Laboratory confirmation of Cortinarius poisoning

International audienceDeliberate poisoning with Cortinarius orellanus. Identification of orellanine in renal biopsy ten days and 6 months after the toxic mushroom ingestio

Intoxication by Cortinarius orellanus: detection and assay of orellanine in biological fluids and renal biopsies

International audienceA woman suffering from acute tubulo-interstitial nephritis was admitted to the hospital ten days after deliberate intoxication by ingestion of Cortinarius orellanus. Orellanine, the main toxin responsible for orellanine poisoning, was detected in biological fluids and renal biopsies. It was assayed by direct spectrofluorimetry on two-dimensional thin-layer chromatograms after specific photodecomposition into orelline. The orellanine concentration was 6.12 mg/l in the plasma (10 days after ingestion). Orellanine levels in renal biopsies were 7 micrograms per 25 mm3 of the first biopsy (13 days after ingestion) and 24 micrograms per 8 mm3 of the second biopsy (6 months later)

Blood purification after orellanine intoxication with Cortinarius orellanus

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Intérêt d'un traitement précoce original dans un cas d'intoxication volontaire par Cortinarius orellanus après dosage de l'orellanine dans les milieux biologiques et tissulaires

International audienceCortinarius poisoning is generally caused by orellanine, a hydroxy bipyridine N, N-dioxide. This intoxication is characterized by acute nephritis which can lead to death without treatment. We reported a highly sensitive and simple fluorimetric technique to analyse orellanine by thin-layer chromatography on the basis of its characteristic photodecomposition into orelline. Using this procedure, we detected and assayed orellanine for the first time in plasma and renal biopsies of a woman who had deliberately ingested two fruit-bodies of Cortinarius orellanus. An early original treatment was carried out based on hemodialysis, combination plasmapheresis-hemoperfusion, and amino acids and diltiazem administration. These results indicate that it is now possible to make a precise diagnosis of orellanine poisoning

Chimps of a feather sit together: chimpanzee friendships are based on homophily in personality

Several recent studies show that animal friendships, like human friendships, are durable and have fitness benefits by increasing survival, infant survival, or reproductive success. However, the determinants of especially non-kin friendships are unclear. Human non-kin friendships are partly determined by similarity in personality. We investigated personality similarity of friends in 38 captive chimpanzees. Within-subject comparisons revealed that friends are more similar than non-friends in their Sociability and Boldness. Subsequent analyses, including both kin- and non-kin dyads, revealed higher similarity in Sociability among all individuals who sat in contact more often, while in Boldness and Grooming Equity the positive effect of similarity was only found in non-kin individuals’ contact-sitting. Our results show that similar to humans, chimpanzees’ friendships are related to homophily in certain personality characteristics, particularly those relevant for socio-positive and cooperative behaviour. We suggest that having friends similar to self in personality decreases uncertainty in interactions by promoting reliability especially in cooperative contexts, and is consequently adaptive. Further, we suggest that homophily in human friendships dates back at least to our last common ancestor with chimpanzees

Low incidence of SARS-CoV-2, risk factors of mortality and the course of illness in the French national cohort of dialysis patients

International audienceThe aim of this study was to estimate the incidence of COVID-19 disease in the French national population of dialysis patients, their course of illness and to identify the risk factors associated with mortality. Our study included all patients on dialysis recorded in the French REIN Registry in April 2020. Clinical characteristics at last follow-up and the evolution of COVID-19 illness severity over time were recorded for diagnosed cases (either suspicious clinical symptoms, characteristic signs on the chest scan or a positive reverse transcription polymerase chain reaction) for SARS-CoV-2. A total of 1,621 infected patients were reported on the REIN registry from March 16th, 2020 to May 4th, 2020. Of these, 344 died. The prevalence of COVID-19 patients varied from less than 1% to 10% between regions. The probability of being a case was higher in males, patients with diabetes, those in need of assistance for transfer or treated at a self-care unit. Dialysis at home was associated with a lower probability of being infected as was being a smoker, a former smoker, having an active malignancy, or peripheral vascular disease. Mortality in diagnosed cases (21%) was associated with the same causes as in the general population. Higher age, hypoalbuminemia and the presence of an ischemic heart disease were statistically independently associated with a higher risk of death. Being treated at a selfcare unit was associated with a lower risk. Thus, our study showed a relatively low frequency of COVID-19 among dialysis patients contrary to what might have been assumed