did not adequately cover for the MRSA isolate in 24 (50%). Conclusions CA-MRSA is becoming increasingly prevalent, and ophthalmologists will see more ophthalmic MRSA infections. Although ophthalmic CA-MRSA commonly presents as preseptal lid infection and conjunctivitis, sight-threatening infections also occur. Ophthalmologists must identify MRSA patients, adjust empirical treatment regimens where MRSA is endemic, and take steps to control emergence of resistant organisms in both inpatient and outpatient practices. PMID:17471350

  11. Antimicrobial Agents for Complicated Skin and Skin-Structure Infections: Justification of Noninferiority Margins in the Absence of Placebo-Controlled Trials

    PubMed Central

    Spellberg, Brad; Talbot, George H.; Boucher, Helen W.; Bradley, John S.; Gilbert, David; Scheld, W. Michael; Edwards, John; Bartlett, John G.

    2009-01-01

    Background The United States Food and Drug Administration requires clinical trial noninferiority margins to preserve a fraction (eg, 50%) of the established comparator drug's efficacy versus placebo. Lack of placebo-controlled trials for many infections complicates noninferiority margin justification for and, hence, regulatory review of new antimicrobial agents. Noninferiority margin clarification is critical to enable new antimicrobial development. In the absence of placebo-controlled trials, we sought to define the magnitude of efficacy of antimicrobial agents and resulting noninferiority margins for studies of complicated skin and skin-structure infection (SSSI). Methods We systematically reviewed literature on complicated SSSI published during 1900–1950 (before widespread penicillin resistance) to define treatment outcomes and confidence intervals (CIs). Antimicrobial efficacy was calculated as the lower limit CI of the cure rate with antimicrobials minus the upper limit CI of the cure rate without antimicrobials. Results We identified 90 articles describing >28,000 patients with complicated SSSI. For cellulitis/erysipelas, cure rates were 66% (95% CI, 64%–68%) without antibiotics and 98% (95% CI, 96%–99%) for penicillin-treated patients, and penicillin reduced mortality by 10%. Cure rates for wound/ulcer infections were 36% (95% CI, 32%–39%) without antibiotics and 83% (95% CI, 81%–85%) for penicillin-treated patients. For major abscesses, cure rates were 76% (95% CI, 71%–80%) without antibiotics and 96% (95% CI, 94%–98%) for penicillin-treated patients; penicillin reduced mortality by 6%. Conclusion Systematic review of historical literature enables rational noninferiority margin justification in the absence of placebo-controlled trials and may facilitate regulatory review of noninferiority trials. Noninferiority margins of 14% for cellulitis/erysipelas, 21% for wound/ulcer infections, and 7% for major abscesses would preserve ?50% of antibiotic efficacy versus placebo for these complicated SSSI subsets. PMID:19555285

  12. Facteurs influençant l'initiation au traitement antirétroviral des personnes vivant avec le VIH dans les Centres de Traitement Agréés de Bamenda et de Bertoua au Cameroun

    PubMed Central

    Mbopi-Keou, Francois-Xavier; Voundi, Esther Voundi; Kalla, Ginette Claude Mireille; Emah, Irène; Angwafo, Fru; Muna, Walinjom

    2014-01-01

    Introduction L'objectif de ce travail était de déterminer les facteurs influençant l'initiation au traitement antirétroviral des personnes vivant avec le VIH (PVVIH) dans les centres de traitements agrées (CTA) de Bamenda et de Bertoua au Cameroun. Méthodes Il s'agissait d'une étude transversale, analytique réalisée de Janvier à Avril 2011, dans les CTA de Bamenda et de Bertoua. Pour cette étude, nous avons obtenu une clairance éthique. Résultats Nous avons étudiés 460 dossiers de patients séropositifs en phase d'initiation au traitement antirétroviral dans les CTA de Bamenda et de Bertoua, 53,9% et 46,1% respectivement. L ‘âge médian était de 36 ans. La plupart des séropositifs à Bertoua (41) avaient fait un dépistage volontaire du VIH par rapport à ceux de Bamenda (22) (p= 0.008). Il y ‘avait plus de VIH de type 1 et 2 dans le CTA de Bamenda (15) par rapport à Bertoua (3) (p= 0.011). La majorité des patients était classé au stade clinique II à Bamenda (54,0%) tandis qu ‘à Bertoua le stade clinique III était prédominant (52,4%) (p = 0,000). Le taux médian de CD4 était de 133 cellules/mm3 dans le CTA de Bamenda et de 175 cellules/mm3 à Bertoua (p = 0,008). La Zidovudine était plus prescrit à Bamenda et le Ténofovir à Bertoua (p = 0,000). L ‘Efavirenz était plus prescrit à Bertoua tandis que la Névirapine l ‘était plus à Bamenda (p = 0,000). Le Lopinavir/r était plus prescrit à Bamenda qu ‘à Bertoua (p = 0,017). Conclusion Il apparait urgent de standardiser la prise en charge des PVVIH dans les CTA du Cameroun. PMID:25184023

  13. Complicating osteomyelitis imaged with Tc-99m MDP, In-111 granulocytes, and Ga-67 citrate

    SciTech Connect

    Schauwecker, D.S.; Park, H.M.; Mock, B.H.; Burt, R.W.; Kernick, C.B.; Ruoff, A.C. III; Sinn, H.J.; Wellman, H.N.; Vamc, R.L.R.

    1984-01-01

    Gallium-67 and 3-phase bone scan (3P) studies, though very sensitive, are not very specific in evaluating suspected osteomyelitis (OM) which is superimposed upon other diseases that cause increased bone turnover (IBT). The authors compared In-111 acetylacetone labeled granulocytes (In-111) GRAN) with 3P in 57 such patients; 29 of these patients had Ga-67 studies as well. In-111 GRAN had a sensitivity of 100% in acute OM, 62% in chronic OM, and a specificity of 96%. Gallium-67 ruled out OM when the study was normal; it diagnosed OM when the relative uptake of Ga-67 exceeded the uptake of Tc-99m MDP, or when the skeletal distribution of Ga-67 was different from that of the TC-99m MDP. Unfortunately, these criteria were met in only 28% of the subjects. The simple approach of increased Ga-67 activity meant OM gave a sensitivity of 100%, but an unacceptable specificity of 38%. Chronic cellulitis or long-standing decubiti were seldom detected by IN-111 GRAN. Clinically obvious soft tissue infections or cellulitis were seen with In-111 GRAN 27% of the time, and 17% of the time with Ga-67. The authors conclude that when added to 3P, In-111 GRAN provided more useful information than did Ga-67. A combination of all 3 studies did not significantly increase the diagnostic yield. Performing In-111 GRAN without 3P in patients with IBT is not recommended since the 3P provides anatomic information that aids in the differentiation of OM from soft tissue infections.

  14. A prospective, multicenter, observational study of complicated skin and soft tissue infections in hospitalized patients: clinical characteristics, medical treatment, and outcomes

    PubMed Central

    2012-01-01

    Background Complicated skin and soft tissue infections (cSSTIs) occur frequently, but limited data do not allow any consensus on an optimal treatment strategy. We designed this prospective, multicenter, observational study to to explore the current epidemiology, treatment, and resulting clinical outcomes of cSSTIs to help develop strategies to potentially improve outcomes. Methods From June 2008 to December 2009 we enrolled a pre-specified number of adults treated in 56 U.S. hospitals with intravenous antibiotic(s) for any of the following cSSTIs: diabetic foot infection (DFI); surgical site infection (SSI); deep soft tissue abscess (DSTA); or, cellulitis. Investigators treated all patients per their usual practice during the study and collected data on a standardized form. Results We enrolled 1,033 patients (DFI 27%; SSI 32%; DSTA 14%; cellulitis 27%; mean age 54 years; 54% male), of which 74% had healthcare-associated risk factors. At presentation, 89% of patients received initial empiric therapy with intravenous antibiotics; ~20% of these patients had this empiric regimen changed or discontinued based on culture and sensitivity results. Vancomycin was the most frequently used initial intravenous antibiotic, ordered in 61% of cases. During their stay 44% of patients underwent a surgical procedure related to the study infection, usually incision and drainage or debridement. The mean length of stay was 7.1 days, ranging from 5.8 (DSTA) to 8.1 (SSI). Conclusion Our findings from this large prospective observational study that characterized patients with cSSTIs from diverse US inpatient populations provide useful information on the current epidemiology, clinical management practices and outcomes of this common infection. PMID:23009247

  15. Utilisation de l'essai comete et du biomarqueur gamma-H2AX pour detecter les dommages induits a l'ADN cellulaire par le 5-bromodeoxyuridine post-irradiation

    NASA Astrophysics Data System (ADS)

    La Madeleine, Carole

    Ce memoire est presente a la Faculte de medecine et des sciences de la sante de l'Universite de Sherbrooke en vue de l'obtention du grade de maitre es sciences (M.Sc.) en radiobiologie (2009). Un jury a revise les informations contenues dans ce memoire. Il etait compose de professeurs de la Faculte de medecine et des sciences de la sante soit : Darel Hunting PhD, directeur de recherche (departement de medecine nucleaire et radiobiologie), Leon Sanche PhD, directeur de recherche (departement de medecine nucleaire et radiobiologie), Richard Wagner PhD, membre du programme (departement de medecine nucleaire et radiobiologie) et Guylain Boissonneault PhD, membre exterieur au programme (departement de biochimie). Le 5-bromodeoxyuridine (BrdU), un analogue halogene de la thymidine reconnu depuis les annees 60 comme etant un excellent radiosensibilisateur. L'hypothese la plus repandue au sujet de l'effet radio sensibilisant du BrdU est qu'il augmente le nombre de cassures simple et double brin lorsqu'il est incorpore dans l'ADN de la cellule et expose aux radiations ionisantes. Toutefois, de nouvelles recherches semblent remettre en question les observations precedentes. Ces dernieres etudes ont confirme que le BrdU est un bon radiosensibilisateur, car il augmente les dommages radio-induits dans l'ADN. Mais, c'est en etant incorpore dans une region simple brin que le BrdU radiosensibilise l'ADN. Ces recherches ont egalement revele pour la premiere fois un nouveau type de dommages produits lors de l'irradiation de l'ADN contenant du BrdU : les dimeres interbrins. Le but de ces travaux de recherche est de determiner si la presence de bromodeoxyuridine dans l'ADN augmente l'induction de bris simple et / ou double brin chez les cellules irradiees en utilisant de nouvelles techniques plus sensibles et specifiques que celles utilisees auparavant. Pour ce faire, les essais cometes et la detection des foci H2AX phosphorylee pourraient permettre d'etablir les effets engendres par le BrdU au niveau cellulaire. Notre hypothese (basee sur des resultats preliminaires effectues dans notre laboratoire) est que l'irradiation de l'ADN cellulaire en presence de BrdU augmentera le nombre de bris simple brin sans toutefois augmenter le nombre de bris double brin. Les resultats presentes dans ce memoire semblent corroborer cette hypothese. Les nouvelles methodes d'analyse, soient l'essai comete et la detection des foci gamma-H2AX remettent en question ce qui a ete dit sur le BrdU au sujet de l'induction des cassures double brin depuis plusieurs annees. L'ensemble de ces nouveaux resultats effectue a l'aide de cellules ayant incorporees du BrdU sont en correlation avec de precedents resultats obtenus dans notre laboratoire sur des oligonucleotides bromes. Ils reaffirment que l'irradiation combinee au BrdU augmente l'induction de bris simple brin mais pas de bris double brin. L'investigation approfondie des mecanismes d'action non elucides du BrdU au niveau cellulaire et son utilisation a des moments strategiques pendant le traitement de radiotherapie pourraient accroitre son efficacite a des fins d'utilisation clinique. Mots cles : 5-bromodeoxyuridine, dimeres interbrins, dommage a l'ADN, essai comete, H2AX, radiosensibilisateur, radiotherapie

  16. Further analysis of the analogy between cellular solidification and viscous fingering

    NASA Astrophysics Data System (ADS)

    Hennenberg, M.; Billia, B.

    1991-01-01

    Neglecting capillarity, the analogy between cellular solidification and viscous fingering is revisited in the limit of small Péclet numbers P_{?}=?/l_s, where ? is the periodicity and l_s the solutal length. Actually, cellular growth also depends on a second Péclet number P_t based on the shift of the tip from the position of the planar front. When P_t is small, the analogy with viscous fingering is legitimate which gives an expression for the tip supersaturation ? which fits nicely with the available experimental data on succinonitrile-acetone alloys. Neverthless, it turns out that P_t is large for real cells which leads us to develop a step-by-step approach, up to the second order in the small parameter P_{?}. At the first order, the Brody-Flemings relation for ? is recovered but in a rigorous way. The second order results in an integral equation for the profile which is explicitly derived for finite amplitude cells. En l'absence de tension de surface et dans la limite des petits nombres de Péclet P_{?}=?/l_s, ou' ? est la période et l_s la longueur solutale, nous réexaminons l'analogie entre la solidification cellulaire et la digitation visqueuse. En réalité, la croissance cellulaire dépend aussi d'un second nombre de Péclet P_t basé sur le décalage du sommet par rapport à la position de l'interface plane. Lorsque P_t est petit, l'analogie avec la digitation visqueuse s'avère fondée ce qui conduit à une expression de la sursaturation au sommet ?, qui est en excellent accord avec les données expérimentales disponibles pour les alliages succinonitrile-acétone. De fait, il apparaît que P_t est grand pour les cellules réelles ce qui nous amène à développer une approche pas à pas, jusqu'au second ordre en le petit paramètre P_{?}. Au premier ordre, nous retrouvons de manière rigoureuse la relation de Brody-Flemings pour ?. Le second ordre aboutit à une équation intégrale du profil cellulaire, établie de manière explicite dans le cas des cellules d'amplitude finie.

  17. A Study on the Acute Kidney Injury in Snake Bite Victims in A Tertiary Care Centre

    PubMed Central

    L, Harshavardhan; A J, Lokesh; H L, Tejeshwari; B R, Halesha; Metri, Siddharama S

    2013-01-01

    Introduction: Snake bite is a common medical emergency and an occupational hazard, more so in tropical India, where farming is a major source of employment. Viper bites are more common than other poisonous snakebites in humans. The World Health Organization has estimated that there are approximately 1,25,000 deaths among 2,50,000 poisonous snake bites worldwide every year, of which India accounts for 10,000 deaths. Acute kidney Injury (AKI) is an important consequence of a snake bite and its proper supportive management after the anti-venom administration is of utmost importance, for a good patient outcome. Aims and Objectives: 1. To assess the risk factors and the prognostic factors in snake-bite induced Acute Kidney Injury.2. To determine the outcome of snake bite patients with AKI in a tertiary care centre in Karnataka, India. Methodology: This prospective study was carried out at Vijaynagar Institute of Medical Sciences, Bellary, Karnataka, India. This institute is a referral government hospital in north Karnataka, India. Study Design: This was a prospective and descriptive type of study. Results: A total of 246 cases of venomous snakebite were included in this study, who were admitted in the hospital from November 2007 to October 2008. Among the AKI and the non-AKI patients, Illiteracy was more among the patients who suffered from AKI (75%). In our study, among all the patients (both AKI and non-AKI patients), viper bite was the commonest and it was seen in 31(91.6%) cases among the AKI patients and in 142 (67.6%) cases among the non-AKI patients. In our study, a majority of the patients who developed AKI had initially visited traditional healers before visiting our hospital, which was found to be statistically significant. In the present study, disseminated intravascular coagulation (DIC) and intravascular haemolysis were found to be predominant among the AKI patients. The “Bite to Needle” time was significantly more in the patients who developed AKI as compared to that in those who developed non-AKI. Out of 36 patients who suffered from AKI, 28 (77.7%) patients survived. Among them, 27(96.7%) patients developed cellulitis, 25(89.5%) had regional lymphadenopathy, 22(81.2%) were bitten at their lower limbs, and 6 (23.8%) patients developed bleeding manifestations. Conclusion: This study concludes that acute kidney injury occurs in 14.6% of the victims of snake bite. The common manifestations include cellulitis, bleeding manifestations and gangrene at the site of the bite. PMID:23814727

  18. Management of Ludwig's Angina in Pregnancy: A Review of 10 Cases

    PubMed Central

    Osunde, OD; Bassey, GO; Ver-or, N

    2014-01-01

    Background: Ludwig's angina is a rapidly spreading cellulitis that may produce upper airway obstruction often leading to death. Aim: The present paper reviews the management of Ludwig's angina in the third trimester of pregnancy. The inherent dangers to the mother and her unborn child are highlighted. Materials and Methods: The case files of pregnant patients who had emergent incision and drainage for life-threatening facial cellulitis at the maxillofacial unit of the Murtala Mohammed Specialist Hospital in Kano, Nigeria, over a 2 year period were retrieved and demographic and clinical characteristics were retrospectively obtained and analyzed descriptively using the statistical package for social sciences (SPSS version 13.0, for Windows, September 2004, Chicago, Illinois). Comparative statistics were determined using Pearson's Chi-square, Fisher's exact tests and independent t tests as appropriate. A P value of less than 0.05 was considered significant. Results: A total of 10 patients were seen within the study period, age ranges from 23 to 40 years, mean 29.5 (5.3) years. Majority of the women were in their third decade [60% (6/10)] while the remaining 40% (4/10) were in their fourth decade of life. Two of the patients presented within the period of less than 1 week of onset of symptoms while those who presented within the periods of 1-2 weeks and periods of over 2 weeks accounted for 50% (5/10) and 30% (3/10) respectively. All the patients presented during the third trimester of their pregnancy and odontogenic infections were responsible for 80% (8/10) of the Ludwig's angina. There were 20% mortality among the patients and this was significant for those with underlying systemic conditions (P = 0.02). The time of presentation was not significant for the survival rate of the gravid patient (P = 0.36) but was significant for survival of the fetus (P = 0.01). Conclusion: During a life-threatening infectious situation such as Ludwig's angina, risks of maternal and fetal morbidity include both septicemia and asphyxia. Attending clinicians must consider the risks that the condition and the possible treatments may cause the mother and her unborn child. PMID:24971209

  19. An atlas of the morphological manifestations of hidradenitis suppurativa.

    PubMed

    Scheinfeld, Noah

    2014-01-01

    This article is dermatological atlas of the morphologic presentations of Hidradenitis Suppurativa (HS). It includes: superficial abscesses (boils, furnucles, carbuncles), abscesses that are subcutaneous and suprafascial, pyogenic granulomas, cysts, painful erythematous papules and plaques, folliculitis, open ulcerations, chronic sinuses, fistulas, sinus tracts, scrotal and genital lyphedema, dermal contractures, keloids (some that are still pitted with follicular ostia), scarring, skin tags, fibrosis, anal fissures, fistulas (i.e. circinate, linear, arcuate), scarring folliculitis of the buttocks (from mild to cigarette-like scarring), condyloma like lesions in intertrigous areas, fishmouth scars, acne inversa, honey-comb scarring, cribiform scarring, tombstone comedones, and morphia-like plaques. HS can co-exist with other follicular diseases such as pilonidal cysts, dissecting cellulitis, acne conglobata, pyoderma gangrenosum, and acanthosis nigricans. In sum, the variety of presentations of HS as shown by these images supports the supposition that HS is a reaction pattern.HS is a follicular based diseased and its manifestations involve a multitude of follicular pathologies [1,2]. It is also known as acne inversa (AI) because of one manifestation that involves the formation of open comedones on areas besides the face. It is as yet unclear why HS is so protean in its manifestations. HS severity is assessed using the Hurley Staging System (Table 1). It also remains unclear why hidradentitis may remain limited to Hurley Stage 1, evolve to the more confluent (Hurley Stage 2), or progress even further to the fully confluent (Hurley Stage 3).In addition, HS can be associated with other follicular based diseases such as pilonidal cysts (PCs) of the sacrum and buttocks, dissecting cellulitis (DC), and acne conglobata (AC), which usually involves the face, chest, When HS occurs with PCs, DC, and/or AC it is referred to as the follicular occlusion triad or tetrad [2]. HS can more rarely be associated with pyoderma gagrenosum (PG) or Crohn disease (CD), other inflammatory diseases of the skin that are not follicular. The reason for this is unclear [2]. What AC, DC, HS, CD, and PG share is that they occur in bacterially rich environments. HS probably occurs with acanthosis nigricans because many HS patients are obese [2]. This concurrence seems under reported. PMID:24746309

  20. Regarding extremely large inguinal hernias with a contribution of two cases.

    PubMed

    Kovachev, L S; Paul, A P; Chowdhary, P; Choudhary, P; Filipov, E T

    2010-04-01

    We report two men of ages 62 and 80 years, respectively, with giant inguinoscrotal hernias. They were operated with a single-stage repair by two approaches, extended preperitoneal of Nyhus and an inguinal method. After hernia content reduction, a policaproamide antimicrobial mesh Ampoxen (MEDICA SA, Sandanski, Bulgaria) with dimensions 20 x 30 cm was inserted by using Stoppa's technique. An additional inguinal reinforcement with other mesh patch was done on the external aponeurosis hernial defect. Synchronous orchiectomy and transscrotal drainage of both patients was performed. The first patient suffering from umbilical hernia was also operated at the same stage. He was prepared by preoperative pneumoperitoneum. The second patient, due to scrotal skin cellulitis with ulceration, was operated without pneumoperitoneum preparation. The latter created easier mobilization and reduction of the hernial content. The sizable mesh dimensions allowed, to some degree, an acceptable level of intra-abdominal pressure after the repair. These hernias demand interdisciplinary teamwork and their treatment has to be adapted to the individual condition of the patient using all therapeutic options. PMID:19495921

  1. Contribution à la modélisation des convertisseurs statiques pour la simulation à topologie variable

    NASA Astrophysics Data System (ADS)

    Sahraoui, Omar; Gerbaud, Laurent; Normand, Olivier; Roudet, James

    1993-06-01

    This paper presents a simple and structured method of static converter modelling with variable topology, for the simulation of controlled converter-machine drives. The methodology is based on the notion of switching cells which enables a modular decomposition of converters in structures easy to be studied and henceforth called independent converter legs. These independent legs will be stored in libraries (algorithms or programs, and models) in order to be re-used for the study of other converters. Cet article propose une méthode simple et structurée pour la modélisation des convertisseurs statiques par des modèles à topologie variable, en vue de la simulation d'associations machine-convertisseur-commande complètes. Cette démarche s'appuie sur la notion de cellule de commutation pour permettre de dégager une décomposition modulaire du convertisseur en structures élémentaires, faciles à étudier, qui seront appelées bras indépendants. Ces derniers sont stockés en bibliothèque (sous forme d'algorithme ou programme, et sous forme de modèle), pour être réutilisés dans l'étude d'autres convertisseurs.

