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Real-world multicentre study of cefiderocol treatment of immunocompromised patients with infections caused by multidrug-resistant Gram-negative bacteria: CEFI-ID.

J Infect

January 2025

Département des Maladies Infectieuses et Tropicales, Hospices Civils de Lyon, F-69004 Lyon, France; Centre International de Recherche en Infectiologie (CIRI), Inserm 1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, École Normale Supérieure de Lyon, Univ Lyon, F-69007, France.

Introduction: The increase in the population of immunocompromised patients due to advances in management of end-stage diseases and transplants poses challenges in treating infections caused by multi-drug resistant (MDR) pathogens. Cefiderocol (FDC), a siderophore cephalosporin, has shown efficacy against carbapenem-resistant Gram-negative bacteria.

Methods: This retrospective multicentre study investigated the real-world use of FDC in 114 immunocompromised adults treated for MDR infections in 12 French hospitals (June 2020-November 2023).

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Comparison of Dual Monoclonal Antibody Therapies for COVID-19 Evolution: A Multicentric Retrospective Study.

Viruses

September 2024

Laboratoire de Virologie, Hôpitaux Universitaires Pitié-Salpêtrière-Charles Foix, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Institut National de la Santé et de la Recherche Médicale, Sorbonne Université, Assitance Publique-Hôpitaux de Paris, 75013 Paris, France.

Background: Neutralizing antibodies targeting the SARS-CoV-2 Spike protein reduce COVID-19-related risk of hospitalization, particularly in high-risk individuals. The COCOPREV-R study aimed to evaluate and compare clinical outcomes in high-risk SARS-CoV-2 patients treated with dual monoclonal antibody therapies and to identify associated virological factors.

Methods: The COCOPREV-R study retrospectively collected real-world data from high-risk patients receiving Bamlanivimab/Etesevimab or Casirivimab/Imdevimab dual monoclonal antibody therapies (22 February 2021 to 15 June 2021).

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Article Synopsis
  • * This study analyzed cases of C bantiana infections in France and its territories, involving patients who were diagnosed through a comprehensive surveillance program, focusing on survival rates and the presence of central nervous system (CNS) involvement.
  • * Out of 23 patients identified from 2002 to 2022, 65% had CNS involvement, with a notable increase in cases reported in 2022, indicating a possible correlation with environmental factors like rising temperatures.
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[An invasive cutaneous aspergillosis during a granulomatosis with polyangiitis].

Rev Med Interne

November 2024

Service de médecine interne, CHU de Saint-Étienne, hôpital Nord, Saint-Étienne, France. Electronic address:

Article Synopsis
  • - Aspergillosis is a serious infection that can occur in individuals with weakened immune systems, primarily affecting the lungs but sometimes spreading to the skin and other areas in severe cases.
  • - A 76-year-old woman with a relapse of a certain autoimmune disease and undergoing immunosuppressive treatment developed skin lesions, which were diagnosed as invasive cutaneous aspergillosis through a biopsy.
  • - The patient improved significantly after being treated with voriconazole, highlighting the importance of thorough testing for opportunistic infections in immunocompromised patients presenting with unusual skin symptoms.
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Article Synopsis
  • This study focuses on cell wall nanoparticles (CWNPs) derived from fungal hyphal cell walls to explore how they affect macrophage immune responses.
  • CWNPs were produced using various inhibitors, leading to distinct types that showed different impacts on macrophage activation and viability.
  • The findings suggest that modifying fungal cell walls results in nanoparticles with unique properties, which may influence immune reactions and therapeutic strategies during antifungal treatments.
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