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[Management of purpura fulminans apropos of 21 cases: diagnostic delay and therapeutic problems].
Tunis Med
May 2007
Service de Réanimation Pédiatrique Polyvalente, Hôpital d'enfants de Tunis.
Aim: To evaluate the diagnostic delay and therapeutic insufficiencies delay before the transfer in ICU of the children admitted in the ICU of the children's hospital of Tunis with a purpura fulminans (PF).
Methods: A retrospective, descriptive study, of children with PF referred between January 2000 and January 2006 to a the paediatric intensive care unit (PICU) of the children's hospital of Tunis. The PF diagnosis was retained in any child presenting a feverish purpura and circulatory insufficiency signs.
[Isolated anomalous origin of a septal artery from a third coronary ostium. Apropos of a case].
Arch Mal Coeur Vaiss
March 1996
Service d'explorations hémodynamiques et de cardiologie interventionnelle, centre chirurgical Marie-Lannelongue, Plessis-Robinson.
The authors report the case of a patient undergoing coronary angiography for angina who had an anomalous origin of the septal perforator artery from a separate ostium. Anomalies of the coronary arteries may consist not only of anomalous trajectories and coronary fistulae but also of anomalous origins of the main coronary arteries. The anomalous origin of a septal artery from a separate ostium is very rare accounting for 0.
View Article and Find Full Text PDF[Plasma exchange and severe Plasmodium falciparum malaria. Apropos of 2 cases].
Cah Anesthesiol
March 1996
Service de Réanimation Polyvalente, Centre Hospitalier Général, Cayenne.
Severe Falciparum malaria is associated with multiple organ dysfunction and a high rate of fatal outcome. Appropriate antimalarial chemotherapy and symptomatic treatment may be supplemented by early plasma exchange. Two cases are reported in which there were no chemoprophylaxis and a late diagnosis.
View Article and Find Full Text PDF[Spontaneous rupture of the spleen under ticlopidine. Apropos of two cases].
J Chir (Paris)
March 1995
Service de Chirurgie, C.H.G. de Cavaillon.
We observed two cases of spontaneous rupture of an apparently healthy spleen in two patients who were taking ticlopidine as anti-platelet aggregation treatment. The notion that the spleen was apparently healthy was based on well-defined criteria, essential for the imputability of the spontaneous lesions. In general drug-induced spontaneous ruptures of the spleen have been reported for anticoagulants but no case due to antiplatelet aggregation has been reported to our knowledge.
View Article and Find Full Text PDF[Percutaneous transluminal angioplasty of subclavian, axillary and brachiocephalic trunk arteries. Apropos of 18 patients].
Arch Mal Coeur Vaiss
March 1994
Services de radiologie et chirurgie vasculaire, hôpital Montpied, CHU, Clermont-Ferrand.
The authors report the immediate and mid term results of percutaneous transluminal angioplasty of stenosis of the subclavian (16 cases), brachiocephalic (1 case) and axillary arteries (1 case) in a series of 18 patients. These lesions were responsible for isolated ischaemia of the arm in 6 cases, vertebrobasilar insufficiency in 6 cases and an association of the two presentations in 2 cases; in 4 asymptomatic patients, the procedure was undertaken to maintain cerebral perfusion. A technical success was obtained in all cases, with one femoral haematoma and one episode of transient visual disturbance, which were spontaneously regressive, as the only complications.
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