  2. Necrotizing fasciitis – a diagnostic dilemma: two case reports

    PubMed Central

    2014-01-01

    Introduction Necrotizing soft tissue infections can affect various tissue planes. Although predisposing etiologies are many, they mostly center on impaired immunity occurring directly or indirectly and loss of integrity of protective barriers which predispose to infection. The nonspecific presentation may delay diagnosis and favor high mortality. Case presentation Two case vignettes are presented. The first patient, a 44-year-old healthy South Asian man with a history of repeated minor traumatic injury presented to a primary health care center with a swollen left lower limb. He was treated with antibiotics with an initial diagnosis of cellulitis. Because he deteriorated rapidly and additionally developed intestinal obstruction, he was transferred to our hospital which is a tertiary health care center for further evaluation and management. Prompt clinical diagnosis of necrotizing soft tissue infection was made and confirmed on magnetic resonance imaging as necrotizing fasciitis. Urgent debridement was done, but the already spread infection resulted in rapid clinical deterioration with resultant mortality. The second patient was a 35-year-old South Asian woman with systemic lupus erythematous receiving immunosuppressive therapy who developed left lower limb pain and fever. Medical attention was sought late as she came to the hospital after 4 days. Her condition deteriorated rapidly as she developed septic shock and died within 2 days. Conclusions Necrotizing fasciitis can be fatal when not recognized and without early intervention. Clinicians and surgeons alike should have a greater level of suspicion and appreciation for this uncommon yet lethal infection. PMID:24965382

  3. Prospective randomized comparison of two preoperative skin preparation techniques in a developing world country.

    PubMed

    Meier, D E; Nkor, S K; Aasa, D; OlaOlorun, D A; Tarpley, J L

    2001-04-01

    Povidone-iodine (PI) is a scarce and expensive item for some hospitals in developing countries. This prospective, randomized study was performed at Baptist Medical Centre (BMCO) in Ogbomoso, Nigeria to determine if the use of PI for preoperative skin preparation would result in a lower postoperative wound infection rate and to identify other factors influencing the infection rate. Two hundred patients undergoing inguinal hernia repair were randomized to receive skin preparation with either: (1) locally available, inexpensive market soap and methylated spirit or (2) imported PI. The two groups were equally stratified. The overall postoperative wound infection rate was 5.5%, and there was no significant difference between the groups (5.1% vs. 5.9%). Factors that did not affect the infection rate included gender, age, type of anesthesia, type or duration of the operative procedure, and number of breaks in optimal technique. There were eight abscesses and three cases of cellulitis without suppuration diagnosed an average of 10 days postoperatively. Staphylococcus was the only bacterium identified on Gram stain or culture. The expense of procuring PI is not justified at BMCO. Available funds may better be used for preoperative antibiotics or for improvement in hospital infrastructure, which should result in fewer breaks in optimal operating room technique. PMID:11344395

  4. Facilitating residual wound closure after partial graft loss with vacuum assisted closure therapy.

    PubMed

    Poulakidas, Stathis; Kowal-Vern, Areta

    2008-01-01

    Third degree burns require skin grafting. In most instances, if the graft becomes infected, it requires debridement of the site and re-grafting. The purpose of this report is to illustrate the successful healing of a skin graft using negative pressure wound therapy with silver impregnated foam and soft silicone wound contact layer in a 4% total body surface area burn of a lower extremity skin graft infected with Pseudomonas aerugenosa without regrafting. A 27-year-old Hispanic male sustained a gasoline flame burn and presented 72 hours postincident with right lower extremity cellulitis. After intravenous antibiotics, the area was grafted with a partial thickness sheet graft. At 9 days postoperatively, the patient developed a wound infection, with an eventual 40% graft loss and was started on a course of antibiotics. With continued graft loss, on the 22nd postoperative day, negative pressure wound therapy V.A.C. (Vacuum Assisted Closure-KCI, San Antonio, TX) with silver impregnated foam and soft silicone wound contact layer (Mepitel, Molnlycke Health Care, Gothenburg, Sweden) were applied. The wound was completely re-epithelialized by 9 days. In combination with antibiotics, it was possible to treat a residual open wound and prevent the need for regrafting. PMID:18535475

  5. The place of surgery in the treatment of primary varices of the short saphenous vein.

    PubMed

    Davy, A; Ouvry, P

    1982-01-01

    Theories involving the therapy of primary varices of the short saphenous vein are still under discussion today. We try to define the place of surgery between two opposing points of view: that of the partisans of systematic short saphenectomy, and that of the partisans of sclerotherapy on its own. The authors have operated 1341 patients: --between 1961-1971: 968 underwent systematic short saphenectomy, --between 1971-1978: 373 patients underwent eclectic short saphenectomy. The results of the first series gave a 16% failure rate, in the second series there was a 2-3% failure rate. From which we raise the following points: 1. is systematic short saphenous excision always anodine? 2. the criteria for surgical indication to remember are: --clinical: incontinent dilated saphenofemoral junction, ampullary saphenofemoral junction, thick sclerous junction which has resisted sclerosis, saphenal trunk being related to the system of the long saphena; --radiological: wide-gauged saphenofemoral junction, reflux in full channel. Surgery will therefore be reserved for: --the short saphenous axes which are thick, hard, and difficult to sclerose, --wide-necked very ectasic saphenofemoral junctions, --short saphenal axes surrounded by sclerous atrophic cellulitis. From this we take our theory of "experimental" sclerotherapy, the failure of which is the only reason for adopting a surgical solution. PMID:7071181

  6. A Simple Approach to Specimen Retrieval via Posterior Colpotomy Incision

    PubMed Central

    Menderes, Gulden; Tower, Amanda M.; Silasi, Dan-Arin; Azodi, Masoud

    2015-01-01

    Introduction: Posterior colpotomy incision for specimen retrieval is infrequently used in gynecologic laparoscopic surgery unless a concomitant hysterectomy is performed. We aim to describe a simple and unique technique for creating the colpotomy incision and to describe intraoperative and postoperative outcomes. Methods: Fifty patients underwent adnexal specimen retrieval through a posterior colpotomy incision. After devascularization and detachment of the adnexal specimen, the posterior cul-de-sac was visualized. The colpotomy incision was created by introducing a 12- or 15-mm laparoscopic trocar through the vagina into the posterior vaginal fornix under direct visualization. Specimens were placed into laparoscopic bags and removed through the vagina. The colpotomy incision was closed vaginally. Charts were reviewed for intraoperative and postoperative outcomes. Results: Twenty-nine women underwent adnexal surgery for an adnexal mass, 14 women underwent surgery for pelvic pain, and 7 women underwent adnexal surgery for primary prevention of malignancy. The specimens removed ranged in size from 2 to 16 cm (mean 5.7). The mean time patients were under anesthesia was 103 minutes (SD 57.3). There were no operative complications related to the colpotomy incision and no cases of postoperative vaginal cellulitis or pelvic infection were reported. Only 1 woman with a prior vaginal delivery reported dyspareunia postoperatively. Conclusion: This simple technique for posterior colpotomy incision can easily be added to the gynecologic surgeon's armamentarium and can be safely used for most women. PMID:25901107

  7. Off-label use of TNF-alpha inhibitors in a dermatological university department: retrospective evaluation of 118 patients.

    PubMed

    Sand, Freja Laerke; Thomsen, Simon Francis

    2015-05-01

    Tumor necrosis factor-alpha (TNF)-alpha inhibitors are licensed for patients with severe refractory psoriasis and psoriatic arthritis. However, TNF-alpha inhibitors have also been used off-label for various recalcitrant mucocutaneous diseases. This study aimed to evaluate the efficacy and safety of TNF-alpha inhibitors used for off-label dermatological indications. We retrospectively evaluated patient records of 118 patients treated off-label with TNF-alpha inhibitors in a dermatological university department. Patients presented with severe aphthous stomatitis/genital aphthous lesions (26), chronic urticaria (25), hidradenitis suppurativa (29), acne conglobata (11), dissecting cellulitis of the scalp (two), orofacial granulomatosis (four), sarcoidosis (four), granuloma annulare (two), granulomatous rosacea (one), granuloma faciale (one), subcorneal pustulosis (one), pyoderma gangrenosum (four), Sweet's syndrome (four), Well's syndrome (one), benign familial pemphigus (one), lichen planus (one), and folliculitis decalvans (one). A significant number of these patients went into remission during therapy with TNF-alpha inhibitors. A total of 11 patients (9%) experienced severe adverse effects during therapy. Off-label therapy with TNF-alpha inhibitors may be considered for selected patients with severe recalcitrant mucocutaneous diseases. The risk of severe adverse effects signals that a thorough benefit-risk assessment should be performed before initiating off-label treatment with TNF-alpha inhibitors for these conditions. PMID:25731720

  8. Foot ischemia after a free fibula flap harvest: immediate salvage with an interpositional sapheneous vein graft.

    PubMed

    Saydam, Funda Akoz; Basaran, Karaca; Ceran, Fatih; Mert, Bulent

    2014-09-01

    The most dreaded major donor-site complication of free fibula flap is a foot ischemia, which is fortunately rare. Various authors have discussed the efficacy of the use of preoperative imaging methods including color Doppler, magnetic resonance angiography, and conventional angiography. A 25-year-old man presented with a 10-cm mandibular defect after a facial gunshot injury. Lower extremity color Doppler revealed triphasic peroneal, tibialis anterior, and posterior artery flows. A fibula osteocutaneous flap was harvested, and the mandible was reconstructed. However, the suture sites at the donor site began to demonstrate signs of necrosis, abscess formation, and widespread cellulitis beginning from postoperative day 9. Angiogram of the lower extremity on the 13th day demonstrated no flow in the right posterior tibial artery distal to the popliteal artery, whereas the anterior tibial artery had weak flow with collateral filling distally. An emergency bypass with a saphenous vein graft between the popliteal artery and the distal posterior tibial artery was performed. Repeated debridements, local wound care, and vacuum-assisted closure were applied. A skin graft was placed eventually. The extremity healed without severe functional disability. In conclusion, although the arterial anatomy is completely normal in preoperative evaluation, vascular complications may still ocur at the donor fibula free flap site. In addition, emergency cardiovascular bypass surgery, as we experienced, may be necessary for limb perfusion. PMID:25119400

  9. Lymphedema and subclinical lymphostasis (microlymphedema) facilitate cutaneous infection, inflammatory dermatoses, and neoplasia: A locus minoris resistentiae.

    PubMed

    Carlson, J Andrew

    2014-01-01

    Whether primary or secondary, lymphedema is caused by failure to drain protein-rich interstitial fluid. Typically affecting a whole limb, it has become apparent that lymphedema can also affect localized regions of the skin, or it can be clinically silent but histologically evident, denoted by dilated lymphangiectases (latent lymphedema). Chronic lymph stasis has numerous consequences, including lipogenesis, fibrosis, inflammation, lymphangiogenesis, and immunosuppression. For example, lymphedema's disruption of immune cell trafficking leads to localized immune suppression, predisposing the area affected to chronic inflammation, infection (cellulitis and verrucosis), and malignancy (angiosarcoma and nonmelanoma skin cancer). The pathogenesis of lymphedema is reviewed and exemplified by describing how a combination of lymph stasis-promoting factors such as trauma, obesity, infection, and inflammatory disorders produces localized elephantiasis; furthermore, the finding of lymphangiectases is found to be common in numerous dermatologic disorders and argued to play a role in their pathogenesis. Lastly, it is discussed how antigen burden, which is controlled by lymphatic clearance, affects the immune response, resulting in immune tolerance, immunopathology, or normal adaptive immunity. PMID:25160101

  10. Pressure Distribution Tests on PW-9 Wing Models from -18 Degree Through 90 Degree Angle of Attack

    NASA Technical Reports Server (NTRS)

    Loeser, Oscar E , Jr

    1929-01-01

    At the request of the Army Air Corps, an investigation of the pressure distribution over PW-9 wing models was conducted in the atmospheric wind tunnel of the National Advisory Committee for Aeronautics. The primary purpose of these tests was to obtain wind-tunnel data on the load distribution on the cellule to be correlated with similar information obtained in flight tests, both to be used for design purposes. Because of the importance of the conditions beyond the stall as affecting the control and stability, this investigation was extended through 90 degree angle of attack. The results for the range of normal flight have been given in NACA Technical Report No. 271. The present paper presents the same results in a different form and includes, in addition, those over the greater range of angle of attack, -18 degrees through 90 degrees. The results show that: (1) at angles of attack above maximum lift, the biplane upper wing pressures are decreased by the shielding action of the lower wing. (2) the burble of the biplane lower wing, with respect to the angle of attack, is delayed, due to the shielding action of the lower wing. (3) the center of pressure of the biplane upper wing (semispan) is, in general, displaced forward and outward with reference to that of the wing as a monoplane, while for the lower wing there is but slight difference for both conditions. (4) the overhanging portion of the upper wing is little affected by the presence of the lower wing.

  11. Necrotizing soft tissue infections

    PubMed Central

    Urschel, J.

    1999-01-01

    Necrotizing soft tissue infections are a group of highly lethal infections that typically occur after trauma or surgery. Many individual infectious entities have been described, but they all have similar pathophysiologies, clinical features, and treatment approaches. The essentials of successful treatment include early diagnosis, aggressive surgical debridement, antibiotics, and supportive intensive treatment unit care. The two commonest pitfalls in management are failure of early diagnosis and inadequate surgical debridement. These life-threatening infections are often mistaken for cellulitis or innocent wound infections, and this is responsible for diagnostic delay. Tissue gas is not a universal finding in necrotizing soft tissue infections. This misconception also contributes to diagnostic errors. Incision and drainage is an inappropriate surgical strategy for necrotizing soft tissue infections; excisional debridement is needed. Hyperbaric oxygen therapy may be useful, but it is not as important as aggressive surgical therapy. Despite advances in antibiotic therapy and intensive treatment unit medicine, the mortality of necrotizing soft tissue infections is still high. This article emphasizes common treatment principles for all of these infections, and reviews some of the more important individual necrotizing soft tissue infectious entities.???Keywords: fasciitis; gas gangrene; clostridium infections; streptococcal infections; necrosis; debridement; surgical infections; soft tissue infections PMID:10621873

  12. A case of Mycobacterium goodii prosthetic valve endocarditis in a non-immunocompromised patient: use of 16S rDNA analysis for rapid diagnosis

    PubMed Central

    2012-01-01

    Background Mycobacterium goodii is a rare cause of significant infection. M. goodii has mainly been associated with lymphadenitis, cellulitis, osteomyelitis, and wound infection. Case presentation A case of a 76-year-old Caucasian female is presented. The patient developed a prosthetic valve endocarditis caused by M. goodii. She had also suffered from severe neurological symptoms related to a septic emboli that could be demonstrated as an ischemic lesion found on CT of the brain. Transesophageal echocardiography verified a large vegetation attached to the prosthetic valve. Commonly used blood culture bottles showed growth of the bacteria after 3?days. Conclusions Although M. goodii is rarely involved in these kinds of severe infections, rapidly growing mycobacteria should be recognized during conventional bacterial investigations and identified by molecular tools such as analysis of 16S rDNA. Species identification of nontuberculous mycobacteria is demanding and is preferably done in collaboration with a mycobacterial laboratory. An early diagnosis provides the opportunity for adequate treatment. In the present case, prolonged antimicrobial treatment and surgery with replacement of the prosthetic valve was successful. PMID:23151090

  13. Cloning and Characterization of Surface-Localized ?-Enolase of Streptococcus iniae, an Effective Protective Antigen in Mice.

    PubMed

    Wang, Jun; Wang, Kaiyu; Chen, Defang; Geng, Yi; Huang, Xiaoli; He, Yang; Ji, Lili; Liu, Tao; Wang, Erlong; Yang, Qian; Lai, Weimin

    2015-01-01

    Streptococcus iniae is a major fish pathogen that can also cause human bacteremia, cellulitis and meningitis. Screening for and identification of protective antigens plays an important role in developing therapies against S. iniae infections. In this study, we indicated that the ?-enolase of S. iniae was not only distributed in the cytoplasm and associated to cell walls, but was also secreted to the bacterial cell surface. The functional identity of the purified recombinant ?-enolase protein was verified by its ability to catalyze the conversion of 2-phosphoglycerate (2-PGE) to phosphoenolpyruvate (PEP), and both the recombinant and native proteins interacted with human plasminogen. The rabbit anti-rENO serum blockade assay shows that ?-enolase participates in S. iniae adhesion to and invasion of BHK-21 cells. In addition, the recombinant ?-enolase can confer effective protection against S. iniae infection in mice, which suggests that ?-enolase has potential as a vaccine candidate in mammals. We conclude that S. iniae ?-enolase is a moonlighting protein that also associates with the bacterial outer surface and functions as a protective antigen in mice. PMID:26121302

  14. Portable infusion pumps in ambulatory cancer chemotherapy.

    PubMed

    Plasse, T; Ohnuma, T; Bruckner, H; Chamberlain, K; Mass, T; Holland, J F

    1982-07-01

    Fifty-seven adult patients receiving chemotherapy were treated with a total of 133 infusions using portable user-worn infusion pumps, the Autosyringe AS*2F Cormed ML6-4, and two earlier versions of the latter, the Sigmamotor ML6-2 and ML6-3. Ninety-eight infusions were given on an ambulatory basis. Fourteen infusions were given through peripheral venous catheters, 115 through central venous catheters, and four intra-arterially. Of 127 evaluable infusions, 65 were completed within 5% and 87 within 10% of the planned rate; results are similar for both inpatient and outpatient infusions. The Cormed ML6-4 pump was equal to the Autosyringe AS*2F in reliability but superior to the latter in patient preference. There were no instances of dangerously rapid administration of the drug. The only serious catheter complications were a pneumothorax after insertion of a subclavian catheter in one patient and cellulitis in a leukopenic patient with a Broviac catheter. All but three patients preferred outpatient therapy to hospitalization. Outpatient therapy costs about $300 per day less than in-hospital treatment. PMID:7083124

  15. Modélisation d'un transformateur à shunts magnétiques utilisé dans l'alimentation H.T. d'un générateur micro-ondes à magnétron

    NASA Astrophysics Data System (ADS)

    Chraygane, Mohamed; Teissier, Maurice; Jammal, Ahmad; Masson, Jean-Pierre

    1994-11-01

    The high voltage power supply for magnetron, used for the modular microwave generators in industrial applications, is of a classical design : a single phase leakage flux transformer supplying a cell, composed of a capacitor and a diode, which multiplies the voltage and stabilizes the current. A ? model of this transformer is developed, taking the saturation phenomena and the stabilization process of the magnetron current into account. Three inductances are characterized by the non linear relations between flux and magnetizing current. This model was tested by E.M.T.P. software (Electro-Magnetic Transients Program), near the nominal state. The theoretical results were compared to experimental measurements with a good agreement. L'alimentation haute tension des magnétrons, utilisés comme source d'énergie microondes dans l'industrie, est de conception classique : un transformateur monophasé à fuites magnétiques alimentant une cellule doubleuse de tension et stabilisatrice de courant. Un schéma équivalent en ? du transformateur est présenté, prenant en compte la saturation des différentes parties du fer et la stabilisation du courant du magnétron. Trois inductances sont caractérisées par les relations non linéaires entre flux et courant magnétisant. Ce modèle a été testé à l'aide du logiciel de calcul E.M.T.P. (Electro-Magnetic Transients Program), au voisinage du régime nominal. Les résultats théoriques, comparés aux mesures expérimentales, se trouvent en bon accord avec elles.

  16. Pharmacokinetics of a single subcutaneous dose of sustained release buprenorphine in northern elephant seals (Mirounga angustirostris).

    PubMed

    Molter, Christine M; Barbosa, Lorraine; Johnson, Shawn; Knych, Heather K; Chinnadurai, Sathya K; Wack, Raymund F

    2015-03-01

    Information regarding analgesics in pinnipeds is limited. This study aimed to establish the pharmacokinetic parameters of a single subcutaneous dose of sustained release buprenorphine (Buprenorphine SR) in juvenile northern elephant seals (Mirounga angustirostris) with regard to its potential to provide long-lasting analgesia that requires infrequent dosing. Seals (n=26) were administered a single dose of sustained release buprenorphine at 0.12 mg/kg s.c. Blood samples were collected from the extradural intervertebral vein at 0 hr and at three or four of the following time points: 0.5, 1, 2, 6, 12, 24, 36, 48, 60, 96, 120, and 144 hr. Seals were examined daily for systemic and local adverse reactions. Plasma was analyzed by liquid chromatography tandem-mass spectrometry for buprenorphine and norbuprenorphine concentrations. A noncompartmental analysis for pharmacokinetic parameters was calculated using standard methods and equations. An average maximum concentration of 1.21 ng/ml (0.3-2.9 ng/ml) was detected 12 hr postadministration. Concentrations were quantifiable up to 144 hr postadministration but were below those expected to provide analgesia in some other species. No systemic adverse effects were noted in healthy seals receiving sustained release buprenorphine. Cellulitis or abscesses at the injection site were observed in 6/26 (23%) seals between 24 and 168 hr postadministration. Adverse local effects suggest that this drug should be used with caution in northern elephant seals. PMID:25831576

  17. NCCAM/NCI Phase 1 Study of Mistletoe Extract and Gemcitabine in Patients with Advanced Solid Tumors

    PubMed Central

    Mansky, Patrick J.; Sannes, Timothy S.; Johnson, Laura Lee; Blackman, Marc R.; Grem, Jean L.; Swain, Sandra M.; Monahan, Brian P.

    2013-01-01

    Purpose. European Mistletoe (Viscum album L.) extracts (mistletoe) are commonly used for cancer treatment in Europe. This phase I study of gemcitabine (GEM) and mistletoe in advanced solid cancers (ASC) evaluated: (1) safety, toxicity, and maximum tolerated dose (MTD), (2) absolute neutrophil count (ANC) recovery, (3) formation of mistletoe lectin antibodies (ML ab), (4) cytokine plasma concentrations, (5) clinical response, and (6) pharmacokinetics of GEM. Methods. Design: increasing mistletoe and fixed GEM dose in stage I and increasing doses of GEM with a fixed dose of mistletoe in stage II. Dose limiting toxicities (DLT) were grade (G) 3 nonhematologic and G4 hematologic events; MTD was reached with 2 DLTs in one dosage level. Response in stage IV ASC was assessed with descriptive statistics. Statistical analyses examined clinical response/survival and ANC recovery. Results. DLTs were G4 neutropenia, G4 thrombocytopenia, G4 acute renal failure, and G3 cellulitis, attributed to mistletoe. GEM 1380?mg/m2 and mistletoe 250?mg combined were the MTD. Of 44 patients, 24 developed nonneutropenic fever and flu-like syndrome. GEM pharmacokinetics were unaffected by mistletoe. All patients developed ML3 IgG antibodies. ANC showed a trend to increase between baseline and cycle 2 in stage I dose escalation. 6% of patients showed partial response, 42% stable disease. Median survival was 200 days. Compliance with mistletoe injections was high. Conclusion. GEM plus mistletoe is well tolerated. No botanical/drug interactions were observed. Clinical response is similar to GEM alone. PMID:24285980

  18. Laboratory-acquired vaccinia virus infection in a recently immunized person--Massachusetts, 2013.

    PubMed

    Hsu, Christopher H; Farland, Julien; Winters, Thomas; Gunn, Julia; Caron, Donna; Evans, Jennifer; Osadebe, Lynda; Bethune, Leon; McCollum, Andrea M; Patel, Nishi; Wilkins, Kimberly; Davidson, Whitni; Petersen, Brett; Barry, M Anita

    2015-05-01

    On November 26, 2013, the CDC poxvirus laboratory was notified by the Boston Public Health Commission (BPHC) of an inadvertent inoculation of a recently vaccinated (ACAM2000 smallpox vaccine) laboratory worker with wild type vaccinia virus (VACV) Western Reserve. A joint investigation by CDC and BPHC confirmed orthopoxvirus infection in the worker, who had reported a needle stick in his thumb while inoculating a mouse with VACV. He experienced a non-tender, red rash on his arm, diagnosed at a local emergency department as cellulitis. He subsequently developed a necrotic lesion on his thumb, diagnosed as VACV infection. Three weeks after the injury, the thumb lesion was surgically debrided and at 2 months post-injury, the skin lesion had resolved. The investigation confirmed that the infection was the first reported VACV infection in the United States in a laboratory worker vaccinated according to the Advisory Committee on Immunization Practices (ACIP) recommendations. The incident prompted the academic institution to outline biosafety measures for working with biologic agents, such as biosafety training of laboratory personnel, vaccination (if appropriate), and steps in incident reporting. Though vaccination has been shown to be an effective measure in protecting personnel in the laboratory setting, this case report underscores the importance of proper safety measures and incident reporting. PMID:25928468

  19. Going Out on a Limb: Do Not Delay Diagnosis of Necrotizing Fasciitis in Varicella Infection.

    PubMed

    Sturgeon, Jonathan P; Segal, Laura; Verma, Anita

    2015-07-01

    Necrotizing fasciitis (NF) is a rare complication of varicella zoster (chicken pox) infection. Its diagnosis can be delayed or missed, which increases mortality and morbidity, because it initially presents similarly to cellulitis. We present the case of a 5-year-old boy who presented with a swollen leg, the difficulties in the diagnosis of NF, and a review of the literature. Necrotizing fasciitis complicating varicella zoster in children is associated with 3.4% mortality, although this rises to 13.6% in streptococcal toxic shock syndrome. Seventy-one percent of cases are confirmed as being caused by group A ?-hemolytic Streptococcus. The association of NF with chicken pox is discussed along with the difficulties in diagnosis and treatment options. Necrotizing fasciitis is a surgical emergency and should be considered by all emergency department acute care practitioners in cases of varicella in which fever is enduring and swelling or pain is disproportionate. Because of the difficulty in diagnosis, senior opinion should be sought early. PMID:25356828

