Publications by authors named "Klopfenstein T"

Background: Earlier studies revealed that 10%-50% of patients reported remaining complaints after treatment for Lyme neuroborreliosis (LNB). The aim of our study was to assess symptoms and quality of life in patients with diagnosed and treated LNB and to compare them with findings in the general population.

Methods: Adults with LNB receiving adequate antibiotics were included between 2015 and 2021 in 2 tertiary hospitals.

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  • A young woman was diagnosed with a disseminated Yersinia enterocolitica infection, which presented as pseudoappendicitis, mesenteric lymph node involvement, joint pain, glomerulonephritis, and hepatitis.
  • The diagnosis was confirmed using the Western Blot method to detect specific Yersinia antibodies.
  • Additionally, the patient exhibited Sweet's syndrome, a rare skin condition linked to autoimmune responses following infections, highlighting unusual skin manifestations in Yersinia enterocolitica cases.
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  • A 32-year-old man developed acute cerebellitis after having COVID-19, presenting with severe symptoms despite normal test results.
  • He received early treatment with high-dose steroids and intravenous immunoglobulins, leading to a full recovery in 37 days.
  • The case emphasizes the importance for doctors to recognize potential neurological complications from COVID-19 and to initiate treatment promptly, even when lab tests appear normal.
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Purpose: Few data have been published on the efficacy of linezolid in enterococcal urinary tract infection (e-UTI). The aims of this study were to describe the characteristics of patients with enterococci UTI treated with linezolid, and to evaluate the efficacy and the tolerance of linezolid treatment.

Methods: An observational multicentre retrospective study was conducted in 5 hospitals in France.

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We report a case of posterior reversible encephalopathy syndrome in an adult patient fulfilling criteria for proven early Lyme neuroborreliosis.

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We report a rare case of confirmed early neurosyphilis with serofast state in HIV-negative patient, with uncontrolled type 2 diabetes mellitus. Syphilitic meningitis was diagnosed initially on serology and cerebrospinal fluid (CSF) analysis. The patient had persistently raised non-treponemal titres on serum with negative CSF venereal disease research laboratory result, following treatment during 3 years of follow-up.

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  • A study examined patients with unexplained neurological symptoms and suspected Lyme neuroborreliosis (LNB) by comparing characteristics of those with and without LNB.
  • Out of 155 patients, 29% were diagnosed with LNB, with key findings indicating certain neurological symptoms like facial nerve palsy and shorter duration of symptoms linked to LNB.
  • Many patients, regardless of LNB diagnosis, reported similar non-neurological symptoms, suggesting that over a quarter of those seeking care had conditions unrelated to LNB.
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Chlamydia psittaci ‒ related community-acquired pneumonia associated to acute myocarditis was diagnosed in a young man with no medical history, and a professional exposition to birds. The diagnosis was confirmed with positive specific polymerase chain reaction in bronchoalveolar lavage. The patient was treated with spiramycin for two weeks with anti-inflammatory treatment for myocarditis for three months.

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Introduction: In case of pneumonia, some biological findings are suggestive for Legionnaire's disease (LD) including C-reactive protein (CRP). A low level of CRP is predictive for negative Legionella Urinary-Antigen-Test (L-UAT).

Method: Observational retrospective study in Nord-Franche-Comté Hospital with external validation in Besançon University Hospital, France which included all adults with L-UAT performed during January 2018 to December 2022.

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We report an outbreak of confirmed community-acquired pneumonia (CAP) in Hospital, France, from 14 November 2023 to 31 January 2024. All 13 inpatients (11 adults with a mean age of 45.5 years and 2 children) were diagnosed with positive serology and/or positive reverse transcription polymerase chain reaction (RT-PCR) on respiratory specimens.

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In this current case series, all Coronavirus disease 2019 patients had predominant ophthalmological presentation. Only one patient sough care for concomitant respiratory symptoms. We reported herein 2 cases with cranial oculomotor nerve palsy, one patient with confirmed diagnosis of branch retinal vein occlusion, and the last one patient presenting for acute kareto-conjunctivitis with several recurrences, which was unsuccessfully treated with steroids and requiring cliclosporin.

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We highlighted in this current paper similar prolonged respiratory presentation with COVID-19 pneumonia in four severely immunocompromised patients currently being treated with anti-CD20 monoclonal antibodies (mAbs), such as ocrelizumab and rituximab, for multiple sclerosis or rheumatoid polyarthritis. Real-time reverse transcription-polymerase chain reaction on a nasopharyngeal swab specimen was negative in all patients. SARS-CoV-2 infection was confirmed from bronchoalveolar lavage fluid.

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Campylobacter fetus accounts for 1% of Campylobacter spp. infections, but prevalence of bacteremia and risk for death are high. To determine clinical features of C.

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• bacteremia was diagnosed in a patient with after prophylactic probiotic consumption.• was identified by culture and MALDI-TOF-MS.• may have high MIC values for amoxicillin.

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A 26-year-old patient in France who worked as a butcher sought care initially for erythema multiforme. Clinical examination revealed a nodule with a crusty center, which upon investigation appeared to be an orf nodule. Diagnosis was confirmed by PCR.

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  • The study investigated the characteristics, management, and residual symptoms in patients diagnosed with Lyme neuroborreliosis (LNB) over a decade in France, focusing on both definite and possible cases.
  • Out of 138 adult patients, those with definite LNB showed shorter symptom duration and higher rates of radicular pain compared to those with possible LNB.
  • At follow-up, 59.7% of patients reported residual symptoms, with early diagnosis and treatment identified as critical for better outcomes and reducing long-term effects.
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Long-term evolution data of olfactory disorders (OD) in COVID-19 are limited. ANOSVID is a retrospective study in Nord Franche-Comté Hospital (France) that included COVID-19 patients from the first wave. The aim was to describe OD evolution, especially in patients with persistent OD (p-OD group) in comparison with patients with resolved OD (r-OD group).

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