[Implantable venous access ports, nursing practices].

Following the publication of national recommendations regarding the handling of implantable venous access ports, an observation audit was carried out in a hospital in 2013. This enabled an assessment of the existing system to be performed, current practices to be compared with the hospital's protocol and adapted corrective measures to be put in place. A further audit carried out in 2015 was particularly encouraging.

[Severe pulmonary tuberculosis in the ICU, diagnosis and treatment].

Introduction: Pulmonary tuberculosis can rarely lead to acute respiratory distress syndrome and anti-tuberculous therapy initiation depends on this difficult diagnosis in ICU.

Case Report: A 50-year-old man presented a septic shock and acute respiratory distress syndrome with bilateral infiltrates mainly in the upper lobes on chest radiography. Diagnosis of pulmonary tuberculosis was made 10days after admission on examination of cavitary and diffuse infiltrates on a second CT scan, in addition to presence of acid-fast bacilli on smear examination of bronchial aspirates.

[Mental health service utilization among borderline personality disorder patients inpatient].

Background: Borderline personality disorder (BPD) is characterized by a pervasive pattern of instability and impulsivity. Several North American prospective studies support the high level of mental health care utilization in this population. There is little data in other systems of health organization, such as France.

Microscopic colitis or functional bowel disease with diarrhea: a French prospective multicenter study.

Objectives: To describe the characteristics of a cohort of patients with microscopic colitis (MC; lymphocytic (LC) or collagenous (CC) colitis) and to compare them with patients with functional bowel disorder with diarrhea (FBD-D).

Methods: Between September 2010 and June 2012, patients fulfilling the following inclusion criteria were prospectively included in 26 centers in France: (i) having at least three bowel movements daily with change in stool consistency; (ii) duration of abnormal bowel habit >4 weeks; and (iii) normal or near-normal colonoscopy. Each patient underwent a colonoscopy and colonic biopsies.

[Thiamine deficiency in infants: a case report].

Thiamine deficiency is recognized in varied parts of the world. In Asia, it remains an important public health problem where highly polished rice is the major staple food and where other primary dietary sources of thiamine are in short supply. Beriberi, or clinically apparent thiamine deficiency, may present a variety of syndromes including myocardial dysfunction or wet beriberi, dry beriberi with neurological symptoms, and the more severe form Shoshin beriberi with cardiac failure and lactic acidosis.

[IgE mediated anaphylaxis in a patient with systemic mastocytosis].

Background: Anaphylaxis is a severe, generalized, life-threatening reaction of rapid onset. We report the case of a patient presenting several systemic anaphylactic reactions over many years, initially ascribed to a cereals allergy but which finally proved to be due to systemic mastocytosis hidden for a long time.

Patients And Methods: A 53-year-old man consulted for an eruption consisting of monomorphic pigmented maculopapular lesions on the trunk associated with itching and urticaria.

[Antidesmoglein antibodies in a patient with Hailey-Hailey disease].

Background: Hailey-Hailey disease (HHD) is a rare hereditary disease in which the genetic defect is characterized by mutation in the ATP2C1 gene coding for a transmembrane calcium pump. It is generally considered a non-immunologic acantholytic dermatosis in which direct and indirect immunofluorescence studies are negative, unlike in autoimmune pemphigus.

Patients And Methods: We describe a case of HHD associated with antidesmoglein antibodies in a 53-year-old woman.

[Pelvic hydatid cyst: differential diagnosis with a bacterial abscess with cutaneous fistula].

The genus Echinococcus is a worldwide tapeworm with a two host mammalian cycle. Among the six described species, Echinococcus granulosus (EG) and Echinococcus multilocularis are the most important in respect to their public health importance. Infected human, as an intermediate accidental host, presents single to several cysts, mainly located in the liver.

[Biliary lithiasis].

No treatment is recommended for silent gallstones. The diagnosis of acute cholecystitis is based on clinical and biological signs and on abdominal sonography. Early laparoscopic cholecystectomy is the treatment of choice, except in case of severe (grade III) cholecystitis where a percutaneous cholecystostomy associated with antibiotic therapy is recommended.

[Autochthonous filaria in south-west France caused by Dirofilaria repens].

Background: Dirofilariasis is an autochthonous disease caused by Dirofilaria (Nochtiella) repens, a subcutaneous parasite of dogs and other carnivorous animals. Human infection leads to a self-limiting disease that generally presents clinically as a subcutaneous nodule. We describe a case occurring outside the classical endemic Mediterranean region.

[Dysphagia in the elderly: which drugs are crushable?].

Deglutition disorders in the elderly are frequent and may be due to multiple etiologies. The galenic of the treatment is sometimes modified, for example by crushing a tablet or opening a capsule, not without risk. This article presents the drugs which may or may not be transformed taking into account their pharmacological and clinical characteristics.

[A rare cause of cyanosis: Sulphaemoglobinaemia related to thiocolchicoside (Miorel)].

Introduction: An acquired abnormality of haemoglobin is among the many causes of cyanosis, especially in patients with no identified cardiorespiratory cause.

Case Report: A 50-year-old woman, suffering from amyotrophic lateral sclerosis, was hospitalised for dyspnoea. Physical examination revealed cyanosis that persisted despite oxygen therapy.

Is physical activity possible and beneficial for patients with hepatitis C receiving pegylated interferon and ribavirin therapy?

The great majority of patients with chronic viral hepatitis C are treated with pegylated interferon-ribavirin therapy. The aim of this study was to demonstrate that these patients were able to have some form of physical exercise, and that this activity can lead to an improvement in their quality-of-life. Twelve volunteer patients with hepatitis C, who were either sedentary or had become sedentary and who had been treated by combination therapy for the past few weeks, were recruited at hepatology clinics in the Midi-Pyrénées region of France early in 2006.

[Prevalence of hypertension and its treatment in a population of 26,374 workers].

The control of hypertension requires large scale epidemiological studies to determine the prevalence of the disease and to evaluate the results of therapeutic intervention. This study was based on the examination of 26,374 salaried adult patients during a 12 months period in the Tarn-et-Garonne Regional Industrial Medecine Service. The results of this study showed: 1) the prevalence of hypertension defined as greater than 165/95 mmHg was 5.