  20. Transvaginal Sacrospinous Ligament Fixation for Pelvic Organ Prolapse Stage III and Stage IV Uterovaginal and Vault Prolapse

    PubMed Central

    Gupta, Pratiksha

    2015-01-01

    The result of transvaginal sacrospinous ligament fixation technique, as part of the vaginal repair procedure for massive uterovaginal (Pelvic Organ Prolapse stage III and stage IV and vault prolapse) is evaluated. A total of 32 women were included in the present case series. Marked uterovaginal prolapse was present in 28 women and four had vault prolapse following hysterectomy. Patients with vault prolapse and marked uterovaginal prolapse underwent sacrospinous colpopexy. The mean follow-up period was 2.5 years. Out of the 28 patients with previous marked uterovaginal prolapse, only one had small cystocele 3 years after the surgery. This patient was asymptomatic and did not require repeat surgery. One woman had post-operative urinary tract infection and two had buttock discomfort, one had ischiorectal abscess and two had cuff cellulitis. All complications were dealt with successfully. No other major intra- and post-operative complications occurred. Transvaginal sacrospinous colpopexy can be performed together with vaginal hysterectomy, with marked uterovaginal prolapse and vault prolapse. PMID:25648154

  1. Bacterial vaginosis.

    PubMed Central

    Spiegel, C A

    1991-01-01

    Bacterial vaginosis (BV) is the most common of the vaginitides affecting women of reproductive age. It appears to be due to an alteration in the vaginal ecology by which Lactobacillus spp., the predominant organisms in the healthy vagina, are replaced by a mixed flora including Prevotella bivia, Prevotella disiens, Porphyromonas spp., Mobiluncus spp., and Peptostreptococcus spp. All of these organisms except Mobiluncus spp. are also members of the endogenous vaginal flora. While evidence from treatment trials does not support the notion that BV is sexually transmitted, recent studies have shown an increased risk associated with multiple sexual partners. It has also been suggested that the pathogenesis of BV may be similar to that of urinary tract infections, with the rectum serving as a reservoir for some BV-associated flora. The organisms associated with BV have also been recognized as agents of female upper genital tract infection, including pelvic inflammatory disease, and the syndrome BV has been associated with adverse outcome of pregnancy, including premature rupture of membranes, chorioamnionitis, and fetal loss; postpartum endometritis; cuff cellulitis; and urinary tract infections. The mechanisms by which the BV-associated flora causes the signs of BV are not well understood, but a role for H2O2-producing Lactobacillus spp. in protecting against colonization by catalase-negative anaerobic bacteria has been recognized. These and other aspects of BV are reviewed. PMID:1747864

  2. Rarely reported ocular complications following surgery to correct chronic suppurative otitis media.

    PubMed

    Lu, Xiaopan; Zhao, Yu; Lu, Dan; An, Ping; Zheng, Yongbo; Qin, Xueling; Wang, LiHong; Roberson, Joseph B

    2012-02-01

    The objective of this study was to describe the rarely reported ocular complications following surgery to correct chronic suppurative otitis media. A retrospective analysis was made of 2,318 cases of chronic suppurative otitis media treated with surgery between January 2004 and December 2009 at West China Hospital, Sichuan University, a medical center in Western China. Ninety-two cases of ocular complications were identified, giving an incidence of 3.97%. In 63 of the 92 cases (68.48%), the patients complained of blurred vision and the condition was classified as grade 1. In 24 cases (26.09%), the patients complained of mild periorbital edema and the condition was classified as grade 2. Four cases (4.35%) were classified as grade 3 because of severe edema with erythema on eyelids. One case (1.09%) was classified as grade 4 because of periorbital ecchymosis in addition to edema. The clinical features and the possible etiology were analyzed and are discussed. Ocular complications following chronic suppurative otitis media surgery are rare. Preauricular incision, disturbance of venous and lymphatic drainage, and preseptal cellulitis were the possible etiological factors. Eye injury during surgery and use of an anticholinergic agent might be risk factors for blurred vision after this surgery. PMID:21626122

  3. Necrotizing fasciitis: case study of a nursing dilemma.

    PubMed

    Ardire, L

    1997-06-01

    Necrotizing fasciitis usually manifests as a low grade cellulitis that quickly deteriorates to a limb and life threatening soft tissue infection. Immediate surgical debridement is essential, after which wound management becomes the nurse's primary concern. Case #1 reports on a 72 year old female who, upon presenting to the ER with a "sore bottom," subsequently had these diagnoses: (1) anal-rectal abscess, (2) Fournier's gangrene, (3) ulcerative enterocolitis, (4) chronic blood loss/anemia, and (5) protein caloric malnutrition. After debridement, her anal-rectal wound extended from labia to left buttocks. Care was multidisciplinary and included applying a water based aloe gel and saline soaked gauze twice a day. After 45 days, the wound exhibited a pink base with granulation tissue and contraction of the wound edges. Case #2 reports on a 48 year old male with seroma of the left leg secondary to a crush injury. Within three days he developed deep vein thrombosis in that leg as well as two large seroma cavities on either side of the thigh. Care included packing with the aloe gel and saline soaked sponges. Two weeks after admission, the anterior wound was covered with a split thickness skin graft while partial closure of the lateral cavity was attempted unsuccessfully with retention sutures. After five weeks, healing was complete for the anterior wound and 95 percent complete for the posterior wound. PMID:9233237

  4. The treatment of diabetic foot infections: focus on ertapenem

    PubMed Central

    Edmonds, Michael

    2009-01-01

    Clinically, 3 distinct stages of diabetic foot infection may be recognized: localized infection, spreading infection and severe infection. Each of these presentations may be complicated by osteomyelitis. Infection can be caused by Gram-positive aerobic, and Gram-negative aerobic and anaerobic bacteria, singly or in combination. The underlying principles are to diagnose infection, culture the bacteria responsible and treat aggressively with antibiotic therapy. Localized infections with limited cellulitis can generally be treated with oral antibiotics on an outpatient basis. Spreading infection should be treated with systemic antibiotics. Severe deep infections need urgent admission to hospital for wide-spectrum intravenous antibiotics. Clinical and microbiological response rates have been similar in trials of various antibiotics and no single agent or combination has emerged as most effective. Recently, clinical and microbiological outcomes for patients treated with ertapenem were equivalent to those for patients treated with piperacillin/tazobactam. It is also important to judge the need for debridement and surgery, to assess the arterial supply to the foot and consider revascularization either by angioplasty or bypass if the foot is ischemic. It is also important to achieve metabolic control. Thus infection in the diabetic foot needs full multidisciplinary treatment. PMID:19997576

  5. Monoclonal gammopathy of undetermined significance and risk of infections: a population-based study

    PubMed Central

    Kristinsson, Sigurdur Y.; Tang, Min; Pfeiffer, Ruth M; Björkholm, Magnus; Goldin, Lynn R.; Blimark, Cecilie; Mellqvist, Ulf-Henrik; Wahlin, Anders; Turesson, Ingemar; Landgren, Ola

    2012-01-01

    No comprehensive evaluation has been made to assess the risk of viral and bacterial infections among patients with monoclonal gammopathy of undetermined significance. Using population-based data from Sweden, we estimated risk of infections among 5,326 monoclonal gammopathy of undetermined significance patients compared to 20,161 matched controls. Patients with monoclonal gammopathy of undetermined significance had a 2-fold increased risk (P<0.05) of developing any infection at 5- and 10-year follow up. More specifically, patients with monoclonal gammopathy of undetermined significance had an increased risk (P<0.05) of bacterial (pneumonia, osteomyelitis, septicemia, pyelonephritis, cellulitis, endocarditis, and meningitis), and viral (influenza and herpes zoster) infections. Patients with monoclonal gammopathy of undetermined significance with M-protein concentrations over 2.5 g/dL at diagnosis had highest risks of infections. However, the risk was also increased (P<0.05) among those with concentrations below 0.5 g/dL. Patients with monoclonal gammopathy of undetermined significance who developed infections had no excess risk of developing multiple myeloma, Waldenström macroglobulinemia or related malignancy. Our findings provide novel insights into the mechanisms behind infections in patients with plasma cell dyscrasias, and may have clinical implications. PMID:22180421

  6. Hepatosplenic alphabeta T cell lymphoma.

    PubMed

    Nagai, Yuya; Ikegame, Kazuhiro; Mori, Minako; Inoue, Daichi; Kimura, Takaharu; Shimoji, Sonoko; Togami, Katsuhiro; Tabata, Sumie; Kurata, Masayuki; Imai, Yukihiro; Matsushita, Akiko; Nagai, Kenichi; Ogawa, Hiroyasu; Takahashi, Takayuki

    2010-04-01

    A 32-year-old male with chronic hepatitis B was admitted to a hospital with cellulitis in the right leg in September 2006. Pancytopenia, hepatosplenomegaly, and systemic superficial lymph node swelling were noted, and he was referred to our hospital. He developed fever and liver dysfunction in June 2007 and underwent a splenectomy. His pancytopenia subsequently improved. A pathologic diagnosis of hepatosplenic alphabeta T cell lymphoma was made by examining spleen tissue and biopsy specimens of the liver and mesenteric lymph node. He had stage IVB disease because neoplastic T cells were noted in the bone marrow. The response of the lymphoma to conventional chemotherapy including the CHOP (cyclophosphamide, adriamycin, vincristine, prednisolone) and DeVIC (dexamethasone, etoposide, ifoshamide, carboplatin) regimens was poor and transient. A partial remission was obtained with an ESHAP (etoposide, cisplatin, cytarabine, methylprednisolone) regimen. Therefore, we planned a bone marrow transplantation (BMT) from an HLA-haploidentical sibling donor. He was moved to the Department of Hematology, Hyogo Medical College, to receive this BMT as part of a clinical trial. During the conditioning procedure for the transplantation, however, he died of septicemia. Since hepatosplenic alphabeta T cell lymphoma is very rare with only 23 reported cases to date, herein we report this case and discuss the therapeutic strategy. PMID:20217452

  7. [Lipedema: a misdiagnosed entity].

    PubMed

    Vignes, S

    2012-07-01

    Lipedema is a clinical entity frequently misdiagnosed or confound with primary lymphedema. Lipedema is a disorder of adipose tissue that occurs almost exclusively in obese women. It is characterized by bilateral enlargement from hip to ankle due to abnormal depositions of subcutaneous fat associated with often mild edema, usually sparing the feet. Disease onset is usually at or soon after puberty. Lipedema results in considerable frustration and distress resulting from the cosmetic appearance. Patients may complain of pain, tenderness, easy bruising of the affected areas with moderate to severe sensitivity to digital pressure or pinching. Imaging studies using computed tomography, magnetic resonance imaging, ultrasound, lymphoscintigraphy are not indicated, except if the diagnosis is atypic or doubtful. Long-term evolution may alter lymphatic system and lead to a lipo-lymphedema with specific complications such as cellulitis. Lipedema management is not codified and included weight loss (poorly improving leg appearance or discomfort), psychological counselling and compression therapy. Liposuction, especially using tumescent local anaesthesia, may reduce edema, spontaneous pain, sensitivity to pressure, bruising and improve appearance resulting in a important increase in quality of life. PMID:22698628

  8. Longitudinal evaluation of manual lymphatic drainage for the treatment of gynoid lipodystrophy*

    PubMed Central

    Schonvvetter, Bianca; Soares, Juliana Laudicéia Marques; Bagatin, Ediléia

    2014-01-01

    BACKGROUND The gynoidlypodystrophy, known as cellulitis or cellulite, refers to a condition that gives the skin an undulating and uneven appearance, affecting 80-90% of women after puberty. OBJECTIVES to investigate the efficacy and safety of manual lymphatic drainage for cellulite management. METHODS this was an open, prospective, intervention study including 20 women aged from 20 to 40 years. Fourteen sessions of manual lymphatic drainage were performed once a week on lower limbs and buttocks. RESULTS Fifteen women completed the study. A significant improvement on quality of life was observed (p=0.018). A significant reduction (p=0.023), estimated at 0.3±0.8 cm, in hip circumference was found, but no difference was found in thighs circumference (p>0.05). A significant reduction elastic recuperation of skin on buttocks, which means skin elasticity worsening, was observed. All measures obtained by ultrasound images showed no changes (p>0.05). CONCLUSION manual lymphatic drainage was safe but not effective as an isolated approach for cellulite management. Further randomized, controlled or comparative studies about manual lymphatic drainage for cellulite control, as unique or combined therapeutic modality, are necessary. PMID:25184909

  9. Design and Development of a Telerehabilitation Self-Management Program for Persons with Chronic Lower Limb Swelling and Mobility Limitations: Preliminary Evidence

    PubMed Central

    Faett, Becky L.; Geyer, Mary Jo; Hoffman, Leslie A.; Brienza, David M.

    2012-01-01

    This paper describes design and development of a self-management program, delivered by telerehabilitation (TR), to address the problem of chronic lower limb swelling in persons with limited mobility. The 18.6 million persons with limited mobility in the USA are at increased risk for chronic lower limb swelling and related secondary complications, including cellulitis and skin ulcers. Over time, chronic swelling often progresses to lymphedema, an incurable condition requiring lifelong care. Without successful self-management, lymphedema and its related complications inevitably worsen. Access and adherence to appropriate treatment are challenging for persons with limited mobility. Program development involved a structured process to establish content validity (videos and manuals), readability, suitability, and selection of a TR platform to deliver the educational program. Our goal was to develop a program that would engage patients in self-management skills. The TR software platform chosen, Versatile and Integrated System for Telerehabilitation (VISYTER) was designed to facilitate face-to-face delivery of an interactive home-based self-management program via the internet in real time. Results demonstrated validity of the educational program and ease of use with TR. Future plans are to evaluate ability of this approach to promote self-management skills, home monitoring, and improved management of persons with lymphedema and limited mobility. PMID:23227323

  10. The role of primary care prescribers in the diagnosis and management of community-associated methicillin-resistant Staphylococcus aureus skin and soft tissue infections.

    PubMed

    Lawrence, Kenneth R; Golik, Monica V; Davidson, Lisa

    2009-01-01

    Nosocomial infections caused by methicillin-resistant Staphylococcus aureus were first reported in the United States in the early 1960s. Beginning in the 1990s, healthy individuals from the community with no risk factors for resistant bacteria began presenting with methicillin-resistant Staphylococcus aureus infections, acquiring the name "community-associated methicillin-resistant Staphylococcus aureus" (CA-MRSA). CA-MRSA has a tendency to affect the skin and skin structures, generally in the form of abscesses and furuncles, carbuncles, and cellulitis. Cases of invasive infections including bacteremia, endocarditis, and necrotizing pneumonia have also been reported. A patient complaint of a "spider bite" is frequently associated with CA-MRSA. CA-MRSA and the traditional health care-associated methicillin-resistant Staphylococcus aureus are distinguished by their genetic composition, virulence factors, and susceptibility patterns to non-beta-lactam antibiotics. Appropriate management of CA-MRSA skin and skin structure infections includes incision and drainage of infected tissue and appropriate antimicrobial therapy. It has been suggested that when prevalence of CA-MRSA within a community eclipses 10%-15%, empiric use of non-beta-lactam antibiotics with in vitro activity against CA-MRSA be initiated when treating skin and skin structure infections. CA-MRSA retains susceptibility to a range of older antibiotics available in oral formulations such as minocycline, doxycycline, sulfamethoxazole-trimethoprim, moxifloxacin, levofloxacin, and clindamycin. Local susceptibility patterns and individual patient factors should guide the selection of antibiotics. PMID:19617720

  11. Enhanced pore filling of spiro-OMeTAD by enlarging the porosity of TiO2 films and its effects on the photovoltaic performance of ss-DSCs

    NASA Astrophysics Data System (ADS)

    Fang, Yanling; Wang, Qi; Huang, Jianguo; Wu, Tao

    2015-03-01

    Four kinds of TiO2 electrodes with different porosities were prepared by adding different ratios of ethyl cellulous into a Dyesol 18-NRT paste. Higher polymer ratios contributed to the higher porosity of TiO2 films. All electrodes were spin-coated with spiro-OMeTAD and fabricated into solid-state dye-sensitized solar cells (ss-DSCs). This simple method allowed more spiro-OMeTAD penetrated into the more porous TiO2 films. This result demonstrated the pore-filling effect of hole transport materials on the photovoltaic performance of ss-DSCs. Photoluminescence and electrical impedance spectra measurements were introduced to investigate the dye regeneration, charge transport, and recombination kinetics of the solar cells. The increased pore filling of spiro-OMeTAD could enhance hole injection, hole transport, and recombination retardation, thus providing good charge collection efficiency and long recombination lifetime and resulting in the high short-circuit current density, open-circuit voltage, fill factor, and energy conversion efficiency of the solar cells. An efficiency enhancement of 34 % was obtained by using this method. However, further increasing the TiO2 porosity decreased the electron transport, thus causing a low charge collection and reducing cell performance.

  12. Orbital mucormycosis in an immunocompetent individual

    PubMed Central

    Badiee, P; Jafarpour, Z; Alborzi, A; Haddadi, P; Rasuli, M; Kalani, M

    2012-01-01

    Background Orbital mucormycosis caused by Zygomycetes is a rare and fatal infection that generally affects the patients who are immunocompromised. Despite antifungal therapy and aggressive surgical intervention, mucormycosis can cause serious and rapidly fatal infections if delayed diagnosis or therapeutic management occurs. Here, we report orbital mucormycosis in a healthy boy, with a favorable outcome after aggressive treatment. He has had no recurrence since the end of his treatment. Case present A 2-year old healthy boy, some days after entry of dust particle to his left eye presented with swelling and redness of the eye. With diagnosis of “periorbital cellulitis” intravenous antibiotics vancomycin (40 mg/kg/day) and ceftriaxone (75 mg/kg/day) were started but no improvement was observed. The results of biopsy and tissue culture led us to a diagnosis of mucormycosis. Orbital exenteration, combined with intravenous amphotericin B (1 mg/kg/day), resulted in the patient's survival. Conclusion Due to the high mortality rate of mucormycosis, early diagnosis based on clinical findings and biopsy could be effective for management of the patients suffering from this infection. PMID:23205254

  13. Extensive subcutaneous emphysema resembling necrotizing fasciitis.

    PubMed

    Kamal, Robin N; Paci, Gabrielle M; Born, Christopher T

    2013-05-01

    Necrotizing fasciitis is an aggressive, invasive soft tissue infection. Because it can rapidly progress to patient instability, prompt diagnosis followed by urgent debridement is critical to decreasing mortality. Despite the importance of early diagnosis, necrotizing fasciitis remains a clinical diagnosis, with little evidence in the literature regarding the effectiveness of diagnostic tools or criteria. Common clinical findings are nonspecific, including pain, blistering, crepitus, and swelling with or without fever and a known infection source.This article describes a patient who was transferred to the authors' institution from another hospital, where she had been taken following seizure activity and was treated with antibiotics for suspected cellulitis at the intravenous catheter placement site on her left dorsal hand. On admission to the current authors' institution, she presented with pain and swelling in the setting of significant left upper-extremity emphysema. She had undergone a left shoulder arthroscopy 4 weeks previously. Vital signs were within normal limits, and a preoperative chest radiograph was read as normal. The patient underwent an emergent fasciotomy, irrigation and debridement of the left upper extremity, and intravenous antibiotics for suspected necrotizing fasciitis. Intraoperative findings indicative of infection were absent, and a left apical pneumothorax was later found on postoperative chest imaging.In a stable patient with a normal chest radiograph on presentation who demonstrates upper-extremity crepitus suspicious for necrotizing fasciitis, a chest computed tomography scan may be indicated to rule out an intrathoracic source. PMID:23672900

  14. [Benign subcutaneous emphysema after nail penetration. Case report and important differential diagnoses].

    PubMed

    Kantelberg, C; Meyer, C; Harland, U

    2014-02-01

    Crepitus under the skin after penetrating injuries: harmless benign subcutaneous emphysema or life-threatening infection with gas-producing bacteria (gas gangrene because of Clostridium perfringens, crepitating cellulitis because of anaerobic Streptococcus or other coliforme bacteria)? We report a case of a 74-year-old male who developed massive crepitation of the left upper extremity and the lateral thoracic wall and mediastinal emphysema after sustaining a laceration of the left thumb and forefinger from a nail. Because there was the suspicion of gas gangrene we performed generous skin incisions of the ventral and dorsal part of the hand, the forearm and upper arm and open wound treatment. A triple antibiotic therapy was initiated. Due to fast regression of the subcutaneous emphysema and the mediastinal emphysema, continuing lack of symptoms, negative smear test results from the beginning and low infection parameters in the blood all wounds could be closed 9 days after primary surgery. The suspicion of gas gangrene was not confirmed so the diagnosis of benign subcutaneous emphysema was made. PMID:23703620

  15. Skin, soft tissue and systemic bacterial infections following aquatic injuries and exposures.

    PubMed

    Diaz, James H; Lopez, Fred A

    2015-03-01

    : Bacterial infections following aquatic injuries occur commonly in fishermen and vacationers after freshwater and saltwater exposures. Internet search engines were queried with the key words to describe the epidemiology, clinical manifestations, diagnostic and treatment strategies and outcomes of both the superficial and the deeper invasive infections caused by more common, newly emerging and unusual aquatic bacterial pathogens. Main findings included the following: (1) aquatic injuries often result in gram-negative polymicrobial infections with marine bacteria; (2) most marine bacteria are resistant to 1st- and 2nd-generation penicillins and cephalosporins; (3) nontuberculous, mycobacterial infections should be considered in late-onset, culture-negative and antibiotic-resistant marine infections; (4) superficial marine infections and pre-existing wounds exposed to seawater may result in deeply invasive infections and sepsis in immunocompromised patients. With the exception of minor marine wounds demonstrating localized cellulitis, most other marine infections and all gram-negative and mycobacterial marine infections will require therapy with antibiotic combinations. PMID:25374398

  16. Advancement flap as a novel treatment for a pododermatitis lesion in a red-tailed hawk (Buteo jamaicensis).

    PubMed

    Sander, Samantha; Whittington, Julia K; Bennett, Avery; Burgdorf-Moisuk, Anne; Mitchell, Mark A

    2013-12-01

    Pododermatitis is a pathologic condition commonly reported in captive raptors and characterized by swelling, excoriation, ulceration, cellulitis, or abscessation of the plantar aspect of the foot. Its cause can be multifactorial, often involving abnormal weight bearing or poor sanitation, and medical and surgical techniques, in addition to environmental alterations, are hallmarks of treatment. In this case, a single pedicle advancement flap was used to treat chronic, nonresponsive grade V/VII pododermatitis of the right metatarsal pad in a red-tailed hawk (Buteo jamaicensis). The advancement flap was formed by using the interdigital skin between digits 3 and 4. The double layer of skin was incised and separated, and the leading edge of the flap was then advanced over the defect and secured with simple interrupted subcutaneous and skin sutures. The foot was bandaged after surgery to take pressure off the surgical site. At 58 days after the surgery, the hawk was deemed medically sound with no signs of pododermatitis and was released to a wildlife rehabilitator. The use of a single pedicle advancement flap has not previously been reported for the treatment of pododermatitis. PMID:24640931

  17. Local envenoming by the Western hognose snake (Heterodon nasicus): a case report and review of medically significant Heterodon bites.

