Pub Date : 2005-12-01DOI: 10.1016/J.EMCMI.2005.08.001
I. Desportes‐Livage, A. Datry
{"title":"Infections à microsporidies, Isospora et Sarcocystis","authors":"I. Desportes‐Livage, A. Datry","doi":"10.1016/J.EMCMI.2005.08.001","DOIUrl":"https://doi.org/10.1016/J.EMCMI.2005.08.001","url":null,"abstract":"","PeriodicalId":100430,"journal":{"name":"EMC - Maladies Infectieuses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84638042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-09-01DOI: 10.1016/j.emcmi.2005.04.002
J.-L. Caumes (Assistant des hôpitaux des Armées) , J.-A. Bronstein (Spécialiste des hôpitaux des Armées) , F. Klotz (Professeur titulaire de la chaire de médecine tropicale au Val-de-Grâce)
Human trichuriasis is an intestinal nematode infection of which the responsible agent is trichuris trichiura. This whipworm infestation is preferentially found in tropical areas, closely related with faecal peril and poverty. Clinical manifestations are abdominal pain, diarrhoea, dysentery, rectal prolapsus, rarely colonic obstruction or perforation when the trichuriasis is massive. Diagnosis is easy by eggs evidence in the parasitic stool examination. The benzimidazol-based therapy is now the most effective and well tolerated treatment.
{"title":"Trichocéphales et trichocéphalose","authors":"J.-L. Caumes (Assistant des hôpitaux des Armées) , J.-A. Bronstein (Spécialiste des hôpitaux des Armées) , F. Klotz (Professeur titulaire de la chaire de médecine tropicale au Val-de-Grâce)","doi":"10.1016/j.emcmi.2005.04.002","DOIUrl":"https://doi.org/10.1016/j.emcmi.2005.04.002","url":null,"abstract":"<div><p>Human trichuriasis is an intestinal nematode infection of which the responsible agent is <em>trichuris trichiura</em>. This whipworm infestation is preferentially found in tropical areas, closely related with faecal peril and poverty. Clinical manifestations are abdominal pain, diarrhoea, dysentery, rectal prolapsus, rarely colonic obstruction or perforation when the trichuriasis is massive. Diagnosis is easy by eggs evidence in the parasitic stool examination. The benzimidazol-based therapy is now the most effective and well tolerated treatment.</p></div>","PeriodicalId":100430,"journal":{"name":"EMC - Maladies Infectieuses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcmi.2005.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72070272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-09-01DOI: 10.1016/J.EMCMI.2005.07.001
N. Saidenberg-Kermanac’h, Martin Boissier, O. Bouchaud
{"title":"Manifestations articulaires des parasitoses","authors":"N. Saidenberg-Kermanac’h, Martin Boissier, O. Bouchaud","doi":"10.1016/J.EMCMI.2005.07.001","DOIUrl":"https://doi.org/10.1016/J.EMCMI.2005.07.001","url":null,"abstract":"","PeriodicalId":100430,"journal":{"name":"EMC - Maladies Infectieuses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91450846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-09-01DOI: 10.1016/j.emcmi.2005.04.001
M. Develoux (Maître de conférences, praticien hospitalier) , S. Bretagne (Professeur des Universités, praticien hospitalier)
The spectrum of Candida and other yeast infections is wide, from skin or nail infections to disseminated candidiasis. The yeasts involved in human pathology are few, compared with the whole fungal kingdom. These yeasts have different biologic patterns but share the feature to be mainly opportunistic agents: their pathogenic power is only expressed when risk factors are present. Among them, Candida albicans remains the most frequent although non albicans species are more and more reported, especially in disseminated infections. The diagnosis relies on the microbiological analysis of clinical samples but the interpretation of a positive culture should be part of an overall analysis that integrates clinical symptoms and risk factors. Indeed, C. albicans lives as a benign commensal on digestive and vaginal mucosa; its presence does not necessarily indicate a disease. Treatment of localized yeast infections is based on the suppression of risk factors and the use of topic antifungal agents. In case of well-documented reoccurrences, systemic antifungal drugs may be proposed. For disseminated infections, a systemic antifungal agent is mandatory; in such cases, the associated mortality remains high, close to 50%, despite the recent development of new antifungal molecules.
