Keratomycosis complicating pterygium excision

The authors describe a case of keratomycosis that appeared after the exeresis of a pterygium. A 48-year-old patient had been referred with a red right eye associated with an abscess of the cornea along the ablation zone of the pterygium. The surgery had been performed a month beforehand. The abscess was 6 mm high and 4 mm wide. The authors instigated a treatment that included amphotericin B (0.25%) after noticing a clinical aspect evoking a fungal keratitis and finding several septate filaments on direct examination. On day 10, a Fusarium dimerum was isolated on Sabouraud agar. After 15 days of treatment, the result was favorable and the size of the ulceration as well as the size of the abscess had progressively decreased. The antifungal treatment was definitively stopped at 14 weeks. Infectious-related complications of the pterygium surgery are rare and are essentially caused by bacterial agents. Secondary infections by fungus are rare. There have been two previous cases reported: one that appeared 15 years after radiotherapy and another that appeared at 3 weeks post surgery, consecutive to the use of mitomycin C. To the authors’ knowledge, this is the first case of a keratomycosis due to F. dimerum reported that complicated the exeresis of a pterygium without the use of an adjuvant antihealing treatment. Pterygium surgery is a common procedure; nevertheless, ophthalmologists need to be aware of the existence of potential infectious complications

Reemergence of Syphilis in Martinique, 2001–2008

Syphilis reemerged in Martinique in 2004 and initially affected 3 HIV-infected patients. By March 2008, syphilis was diagnosed for 37 men and 18 women. As of October 31, 2009, this outbreak had not yet been brought under control. It initially affected mainly men who had sex with men before it spread to heterosexual persons, minority group members, and crack cocaine users

Paludisme d'importation au C.H.U de Fort-de-France de 1999 à 2005

FORT-DE-FRANCE-CHRU-BU (972332102) / SudocLILLE2-BU Santé-Recherche (593502101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

n. sp. (Kinetoplastida: Trypanosomatidae), description of the parasite responsible for cutaneous leishmaniasis in Martinique Island (French West Indies)

The parasite responsible for autochthonous cutaneous leishmaniasis in Martinique island (French West Indies) was first isolated in 1995; its taxonomical position was established only in 2002, but it remained unnamed. In the present paper, the authors name this parasite Leishmania (Leishmania) martiniquensis Desbois, Pratlong & Dedet n. sp. and describe the type strain of this taxon, including its biological characteristics, biochemical and molecular identification, and pathogenicity. This parasite, clearly distinct from all other Euleishmania, and placed at the base of the Leishmania phylogenetic tree, is included in the subgenus Leishmania

Leishmania (Leishmania) martiniquensis n. sp. (Kinetoplastida: Trypanosomatidae), description of the parasite responsible for cutaneous leishmaniasis in Martinique Island (French West Indies)

The parasite responsible for autochthonous cutaneous leishmaniasis in Martinique island (French West Indies) was first isolated in 1995; its taxonomical position was established only in 2002, but it remained unnamed. In the present paper, the authors name this parasite Leishmania (Leishmania) martiniquensis Desbois, Pratlong & Dedet n. sp. and describe the type strain of this taxon, including its biological characteristics, biochemical and molecular identification, and pathogenicity. This parasite, clearly distinct from all other Euleishmania, and placed at the base of the Leishmania phylogenetic tree, is included in the subgenus Leishmania

Épidémiologie des leishmanioses autochtones en France métropolitaine et d’outre-mer

les auteurs remercient :• tous les professionnels qui ont déclaré leurs cas de leishmanioses au Centre national de référence des leishmanioses, ainsi que les vétérinaires exerçant en zone d’endémie qui ont répondu aux enquêtes, fourni les commémoratifs et données cliniques permettant de dresser tout ou partie des cartes de répartition ;• tous les étudiants, médecins, vétérinaires et pharmaciens qui ont rassemblé les données pour la soutenance de leur thèse d’exercice ;• l’Institut de veille sanitaire, les personnels des laboratoires de parasitologie-mycologie du CHRU de Montpellier, du CHU de Fort-de-France, du CHG de Cayenne, du CHU de Nîmes et le laboratoire de parasitologie-maladies parasitaires du Campus vétérinaire de Lyon.International audienceLeishmania infantum is the only species occurring in metropolitan France; located in the Mediterranean part of the country, it is responsible for a highly enzootic canine disease, while the human endemicity is low, with about 23 cases yearly reported to the National Reference Centre of Leishmaniases, mainly visceral forms. In French Guyana, five Leishmania species occur in the Amazonian forest, of which L. guyanensis is the predominant species, and L. braziliensis is responsible for the most critical forms. The most frequent clinical feature is cutaneous leishmaniasis, with a mean annual incidence reaching 2 p. 1000, with some inter-annual fluctuations. In Martinique Island, recent studies have confirmed the presence of an ancestral Leishmania species, responsible for small cutaneous lesions, of mild evolution; the life cycle of this species remains unknown. In Guadeloupe Island, a few autochthonous visceral leishmaniasis cases have been reported, needing a prospective study.En France métropolitaine, l’espèce Leishmania infantum est la seule présente ; localisée à la partie méditerranéenne du pays, elle est responsable d’une forte enzootie canine, alors que l’endémicité humaine est faible, avec environ 23 cas signalés annuellement au Centre national de référence des leishmanioses, principalement des formes viscérales.En Guyane, cinq espèces de Leishmania circulent en forêt amazonienne, dont L. guyanensis, l’espèce prédominante, et L. braziliensis, responsable des formes les plus graves. La forme clinique largement majoritaire est la leishmaniose cutanée, qui présente une incidence annuelle moyenne estimée à 2 p. 1000, avec d’importantes fluctuations interannuelles.En Martinique, des études récentes ont confirmé la présence d’une espèce ancestrale de Leishmania, responsable de lésions cutanées de petite taille, d’évolution bénigne ; le cycle épidémiologique de cette espèce demeure inconnu

An Uncommon Cause of Chronic Cough

International audienc

Sinusites à Schizophyllum commune en Martinique : un phenomène émergent ?

International audienc