    PubMed

    Weinstein, Scott A; Keyler, Daniel E

    2009-09-01

    A case of clinically significant local envenoming resulting from a bite inflicted by a Western hognose snake, Heterodon nasicus, is described. The patient was bitten while offering a juvenile mouse to a captive snake. The snake maintained a grip on the patient's arm (left anticubital fossa) for several minutes. The bite resulted in marked edema, ecchymoses, lymphadenopathy, cutaneous signs suggestive of mild cellulitis and blister formation. There were no systemic effects. Recovery was complete after approximately five months. Several documented Heterodon sp. bites with significant clinical effects are reviewed. This common xenodontine colubrid must be considered capable of inflicting medically significant bites. It is currently unclear whether the pathological changes associated with these bites are due to specific Duvernoy's secretion components, Type I hypersensitivity or a combination of these. The influence of the feeding response on the severity of clinical effects is considered as is the discrepancy between experimentally verified pharmacological activities of Duvernoy's secretions from Heterodon sp. and medical sequelae of documented bites. Although hognose snakes may uncommonly produce medically significant bites, they should not be considered dangerous or venomous. Captive specimens should be handled carefully, particularly when offered food. PMID:19393681

  18. [Skin complications of stonefish envenomation in 6 travellers returning from the Indo-Pacific maritime region].

    PubMed

    Louis-Francois, C; Mathoulin, C; Halbwachs, C; Grivois, J P; Bricaire, F; Caumes, E

    2003-01-01

    Stonefish (Synanceja verrucosa) sting has been known for a long time to be a medical hazard. It is a common cause of severe marine envenomation. Immediate complications (collapsus, pulmonary oedema) have been described extensively. Late complications (oedema, tissue necrosis) have not been studied in details although they are common and a cause of invalidity and pain. We have observed six travellers with complications of stonefish sting over a 10 year-period in our department. All the patients were coming back from the Indo-Pacific maritime region. They presented with cutaneous abcess (in one) or necrotic complications (foot ulcers in two, cellulitis in three) associated with painfull oedema in two and lymphangitis in three. Surgery has been performed in four patients, two of them undergoing many operations. Two had long term sequelae. Such complications could be avoided. Appropriate initial treatment (i.e., neutralization of the venom by hot water, disinfection, antivenom and antibioprophylaxis) seems to be able to reduce late complications. Antivenom is indicated in severe systemic manifestations which are life threatening and in case of crucial pains. Prevention is the most important part of therapy and relies on appropriate information of the travellers. PMID:15015852

  19. Complications of nephrotic syndrome

    PubMed Central

    Park, Se Jin

    2011-01-01

    Nephrotic syndrome (NS) is one of the most common glomerular diseases that affect children. Renal histology reveals the presence of minimal change nephrotic syndrome (MCNS) in more than 80% of these patients. Most patients with MCNS have favorable outcomes without complications. However, a few of these children have lesions of focal segmental glomerulosclerosis, suffer from severe and prolonged proteinuria, and are at high risk for complications. Complications of NS are divided into two categories: disease-associated and drug-related complications. Disease-associated complications include infections (e.g., peritonitis, sepsis, cellulitis, and chicken pox), thromboembolism (e.g., venous thromboembolism and pulmonary embolism), hypovolemic crisis (e.g., abdominal pain, tachycardia, and hypotension), cardiovascular problems (e.g., hyperlipidemia), acute renal failure, anemia, and others (e.g., hypothyroidism, hypocalcemia, bone disease, and intussusception). The main pathomechanism of disease-associated complications originates from the large loss of plasma proteins in the urine of nephrotic children. The majority of children with MCNS who respond to treatment with corticosteroids or cytotoxic agents have smaller and milder complications than those with steroid-resistant NS. Corticosteroids, alkylating agents, cyclosporin A, and mycophenolate mofetil have often been used to treat NS, and these drugs have treatment-related complications. Early detection and appropriate treatment of these complications will improve outcomes for patients with NS. PMID:22087198

  20. Bacillus cereus bacteremia and multiple brain abscesses during acute lymphoblastic leukemia induction therapy.

    PubMed

    Hansford, Jordan R; Phillips, Marianne; Cole, Catherine; Francis, Joshua; Blyth, Christopher C; Gottardo, Nicholas G

    2014-04-01

    Bacillus cereus can cause serious infections in immunosuppressed patients. This population may be susceptible to B. cereus pneumonia, bacteremia, cellulitis, and rarely cerebral abscess. Here we report an 8-year-old boy undergoing induction therapy for acute lymphoblastic leukemia who developed multifocal B. cereus cerebral abscesses, highlighting the propensity for B. cereus to develop cerebral abscesses. A review of the literature over the past 25 years identified another 11 cases (3 children and 8 adults) of B. cereus cerebral abscess in patients undergoing cancer therapy. B. cereus cerebral abscesses were associated with a high mortality rate (42%) and significant morbidity. Notably, B. cereus bacteremia with concomitant cerebral abscess was associated with induction chemotherapy for acute leukemia in both children and adults (10 of 12 case reports). Our case report and review of the literature highlights the propensity for B. cereus to develop cerebral abscess(es). Therefore, early consideration for neuroimaging should be given for any neutropenic cancer patient identified with B. cereus bacteremia, in particular those with acute leukemia during induction therapy. PMID:23619116

  1. Une maladie immunoproliférative de l'intestin grêle révélée par une invagination intestinale aigue: à propos d'un cas

    PubMed Central

    Bennani, Amal; Znati, Kaoutar; Rezzouk, Salima; Bouhadouti, Hicham; Maazaz, Khalid; Amarti, Affaf

    2014-01-01

    La maladie immunoproliférative de l'intestin grêle IPSID est un lymphome rare qui se développé à partir du système lymphoïde associé aux muqueuses au niveau de l'intestin grêle. Sa révélation par une invagination intestinale aigue est exceptionnelle et n'a jamais été rapporté dans la littérature auparavant. Nous rapportons le cas d'un patient de 65ans, admis aux urgences dans un tableau d'invagination intestinale aigue. Le scanner abdominal a mis en évidence masse grêlique à paroi concentrique avec incarcération du segment mésentérique au sein de la lésion fortement évocatrice d'une invagination intestinale. Le patient a été opéré et a bénéficié d'une résection iléale emportant le boudin d'invagination. L'examen histologique de la masse a été en faveur d'une maladie des chaines alpha transformée en un lymphome B diffus à grandes cellules. Les auteurs rapportent un cas rare d'une IPSID révélée par une invagination intestinale aigue et à travers cette observation, mettent en relief les principaux aspects cliniques, histologiques, thérapeutiques de cette entité avec une revue de la littérature. PMID:24932323

  2. Serious soft tissue infections of the head and neck

    SciTech Connect

    Herr, R.D.; Murdock, R.T.; Davis, R.K. (University of Utah School of Medicine, Salt Lake City (USA))

    1991-09-01

    The head and neck contain a number of spaces that can be invaded by organisms of the mouth or by spread of cervical osteomyelitis. Infection in these spaces may progress from superficial infection to cellulitis to the formation of an abscess requiring immediate drainage. Spread of infection between spaces depends on anatomic location. Most patients require hospitalization and intravenous antibiotic therapy. Because a deep space infection may be occult, a high index of suspicion is required for diagnosis. Early recognition is necessary to avoid tissue damage, bacteremia or airway compromise. The possibility of deep space infection should be considered in any patient who does not respond to the usual treatment of an abscessed tooth or tonsillitis. This type of infection also should be considered in a toxic patient who has a fever of unknown origin, with or without blood cultures that show anaerobic organisms. Computed tomography or magnetic resonance imaging is usually necessary to locate the infection and to detect suppuration that will be amenable to surgical exploration and drainage. 25 references.

  3. Neonatal Tracheostomy – Issues and Solutions

    PubMed Central

    A, Saadia; GR, Prasad

    2015-01-01

    Aims: To record and analyse the technical aspects of neonatal tracheostomy and to suggest some solutions. Materials and Methods: This is a retrospective observational cohort of 37 cases of neonatal tracheostomies performed over 30 years (1985-2014). Results: Thirty-three of the 37 tracheostomies were done as an elective procedure and four done emergently. Eighteen neonatal tracheostomies were done with a low transverse cervical incision and 19 were done with low vertical cervical incision. Three patients had bleeding while exposing the trachea. Trachea could not easily be identified in 2 cases. Commercial tracheostomy tubes were used in only 20 cases. In 17 patients, the conventional endotracheal tubes 2.5 or 3fr size were used. There were 3 instances of wound infection out of which one has peri-tracheostomy necrotizing cellulitis and the neonate succumbed to sepsis. Two cases had surgical emphysema. No case had pneumothorax. Conclusion: We described tracheostomy in neonates in a resource constrained centre. Various makeshift arrangements can be used in absence of standard supplies.

  4. Patient considerations in the management of toe onychomycosis – role of efinaconazole

    PubMed Central

    LaSenna, Charlotte E; Tosti, Antonella

    2015-01-01

    Onychomycosis is a difficult diagnosis to manage and treatment is sometimes avoided, as this diagnosis is often wrongly perceived as a cosmetic problem. However, onychomycosis has a negative impact on patients’ quality of life, affecting social interaction, psychological well-being, and physical activities. Onychomycosis is also a risk factor for patients with diabetes, with proven increased rates of cellulitis, gangrene, and foot ulcers. Treatments are only mild to moderately effective, and rates of relapse and reinfection are high. Oral treatments require laboratory monitoring due to risk of hepatotoxicity and may be contraindicated in some patients due to risk of drug–drug interactions. Topical treatments require prolonged application and are not very effective. Efinaconazole 10% solution is a new topical triazole treatment for mild to moderate distal subungual onychomycosis, with good efficacy and without the need for debridement of nails. In onychomycosis of the toenails, efinaconazole 10% solution is documented to have a statistically significant, positive impact on patient satisfaction and quality of life.

  5. Diagnosis and Percutaneous Treatment of Soft-Tissue Hydatid Cysts

    SciTech Connect

    Akhan, Okan [Bayindir Hospital, Sogutozu, Department of Radiology (Turkey)], E-mail: akhano@tr.net; Gumus, Burcak; Akinci, Devrim; Karcaaltincaba, Musturay; Ozmen, Mustafa [Hacettepe University School of Medicine, Department of Radiology (Turkey)

    2007-06-15

    The purpose of this study is to demonstrate and discuss the radiological features of four patients with muscular hydatid disease and to evaluate the results of percutaneous treatment in these patients. Four patients (three female and one male) with six muscular hydatid cysts underwent percutaneous treatment and were followed up. The mean age of patients was 35 years (range: 12-60 years). Type I (n = 2), type II (n = 1), and type III (n = 3) hydatid cysts were observed in the thigh (n = 3) and gluteal (n = 1) region on radiologic examination. All interventions were performed under sonographic and fluoroscopic guidance. According to the type of the cyst, the procedure was carried out by either a 'catheterization technique with hypertonic saline and alcohol' or a 'modified catheterization technique.' The mean cathaterization time was 13.7 days, ranging from 1 to 54 days. The dimensions of the residual cavity were noted at every sonographic control, and an average of 96.1% volume reduction was obtained in six cysts of four patients. No sign of viability was observed during the follow-up period. Cavity infection and cellulitis were observed as complications, which resolved after medical therapy. Percutaneous treatment is a safe and effective procedure in patients with soft-tissue hydatid cysts and should be considered as a serious alternative to surgery.

  6. Case of disseminated cutaneous Mycobacterium chelonae infection mimicking cutaneous vasculitis.

    PubMed

    Ichihara, Asako; Jinnin, Masatoshi; Fukushima, Satoshi; Inoue, Yuji; Ihn, Hironobu

    2014-05-01

    Mycobacterium chelonae is a non-tuberculous, rapidly growing mycobacteria and is widely distributed in the natural environment. In the immunocompetent status, localized cutaneous infections such as cellulitis and subcutaneous abscesses commonly occur after traumatic injury. However, disseminated cutaneous infections occur on a background of immunosuppression. Cutaneous M. chelonae infection presents with a variety of skin eruptions. We report a case of disseminated M. chelonae infection mimicking cutaneous vasculitis. The patient was treated with long-term oral corticosteroids and injected etanercept for the treatment of rheumatoid arthritis and asthma. Because the skin eruptions were preceded by asthma and rheumatoid arthritis and the pathological findings showed fibrinoid necrosis around the vascular of dermis, cutaneous vasculitis was first suspected. The culture from the pus revealed the bacterium which grew within 5 days on Ogawa's culture medium suggesting a rapidly growing mycobacteria. This bacterium was identified as M. chelonae by the DNA-DNA hybridization method. We chose 800 mg/day clarithromycin and 500 mg/day levofloxacin as a result of the drug-sensitivity test. After 6 months of the treatment, infection symptoms disappeared. Rapidly growing mycobacteria should be considered in the differential diagnosis of infections in patients under immunosuppression caused by diseases or drugs such as corticosteroids and biologic agents. Repeated bacterial examinations are important and required for the diagnosis of rapidly growing mycobacteria. PMID:24801916

  7. Otophyma: a case report and review of the literature of lymphedema (elephantiasis) of the ear.

    PubMed

    Carlson, J Andrew; Mazza, Jill; Kircher, Kenneth; Tran, Tien Anh

    2008-02-01

    Phymas (swellings, masses, or bulbs) are considered the end-stage of rosacea and mostly affect the nose (rhinophyma), and rarely involve the chin (gnatophyma), the cheek (metophyma), eyelids (blepharophyma), or ears (otophyma). Herein, we report the case of a 57-year-old man who developed unilateral enlargement of his left ear over 2 years. Biopsy revealed changes of rosaceous lymphedema associated with Demodex infestation. Corticosteroid and minocycline therapies resulted in partial reduction of the ear enlargement. Literature review examining for cases of lymphedema (elephantiasis) of the ear revealed that chronic inflammatory disorders (rosacea (most frequent), psoriasis, eczema), bacterial cellulitis (erysipelas), pediculosis, trauma, and primary (congenital) lymphedema can all lead to localized, lymphedematous enlargement of the ear. Depending on the severity, medical treatment directed at the inflammatory condition for mild, diffuse enlargement to surgical debulking for extensive diffuse enlargement or tumor formation can improve the signs and symptoms of otophyma. Decreased immune surveillance secondary to rosaceous lymphedema may explain why Demodex infestation is common in rosacea and support the suspicion that phymatous skin is predisposed to skin cancer development. PMID:18212550

  8. Radiation-induced morphea - a literature review.

    PubMed

    Spalek, M; Jonska-Gmyrek, J; Ga?ecki, J

    2015-02-01

    Radiation-induced morphea (RIM) is a rare and under-recognized skin complication of radiotherapy. It is commonly wrongly diagnosed as other dermatological conditions or malignancy because of similar clinical characteristics. This literature review analyses 66 cases that have been reported in the literature since 1989. The clinical appearance often includes pain and disfiguration of affected area, which may influence the patient's quality of life. There is no clear connection between the radiotherapy dose, the fractionation scheme, the use of a boost, age, the presence of other dermatological conditions or other connective tissue diseases and the occurrence of RIM. Its pathogenesis is still unclear, but several theories are proposed to explain this phenomenon. The available data suggest that the abnormally high secretion of some cytokines (interleukin 4, interleukin 5, transforming growth factor) induced by radiation causes an extensive fibrosis after an activation of fibroblasts. Histological confirmation is crucial in distinguishing RIM from similar-looking diseases, such as chronic radiation dermatitis, cancer recurrence, radiation, recall dermatitis, new carcinoma or cellulitis. There is no clear treatment regimen for this condition. Clinical outcome after therapy is often unsatisfactory. The commonly used methods and agents include: topical and systemic steroids, calcineurin inhibitors, systemic immunosuppressants including methotrexate, tacrolimus, heparin, hyaluronidase, phototherapy (UVA, UVA1, UVB, PUVA), systemic antibiotics, imiquimod, mycophenolate mofetil, photophoresis. The differential diagnosis is challenging and requires a multidisciplinary approach to avoid misdiagnosis and to plan appropriate treatment. PMID:25174551

  9. Structure of a group A streptococcal phage-encoded virulence factor reveals a catalytically active triple-stranded beta-helix.

    PubMed

    Smith, Nicola L; Taylor, Edward J; Lindsay, Anna-Marie; Charnock, Simon J; Turkenburg, Johan P; Dodson, Eleanor J; Davies, Gideon J; Black, Gary W

    2005-12-01

    Streptococcus pyogenes (group A Streptococcus) causes severe invasive infections including scarlet fever, pharyngitis (streptococcal sore throat), skin infections, necrotizing fasciitis (flesh-eating disease), septicemia, erysipelas, cellulitis, acute rheumatic fever, and toxic shock. The conversion from nonpathogenic to toxigenic strains of S. pyogenes is frequently mediated by bacteriophage infection. One of the key bacteriophage-encoded virulence factors is a putative "hyaluronidase," HylP1, a phage tail-fiber protein responsible for the digestion of the S. pyogenes hyaluronan capsule during phage infection. Here we demonstrate that HylP1 is a hyaluronate lyase. The 3D structure, at 1.8-angstroms resolution, reveals an unusual triple-stranded beta-helical structure and provides insight into the structural basis for phage tail assembly and the role of phage tail proteins in virulence. Unlike the triple-stranded beta-helix assemblies of the bacteriophage T4 injection machinery and the tailspike endosialidase of the Escherichia coli K1 bacteriophage K1F, HylP1 possesses three copies of the active center on the triple-helical fiber itself without the need for an accessory catalytic domain. The triple-stranded beta-helix is not simply a structural scaffold, as previously envisaged; it is harnessed to provide a 200-angstroms-long substrate-binding groove for the optimal reduction in hyaluronan viscosity to aid phage penetration of the capsule. PMID:16314578

  10. Necrotizing fasciitis and myositis caused by streptococcal flesh-eating bacteria.

    PubMed

    García-Casares, E; Mateo Soria, L; García-Melchor, E; Riera Alonso, E; Olivé Marqués, A; Holgado Pérez, S; Tena Marsà, X; Molinos Abós, S

    2010-12-01

    Three types of group A streptococcal infections are particularly feared: necrotizing fasciitis, myositis, and streptococcal toxic shock syndrome (TSS). We present 3 cases of necrotizing fasciitis due to Streptococcus pyogenes, one in an immunocompromised patient who had received kidney transplant and 2 healthy patients. Mean age of patients was 52 years (range, 42-67 years), and all 3 were male. One spontaneous case in absence of any obvious portal of entry is reported. The clinical course was initially indolent but quickly destructive. All patients required emergency surgical debridement and intravenous antibiotics. In 2 cases, intravenous immunoglobulin therapy was added. Differential diagnoses include septic arthritis, cellulitis, gout, other causes of tenosynovitis, erysipelas, and deep vein thrombosis.Blood and soft-tissue cultures should be obtained to identify the bacteria, and emergency computed tomography or magnetic resonance imaging scan should be performed to confirm the diagnosis and define the extension of the necrosis. Aggressive surgical debridement in the first 24 to 48 hours and antibiotic treatment, including penicillin and clindamycin, are the cornerstones in the management of these infections. Adjuvant intravenous immunoglobulin therapy might be useful in case of TSS. Diagnostic and treatment delays are the main causes of mortality in these infections. PMID:21085016

  11. Necrotizing fasciitis and myositis caused by group A streptococci. Epidemiology, diagnosis, and treatment of "flesh-eating bacteria".

    PubMed

    Abolnik, I Z; Sexton, D J

    1994-10-01

    Despite the absence of conclusive proof, the incidence of necrotizing fasciitis and myositis due to GAS may be increasing, possibly related to shifts in the proportion of GAS isolates of M-Types 1 and 3. These M-types (or the production of exotoxins and proteases associated with them) may lead to severe GAS infections in individuals who lack immunity. Recent television and newspaper reports underscore the potential virulence of GAS even in young and previously well individuals although they do this at the expense of raising fear in the general population. It is unfortunate that these reports often fail to emphasize the rarity with which GAS causes myositis and fasciitis. The overall incidence of these dreadful diseases is very low. In fact, by extrapolating the CDC estimates, we suspect that only 14-40 cases of GAS-induced myositis or fasciitis occur annually in North Carolina. Each of these infections is a true calamity for the affected patients and their physicians, but together they represent only a tiny fraction of all GAS infections that occur in North Carolinians each year. It is relatively easy to separate uncomplicated streptococcal cellulitis from GAS-induced fasciitis and/or myositis by bedside exam and old-fashioned clinical judgment. Prompt and aggressive surgical debridement and antibiotic therapy are needed for all patients with myositis and/or fasciitis due to GAS; others can be treated with simple beta-lactam antibiotics and careful observation. PMID:7800056

  12. A Challenge for Diagnosing Acute Liver Injury with Concomitant/Sequential Exposure to Multiple Drugs: Can Causality Assessment Scales Be Utilized to Identify the Offending Drug?

    PubMed Central

    Lim, Roxanne; Conner, Kim; Karnsakul, Wikrom

    2014-01-01

    Drug-induced hepatotoxicity most commonly manifests as an acute hepatitis syndrome and remains the leading cause of drug-induced death/mortality and the primary reason for withdrawal of drugs from the pharmaceutical market. We report a case of acute liver injury in a 12-year-old Hispanic boy, who received a series of five antibiotics (amoxicillin, ceftriaxone, vancomycin, ampicillin/sulbactam, and clindamycin) for cervical lymphadenitis/retropharyngeal cellulitis. Histopathology of the liver biopsy specimen revealed acute cholestatic hepatitis. All known causes of acute liver injury were appropriately excluded and (only) drug-induced liver injury was left as a cause of his cholestasis. Liver-specific causality assessment scales such as Council for the International Organization of Medical Sciences/Roussel Uclaf Causality Assessment Method scoring system (CIOMS/RUCAM), Maria and Victorino scale, and Digestive Disease Week-Japan were applied to seek the most likely offending drug. Although clindamycin is the most likely cause by clinical diagnosis, none of causality assessment scales aid in the diagnosis. PMID:25506455

  13. Schwannome cervical du nerf vague: Stratégies diagnostique et thérapeutique

    PubMed Central

    Benmansour, Najib; Elfadl, Yasine; Bennani, Amal; Maaroufi, Mustapha; Chbani, Leila; Amarti, Afaf; Tizniti, Siham; Elalami, Mohamed Noureddine

    2013-01-01

    Les schwannomes cervicaux sont des tumeurs bénignes des nerfs périphériques développées exclusivement à partir des cellules de Schwann. L'atteinte du nerf vague cervical est relativement rare, et les auteurs en rappellent, à partir d'un cas, les signes radiologiques évocateurs ainsi que les caractéristiques histologiques. Le traitement de ces tumeurs est chirurgical. Un patient de 32 ans consultait pour une masse latéro-cervicale supérieure droite isolée, évoluant depuis trois ans. Une imagerie médicale (TDM et IRM) cervicale mettait en évidence une masse vascularisée au temps retardé, refoulant la veine jugulaire interne en dehors et l'axe carotidien en dedans. Un examen cytologique non contributif conduisait à réaliser une exérèse chirurgicale extracapsulaire de la masse par voie de cervicotomie. Il s'agissait d'une tumeur rétro-jugulo-carotidienne développée aux dépens du nerf vague cervical droit. L'analyse histologique concluait à un schwannome. Les suites opératoires étaient simples. Le schwannome du nerf vague est une tumeur bénigne rare, qui doit être évoquée devant toute masse latérocervicale isolée. L'imagerie médicale (TDM et IRM) cervicale préopératoire représente les examens de choix indispensable pour évoquer le diagnostic. Le traitement est chirurgical, afin de confirmer le diagnostic histologique. L'exérèse chirurgical complète extracapsulaire est possible et est le seul garant de la non récidive. PMID:23646212

  14. Flight and Wind-tunnel Tests of an XBM-1 Dive Bomber

    NASA Technical Reports Server (NTRS)

    Donely, Philip; Pearson, Henry A

    1938-01-01

    Results are given of pressure-distribution measurements made in flight over the right wing cellule and the right half of the horizontal tail surfaces of a dive-bombing biplane. Simultaneous measurements were also taken of the air speed, control-surface positions, control forces, and normal accelerations during various abrupt maneuvers in vertical plane. These maneuvers consisted of push-downs and pull-ups from level flight, dives and dive pull-ups from inverted flight. Besides the pressure measurements, flight tests were made to obtain (1) wing-fabric deflections during dives and (2) variation of the minimum drag coefficient with Reynolds Number. Supplementary tests were also done in the full-scale wind tunnel to obtain the characteristics of the airplane under various propeller conditions and with various tail settings. The results indicate that: (1) by increasing the fabric deflection between pressure ribs, the span load distribution was considerably modified near the center and the wing moment relations were changed; and (2) the minimum drag was less for the idling propeller than for the propeller locked in a vertical position. The value of C(sub D sub min) was equal to K(Reynolds Number)(exp -0.03) for a range from 2,800,000 to 13,100,000.

