Antimicrobial strategy for severe community-acquired legionnaires' disease: a multicentre retrospective observational study.

Background: Legionnaires' disease (LD) is an important cause of community-acquired pneumonia with high mortality rates in the most severe cases.

Objectives: To evaluate the effect of antimicrobial strategy on ICU mortality.

Methods: Retrospective, observational study including patients admitted to 10 ICUs for severe community-acquired LD over a 10 year period (2005-15) and receiving an active therapy within 48 h of admission .

[Epidemiological, clinical and therapeutic features of pediatric ocular injuries in an eye emergency unit in Île-de-France].

Introduction: Ocular and orbital trauma is a leading cause of acquired monocular blindness in childhood. These injuries differ from those in adults in some aspects of the management and prognosis, notably the risk of amblyopia. The goal of this study was to analyze the epidemiological, clinical and therapeutic features of ocular trauma in children who consulted in an eye emergency department in Île-de-France.

Acute cervical lymphadenitis and infections of the retropharyngeal and parapharyngeal spaces in children.

Background: Acute cervical adenitis can evolve into suppurative cervical lymphadenitis and may sometimes be associated with infection of the retropharyngeal and parapharyngeal spaces (i.e., retropharyngeal and poststyloid parapharyngeal abscesses).

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.

Patellar height relevance in opening-wedge high tibial osteotomy.

Introduction: The decrease of patellar height following opening-wedge proximal tibial osteotomy can affect function, and subsequent total knee arthroplasty may be more difficult and give poorer results.

Hypothesis: Pre-operative patellar height is an objective predictor of functional result in opening-wedge osteotomy.

Patients And Methods: The effect of opening-wedge high tibial osteotomy (HTO) and internal fixation on patellar height and its functional outcome were assessed.

EOS orthopaedic imaging system to study patellofemoral kinematics: assessment of uncertainty.

Background: Accurate knowledge of knee joint kinematics, especially patellofemoral joint kinematics,is essential for prosthetic evaluation so as to further improve total knee arthroplasty performances. Improving the evaluation of the functioning of the extensor apparatus appears,in this respect, particularly important in this optimization effort.

Objectives: The aim of this study was to propose a new experimental setup for the analysis of knee joint kinematics and to validate its relevance in terms of accuracy and uncertainty.

The epic of phage therapy.

The present report describes the presentation given by Dr Alain Dublanchet at the Stanier/Oxford Hygiene Symposium, held in Oxford, England, on November 10, 2004. Dr Dublanchet's lecture, entitled 'The epic of phage therapy', provided a sequential account of the use of phage as an antimicrobial from its discovery to its rise and fall and current rediscovery.

[Treatment of Buruli ulcer desease by excision and skin graft].

Introduction: Buruli ulcer is the most common mycobacteria disease after leprosy and tuberculosis. The purpose of our study is to make our contribution to the surgical treatment of Buruli ulcer and to asses our results.

Method: One hundred eighteen patients presenting progressive Buruli ulcers were operated on.

[Facial localizations of Buruli ulcers: two cases].

We report the first two published cases of a facial localization of Mycobacterium ulcerans ulcer (Buruli ulcer). M. ulcerans is the third most common mycobacteriosis, after leprosy and tuberculosis.

[Plastic surgery treatment of Buruli ulcer sequelaes. A retrospective study of 16 patients].

Introduction: Thirteen percents of the patients suffering from Buruli ulcer in Ivory Coast show sequels at a result of their spontaneous healing. The purpose of our study is to report and estimate the first series of the sequel treatment of Buruli ulcer, with standard reconstructive procedures used in plastic surgery.

Method: Sixteen patients totalizing 18 sequels were classified into 2 groups:13 patients showed functional sequels in connection with cicaticial retractions about level with joints;3 patients showed aesthetic sequels with no repercussion on the functional aspect.

[Cholangiocarcinoma developing in von Meyenburg complexes in haemochromatosis].

A 63-year-old man with genetic haemochromatosis underwent resection of a cholangiocarcinoma that developed in von Meyenburg complexes; the liver was not cirrhotic. Patients with an association of genetic haemochromatosis and von Meyenburg complexes might have a predisposition to cholangiocarcinoma, even before cirrhosis occurs. Patients with this association should undergo regular and early hepatic surveillance of hemochromatosis.

[Compression of the anterior interosseous nerve by Gantzer's muscle].

The authors report a case of incomplete anterior interosseous nerve syndrome due to mechanical compression by Gantzer's muscle. This accessory muscle induced an isolated paralysis of the flexor pollicis longus with a characteristic pinch attitude. No improvement was shown after six weeks of medical treatment.

[Anterior subtalar dislocation associated with a fracture of the calcaneus: a case report and review of the literature].

A new case of uncommon anterior subtalar dislocation associated with a fracture of the calcaneus is reported. Mechanism of production is described with a review of literature. The criteria of radiologic diagnosis are mentioned.

[Contribution of self-surveillance of the personnel by electronic radiation dosemeters in invasive cardiology].

The methods of surveillance of coronary angiography or angioplasty operators vary from team to team. The choice of method implies evaluation of the level of exposition of unprotected areas. The usual methods of surveillance by dosimetry may be complemented by an electronic device used for industrial radiological protection against X and Gamma rays.

[Surgical strategy of osteocutaneous free transfer of the fibula in complex mandibular reconstructions: technical notes].

The fibula osteocutaneous free flap now has a recognized place in the therapeutic arsenal of microsurgical mandibular reconstructions. Based on a review of the literature and their own experience, the authors propose a preoperative and intraoperative strategy adapted to reconstructions of mandibular defects. The place of complementary investigations, the site of the skin flap, the choice of osteotomy, the type of fixation, and spatialisation of the skin flap are presented.

Kinetics of conversion of Neisseria gonorrhoeae to resistance to complement by cytidine 5'-monophospho-N-acetyl neuraminic acid.

Freshly isolated gonococci upon subculture are readily lysed by normal human serum although a few strains remain inherently resistant to the complement activity. The sensitive gonococci can be converted to serum resistance by incubation with a host derived factor referred to as cytidine 5'-monophospho-N-acetylneuraminic acid (CMP-NANA). These gonococci resist complement mediated killing due to their sialylation of an epitope structure on a component of lipo-oligosaccharide (LOS).

[Sicca syndrome and type IV hyperlipoproteinemia].

Among the causes of Sicca syndrome the authors draw attention to the existence of pseudo Gougerot Sjogren's syndrome in association with type IV hyperlipoproteinemia.

[Intra-arterial regional chemotherapy in stomatological cancers using implantable chambers. 15-month experience].

The authors report their experience after 15 months of use of an implantable chamber for regional intra-arterial chemotherapy in stomatological cancer. This technique rekindles interest in intra-arterial chemotherapy via a retrograde temporal route, by simplifying the technique. The remarkable local tolerance of implantable chambers makes them preferable to external catheters and suitable for long term intra-arterial chemotherapy.