{"title":"Candidoses et levuroses diverses","authors":"M. Develoux (Maître de conférences, praticien hospitalier) , S. Bretagne (Professeur des Universités, praticien hospitalier)","doi":"10.1016/j.emcmi.2005.04.001","DOIUrl":"https://doi.org/10.1016/j.emcmi.2005.04.001","url":null,"abstract":"<div><p>The spectrum of <em>Candida</em> and other yeast infections is wide, from skin or nail infections to disseminated candidiasis. The yeasts involved in human pathology are few, compared with the whole fungal kingdom. These yeasts have different biologic patterns but share the feature to be mainly opportunistic agents: their pathogenic power is only expressed when risk factors are present. Among them, <em>Candida albicans</em> remains the most frequent although non albicans species are more and more reported, especially in disseminated infections. The diagnosis relies on the microbiological analysis of clinical samples but the interpretation of a positive culture should be part of an overall analysis that integrates clinical symptoms and risk factors. Indeed, <em>C. albicans</em> lives as a benign commensal on digestive and vaginal mucosa; its presence does not necessarily indicate a disease. Treatment of localized yeast infections is based on the suppression of risk factors and the use of topic antifungal agents. In case of well-documented reoccurrences, systemic antifungal drugs may be proposed. For disseminated infections, a systemic antifungal agent is mandatory; in such cases, the associated mortality remains high, close to 50%, despite the recent development of new antifungal molecules.</p></div>","PeriodicalId":100430,"journal":{"name":"EMC - Maladies Infectieuses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcmi.2005.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72070274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-09-01DOI: 10.1016/J.EMCMI.2005.04.002
J. Caumes, J. Bronstein, F. Klotz
{"title":"Trichocéphales et trichocéphalose","authors":"J. Caumes, J. Bronstein, F. Klotz","doi":"10.1016/J.EMCMI.2005.04.002","DOIUrl":"https://doi.org/10.1016/J.EMCMI.2005.04.002","url":null,"abstract":"","PeriodicalId":100430,"journal":{"name":"EMC - Maladies Infectieuses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81040868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-09-01DOI: 10.1016/j.emcmi.2005.07.001
N. Saidenberg-Kermanac'h , M.-C. Boissier , O. Bouchaud
Parasitic diseases are frequent, especially in tropical climatic contexts, but they are rarely associated with rheumatologic manifestations. These may happen, however, although some are discussed. Joint symptoms of parasitic diseases can be related either to the presence of the parasite inside the paw, or to a reactive inflammation probably from an immuno-allergic mechanism, with the parasite, in such condition, far from the paw. In the latter case, the fact that the parasite is the real cause is difficult to confirm, which explains that this entity, usually called parasitic rheumatism or reactive arthritis remains controversial. The clinical symptomatology is diverse, more often of mono-arthritis or oligo-arthritis type. It affects mainly the large articulations of the lower limbs, especially the knee, mimicking a beginning of spondylarthropathy. Small articulations can also be affected, presenting like a rheumatoid arthritis at the initial stage. In case of joint disease without obvious aetiology, possible parasitic origin should be evoked and specific favourable factors of exposure should be sought. As a matter of facts, specific anti-parasitic treatment may be efficient.
{"title":"Manifestations articulaires des parasitoses","authors":"N. Saidenberg-Kermanac'h , M.-C. Boissier , O. Bouchaud","doi":"10.1016/j.emcmi.2005.07.001","DOIUrl":"https://doi.org/10.1016/j.emcmi.2005.07.001","url":null,"abstract":"<div><p>Parasitic diseases are frequent, especially in tropical climatic contexts, but they are rarely associated with rheumatologic manifestations. These may happen, however, although some are discussed. Joint symptoms of parasitic diseases can be related either to the presence of the parasite inside the paw, or to a reactive inflammation probably from an immuno-allergic mechanism, with the parasite, in such condition, far from the paw. In the latter case, the fact that the parasite is the real cause is difficult to confirm, which explains that this entity, usually called parasitic rheumatism or reactive arthritis remains controversial. The clinical symptomatology is diverse, more often of mono-arthritis or oligo-arthritis type. It affects mainly the large articulations of the lower limbs, especially the knee, mimicking a beginning of spondylarthropathy. Small articulations can also be affected, presenting like a rheumatoid arthritis at the initial stage. In case of joint disease without obvious aetiology, possible parasitic origin should be evoked and specific favourable factors of exposure should be sought. As a matter of facts, specific anti-parasitic treatment may be efficient.</p></div>","PeriodicalId":100430,"journal":{"name":"EMC - Maladies Infectieuses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcmi.2005.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72070271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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