  15. [Clinical evaluation of biapenem in various infectious diseases].

    PubMed

    Hara, K; Baba, S; Matsumoto, F; Ooishi, M; Kawada, Y; Arata, J; Shinagawa, N; Sasaki, J; Hayasi, K; Sugihara, T; Matsuda, S

    1999-11-01

    The clinical usefulness of injectable biapenem (BIPM) was examined for various infectious diseases in the fields of internal medicine, urology, surgery, orthopedics, obstetrics and gynecology, otorhinolaryngology, ophthalmology, dermatology, oral surgery, and plastic surgery. BIPM was administered by intravenous drip infusion at a dose of 150, 300, or 600 mg twice a day. The concentrations in various body fluid and tissues were also examined. 1. In the total enrollment of 256 cases, the numbers subjected to the analyses for clinical efficacy, bacteriological efficacy, side effects and abnormal laboratory findings were 214, 170, 252 and 251 cases, respectively. 2. The clinical efficacy rate was 85.5% (183/214 cases) as a whole, being 2/2 for sepsis, 6/8 for cellulitis and lymphangitis, 76.2% (16/21) for traumatic, operative wound and burn infections, 4/6 for osteomyelitis and arthritis, 92.9% (13/14) for peritonsillar abscess and peritonsillitis, 83.3% (15/18) for chronic lower respiratory tract infection, 7/7 for pneumonia, 83.3% (30/36) for complicated urinary tract infection, 100% (14/14) for cholecystitis and cholangitis, 88.2% (15/17) for peritonitis, 86.5% (32/37) for internal genital infection, 8/9 for pelvic peritonitis, 2/4 for corneal ulcer, orbital infection and panophthalmitis, 1/2 for otitis media, 4/4 for sinustitis, 93.3% (14/15) for osteitis of jaw and cellulitis of mouth floor. The efficacy rate in the poor responders to the pretreatment by other antibiotics was 86.4% (70/81). 3. 300 strains of causative organisms were isolated from 170 cases which contained polymicrobial infections. The elimination rate of causative organisms was 85.3% (256/300 strains), in terms of bacteriological efficacy. 4. Side effects were noted in 11 of 252 cases (4.4%) with 11 events. The signs and symptoms were the skin symptoms (5 cases), gastro-intestinal symptoms (3 cases), interstitial pneumonia (2 cases), and feeling bad (1 case), all of which disappeared during treatment or after the discontinuation of treatment. The abnormal laboratory findings were observed in 31 of 251 cases (12.4%) with 50 events, and major ones were an increase in eosinophils, and elevations of AST, ALT, gamma-GTP and Al-p. 5. The concentrations of BIPM in body fluid and tissues were determined in 46 cases (212 samples) most of which were administered 300 mg of BIPM by intravenous drip infusion for 60 minutes. The concentrations in the sputum within 6 hours after administration were 0.1-2.5 micrograms/g. The maximum concentrations in body fluid and tissues were 0.2-1.8 micrograms/g or ml in the bile, middle ear mucosa, tonsillar tissue, aqueous humor and bone tissues and were 2.0-5.7 micrograms/g or ml in the gallbladder, maxillary sinus mucous membrane, ethmoidal sinus mucous membrane, oral tissues, skin, woman genitals, synovia, joint tissue, and the eschar. The concentrations in the uterine arterial plasma and retroperitoneal fluid were almost similar to those in the cubitl vein plasma. From the above-mentioned results of clinical efficacy, bacteriological efficacy, and safety, injectable BIPM was confirmed to be useful in the treatment of moderate, severe and/or refractory infections in various fields. PMID:10659441

  16. Mesures experimentales de l'impact des revetements hydrophobeset superhydrophobes sur la trainee et la portance d'un profil aerodynamique propre et glace

    NASA Astrophysics Data System (ADS)

    Villeneuve, Eric

    Ce projet, realise a la demande du Laboratoire International des Materiaux Antigivre, a pour but de mesurer et definir experimentalement l'impact de revetements hydrophobes sur les coefficients de trainee et de portance d'un profil NACA 0012. Pour ce faire, la balance aerodynamique du LIMA devait tout d'abord etre amelioree afin d'offrir une sensibilite suffisante pour realiser le projet. Plusieurs ameliorations ont ete faites, comme le changement des cellules de charge, la diminution du nombre de cellules de charge, le changement du cadre de la balance, etc. Une fois ces ameliorations terminees, la reproductibilite, l'exactitude et la sensibilite ont ete valides afin de s'assurer de la fiabilite des resultats offerts par la balance. Pour les angles d'attaque etudies avec les revetements, soient -6° et 0°, la balance a une reproductibilite de +/-2,06% a 360 000 de nombre de Reynolds. Pour valider la sensibilite, des essais a -6° et 0° d'angle d'attaque et des nombres de Reynolds de 360 000 et 500 000 ont ete faits avec des papiers sables. Les resultats de ces essais ont permis de, tracer des courbes de tendances du coefficient de trainee du NACA 0012 en fonction de la rugosite de surface et d'etablir la valeur de la sensibilite de la balance a +/-8 mu m. Cinq revetements populaires ont ete choisis pour l'experimentation, soient le Wearlon, le Staclean, le Hirec, le Phasebreak ainsi que le Nusil. Les revetements sont soumis aux memes conditions experimentales que les papiers sables, et une rugosite equivalente est trouvee par extrapolation des resultats. Cependant, les rugosites equivalentes de surfaces different entre -6° et 0°. Les essais avec le Staclean et le Hirec donnent des coefficients de trainee equivalent a ceux avec l'aluminium, alors que le Wearlon, le Nusil et le Phasebreak donnent une augmentation du coefficient de trainee de 13%, 17% et 25% respectivement par rapport a l'aluminium. Pour les coefficients de portance, la balance ne detecte pas l'effet des revetements, ni des papiers sables, sur la force de portance ce qui signifie qu'il entre dans l'insensibilite de la balance. La derniere etape experimentale consistait a mesurer l'impact des revetements sur la formation de la glace ainsi que sur l'evolution des coefficients de trainee et de portance du NACA 0012 en fonction de l'accumulation de glace sur celui-ci. Le Wearlon a ete choisi comme revetement en raison de sa grande popularite. Des essais a -5°C et -20°C ont ete faits et les resultats ont montres que le Wearlon n'apporte pas d'effet benefique au NACA 0012 en conditions d'accumulations de glace. L'augmentation du coefficient de trainee du profil muni du Wearlon debutait plus rapidement que sur l'aluminium et de l'eau gelait legerement plus loin vers l'arriere du profil pendant les essais, ce qui n'est pas souhaitable. Le coefficient de trainee est superieur d'environ 13% pour le Wearlon par rapport a l'aluminium pendant toute l'accumulation de glace, ce qui correspond au meme ecart lorsque la glace n'est pas en cause. Pour le coefficient de portance, les resultats ne peuvent etre utilises pour une raison qui doit etre investiguee.

  17. Clinicopathologic, ophthalmic, visual profiles and management of mucoceles in blacks.

    PubMed

    Ajaiyeoba, Ayotunde; Kokong, Daniel; Onakoya, Adekunle

    2006-01-01

    The study aimed at finding out the clinicopathologic, ophthalmic and visual profiles, management and outcome of mucoceles of the paranasal sinuses in Nigerians. The study was a retrospective review of 20 cases of mucoceles who presented to the ENT clinic and referred to the eye clinic of the University College Hospital Ibadan, Nigeria. These included nine males and 11 females with a male:female ratio of approximately 1:1. Mucoceles commonly involved more than one sinus on the same side. The sinuses commonly involved were the frontoethmoidal sinuses, frontal sinus and maxillary sinuses. The preoperative visual acuity in 16 (80%) patients was 6/4-6/9, three (15%) had between 6/9-6/18, and one (5%) patient was CF ("count fingers") in the affected eyes. The majority (90%) of our patients presented with multiple ophthalmic features; however, proptosis was the most popular and ophthalmic presentation and occurred in 15 (75%) patients. Proptosis was nonaxial in all cases with inferior, lateral or inferolateral displacement. Degree of proptosis ranged from 1-20 mm. Other presentations were squint (leading to diplopia) observed in one (5%) patient and epiphora in another [one (5%)] patient. Poor vision appeared to be the main problem in one (5%) patient, while in another [one (5%)] patient, the affected eye was completely immobilized. One (5%) patient presented with orbital cellulitis. Common radiological findings included classical expansive appearance with loss of the normal scalloping appearance with dehiscence of the wall of the affected sinus as was observed in nine (45%) of our patients. All 20 patients had excision of mucoceles (frontoethmoidectomies). At surgery, 11 (55%) patients had a combination of dehiscence of medial and/or posterior walls, and/or floor of the orbit. Materials evacuated were mucopurulent in 15 (75%) cases, moldy in three (15%) and cheesy in two (10%). Nine (45%) patients had intact walls. Three (15%) patients developed orbital cellulitis as postoperative complication. Postoperatively, proptosis regressed spontaneously within one week of surgery in 17 (85%) patients. By six weeks, all the patients had a complete regression of proptosis and visual acuity returned to preoperative visual acuity level except the patient with preoperative visual acuity of CF. This patient later deteriorated and became NPL (no perception of light) in the affected eye. This was a peculiar case in that operative findings in this patient were suggestive of another coexisting pathology, which was later confirmed to be a non-Hodgkin's lymphoma of the orbit. After two months, only three (15%) reported back for follow-up. The study concluded that proptosis is a common feature of mucoceles of the paranasal sinuses and that visual affectation was rather uncommon. Also whilst mucopurulent materials formed the content of most mucoceles, surgical intervention caused proptosis to regress dramatically. However, due to the high default rate in our study, no categorical statement can be made about recurrence rate of these swellings. PMID:16532980

  18. Hydrodynamic model of cells for designing systems of urban groundwater drainage

    NASA Astrophysics Data System (ADS)

    Zimmermann, Eric; Riccardi, Gerardo

    2000-08-01

    An improved mathematical hydrodynamic quasi-two-dimensional model of cells, CELSUB3, is presented for simulating drainage systems that consist of pumping well fields or subsurface drains. The CELSUB3 model is composed of an assemblage of algorithms that have been developed and tested previously and that simulate saturated flow in porous media, closed conduit flow, and flow through pumping stations. A new type of link between aquifer cells and drainage conduits is proposed. This link is verified in simple problems with well known analytical solutions. The correlation between results from analytical and mathematical solutions was considered satisfactory in all cases. To simulate more complex situations, the new proposed version, CELSUB3, was applied in a project designed to control the water-table level within a sewer system in Chañar Ladeado Town, Santa Fe Province, Argentina. Alternative drainage designs, which were evaluated under conditions of dynamic recharge caused by rainfall in a critical year (wettest year for the period of record) and a typical year, are briefly described. After analyzing ten alternative designs, the best technical-economic solution is a subsurface drainage system of closed conduits with pumping stations and evacuation channels. Résumé. Un modèle hydrodynamique perfectionné de cellules en quasi 2D, CELSUB3, est présenté dans le but de simuler des systèmes de drainage qui consistent en des champs de puits de pompage ou de drains souterrains. Le modèle CELSUB3 est composé d'un assemblage d'algorithmes développés et testés précédemment et qui simulent des écoulements en milieu poreux saturé, en conduites et dans des stations de pompage. Un nouveau type de lien entre des cellules d'aquifères et des drains est proposé. Ce lien est vérifié dans des problèmes simples dont les solutions analytiques sont bien connues. La corrélation entre les résultats des solutions analytiques et des solutions mathématiques a été considérée comme satisfaisante dans tous les cas. Afin de simuler des situations plus complexes, la nouvelle version proposée, CELSUB3, a été mise en œuvre dans un projet destiné à contrôler le niveau de la nappe à l'intérieur d'un système d'égouts, dans la ville de Chaar Ladeado (province de Santa Fe, Argentine). Différentes organisations du projet de drainage, qui ont été testées pour des conditions de recharge dynamique causées par la pluie au cours d'une année critique (la plus humide de la chronique disponible) et une année typique, sont brièvement décrites. Après analyse de dix organisations différentes, la meilleure solution technico-économique retenue est un système de drainage souterrain de conduites avec des stations de pompage et des canaux d'évacuation. Resumen. Se presenta un modelo matemático hidrodinámico cuasi-bidimensional de celdas, CELSUB3, apto para la simulación integral de sistemas de drenaje subterráneo basados en campos de bombeo o drenes subsuperficiales. El modelo de simulación presenta un ensamble de algoritmos, previamente desarrollados y testeados, que representan al escurrimiento a través del medio poroso saturado, escurrimiento en conducciones cerradas, estaciones de bombeo, etc. En la estructura del modelo se propone un nuevo tipo de vinculación entre celdas acuíferas y conductos de drenaje, la cual es verificada en problemas simples con solución analítica conocida arrojando, en todos los casos, resultados satisfactorios. Abordando situaciones más complejas, la nueva versión propuesta fue aplicada en un proyecto de control de niveles freáticos que acompaña un sistema de conductos cloacales, en la localidad de Chañar Ladeado, Santa Fe, Argentina. Se describen las alternativas de drenaje consideradas las cuales fueron evaluadas bajo recargas dinámicas provocadas por años críticamente lluviosos y en situaciones típicas. Los resultados derivados permitieron definir, tras analizar una decena de proyectos alternativos, la mejor solución técnico-económica consistente en un sistema de drenes subte

  19. Synthèse de la commande d'un onduleur de courant triphasé

    NASA Astrophysics Data System (ADS)

    Cambronne, J. P.; Hautier, J. P.

    1997-07-01

    After a recall of the basic concepts of modelization, the authors propose a method for the determination of an optimized control of a two three-state commutation cells structure; such a converter is often used as a current commutator or as a voltage rectifier. This paper resumes a similar approach to a previous presentation of the voltage inverter; if the methodism remains the same, the way to define optimized sequences has its proper particularity. The theorical approach then becomes systematic; in pratice, the designer can find in this paper the necessary basic tools for any application of this converter, as the current commutator gives a higher degree of security compared to a voltage inverter for a high power application. Après avoir rappelé les concepts fondamentaux du formalisme de modélisation utilisé, les auteurs proposent une méthode de détermination des séquences optimales de commande du montage à deux cellules de commutation à trois interrupteurs ; une telle association est souvent utilisée comme commutateur de courant ou redresseur de tension. Cet article reprend une démarche similaire à une précédente présentation à propos de l'onduleur de tension ; si la méthodologie reste la même, il apparaît toutefois des particularités sur la manière de définir l'optimisation des séquences en fonction des contraintes a priori, telles que la répartition des courants dans les semi-conducteurs ou la limitation du nombre de commutations. Sur le plan théorique, la démarche est ainsi systématique et s'inscrit dans un cadre général déjà décrit ; sur le plan pratique, tout utilisateur peut trouver les idées nécessaires si une mise en oeuvre de ce convertisseur est envisagée, d'autant que le commutateur de courant offre certains avantages par rapport à l'onduleur de tension, notamment sur le plan de la sécurité en forte puissance.

  20. Étude des convertisseurs multicellulaires parallèles : I. Modélisation

    NASA Astrophysics Data System (ADS)

    Davancens, Pascal; Meynard, Thierry

    1997-01-01

    In the field of high current power conversion with high switching frequency, new topologies using parallel devices have been introduced, among which parallel multicell converters. An intrinsic feature of these converters is natural balancing of the currents flowing through the different switches. In the first section, an example will be used to demonstrate that this natural balancing property is related to the extra current harmonics induced by the current unbalance. However, for higher numbers of cells in parallel, the increased complexity does not allow predicting the transient behaviour of the system which makes design difficult. In the second section, a model based on the harmonic analysis is proposed to determine the balancing mechanisms; this model is then checked by simulation. Dans le domaine des forts courants avec des fréquences de découpage élevées, de nouvelles structures basées sur l'association de composants ont été développées. Parmi elles, nous trouvons les convertisseurs multicellulaires parallèles que nous présentons dans cet article. Une particularité de ces structures est leur capacité à assurer un équilibrage naturel des courants dans les divers interrupteurs. Dans un premier temps, à l'aide d'un exemple simple, nous montrons que ce phénomène est assuré par des harmoniques du courant d'entrée générées par le convertisseur en cas de déséquilibre. Cependant, pour un nombre important de cellules de commutation en parallèle, la compexité du système rend impossible toute prédiction du comportement transitoire du convertisseur et par conséquent tout prédimensionnement. Dans un deuxième temps, nous proposons une modélisation basée sur une décomposition harmonique des courants afin d'identifier les mécanismes de rééquilibrage que nous validons à l'aide d'un logiciel de simulation de convertisseurs statiques.

  1. Systemic Disease in Vaal Rhebok (Pelea capreolus) Caused by Mycoplasmas in the Mycoides Cluster

    PubMed Central

    Nicolas, Melissa M.; Stalis, Ilse H.; Clippinger, Tracy L.; Busch, Martin; Nordhausen, Robert; Maalouf, Gabriel; Schrenzel, Mark D.

    2005-01-01

    In the winter of 2002, an outbreak of mycoplasma infection in Vaal rhebok (Pelea capreolus) originating from South Africa occurred 15 weeks after their arrival in San Diego, Calif. Three rhebok developed inappetence, weight loss, lethargy, signs related to pulmonary or arthral dysfunction, and sepsis. All three rhebok died or were euthanized. Primary postmortem findings were erosive tracheitis, pleuropneumonia, regional cellulitis, and necrotizing lymphadenitis. Mycoplasmas were detected in numerous tissues by electron microscopy, immunohistochemistry, and PCR. The three deceased rhebok were coinfected with ovine herpesvirus-2, and two animals additionally had a novel gammaherpesvirus. However, no lesions indicative of herpesvirus were seen microscopically in any animal. The rheboks' mycoplasmas were characterized at the level of the 16S rRNA gene, the 16S-23S intergenic spacer region, and the fructose biphosphate aldolase gene. Denaturing gradient gel electrophoresis was carried out to address the possibility of infection with multiple strains. Two of the deceased rhebok were infected with a single strain of Mycoplasma capricolum subsp. capricolum, and the third animal had a single, unique strain most closely related to Mycoplasma mycoides subsp. mycoides large-colony. A PCR survey of DNA samples from 46 other ruminant species demonstrated the presence of several species of mycoplasmas in the mycoides cluster, including a strain of M. capricolum subsp. capricolum identical to that found in two of the rhebok. These findings demonstrate the pervasiveness of mycoplasmas in the mycoides cluster in small ruminants and the potential for interspecies transmission and disease when different animal taxa come in contact. PMID:15750104

  2. Comparing Cutaneous Research Funded by the National Institute of Arthritis and Musculoskeletal and Skin Diseases with 2010 Global Burden of Disease Results

    PubMed Central

    Karimkhani, Chante; Boyers, Lindsay N.; Margolis, David J.; Naghavi, Mohsen; Hay, Roderick J.; Williams, Hywel C.; Naldi, Luigi; Coffeng, Luc E.; Weinstock, Martin A.; Dunnick, Cory A.; Pederson, Hannah; Vos, Theo; Murray, Christopher J. L.; Dellavalle, Robert P.

    2014-01-01

    Importance Disease burden data helps guide research prioritization. Objective To determine the extent to which grants issued by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) reflect disease burden, measured by disability-adjusted life years (DALYs) from Global Burden of Disease (GBD) 2010 project. Design Two investigators independently assessed 15 skin conditions studied by GBD 2010 in the NIAMS database for grants issued in 2013. The 15 skin diseases were matched to their respective DALYs from GBD 2010. Setting The United States NIAMS database and GBD 2010 skin condition disability data. Main Outcome(s) and Measure(s) Relationship of NIAMS grant database topic funding with percent total GBD 2010 DALY and DALY rank for 15 skin conditions. Results During fiscal year 2013, 1,443 NIAMS grants were issued at a total value of $424 million. Of these grants, 17.7% covered skin topics. Of the total skin disease funding, 82% (91 grants) were categorized as “general cutaneous research.” Psoriasis, leprosy, and “other skin and subcutaneous diseases” (ie; immunobullous disorders, vitiligo, and hidradenitis suppurativa) were over-represented when funding was compared with disability. Conversely, cellulitis, decubitus ulcer, urticaria, acne vulgaris, viral skin diseases, fungal skin diseases, scabies, and melanoma were under-represented. Conditions for which disability and funding appeared well-matched were dermatitis, squamous and basal cell carcinoma, pruritus, bacterial skin diseases, and alopecia areata. Conclusions and Relevance Degree of representation in NIAMS is partly correlated with DALY metrics. Grant funding was well-matched with disability metrics for five of the 15 studied skin diseases, while two skin diseases were over-represented and seven were under-represented. Global burden estimates provide increasingly transparent and important information for investigating and prioritizing national research funding allocations. PMID:25003335

  3. Treatment outcome measures for randomized controlled trials of antibiotic treatment for acute bacterial skin and skin structure infections in the emergency department setting.

    PubMed

    Quirke, Michael; Wakai, Abel

    2015-01-01

    Acute bacterial skin and skin structure infections (ABSSSIs), which include cellulitis, abscesses, and wound infections, are among the most commonly encountered conditions in emergency departments (EDs) internationally. Primarily, as a result of the recent epidemic of community-associated methicillin resistant Staphylococcus aureus (CA-MRSA) in North America, ED attendances and hospital admissions secondary to ABSSSIs have increased significantly. First-line antibiotic drug therapies for ABSSSIs have therefore changed to take account of CA-MRSA and the threat of evolving antibiotic resistance. Prior to 2010, randomized controlled trials (RCTs) of antibiotic therapy for ABSSSI used broad trial inclusion criteria and utilized investigator-determined clinical resolution, 7 to 14 days after the end of therapy, as the primary outcome measure. In order to produce more objective, reproducible, and quantifiable primary outcome measures, the US Food and Drug Administration (FDA) Center for Drug Evaluation and Research and a multidisciplinary consortium convened by the Foundation for the National Institutes of Health (FNIH) issued significantly changed trial guidance criteria. The currently recommended primary outcome measure is an assessment of greater than 20% reduction in the area of erythema, edema, or induration from baseline, measured at 48 to 72 h after randomization and initiation of drug treatment. In contrast, the European Medicines Agency (EMA) still recommends measurement of clinical resolution at a later time period. We discuss the evolution of changes to trial guidance criteria issued by the FDA since 1998 and the potential difficulties of implementing the recommended primary outcome measured at an earlier time point in RCTs of outpatient antibiotic treatment performed in the ED setting. PMID:26034514

  4. Through Knee Amputation: Technique Modifications and Surgical Outcomes

    PubMed Central

    Albino, Frank P; Seidel, Rachel; Brown, Benjamin J; Crone, Charles G

    2014-01-01

    Background Knee disarticulations (KD) are most commonly employed following trauma or tumor resection but represent less than 2% of all lower extremity amputations performed in the United States annually. KDs provide enhanced proprioception, a long lever arm, preservation of adductor muscle insertion, decreased metabolic cost of ambulation, and an end weight-bearing stump. The role for KDs in the setting of arterial insufficiency or overwhelming infection is less clear. The purpose of this study is to describe technique modifications and report surgical outcomes following KDs at a high-volume Limb Salvage Center. Methods A retrospective study of medical records for all patients who underwent a through-knee amputation performed by the senior author (C.E.A.) between 2004 and 2012 was completed. Medical records were reviewed to collect demographic, operative, and postoperative information for each of the patients identified. Results Between 2004 and 2012, 46 through-knee amputations for 41 patients were performed. The mean patient age was 68 and indications for surgery included infection (56%), arterial thrombosis (35%), and trauma (9%). Postoperative complications included superficial cellulitis (13%), soft tissue infection (4%), and flap ischemia (4%) necessitating one case of surgical debridement (4%) and four trans-femoral amputations (9%). 9 (22%) patients went on to ambulate. Postoperative ambulation was greatest in the traumatic cohort and for patients less than 50 years of age, P<0.05. Alternatively, diabetes mellitus and infection reduced the likelihood of postoperative ambulation, P<0.01. Conclusions Knee disarticulations are a safe and effective alternative to other lower extremity amputations when clinically feasible. For patient unlikely to ambulate, a through-knee amputation maximizes ease of transfers, promotes mobility by providing a counterbalance, and eliminates the potential for knee flexion contracture with subsequent skin breakdown. PMID:25276650

  5. Report of wood decay fungus Inonotus tropicalis (phylum Basidiomycota) from a dog with a granulomatous mediastinal mass.

