73 research outputs found
Clinical features and predictors of mortality in admitted patients with community- and hospital-acquired legionellosis: A Danish historical cohort study
<p>Abstract</p> <p>Background</p> <p>Legionella is a common cause of bacterial pneumonia. Community-acquired [CAL] and hospital-acquired legionellosis [HAL] may have different presentations and outcome. We aimed to compare clinical characteristics and examine predictors of mortality for CAL and HAL.</p> <p>Methods</p> <p>We identified hospitalized cases of legionellosis in 4 Danish counties from January 1995 to December 2005 using the Danish national surveillance system and databases at departments of clinical microbiology. Clinical and laboratory data were retrieved from medical records; vital status was obtained from the Danish Civil Registration System. We calculated 30- and 90-day case fatality rates and identified independent predictors of mortality using logistic regression analyses.</p> <p>Results</p> <p>We included 272 cases of CAL and 60 cases of HAL. Signs and symptoms of HAL were less pronounced than for CAL and time from in-hospital symptoms to legionellosis diagnosis was shorter for CAL than for HAL (5.5 days vs. 12 days p < 0.001). Thirty-day case fatality was 12.9% for CAL and 33.3% for HAL; similarly 90-day case fatalities in the two groups were 15.8% and 55.0%, respectively. In a logistic regression analysis (excluding symptoms and laboratory tests) age >65 years (OR = 2.6, 95% CI: 1.1-5.9) and Charlson comorbidty index ≥2 (OR = 2.7, 95% CI: 1.1-6.5) were associated with an increased risk of death in CAL. We identified no statistically significant predictors of 30-day mortality in HAL.</p> <p>Conclusions</p> <p>Signs and symptoms were less pronounced in HAL compared to CAL. Conversely, 30-day case fatality was almost 3 times higher. Clinical awareness is important for the timely diagnosis and treatment especially of HAL. There is a need for further studies of prognostic factors in order to improve the therapeutic approach to legionellosis and potentially reduce mortality.</p
Lifelong testicular differentiation in Pleurodeles waltl (Amphibia, Caudata)
This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens
Expression d'une protéine liée au sexe, la peptidase-1, chez des Pleurodcles femelles soumises à un vol orbital et recherche d'anomalies génétiques dans leurs descendances
The "Experience Triton" embarked on board of Biosatellite
Cosmos 2229 (or Bion 10) pooled several experiments engaged by
different teams. Our laboratories have to study in the amphibian urodele
Pleurodeles waltl : 1- the expression of a sex-linked enzyme, the
peptidase-1, in embarked and synchrone control females. The
electrophoretical patterns of the enzyme in ovary, gut and muscles of flight
samples were similar to erythrocyte controls but they were slightly different
for kidney and heart. 2- the detection of possible genetic abnormalities in
the offspring of females submitted to space environment. Embarked females
and synchrone females were used as donors of ovaries both to castrated
adult females and juveniles males. In may 1994, one recipient female and 6
recipient males are alive in may 1994. Laparotomy of the host animals
allowed to oversee the success of the graft for all the surviving animals
excepted one male which had received an ovary of an embarked
female.Because of the slow development of ovaries in Pleurodeles , the
success of this space experiment cannot be ascertain before the
reproduction of these animals which will conduct in some monthsL' "Expérience Triton" embarquée à bord du
Biosatellite Cosmos 2229 (ou Bion 10) regroupait plusieurs équipes
scientifiques russes et françaises. Nos laboratoires avaient à étudier chez
FAmphibien Urodèle Pleurodeles waltl : 1-l'expression d'une enzyme liée
au sexe, la peptidase-1, chez des femelles spatialisées et chez leurs contrôles
synchrones au sol. Les patterns électrophorétiques de l'enzyme obtenus
pour l'ovaire, l'intestin et les muscles abdominaux sont semblables au
pattern de référence établi à partir des érythrocytes d'animaux témoins. En
revanche, le pattern est différent pour le rein et le coeur. Aucune différence
majeure n'a été décelée entre les patterns des animaux du vol orbital et
ceux de leurs contrôles synchrones. L'activité enzymatique spécifique ne
présente pas de différences significatives entre les animaux du vol et ceux
du lot synchrone pour l'ovaire, l'intestin, le coeur et les muscles; dans les
reins, l'activité parait plus élevée pour les femelles du vol que pour celles
du lot synchrone. 2- la recherche d'anomalies génétiques dans la
descendance des femelles soumises aux contraintes de l'environnement
spatial, et plus particulièrement à la microgravité et au rayonnement
cosmique. Selon le protocole retenu pour la mission, toutes les femelles
embarquées devaient être sacrifiées après leur retour sur Terre. Aussi leurs
ovaires ont été transplantés dans des femelles adultes castrées ou des mâles
juvéniles castrés. En mai 1994, une femelle et 6 mâles greffés sont en vie.
Chez la femelle et 5 mâles, le succès des greffes a été constaté à partir de laparotomies pratiquées sur les animaux. Le développement des ovaires
étant très lent chez le Pleurodèle, l'obtention et l'analyse des
descendances des animaux greffés ne peuvent pas être envisagées avant
quelques moi
Seroconversion of Neurocysticercosis Occurring After Anti‐Helminthic Treatment
International audienceWe report two cases of symptomatic neurocysticercosis in two migrants whose negative serology delayed appropriate treatment for 9 and 6 months, respectively. Seroconversion occurred after treatment, which was associated with paradoxical reaction in one patient. Long-term outcome was good in both patients
- …