    PubMed

    Sheppard, Barbara J; McGrath, Elizabeth; Giuffrida, Michelle; Craft, Serena L M; Kung, Chung Yee; Smith, Matthew E

    2013-09-01

    A 75.9-kg, 3.5-year-old male Irish Wolfhound dog with a 2-3-week history of gagging and eating difficulties was referred to the University of Florida Veterinary Medical Hospital (Gainesville, Florida) for evaluation of a large cranial mediastinal mass suspected to be a thymoma or lymphosarcoma. The patient had 4 months of nearly 10 kg progressive weight loss with severe flank sensitivity and radiographically apparent lumbar vertebral changes interpreted as discospondylitis. Lab work revealed hyperglobulinemia, mild proteinuria, normal T4, negative Brucella canis titer, and negative blood and urine bacterial cultures. A thoracotomy revealed a nonresectable, destructive, space-occupying mediastinal mass resulting in euthanasia without surgical recovery. Biopsies from the mass were collected during surgery for histology. Microscopic examination revealed extensive granulomatous cellulitis and lymphadenitis characterized by central cavitated necrotic areas containing debris and degenerate neutrophils, intermediate zones of fibrovascular proliferation with marked mixed inflammation, peripheral fibrosis, frequent multinucleated macrophages, and scattered mineralization. The necrotic material contained dense mats of 2 µm wide by 8-15 µm long fungal hyphae with parallel walls, acute angle branching, frequent septae, and occasional bulb-like dilations. DNA sequencing and phylogenetic analysis of the internal transcribed spacer region confirmed the presence of a fungus in the Inonotus tropicalis group. Inonotus tropicalis is primarily a wood decay fungus that is found on dead wood from angiosperms in tropical and subtropical habitats. Isolates of the I. tropicalis group have been detected a few times from immunosuppressed human beings with X-linked granulomatous disease. PMID:23929678

  6. Comparison of morbidity in cesarean section hysterectomy versus cesarean section tubal ligation.

    PubMed

    Bey, M A; Pastorek, J G; Lu, P Y; Gabert, H; Letellier, R L; Miller, J M

    1993-10-01

    This study was undertaken to compare the morbidity of cesarean section hysterectomy (C-HYST) and cesarean section bilateral tubal ligation (C-BTL) in a nonemergency or elective environment. Charts were reviewed for patients who underwent elective C-HYST or elective C-BTL before the onset of labor, without the use of antibiotics. Demographics, maternal morbidity, operative difficulties and postoperative complications were compared. Statistically significant differences in patient demographics include a higher maternal age in the C-HYST group than for those in the C-BTL group (31.0 +/- 5.8 versus 27.7 +/- 5.4 years; p = 0.002). C-BTL patients had higher gestational ages (39.4 +/- 1.6 versus 38.7 +/- 1.3 years; p = 0.0017). The C-HYST group had a higher estimated blood loss (1,201 +/- 472 versus 718 +/- 364 milliliters; p = 0.001), change in hematocrit level (6.0 +/- 4.4 percent versus 4.5 +/- 3.4 percent; p = 0.013) and operating time (115 +/- 37 versus 74 +/- 26 minutes; p = 0.0001). Blood transfusion was similar in both groups. Febrile morbidity was higher in the C-BTL group (68.0 percent versus 50.0 percent; p = 0.01). Endometritis was the significant determinant of febrile morbidity for the C-BTL group (41.7%) and cuff cellulitis in the C-HYST group (25.6 percent). Intraoperative and postoperative complications between the two groups were rare and not statistically different. Clinical morbidity for C-HYST is not significantly different than C-BTL. Elective C-HYST may be used in place of C-BTL when indications for hysterectomy are present. PMID:8211578

  7. Five-year experience with burns from glass fireplace doors in the pediatric population.

    PubMed

    Baryza, Mary Jo; Hinson, Michelle; Conway, Jennifer; Ryan, Colleen M

    2013-01-01

    Burns from contact with glass doors of gas fireplaces have been previously reported. The purpose of this study is to examine the incidence and severity of this injury in our population. Patients were identified for inclusion in the retrospective chart review study using the National Trauma Registry of the American College of Surgeons (NTRACS) and our local outpatient database. Criteria for inclusion were burn injuries sustained from contact with fireplace glass doors treated at our pediatric burn center from 2007 through 2011. Fifty children met these criteria, including two children whose burns were caused by electric fireplace glass doors. BSA burned was 1.5 ± 1.5% (mean ± SD), range 0.5 to 10%. Age was 27.2 ± 27.3 months, range 8 months to 13 years. Forty-five children (90%) had hand burns; of these, 18 children had bilateral hand involvement. Facial burns were found in three children (6%), and eight children (16%) had other areas burned. One patient developed cellulitis. Two patients required surgery. Six children (12%) required hospitalization; mean length of stay was 5.8 ± 5 days, range 1 to 5 days. Although the number of inpatient admissions was relatively few, 329 outpatient visits and 309 rehabilitation visits were required for treatment of these children. Nineteen patients (38%) required splints and six patients (12%) required scar treatment with pressure garments. Burns from contact with fireplace glass doors are a recurring problem. Toddlers are most at risk. Directed preventive strategies including parent education, safety warnings, and design modifications such as temperature sensors and barrier screens could be potentially helpful in reducing the incidence of this injury. PMID:24043229

  8. Violation of the Rectus Complex Is Not a Contraindication to Component Separation for Abdominal Wall Reconstruction

    PubMed Central

    Garvey, Patrick B; Bailey, Chad M; Baumann, Donald P; Liu, Jun; Butler, Charles E

    2013-01-01

    Background Component separation (CS) is an effective technique for reconstructing complex abdominal wall defects. Violation of the rectus abdominis complex is considered a contraindication for CS, but we hypothesized that patients have similar outcomes with or without rectus complex violation. Study Design We retrospectively studied all consecutive patients who underwent CS for abdominal wall reconstruction over 8 years and compared outcomes of patients with and without rectus violation. Primary outcome measures included complications and hernia recurrence. Logistic regression analysis identified potential associations between patient, defect, and reconstructive characteristics and surgical outcomes. Results One hundred and sixty-nine patients were included: 115 (68%) with and 54 (32%) without rectus violation. Mean follow-up was 21.3 ± 14.5 months. Patient and defect characteristics were similar except for the rectus violation group having a higher body mass index (BMI). The overall complication rates were similar in the violation (24.3%) and the non-violation (24.0%) groups, as were the respective rates of recurrent hernia (7.8% vs. 9.2%, p=0.79), abdominal bulge (3.5% vs. 5.6%, p=0.71), skin dehiscence (20.0% vs. 22.2%, p=0.74), skin necrosis (6.1% vs. 3.7%, p=0.72), cellulitis (7.8% vs. 9.2%, p=0.75), and abscess (12.3% vs. 9.2%, p=0.58). Regression analysis demonstrated BMI to be the only factor predictive of complications. Conclusions CS surgical outcomes were similar whether or not the rectus complex was violated. To our knowledge, this study is the first to evaluate the effects of rectus violation on surgical outcomes in CS patients. Surgeons should not routinely avoid CS when the rectus complex is violated. PMID:22169002

  9. Hospitalist perspective on the treatment of skin and soft tissue infections.

    PubMed

    Amin, Alpesh N; Cerceo, Elizabeth A; Deitelzweig, Steven B; Pile, James C; Rosenberg, David J; Sherman, Bradley M

    2014-10-01

    The prevalence of skin and soft tissue infections (SSTIs) has been increasing in the United States. These infections are associated with an increase in hospital admissions. Hospitalists play an increasingly important role in the management of these infections and need to use hospital resources efficiently and effectively. When available, observation units are useful for treating low-risk patients who do not require hospital admission. Imaging tools may help to exclude abscesses and necrotizing soft tissue infections; however, surgical exploration remains the principal means of diagnosing necrotizing soft tissue infections. The most common pathogens that cause SSTIs are streptococci and Staphylococcus aureus. Methicillin-resistant S aureus (MRSA) is a prevalent pathogen, and concerns are increasing regarding the unclear distinctions between community-acquired and hospital-acquired MRSA. Other less frequent pathogens that cause SSTIs include Enterococcus species, Escherichia coli, Klebsiella species, Enterobacter species, and Pseudomonas aeruginosa. Cephalexin and clindamycin are suitable options for infections caused by streptococcal species and methicillin-susceptible S aureus. The increasing resistance of S aureus and Streptococcus pyogenes to erythromycin limits its use in these infections, and better alternatives are available. Parenteral cefazolin, nafcillin, or oxacillin can be used in hospitalized patients with nonpurulent cellulitis caused by streptococci and methicillin-susceptible S aureus. When oral MRSA therapy is indicated, clindamycin, doxycycline, trimethoprim-sulfamethoxazole, or linezolid is appropriate. Vancomycin, linezolid, daptomycin, tigecycline, telavancin, and ceftaroline fosamil are intravenous options that should be used in MRSA infections that require patient hospitalization. In the treatment of patients with SSTIs, hospitalists are at the forefront of providing proper patient care that reduces hospital costs, duration of therapy, and therapeutic failures. This review updates guidelines on the management of SSTIs with a focus on infections caused by S aureus, particularly MRSA, and outlines the role of the hospitalist in the effective management of SSTIs. PMID:24974260

  10. Skin/nail infections with the addition of pertuzumab to trastuzumab-based chemotherapy.

    PubMed

    Mortimer, Joanne; Jung, Jae; Yuan, Yuan; Kruper, Laura; Stewart, Daphne; Chung, Samuel; Yu, Kim Wai; Mendelsohn, Mary; D'Apuzzo, Massimo; Tegtmeier, Bernard; Dadwal, Sanjeet

    2014-12-01

    We report a series of breast cancer patients with invasive skin and nail infections with Staphylococcus species that we attribute to the addition of pertuzumab to trastuzumab-based therapy. With the suspicion of an increased incidence of cutaneous infection in patients treated with pertuzumab and trastuzumab-based chemotherapy, treating medical oncologists identified patients receiving therapy who experienced infection. Between March and October 2014, 18 patients treated with pertuzumab and trastuzumab-based chemotherapy were found to have 21 separate skin/nail infections. Treatment was administered as neoadjuvant therapy in 12 (67%) patients, adjuvant therapy in four (22%) patients, and for metastatic disease in two (11%) patients. Granulocyte growth factors were administered in 11 (61%) patients and no patients were documented to be neutropenic. New skin and nail lesions developed as early as cycle 1 and as late as 8 months from initial therapy. The 21 separate infections documented were folliculitis and "bite-like" lesions (10), abscess (6), paronychia (3), and cellulitis (2). The appearance of these lesions was distinct from typical EGFR-associated skin changes. When cultures were obtained, Staphylococcus species were isolated. Quantitative immunoglobulins were assessed in 14 (78%) patients and were abnormally low in six (43%) of these patients. The skin infections resulted in treatment delay in two (11%) patients and premature discontinuation of therapy in one patient. We believe that the skin/nail infections reported here in patients treated with the combination of pertuzumab and trastuzumab represent a previously unrecognized toxicity of adding pertuzumab to trastuzumab-based therapies. PMID:25385180

  11. Study of the refirming effect of a plant complex.

    PubMed

    Benaiges, A; Marcet, P; Armengol, R; Betes, C; Gironés, E

    1998-08-01

    Loss of skin elasticity is one of the main problems of ageing. This is a mechanical property influenced by elastin, a protein in the dermis which, together with collagen and glycosaminoglycans, makes up the connective tissue. This tissue is affected by a large number of events (such as cutaneous ageing, pregnancy, slimming processes and cellulitis) which eventually cause it to change. At the same time, the metabolism of the proteins of the connective tissue decreases and there is an ever greater presence of enzymes, principally elastases and collagenases, which are responsible for breaking down the elastin and the collagen. One way to prevent such a loss of elasticity is to use active ingredients that are able to inhibit elastase enzymes. A plant complex was prepared using the following plants: lady's thistle (Silybum marianum GAERTN), alchemilla or yarrow (Alchemilla vulgaris L.), horsetail (Equisetum arvense L.) as well as germinated seeds (Glycine soja Siebold and Zucc., Triticum vulgare Vilars, Medicago sativa L., Raphanus sativus L.). The complex was standardized to give the corresponding active principles, silybin, tannins, silicon and peptides, respectively, and in vitro enzymatic tests were carried out to establish its ability to inhibit elastase. The study of enzymatic inhibition was carried out using two enzymes: (1) porcine pancreatic elastase (PPE), and (2) human leukocyte elastase (HLE). The results showed that the plant complex presents non-competitive inhibition in the order of 41.0% against PPE and 50.0% against HLE. An in vivo test was made alongside the in vitro test using an SEM 474 Cutometer (Courage & Khazaka) to study the elasticity of the skin, and positive effects were obtained when applying a cosmetic formulation containing 5% of the plant complex. Image analysis of duplicates of the cutaneous surface, before and after treatment began with a product containing 5% of plant complex and showed that wrinkles were decreased by 36.7%. PMID:18505506

  12. Comparison of autologous (111)In-leukocytes, (18)F-FDG, (11)C-methionine, (11)C-PK11195 and (68)Ga-citrate for diagnostic nuclear imaging in a juvenile porcine haematogenous staphylococcus aureus osteomyelitis model.

    PubMed

    Nielsen, Ole L; Afzelius, Pia; Bender, Dirk; Schønheyder, Henrik C; Leifsson, Páll S; Nielsen, Karin M; Larsen, Jytte O; Jensen, Svend B; Alstrup, Aage Ko

    2015-01-01

    The aim of this study was to compare (111)In-labeled leukocyte single-photon emission computed tomography (SPECT) and (18)F-fluorodeoxyglucose ((18)F-FDG) positron emission tomography (PET) to PET with tracers that potentially could improve detection of osteomyelitis. We chose (11)C-methionine, (11)C-PK11195 and (68)Ga-citrate and validated their diagnostic utility in a porcine haematogenous osteomyelitis model. Four juvenile 14-15 weeks old female pigs were scanned seven days after intra-arterial inoculation in the right femoral artery with a porcine strain of Staphylococcus aureus using a sequential scan protocol with (18)F-FDG, (68)Ga-citrate, (11)C-methionine, (11)C-PK11195, (99m)Tc-Nanocoll and (111)In-labelled autologous leukocytes. This was followed by necropsy of the pigs and gross pathology, histopathology and microbial examination. The pigs developed a total of five osteomyelitis lesions, five lesions characterized as abscesses/cellulitis, arthritis in three joints and five enlarged lymph nodes. None of the tracers accumulated in joints with arthritis. By comparing the 10 infectious lesions, (18)F-FDG accumulated in nine, (111)In-leukocytes in eight, (11)C-methionine in six, (68)Ga-citrate in four and (11)C-PK11195 accumulated in only one lesion. Overall, (18)F-FDG PET was superior to (111)In-leukocyte SPECT in marking infectious and proliferative, i.e. hyperplastic, lesions. However, leukocyte SPECT was performed as early scans, approximately 6 h after injection of the leukocytes, to match the requirements of the 18 h long scan protocol. (11)C-methionine and possibly (68)Ga-citrate may be useful for diagnosis of soft issue lesions. PMID:25973338

  13. Serotonin Syndrome Probably Triggered by a Morphine-Phenelzine Interaction.

    PubMed

    Mateo-Carrasco, Hector; Muñoz-Aguilera, Eva María; García-Torrecillas, Juan Manuel; Abu Al-Robb, Hiba

    2015-06-01

    Serotonin syndrome is a potentially life-threatening condition caused by excessive central and peripheral stimulation of serotonin brainstem receptors, usually triggered by inadvertent interactions between agents with serotonergic activity. Evidence supporting an association between nonserotonergic opiates, such as oxycodone or morphine, and serotonin syndrome is very limited and even contradictory. In this case report, we describe a patient who developed serotonergic-adverse effects likely precipitated by an interaction between morphine and phenelzine. A 57-year-old woman presented to the emergency department with complaints of increasing visual hallucinations, restlessness, photophobia, dizziness, neck stiffness, occipital headache, confusion, sweating, tachycardia, and nausea over the previous week. On admission, her blood pressure was 185/65 mm Hg, and clonus was noted in the lower extremities. The patient was hospitalized 10 days earlier for cellulitis of the left breast secondary to a left mastectomy 5 months earlier, and a short course of oral morphine was prescribed for pain control. Her routine medications consisted of aspirin, atorvastatin, bisoprolol, clopidogrel, gabapentin, omeprazole, phenelzine, and ramipril. Supportive measures were initiated on admission. Phenelzine and morphine were discontinued immediately, leading to a progressive resolution of symptoms over the next 48 hours. Phenelzine was restarted on discharge without further complications. Use of the Drug Interaction Probability Scale indicated a probable relationship (score of 6) between the patient's development of serotonin syndrome and the combination of morphine and phenelzine. The mechanism underlying this interaction, however, remains unclear and warrants further investigation. Clinicians should carefully weigh the risk and benefits of initiating morphine in patients taking monoamine oxidase inhibitors or any other serotonin-enhancing drugs. PMID:25903219

  14. Extracolonic manifestations of Clostridium difficile infections. Presentation of 2 cases and review of the literature.

    PubMed

    Jacobs, A; Barnard, K; Fishel, R; Gradon, J D

    2001-03-01

    Clostridium difficile is most commonly associated with colonic infection. It may, however, also cause disease in a variety of other organ systems. Small bowel involvement is often associated with previous surgical procedures on the small intestine and is associated with a significant mortality rate (4 of 7 patients). When associated with bacteremia, the infection is, as expected, frequently polymicrobial in association with usual colonic flora. The mortality rate among patients with C. difficile bacteremia is 2 of 10 reported patients. Visceral abscess formation involves mainly the spleen, with 1 reported case of pancreatic abscess formation. Frequently these abscesses are only recognized weeks to months after the onset of diarrhea or other colonic symptoms. C. difficile-related reactive arthritis is frequently polyarticular in nature and is not related to the patient's underlying HLA-B27 status. Fever is not universally present. The most commonly involved joints are the knee and wrist (involved in 18 of 36 cases). Reactive arthritis begins an average of 11.3 days after the onset of diarrhea and is a prolonged illness, taking an average of 68 days to resolve. Other entities, such as cellulitis, necrotizing fasciitis, osteomyelitis, and prosthetic device infections, can also occur. Localized skin and bone infections frequently follow traumatic injury, implying the implantation of either environmental or the patient's own C. difficile spores with the subsequent development of clinical infection. It is noteworthy that except for cases involving the small intestine and reactive arthritis, most of the cases of extracolonic C. difficile disease do not appear to be strongly related to previous antibiotic exposure. The reason for this is unclear. We hope that clinicians will become more aware of these extracolonic manifestations of infection, so that they may be recognized and treated promptly and appropriately. Such early diagnosis may also serve to prevent extensive and perhaps unnecessary patient evaluations, thus improving resource utilization and shortening length of hospital stay. PMID:11307591

  15. A study of factors affecting the steady spin of an airplane

    NASA Technical Reports Server (NTRS)

    Scudder, Nathan F

    1933-01-01

    Data from wind-tunnel tests on a model of the NY-1 airplane were used in a study of the effect on the steady spin of a number of factors considered to be important. The factors were of two classes, mass distribution effects and aerodynamic effects. The study indicated that mass extended along the longitudinal axis has no detrimental effect or is even slightly beneficial, mass extended along the lateral axis is detrimental if the airplane spins with the inner wing tip far down, and mass extended along the normal axis, if of considerable magnitude, has a strong favorable effect. The aerodynamic effects considered in terms of rolling, pitching, and yawing moments added to those for a conventional airplane showed that added stable rolling moment could contribute favorable effect on the spin only in decreasing the amount of inward sideslip required for equilibrium. Negative pitching moment of moderate magnitude has unfavorable effect on a high-angle-of-attack spin, and stable yawing moment has pronounced beneficial effect on the spin. Experimental data from various sources were available to verify nearly all the deductions resulting from the study of the curves. When these results were considered for the purpose of deciding upon the best means to be developed for controlling the spin, the yawing-moment equilibrium was found to offer the most promising field for research. The wing-cellule yawing moment, of which the shape of the chord-force curve is an approximate measure, should be made as small as possible in the unstable sense and the damping yawing moment of the tail should be made as large as possible. The most serious unfavorable effect on the damping yawing moment of the tail is the blanketing of the vertical surfaces by the other parts of the tail.

  16. Increase in prevalence of Streptococcus pneumoniae serotype 6C at Eight Children's Hospitals in the United States from 1993 to 2009.

    PubMed

    Green, Morgan C; Mason, Edward O; Kaplan, Sheldon L; Lamberth, Linda B; Stovall, Stephanie H; Givner, Laurence B; Bradley, John S; Tan, Tina Q; Barson, William J; Hoffman, Jill A; Lin, Philana Ling; Hulten, Kristina G

    2011-06-01

    Streptococcus pneumoniae serotype 6C, which was described in 2007, causes invasive disease in adults and children. We investigated the prevalence of 6C among pediatric isolates obtained from eight children's hospitals in the United States. S. pneumoniae isolates were identified from a prospective multicenter study (1993 to 2009). Fifty-seven serotype 6C isolates were identified by multiplex PCR and/or Quellung reaction. Five were isolated before 2000, and the prevalence increased over time (P < 0.000001). The median patient age was 2.1 years (range, 0.2 to 22.5 years). Clinical presentations included bacteremia (n = 24), meningitis (n = 7), pneumonia (n = 4), abscess/wound (n = 3), mastoiditis (n = 2), cellulitis (n = 2), peritonitis (n = 1), septic arthritis (n = 1), otitis media (n = 10), and sinusitis (n = 3). By broth microdilution, 43/44 invasive serotype 6C isolates were susceptible to penicillin (median MIC, 0.015 ?g/ml; range, 0.008 to 2 ?g/ml); all were susceptible to ceftriaxone (median MIC, 0.015 ?g/ml; range, 0.008 to 1 ?g/ml). By disk diffusion, 16/44 invasive isolates (36%) were nonsusceptible to erythromycin, 19 isolates (43%) were nonsusceptible to trimethoprim-sulfamethoxazole (TMP-SMX), and all isolates were clindamycin susceptible. Multilocus sequence typing (MLST) revealed 24 sequence types (STs); 9 were new to the MLST database. The two main clonal clusters (CCs) were ST473 and single-locus variants (SLVs) (n = 13) and ST1292 and SLVs (n = 23). ST1292 and SLVs had decreased antibiotic susceptibility. Serotype 6C causes disease in children in the United States. Emerging CC1292 expressed TMP-SMX resistance and decreased susceptibility to penicillin and ceftriaxone. Continued surveillance is needed to monitor changes in serotype prevalence and possible emergence of antibiotic resistance in pediatric pneumococcal disease. PMID:21450963

  17. A Meta-analysis Assessing Postsurgical Outcomes between Aseptic and Sterile AlloDerm Regenerative Tissue Matrix

    PubMed Central

    Macarios, David; Griffin, Leah; Lee, Lauren J.; Milburn, Cheryl; Nahabedian, Maurice Y.

    2015-01-01

    Background: AlloDerm, a human acellular dermal matrix, is available in a ready-to-use (RTU) or freeze-dried (FD) form. A limited number of studies have compared complication rates between RTU and FD in implant-based breast reconstruction. The objective of this report was to conduct a meta-analysis of previously reported complication rates between RTU and FD. Methods: A systematic literature review was conducted from 2010 to 2014 and supplemented by hand searches. Included studies compared both RTU and FD. Odds ratios and relative risks (RRs) with 95% confidence interval (CI), taking into account study heterogeneity, were calculated. Studies reporting patient-level results as opposed to breast-level results were excluded from the primary analysis but included in subsequent sensitivity analyses. Variable follow-up time within and between studies was also considered in a sensitivity analysis. Results: Of the 275 identified studies, 115 studies were eligible for detailed review. Only 5 studies compared RTU with FD, and of these, 2 studies had breast-level data and 1 study had patient-level data appropriate for meta-analysis. The 2 studies included in the primary meta-analysis had a pooled sample size: n = 116 RTU and n = 109 FD patients, or 205 and 186 breasts, respectively. Age and body mass index were similar between groups. Across all meta-analyses, there were no differences in complication rates between RTU and FD: cellulitis (RR = 0.863; 95% CI, 0.272–2.740), seroma (RR = 0.553; 95% CI, 0.026–11.830), and explantation (RR = 0.593; 95% CI, 0.247–1.425). Results remained nonsignificant even after adjustment for variable follow-up time. Conclusion: The results suggest that there are no differences in complication rates between RTU and FD forms. PMID:26180710

  18. Comparison of Digital Planimetry and Ruler Technique To Measure ABSSSI Lesion Sizes in the ESTABLISH–1 Study

    PubMed Central

    De Anda, Carisa; Prokocimer, Philippe

    2014-01-01

    Abstract Background: In August 2010, the U.S. Food and Drug Administration issued draft guidelines for developing antibiotics for treating acute bacterial skin and skin structure infections (ABSSSI), with the outcome measure of such treatment relying primarily on the cessation of spread or on the decrease in size of skin lesions at 48–72?h after the initiation of such treatment. In 2012, the Foundation for the National Institutes of Health proposed an interim outcome measure defined as a reduction in lesion size by ?20% at a 48–72?h examination. These recent changes make it necessary to identify reliable methods for measuring the lesions in acute infections of the skin. Methods: In the first study of the Efficacy and Safety of 6-day Oral Tedizolid in Acute Bacterial Skin and Skin Structure Infections vs. 10-day Oral Linezolid Therapy (ESTABLISH–1), the sizes of ABSSSI lesions were evaluated with the two methodologies of: (1) Digital planimetry (DP) of photographed lesions, and (2) a ruler technique (RT) with measurement of the longest head-to-toe length and greatest perpendicular width of lesions, to compare the respective response rates of lesions to the two antimicrobial regimens in the study. Results: The RT method and DP showed similar percentages of subjects in which treatment stopped the spread of ABSSSI lesions (93.2% vs. 94.2%, respectively) but showed less agreement for a reduction in lesion size, of ?20% (87.7% vs. 62.0%, respectively) across all categories of lesions (cellulitis/erysipelas, major cutaneous abscess, and acute wound infection) at 48–72?h after the initiation of treatment. Conclusion: The results of the ESTABLISH–1 study show that both the RT method and DP are consistent and reliable techniques for measuring the sizes of ABSSSI lesions. Ultimately, changes in lesion size, rather than the absolute value of lesion size, will be used to assess the outcomes of treatment for ABSSSI in clinical research. PMID:24450727

  19. Demographic description of the presentation and treatment of lower extremity skin and soft tissue infections secondary to skin popping in intravenous drug abusers.

    PubMed

    Pirozzi, Kelly; Van, Jennifer C; Pontious, Jane; Meyr, Andrew J

    2014-01-01

    Skin popping refers to the act of subcutaneous injection of intravenous drugs, a practice that often results in the development of cellulitis and the formation of soft tissue abscesses. Although the foot and ankle represent common injection sites, few data have described the presentation and natural history of this pathologic entity. The objective of the present study was to retrospectively assess the descriptive demographic data of a patient cohort admitted for lower extremity skin and soft tissue infection caused by intravenous drug abuse. Fifty skin popping lesions in 49 patients were identified during a 733-day data collection period (August 1, 2010 to August 31, 2012) that had been treated by the in-patient podiatric surgical service for lower extremity infection caused by intravenous drug abuse at an urban, level-one trauma center. With respect to patient race, our hospital has a typical in-patient census of 55% black patients and 25% white patients. The present patient cohort consisted of 12% black patients and 65% white patients. The mean length of stay was 5.71 ± 3.56 days, and 42 patients (85.71%) underwent some form of surgical debridement, with 31 (63.27%) having undergone a formal procedure in the operating room. Six patients (12.24%) left the hospital against medical advice or refused intervention at some definitive point of care, and 36 (73.47%) did not return for scheduled outpatient follow-up visits. Three cases (6%) resulted in minor amputation. The microbiologic culture data and common antibiotic prescriptions used in the diagnosis and treatment, respectively, of these patients have been summarized. We hope these original descriptive data can be used by other physicians treating patients at similar urban practices to improve the care of these sometimes difficult-to-treat patients and better serve this population as a whole. PMID:24556482

  20. Impact du traitement antirétroviral sur le profil biologique des enfants VIH positifs suivis au Centre Hospitalier et Universitaire de Yaoundé au Cameroun

    PubMed Central

    Kalla, Ginette Claude Mireille; Assoumou, Marie-Claire Okomo; Kamgaing, Nelly; Monebenimp, Francisca; Mbopi-Keou, Francois-Xavier

    2015-01-01

    Introduction L'objectif de ce travail était d’évaluer l'impact du traitement antirétroviral sur le profil biologique des enfants VIH positifs suivis au Centre Hospitalier et Universitaire de Yaoundé au Cameroun. Méthodes Il s'agissait d'une étude rétrospective réalisée de Mai 2003 à Décembre 2012 au CHU de Yaoundé au Cameroun. Pour cette étude, nous avons obtenu une clairance éthique. Résultats L’âge moyen était de 54.02±46.34 mois. The sexe ratio était de 0.96 en faveur des garçons. Le diagnostic s’était fait tardivement (74.2%) ainsi que la mise sous traitement (83.3%). Seuls 36 des 116 enfants (31%) avait pu avoir un bilan biologique à l'initiation du traitement antirétroviral et six mois après l'initiation du traitement antirétroviral. Après six mois de traitement, nous avons enregistrés une augmentation significative des paramètres biologiques suivants: taux de glycémie de 0.09g/L (0.75-0.84; p= 0.007), pourcentage de CD4 chez les enfants de moins de 5 ans de 4.62% (20.12-24.75; p = 0.022), valeur absolue de CD4 chez les enfants de plus de 5 ans de 294 cellules/mm3 (151.18-445.18; p = 0.011), le rapport CD4/CD8 de 0.35 (0.55-0.90; p = 0.000). Enfin, après six mois de traitement, on enregistrait une baisse significative de la charge virale du VIH de 3.90 log (5.85-1.95; p = 0.006). Conclusion Il ressort de cette étude que la restauration immunitaire et la suppression virologique peuvent être obtenus après six mois de traitement antirétroviral. Cependant, des efforts doivent encore être faits en ce qui concerne la prise en charge du suivi biologique, gage d'un bon suivi thérapeutique au Cameroun.

  1. A phase I study of intravenous bryostatin 1 in patients with advanced cancer.

    PubMed Central

    Prendiville, J.; Crowther, D.; Thatcher, N.; Woll, P. J.; Fox, B. W.; McGown, A.; Testa, N.; Stern, P.; McDermott, R.; Potter, M.

    1993-01-01

    Bryostatin 1 is a novel antitumour agent derived from Bugula neritina of the marine phylum Ectoprocta. Nineteen patients with advanced solid tumours were entered into a phase I study to evaluate the toxicity and biological effects of bryostatin 1. Bryostatin 1 was given as a one hour intravenous infusion at the beginning of each 2 week treatment cycle. A maximum of three treatment cycles were given. Doses were escalated in steps from 5 to 65 micrograms m-2 in successive patient groups. The maximum tolerated dose was 50 micrograms m-2. Myalgia was the dose limiting toxicity and was of WHO grade 3 in all three patients treated at 65 micrograms m-2. Flu-like symptoms were common but were of maximum WHO grade 2. Hypotension, of maximum WHO grade 1, occurred in six patients treated at doses up to and including 20 micrograms m-2 and may not have been attributable to treatment with bryostatin 1. Cellulitis and thrombophlebitis occurred at the bryostatin 1 infusion site of patients treated at all dose levels up to 50 micrograms m-2, attributable to the 60% ethanol diluent in the bryostatin 1 infusion. Subsequent patients treated at 50 and 65 micrograms m-2 received treatment with an intravenous normal saline flush and they did not develop these complications. Significant decreases of the platelet count and total leucocyte, neutrophil and lymphocyte counts were seen in the first 24 h after treatment at the dose of 65 micrograms m-2. Immediate decreases in haemoglobin of up to 1.9g dl-1 were also noted in patients treated with 65 micrograms m-2, in the absence of clinical evidence of bleeding or haemodynamic compromise. No effect was observed on the incidence of haemopoietic progenitor cells in the marrow. Some patients' neutrophils demonstrated enhanced superoxide radical formation in response to in vitro stimulation with opsonised zymosan (a bacterial polysaccharide) but in the absence of this additional stimulus, no bryostatin 1 effect was observed. Lymphocyte natural killing activity was decreased 2 h after treatment with bryostatin 1, but the effect was not consistently seen 24 h or 7 days later. With the dose schedule examined no antitumour effects were observed. We recommend that bryostatin 1 is used at a dose of 35 to 50 micrograms m-2 two weekly in phase II studies in patients with malignancies including lymphoma, leukaemia, melanoma or hypernephroma, for which pre-clinical investigations suggest antitumour activity. PMID:8347500

  2. Comparison of the Efficacy and Safety of Oritavancin Front-Loaded Dosing Regimens to Daily Dosing: an Analysis of the SIMPLIFI Trial ?

    PubMed Central

    Dunbar, Lala M.; Milata, Joe; McClure, Ty; Wasilewski, Margaret M.

    2011-01-01

    Oritavancin is a novel lipoglycopeptide with demonstrated effectiveness against complicated skin and skin structure infections (cSSSI) caused by Gram-positive pathogens, including those caused by methicillin-resistant Staphylococcus aureus (MRSA). The pharmacokinetic and pharmacodynamic profile of oritavancin is favorable for single or infrequent dosing. A phase 2, multicenter, randomized, double-blind, parallel, active-comparator study (ClinicalTrials.gov identifier, NCT00514527) of single and infrequent dosing of intravenous (i.v.) oritavancin for the treatment of cSSSI caused by Gram-positive pathogens (wound infections, major abscess, and cellulitis) was undertaken to evaluate the noninferiority of front-loaded dosing regimens compared to a daily-dosing regimen. A total of 302 patients ?18 years of age were randomized equally to one of three oritavancin treatment groups, receiving either a daily dose (200 mg) administered for 3 to 7 days, a single dose (1,200 mg), or an infrequent dose (800-mg dose, with the option for an additional 400 mg on day 5). The primary efficacy was defined as a clinical response in clinically evaluable (CE) patients assessed at days 21 to 29 (test of cure [TOC]). The cure rates in the CE population were 72.4% (55/76) in the daily-dose group, 81.5% (66/81) in the 1,200-mg-single-dose group, and 77.5% (55/71) in the infrequent-dose group. In patients with MRSA at baseline, the cure rates were 78.3% (18/23), 73.0% (27/37), and 87.0% (20/23) in the daily-, 1,200-mg-single-, and infrequent-dose groups, respectively; however, the study was not powered to assess outcomes in the MRSA subpopulation, and given the heterogeneity of the types of infection and the small sample size, these do not suggest any true differences in efficacy rates for these pathogens. The frequencies of adverse events were similar among treatment groups. The results of this study show that single- and infrequent-dosing schedules of oritavancin were as efficacious as daily administration and had a similar safety profile in treating cSSSI caused by Gram-positive pathogens, including MRSA. PMID:21537018

  3. Le diagnostic anténatal de la trisomie 21 par l'hybridation in situ en fluorescence (FISH): à propos des premiers tests réalisés au Maroc

    PubMed Central

    Lamzouri, Afaf; Natiq, Abdelhafid; Tajir, Mariam; Sendid, Mohamed; Sefiani, Abdelaziz

    2012-01-01

    Introduction Le but de cette étude était de présenter les premiers résultats de diagnostic anténatal de la trisomie 21 par la technique d'hybridation in situ en fluorescence (FISH) au Maroc et discuter son intérêt dans le diagnostic rapide de cette aneuploïdie. Méthodes Ce travail a été réalisé chez 23 femmes avec des grossesses à haut risque de trisomie 21. La moyenne d’âge des gestantes étaient de 37,43 ans avec des extrêmes de 21 et 43 ans. Toutes étaient musulmanes mariées, mariage légitimé par la Charia, dont trois mariages consanguins, sauf une originaire de la République Démocratique du Congo qui était chrétienne et concubine. La majorité des femmes étaient fonctionnaires et avaient un niveau de scolarisation moyen à élevé. Toutes les patientes ont bénéficié d'une consultation de génétique médicale au cours de laquelle il leur a été donné des informations sur la technique, son intérêt et ses limites. Il s'agit de femmes enceintes qui avaient soit un âge maternel élevé ou des signes d'appel échographiques et/ ou biochimiques. Une des patientes était porteuse d'une translocation robertsonienne t(14;21) équilibrée. Une amniocentèse a été réalisée chez toutes les gestantes et aucun avortement n'a était induit par ce geste invasif. L’âge gestationnel moyen à la première consultation était de 14 semaines d'aménorrhée (SA) et à l'amniocentèse était de 16 SA et 5 jours. L'analyse FISH a été réalisée, après consentement des couples, sur des cellules non cultivées à partir des échantillons de liquides amniotiques, en utilisant des sondes spécifiques du chromosome 21. Résultats Parmi les 23 patientes qui ont bénéficiées d'un diagnostic anténatal de la trisomie 21 par la technique FISH, nous avons pu rassurer 21 d'entre elles, et nous avons détecté deux cas de trisomie 21 fœtal. Conclusion La technique FISH permet un diagnostic anténatal rapide, en moins de 48h, de la trisomie 21 sur une faible quantité de liquide amniotique. Elle offre aux couples l'avantage de prendre, dans des délais raisonnables, la décision qui leur convient concernant la poursuite ou non de la grossesse. Elle permet souvent, avec un résultat normal, de rassurer rapidement les femmes enceintes trop angoissées. PMID:23330029

  4. Tungiasis: a neglected epidermal parasitic skin disease of marginalized populations--a call for global science and policy.

    PubMed

    Karunamoorthi, Kaliyaperumal

    2013-10-01

    Tungiasis (sand flea disease) is an ectoparasitic skin disease caused by the female sand flea/jigger flea (Tunga penetrans). As poverty is the major driving force of the disease, it can be called as a poverty-associated plague. It is one of the emerging neglected diseases in Latin America, Caribbean, sub-Saharan Africa, and India. The aim of the present scrutiny was to assess the public health impact of tungiasis, associated risk factors, and emerging opportunities to prevent and control tungiasis. Searches of PubMed, Google Scholar, and online search engines (Google, AOL, and Yahoo) using keywords "parasitic skin disease," "tungiasis," "sand flea," " tungiasis-associated risk factors," "tungiasis prevention and control," and their synonyms were used as a source of references. Searches were made without time limitations. Of 167 potential articles identified by these criteria, 51 appropriate were selected for review. Tungiasis is widespread in the resource-constrained settings of low-income economies. In the tropics, it is highly prevalent among the impoverished populations, but the associated risk factors are often poorly identified and remain uncontrolled. Though it is a self-limiting disease with considerable morbidity, the parasite may cause subsequent secondary morbidity through life-threatening complications and infections like cellulitis, tetanus, and death. However, the direct and indirect sociocultural, economic, and health impact of tungiasis is often undervalued and misunderstood. A systematic assessment on disease burden is still dearth and deficient. Over the decades, tungiasis has been largely neglected by the scientific community, policy makers, and healthcare stakeholders. In the endemic regions, even tungiasis is not listed for the disease control priorities in the regional, national, and international agenda. The majority of the epidermal parasitic skin diseases particularly tungiasis needs a sustainable global scientific research and control policy. This urges intensive efforts to develop a road map that delivers a clear vision towards zero new infection by designing low-cost prevention and control strategies. Besides, there is an urgency to develop culturally appropriate communication techniques and workable collaboration on a global scale by bringing all the stakeholders of endemic countries. PMID:23949241

  5. Cutaneous Invasive Aspergillosis: Retrospective Multicenter Study of the French Invasive-Aspergillosis Registry and Literature Review.

    PubMed

    Bernardeschi, Céline; Foulet, Francoise; Ingen-Housz-Oro, Saskia; Ortonne, Nicolas; Sitbon, Karine; Quereux, Gaëlle; Lortholary, Olivier; Chosidow, Olivier; Bretagne, Stéphane

    2015-07-01

    Invasive aspergillosis (IA) has poor prognosis in immunocompromised patients. Skin manifestations, when present, should contribute to an early diagnosis. The authors aimed to provide prevalence data and a clinical and histologic description of cutaneous manifestations of primary cutaneous IA (PCIA) and secondary CIA (SCIA) in a unique clinical series of IA and present the results of an exhaustive literature review of CIA. Cases of proven and probable IA with cutaneous manifestations were retrospectively extracted from those registered between 2005 and 2010 in a prospective multicenter aspergillosis database held by the National Reference Center for Invasive Mycoses and Antifungals, Pasteur Institute, France. Patients were classified as having PCIA (i.e., CIA without extracutaneous manifestations) or SCIA (i.e., disseminated IA). Among the 1,410 patients with proven or probable IA, 15 had CIA (1.06%), 5 PCIA, and 10 SCIA. Hematological malignancies were the main underlying condition (12/15). Patients with PCIA presented infiltrated and/or suppurative lesions of various localizations not related to a catheter site (4/5), whereas SCIA was mainly characterized by disseminated papules and nodules but sometimes isolated nodules or cellulitis. Histologic data were available for 11 patients, and for 9, similar for PCIA and SCIA, showed a dense dermal polymorphic inflammatory infiltrate, with the epidermis altered in PCIA only. Periodic acid Schiff and Gomori-Grocott methenamine silver nitrate staining for all but 2 biopsies revealed hyphae compatible with Aspergillus. Aspergillus flavus was isolated in all cases of PCIA, with Aspergillus fumigatus being the most frequent species (6/10) in SCIA. Two out 5 PCIA cases were treated surgically. The 3-month survival rate was 100% and 30% for PCIA and SCIA, respectively. Our study is the largest adult series of CIA and provides complete clinical and histologic data for the disease. Primary cutaneous IA should be recognized early, and cases of extensive necrosis should be treated surgically; its prognosis markedly differs from that for SCIA. Any suppurative, necrotic, papulonodular, or infiltrated skin lesion in an immunocompromised patient should lead to immediate biopsy for histologic analysis and mycological skin direct examination and culture. PMID:26131805

  6. Predictors for limb loss among patient with diabetic foot infections: an observational retrospective multicentric study in Turkey.

    PubMed

    Saltoglu, N; Yemisen, M; Ergonul, O; Kadanali, A; Karagoz, G; Batirel, A; Ak, O; Eraksoy, H; Cagatay, A; Vatan, A; Sengoz, G; Pehlivanoglu, F; Aslan, T; Akkoyunlu, Y; Engin, D; Ceran, N; Erturk, B; Mulazimoglu, L; Oncul, O; Ay, H; Sargin, F; Ozgunes, N; Simsek, F; Yildirmak, T; Tuna, N; Karabay, O; Yasar, K; Uzun, N; Kucukardali, Y; Sonmezoglu, M; Yilmaz, F; Tozalgan, U; Ozer, S; Ozyazar, M

    2015-07-01

    We aimed to investigate the predictors for limb loss among patients with diabetes who have complicated skin/soft-tissue infections. In this observational study, consecutive patients with diabetic foot infection (DFI) from 17 centres in Turkey, between May 2011 and May 2013 were included. The Turkish DFI Working Group performed the study. Predictors of limb loss were investigated by multivariate analysis. In total, 455 patients with DFI were included. Median age was 61 years, 68% were male, 65% of the patients were hospitalized, 52% of the patients had used antibiotics within the last month, and 121 (27%) had osteomyelitis. Of the 208 microorganisms isolated, 92 (44.2%) were Gram-positive cocci and 114 (54.8%) were Gram-negative rods (GNR). The most common GNR was Pseudomonas; the second was Escherichia coli, with extended spectrum ?-lactamase positivity of 33%. Methicillin-resistant Staphylococcus species were found in 14% (29/208). Amputations were performed in 126/455 (28%) patients, 44/126 (34%) of these were major amputations. In multivariate analysis, significant predictors for limb loss were, male gender (OR 1.75, 95% CI 1.04-2.96, p 0.034), duration of diabetes >20 years (OR 1.9, 95% CI 1.18-3.11, p 0.008), infected ulcer versus cellulitis (OR 1.9, 95% CI 1.11-3.18, p 0.019), history of peripheral vascular disease (OR 2, 95% CI 1.26-3.27, p 0.004), retinopathy (OR 2.25, 95% CI 1.19-4.25, p 0.012), erythrocyte sedimentation rate >70 mm/hr (OR 1.6, 95% CI 1.01-2.68, p 0.05), and infection with GNR (OR 1.8, 95% CI 1.08-3.02, p 0.02). Multivariate analysis revealed that, besides the known risk factors such as male gender, duration of diabetes >20 years, infected ulcers, history of peripheral vascular disease and retinopathy, detection of GNR was a significant predictor of limb loss. PMID:25861844

  7. [Seasonal changes of invasive pneumococcal disease in children and association with day care attendance].

    PubMed

    Matsubara, Kousaku; Nigami, Hiroyuki; Iwata, Aya; Uchida, Yoshiko; Yamamoto, Go; Chang, Bin; Wada, Akihito

    2012-01-01

    To determine seasonal changes in the incidence of invasive pneumococcal disease (IPD) in children, we retrospectively analyzed 69 children with 72 episodes of IPD, admitted to a regional center in Kobe, Japan, between July 1994 and June 2011. IPD episodes involved occult bacteremia (n = 48), pneumonia (n = 10), meningitis (n = 10), periorbital cellulitis (n = 3), and mastoiditis (n = 1), including 3 cases of two IPD recurrences. We analyzed 5 IPD-associated factors previously documented in Europe and North Amrica with inconsistent results--1) age at onset, 2) sibling number, 3) preschool sibling number, 4) subjects' day care attendance, and 5) siblings' day care attendance. We collected information on these factors by reviewing medical charts or contacting subjects' parents or guardians by telephone. IPD peaked bimodally in April and May (n = 21) and in November and December (n = 20), decreasing prominently between July and September (n = 8). Subjects with IPD attending day care formed a significantly higher propotion during April and May than did those developing IPD during other months: 12/21 [57.1%] vs. 12/51 [23.5%], odds ratio 4.3, 95% confidence interval, 1.5-12.8; p = 0.006. Combined day care attendance among subjects with IPD and/or their siblings also differed significantly between these two groups: 17/21 [80.9%] vs. 27/51 [52.9%], odds ratio 3.8, 95% confidence interval, 1.1-12.8; p = 0.027. Not significant differences were seen in age at onset, sibling number, or preschool sibling number. In contrast, however children with IPD onset during November and December showed no significant difference in association with any of the 5 factors, compared to children with IPD onset in other months. Our findings showed a bimodal peak in IPD in children, the first and highest of which occurred in April and May and was significantly associated with day care attendance by those with IPD and/or their siblings. This first peak may, however, be related to circumstances in Japan, where preschool children usually enter day care center or kindergarten in April. PMID:22416479

  8. EMANI, ERAM and Other European Activities Contributing to a Global Digital Library in Mathematics.

    NASA Astrophysics Data System (ADS)

    Wegner, Bernd

    With the rapidly growing activities in electronic publishing ideas came up to install global repositories which deal with three mainstreams in this enterprise: storing the electronic material currently available, pursuing projects to solve the archiving problem for this material with the ambition to preserve the content in readable form for future generations, and to capture the printed literature in digital versions providing good access and search facilities for the readers. Long-term availability of published research articles in mathematics and easy access to them is a strong need for researchers working with mathematics. Hence in this domain some pioneering projects have been established addressing the above mentioned problems. The talk will describe some of these activities and the plan to develop a global Digital Library in Mathematics (DLM). For example, in the archiving area as a special project for mathematics the Electronic Mathematics Archives Network Initiative (EMANI) had been designed. Having in mind that a distributed architecture would be more suitable and reduce the load on the partners for such a project, a network is proposed, which also might be a more open approach for extending the project from a initially restricted solution to a more comprehensive enterprise. For the core of the network, a co-operational system of reference libraries and content providers like publishers and editors has been be set up. On the side of the libraries the following partners have agreed to set up a prototype for the archive: the Tsinghua University Library in Beijing, the Cornell University Library in Ithaca (N. Y.), the Mathematical Library at Orsay in Paris and the Lower Saxony State and University Library in Goettingen. The first group of content providers consists of the Springer publishing house, associated publishers and journals posted in the Electronic Library of EMIS. The Electronic Research Archive in Mathematics (ERAM) is a German project dealing with capturing the content of a classical bibliographic service in mathematics in a database, and combining this with the retro-digitisation of selected mathematical publications. This is extended now by further projects which shall try to retro-digitise the national mathematical heritage in several countries world-wide. In particular ideas to cover the Russian publications in a digital repository called RusDLM are investigated at present, and they may contribute to a bigger programme for the Russian Federation, called "Electronic Russia", As further digitisation projects the French activity NUMDAM, pursued by Cellule MathDoc in Grenoble, and the European Cooperation in DIEPER have to be mentioned.

  9. Adductor brevis myositis following transobturator tape procedure: a case report and review of the literature.

    PubMed

    DeSouza, Rowena; Shapiro, Andrew; Westney, O Lenaine

    2007-07-01

    The tension-free vaginal tape (TVT) procedure has long been considered the gold standard for female stress incontinence. Since its introduction in 1995, several other tapes and other minimally invasive treatments have arisen. The transobturator tape (TOT) procedure reproduces the natural suspension of the urethra through the obturator and puborectalis muscles. The TOT procedure was reportedly developed in an effort to prevent bladder perforation associated with the TVT and is generally considered to be a procedure with low morbidity. At our institution, we report the first case of infected mesh with subsequent myositis of adductor muscles after a TOT procedure. To our knowledge, this is the first case reporting this complication, citing specifically that the anatomical structures traversed by the tape, including both muscle and fascia, can be at risk for infection and ultimately require removal of the sling material. We performed a MEDLINE literature search using key words such as "transobturator tape," "tension free vaginal tape," and "adductor and obturator complications" to ascertain any reported adductor or obturator muscle complications after placement of TOT. Further, we reviewed the literature to elucidate the consequences of using different mesh materials, specifically their effects on erosion. We reported our case of a 43-year-old woman who presented with right-leg cellulitis and vaginal discharge after having a TOT placed for stress incontinence. Inflammation of the adductor muscles was demonstrated on computed tomography (CT) scan and ultrasound. On physical exam, the mesh had visibly eroded through the vaginal wall. Our patient underwent excision of the mesh material. She ultimately had an uneventful postoperative course and was discharged home in good condition on the postoperative day 2. The mesh material removed was ObTape. We believe our study is the first case report to discuss the complication of infected adductor muscles and erosion of the tape during post-TOT procedure. After a careful review of the literature, there is no mention of myositis of adductor muscles as a possible complication after the TOT procedure. In fact, the literature has deemed this minimally invasive treatment as a safe and effective procedure with minimal complications including only de novo urgency or urinary retention. The site of infection is of particular interest and can be explained by the course through the anatomical structures that are unique to this particular procedure. Ultimately, the treatment for this procedure was the removal of the mesh along with broad-spectrum antibiotics. In conclusion, the burden falls upon the surgeons to report in a timely fashion both successes and complication for the TOT procedure given their relatively limited experience. This is paramount in determining patients' risks. PMID:17577593

  10. Clinical use of Dieletrophoresis separation for live Adipose derived stem cells

    PubMed Central

    2012-01-01

    Background Microelectrode dieletrophoresis capture of live cells has been explored in animal and cellular models ex-vivo. Currently, there is no clinical data available regarding the safety and efficacy of dielectrophoresis (DEP) buffers and microcurrent manipulation in humans, despite copious pre-clinical studies suggesting its safety. The purpose of this study was to determine if DEP isolation of SVF using minimal manipulation methods is safe and efficacious for use in humans using the hand lipotransfer model. Methods Autologous stromal vascular fraction cells (SVF) were obtained from lipoaspirate by collagenase digestion and centrifugation. The final mixture of live and dead cells was further processed using a custom DEP microelectrode array and microcurrent generator to isolate only live nucleated cells. Lipotransfer was completed using fat graft enhanced with either standard processed SVF (control) versus DEP filtered SVF (experimental). Spectral photography, ultrasound and biometric measurements were obtained at post operatively days 1, 4, 7, 14, 30, 60 and 90. Results The DEP filter was capable of increasing SVF viability counts from 74.3?±?2.0% to 94.7?±?2.1%. Surrogate markers of inflammation (temperature, soft tissue swelling, pain and diminished range of motion) were more profound on the control hand. Clinical improvement in hand appearance was appreciated in both hands, though the control hand exclusively sustained late phase erosive skin breaks on post operative day 7. No skin breaks were appreciated on the DEP-SVF treated hand. Early fat engraftment failure was noted on the control hand thenar web space at 3?months post surgery. Discussion No immediate hypersensitivity or adverse reaction was appreciated with the DEP-SVF treated hand. In fact, the control hand experienced skin disruption and mild superficial cellulitis, whereas the experimental hand did not experience this complication, suggesting a possible “protective” effect with DEP filtered SVF. Late ultrasound survey revealed larger and more frequent formation of oil cysts in the control hand, also suggesting greater risk of engraftment failure with standard lipotransfer. Conclusion Clinical DEP appears safe and efficacious for human use. The DEP microelectrode array was found to be versatile and robust in efficiently isolating live SVF cells from dead cells and cellular debris in a time sensitive clinical setting. PMID:22594610

  11. Théorie visco-élastique non-extensive II. Premiers tests expérimentaux de la théorie simplifiée à modes rotationnels

    NASA Astrophysics Data System (ADS)

    Volino, F.; Gérard, H.; Miachon, S.

    The non-extensive visco-elastic theory with rotational modes developed in (I), is tested using published data of elastic constants, refractive index, magnetic susceptibility, rotational viscosity, induced effects by strong fields, specific heat and heat of transition, and pressure effects on the transition temperature, of three typical nematic substances. A very good qualitative and quantitative agreement is obtained for all data considered. The various conjectures proposed in (I) appear to be well-verified, especially for the description of phenomena through the transition. Two important conclusions of this study are: (i) the non-trivial dependence of the experimental conditions such as the size of the sample or the applied fields, on the numerical values of the physical macroscopic quantities (ii) the evidence for the nematic materials, and thus for all liquids, of the existence of a space scale intermediate between the molecules and the sample size. This scale is the unit cell of the solid phase, as determined by single crystal crystallography. It is argued that this unified theory can advantageously replace the partial standard theories for describing the corresponding experimental reality. La théorie simplifiée à modes rotationnels développée dans l'article précédent (I), est testée à l'aide de données publiées de constantes élastiques, d'indice de réfraction, de susceptibilité magnétique, de viscosité de torsion, d'effets induits par des champs intenses, de chaleur spécifique et de chaleur de transition, et d'effets de pression sur la température de transition, de trois substances nématiques typiques. Un accord remarquable, tant du point de vue qualitatif que quantitatif, est obtenu avec toutes les données considérées. Les différentes conjectures proposées dans l'article (I) apparaissent être en très bon accord avec l'expérience, en particulier en ce qui concerne la description des phénomènes à travers la transition de phase. Deux conclusions importantes de cette étude concernent : (i) l'influence non-triviale des conditions expérimentales, telles que la taille de l'échantillon et des champs externes appliqués sur les valeurs des quantités physiques macroscopiques (ii) la mise en évidence, pour les matériaux nématogènes, et donc pour tous les liquides, de l'existence d'une échelle d'espace intermédiaire entre les molécules et l'échantillon macroscopique. Cette échelle est celle de la cellule unité du réseau cristallin de la phase solide, telle qu'on la détermine par la cristallographie de monocristaux. On argumente que la présente description peut remplacer avantageusement les descriptions partielles standards pour décrire la réalité expérimentale correspondante.

  12. Recognition and prevention of barium enema complications.

    PubMed

    Williams, S M; Harned, R K

    1991-01-01

    The barium enema is a safe and accurate diagnostic study of the colon but, in rare cases, complications may result. Many of these can be prevented by proper equipment and careful attention to technique. When a complication does occur, prompt recognition and management is vital in decreasing morbidity and mortality. Perforation of the bowel is the most frequent serious complication, occurring in approximately 0.02% to 0.04% of patients. Rarely the colon may burst due to excessive transmural pressure alone. However, a colon weakened by iatrogenic trauma or disease is more likely to perforate during an enema than is a normal healthy bowel. Injury to the rectal mucosa or anal canal due to the enema tip or retention balloon is probably the most common traumatic cause of barium enema perforation. Inflation of a retention balloon within a stricture, neoplasm, inflamed rectum, or colostomy stoma is particularly hazardous. Recent deep biopsy or polypectomy with electrocautery makes the bowel more vulnerable to rupture. The tensile strength of the bowel wall is impaired in elderly patients, patients receiving long-term steroid therapy, and in disease states including neoplasm, diverticulitis, inflammatory bowel disease, and ischemia. Intraperitoneal perforation leads to a severe, acute peritonitis with intravascular volume depletion. The ensuing shock may be rapidly fatal. Prompt fluid replacement and laparotomy are essential. If the patient survives the initial shock and sepsis, later complications caused by dense intraperitoneal adhesions may develop. Extraperitoneal perforation is usually less catastrophic but may result in pain, sepsis, cellulitis, abscess, rectal stricture, or fistula. Intramural extravasation often forms a persistent submucosal barium granuloma which may ulcerate or be mistaken for a neoplasm. The most dramatic complication of barium enema is venous intravasation of barium. Fortunately, this is quite rare as it may be immediately lethal. Most cases have been attributed to trauma from the enema tip or retention balloon, mucosal inflammation, or misplacement of the tip in the vagina. Bacteremia has been found in as many as 23% of patients following barium enema and, in rare cases, may cause symptomatic septicemia. Other less common complications include barium impaction, water intoxication, allergic reactions, and cardiac arrhythmias. Preparatory laxatives and cleansing enemas have been implicated in some instances of dehydration, rectal trauma, water intoxication, and perforation. Careful review of the indications for examination, previous radiographs, and clinical history will identify many of the patients at greater risk for complications so that appropriate precautions may be observed.(ABSTRACT TRUNCATED AT 400 WORDS) PMID:1889235

  13. Efficacy and safety of solifenacin succinate 10 mg once Daily: A multicenter, phase III, randomized, double-blind, placebo-controlled, parallel-group trial in patients with overactive bladder

    PubMed Central

    Chu, Franklin; Smith, Neila; Uchida, Takeshi

    2009-01-01

    Background: Solifenacin succinate is an antimuscarinic drug with reported efficacy and tolerability at a recommended starting dose of 5 mg QD in patients with overactive bladder (OAB). Objective: The objective of this trial was to investigate the efficacy, safety, and tolerability of solifenacin 10 mg QD in patients with OAB. Methods: In this multicenter, Phase III, double-blind, placebo-controlled, parallel-group trial, patients aged ?18 years with OAB were randomized at a 1:1 ratio to receive solifenacin 10 mg or placebo QD for 12 weeks. The patients were instructed to complete a micturition diary for the 3 days preceding each scheduled visit (weeks 4, 8, and 12). The primary end point was the change from baseline in the mean number of micturitions per 24 hours; secondary end points included the mean change from baseline in the number of episodes per 24 hours of urgency, incontinence, nocturnal voiding, and nocturia and the mean volume voided per micturition. Tolerability was monitored through adverse events (AEs), vital sign measurements, ECGs, laboratory assessments, and physical examination. Results: A total of 672 patients were randomized and received ?1 dose of study drug (solifenacin, n = 340; placebo, n = 332). The mean (SE) decrease from baseline to study end in the number of micturitions per 24 hours was significantly greater in the solifenacin group compared with the placebo group (?3.0 [0.2] vs ?1.5 [0.2], respectively; P < 0.001). The mean decrease in the number of episodes of incontinence was significantly greater in the solifenacin group compared with the placebo group (?2.0 [0.2] vs ?1.1 [0.2]; P < 0.001), as was the mean decrease in the number of episodes of urgency (?4.1 [0.2] vs ?2.1 [0.2]; P < 0.001). Of the patients with ?1 incontinence episode per 24 hours at baseline, significantly more patients in the solifenacin group achieved complete continence at study end than did patients in the placebo group (119/225 [52.9%] vs 80/237 [33.8%]; P < 0.001). The change from baseline to study end in the mean volume voided per micturition increased significantly in the solifenacin group compared with the placebo group (47.2 vs 2.7 mL; P < 0.001). Most AEs were mild or moderate in intensity. The AEs that were most commonly reported in the solifenacin-treated group were anticholinergic in nature: dry mouth (91 [26.8%] vs 13 patients [3.9%] in the placebo group; P < 0.001); constipation (58 [17.1%] vs 11 [3.3%]; P < 0.001); and blurred vision (12 [3.5%] vs 4 [1.2%]; P < 0.05). Serious AEs (SAEs) were reported for 5 patients in the solifenacin group and 3 patients in the placebo group. In the solifenacin group, 2 patients experienced chest pain, 1 had cellulitis, 1 had dehydration, and 1 had colonic obstruction; only 1 SAE (colonic obstruction) was judged to be possibly related to the study drug. In the placebo group, 1 patient had chest pain, 1 had bacterial meningitis, and 1 had hemopericardium. Conclusions: This study found that solifenacin 10 mg QD for 12 weeks was associated with significantly reduced symptoms of OAB, including the frequency of micturition, and episodes of urgency and of incontinence. With solifenacin, the volume voided per micturition increased by 47.2 mL, and 53% of patients with ?1 incontinence episode per 24 hours at baseline achieved complete continence. This efficacy was accompanied by a favorable safety and tolerability profile. PMID:24692834

  14. Bacterial diseases of the skin.

    PubMed

    Edlich, Richard F; Winters, Kathryne L; Britt, L D; Long, William B

    2005-01-01

    When considering common bacterial diseases of the skin, rather distinct clinical responses to a variety of bacterial infections have been identified. In these cases, it is the specific site of infection and the attendant inflammatory responses that provide the characteristic clinical picture. When the pyoderma extends just below the stratum corneum, it is called impetigo. Nonbullous impetigo is the most common pediatric skin infection. It usually starts in a traumatized area. The typical lesion begins as an erythematous papule, after which it becomes a unilocular vesicle. When the subcorneal vesicle becomes pustular, it ruptures and eventually becomes a yellow, golden crust that is a hallmark of the disease process. Bullous impetigo is a less common form of impetigo, accounting for fewer than 30% of all impetigo cases. It occurs in infants and is characterized by rapid progression of vesicles to the formation of bullae measuring larger than 5 mm in diameter in previously untraumatized skin. Treatment of nonbullous impetigo must include intervention against the pathogen as well as improvements in the hygiene and living conditions of the patient. A fundamental tenet is to debride the crust (scab) from the wound surface using poloxamer 188. If the lesions are not widespread, topical mupirocin is the treatment of choice. Treatment of bullous impetigo is similar, except that the local cleansing and topical antibiotic must be complemented by systemic antibiotics if there is evidence of disseminating infections. Ecthyma is usually a consequence of failure to treat effectively impetigo. The untreated infection extends deep into the tissue in shallow ulcerations that often heal without scar. Treatment for ecthyma usually requires systemic antibiotics against either staphylococcus or streptococcus. Folliculitis is a pyoderma located within a hair follicle, secondary to follicular occlusion by keratin, overhydration, or either bacterial or fungal infection. Folliculitis may be divided into either a deep or a superficial type. In the superficial type, the pustule is located at the opening of the hair follicle. In the deep form, the infection may extend beyond the confines of the hair follicle, becoming a furuncle or boil. Carbuncles are aggregates of interconnected furuncles that drain through multiple openings of the skin. Treatment of folliculitis must include searching for and avoiding any factors predisposing to infection. If topical antibiotic therapy is ineffective in controlling the infection, surgical drainage of the infected skin abscess will be necessary. Paronychia is the most common bacterial infection of the hand, which often requires surgical incisional drainage. Similarly, a felon that is an infection of the distal pulp of a finger usually requires surgical drainage. Finally, cellulitis is an acute inflammatory reaction involving the skin and underlying subcutaneous tissue. It usually starts as erysipelas and may advance to lymphangitis, lymphadenitis, or gangrene,which will respond to life-saving interventions in the hospital that usually include systemic antibiotic treatment as well as surgical intervention. PMID:16218899

  15. HIV infection in children--impact upon ENT doctors.

    PubMed

    Hoare, Simon

    2003-12-01

    The global epidemic of HIV infection remains appalling. By 2001, there were an estimated 1.4 million HIV-infected children, with 4.5 million deaths. In the UK, paediatric cases are clustered around population centres where there are high concentrations of infected immigrant adults, and to a lesser extent, areas where IV drug abuse is common. The highest incidence remains in London and the southeast. With the national redistribution of immigrant and refugee families, any doctor in any specialty may expect to be involved with children who are HIV positive, or have clinical AIDS. The majority of children are infected vertically, i.e. infection of the infant from an infected mother in the pre-, peri-, or post-natal periods. Rates of transmission vary from 15-20% in the developed countries. Children with HIV infection may have their primary presentation to ENT doctors, who should have appropriate thresholds for suspecting the diagnosis. The most common presenting features include persistent generalised lymphadenopathy, hepatosplenomegaly, chronic/recurrent diarrhoea, poor growth, and fever. Fifteen to twenty percent of untreated children will present with an AIDS-defining illness by 12 months, typically with Pneumocystis pneumonia at approximately 3-4 months of age. Seventy percent of perinatally infected children will exhibit some signs or symptoms by 12 months Without treatment, the median age to progression to AIDS is approximately 6 years, and 25-30% will have died by this age. The median age of death is approximately 9 years. Children may also present with repeated/unusual ear infections, sinus disease (inc. mastoiditis), tonsillitis, orbital/peri-orbital cellulitis, oral candidiasis, and dental infections. Infections with streptococcus pneumoniae and group A streptococcus are common, and often progress to severe systemic infection with an appreciable mortality. Infections may be due to unusual pathogens such as Pseudomonas, 'typical' and atypical Mycobacteria, Candida, Aspergillus, etc. Fungal infections of the sinuses (inc. Aspergillus and Rhizopus spp.) may be particularly devastating, with rapid spread to involve bone and the central nervous system. Another classical presentation, which may present to ENT doctors, is that of bilateral parotid enlargement, especially in children who are 'slow progressors', many of whom also have Lymphoid Interstitial Pneumonitis (LIP). A major attitudinal change has occurred due to advances in 3 main areas: (i) the multidisciplinary management of the infected mother (inc. counselling, antenatal screening, elective caesarean section, advising against breast feeding, etc.), (ii) the prevention of vertical transmission, using anti-retroviral therapy to the infected mother during pregnancy, and to the potentially infected infant in the first weeks of life, and (iii) major advances due to the advent of highly active anti-retroviral treatment. With effective use of these measures, transmission rates may be reduced to <2%. None of the measures though, affect a cure, and it will still be many years before the development of effective vaccines. ENT doctors may be referred children already known to be HIV-positive. Knowing how to talk to infected children (and their parents) is full of potential pitfalls, and requires careful forethought. Many infection-control policies have required considerable rethinking due to the AIDS epidemic. This has especially been the case with respect to needle-stick injuries, post-exposure prophylaxis, sterilization and re-use of equipment, and safe approaches to surgery. PMID:14662174

  16. [A study on fall accident].

    PubMed

    Lee, H S; Kim, M J

    1997-01-01

    The study was conducted from November 1995 to May 1996 at the one general hospital in Seoul. The total subjects of this study were 412 patients who have the experience of fall accident, among them 31 was who have fallen during hospitalization and 381 was who visited emergency room and out patient clinic. The purposes of this study were to determine the characteristics, risk factors and results of fall accident and to suggest the nursing strategies for prevention of fall. Data were collected by reviewing the medical records and interviewing with the fallers and their family members. For data analysis spss/pc+ program was utilized for descriptive statistics, adjusted standardized X2-test. The results of this study were as follows: 1) Total subjects were 412 fallers, of which 245 (59.5%) were men and 167 (40.5%) were women. Age were 0-14 years 79 (19.2%), 15-44 years 125 (30.4%), 45-64 years 104 (25.2%), over 65 years 104 (25.2%). 2) There was significant association between age and the sexes (X2 = 39.17, P = 0.00). 3) There was significant association between age and history of falls (X2 = 44.41, P = .00). And history of falls in the elderly was significantly associated with falls. 4) There was significant association with age and medical diagnosis (X2 = 140.66, P = .00), chief medical diagnosis were hypertension (34), diabetes mellitus (22), arthritis (11), stroke (8), fracture (7), pulmonary tuberculosis (6), dementia (5) and cataract (5). 5) There was significant association between age and intrinsic factors: cognitive impairment, mobility impairment, insomnia, emotional problems, urinary difficulty, visual impairments, hearing impairments, use of drugs (sedatives, antihypertensive drugs, diuretics, antidepressants) (P < 0.05). But there was no significant association between age and dizziness (X2 = 2.87, P = .41). 6) 15.3% of total fallers were drunken state when they were fallen. 7) Environmental factors of fall accident were unusual posture (50.9%), slips (35.2%), trips (9.5%) and collision (4.4%). 8) Most of falls occurred during the day time, peak frequencies of falls occurred from 1 pm to 6 pm and 7 am to 12 am. 9) The places of fall accident were roads (22.6%), house-stairs (16.7%), rooms, floors, kitchen (11.2%), the roof-top, veranda, windows (10.9%), hospital (7.5%), ice or snowy ways (5.8%), bathroom (4.9%), playground, park (4.9%), subway-stairs (4.4%) and public-bathrooms (2.2%). 10) Activities at the time of fall accident were walking (37.6%), turning around or reaching for something (20.9%), going up or down stairs (19.2%), exercise, working (17.4%), up or down from a bed (2.7%), using wheelchair or walking aids, standing up or down from a chair (2.2%) and standing still (2.2%). 11) Anatomical locations of injuries by falls were head, face, neck (31.3%), lower extremities (29.9%), upper extremities (20.6%), spine, thorax, abdomen or pelvic contents (11.4%) and unspecified (2.9%). 12) Types of injures were fracture (47.6%), bruises (13.8%), laceration (13.3%), sprains (9.0%), headache (6.6%), abrasions (2.9%), intracranial hemorhage (2.4%) and burns (0.5%). 13) 41.5% of the fallers were hospitalized and average of hospitalization was 22.3 days. 14) The six fallers (1.46%) died from fall injuries. The two fallers died from intracranial hemorhage and the four fallers died of secondary infection; pneumonia (2), sepsis (1) and cellulitis (1). It is suggested that 1) Further study is needed with larger sample size to identify the fall risk factors. 2) After the fall accident, comprehensive nursing care and regular physical exercise should be emphasized for the elderly person. 3) Safety education and safety facilities of the public place and home is necessary for fall prevention. PMID:10437605