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Mokrani A, Guermazi F, Meddeb K, Hadj Kacem LB, Chakroun M, Yahyaoui Y, Letaief F, Gabsi A, Bouzouita A, Ayadi M, Chraiet N, Raies H, Rammeh S, Chebil M, Mezlini A. Liposarcoma of the spermatic cord: A case report and review of literature. Urol Case Rep 2018; 21:19-20. [PMID: 30140612 PMCID: PMC6105755 DOI: 10.1016/j.eucr.2018.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2018] [Accepted: 07/04/2018] [Indexed: 11/16/2022] Open
Affiliation(s)
- Amina Mokrani
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Fatma Guermazi
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Khedija Meddeb
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Linda Bel Hadj Kacem
- Department of Pathology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Marouene Chakroun
- Department of Urology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Yosra Yahyaoui
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Feriel Letaief
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Azza Gabsi
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Abderrazek Bouzouita
- Department of Urology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Mouna Ayadi
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Nesrine Chraiet
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Henda Raies
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Soumaya Rammeh
- Department of Pathology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Mohamed Chebil
- Department of Urology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
| | - Amel Mezlini
- Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, Boulevard 9 Avril, Tunis El Manar University, Tunis, France
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Ichaoui H, Saadi A, Chakroun M, Ayed H, Bouzouita A, Cherif M, Derouiche A, Ben Slama MR, Chebil M. Xanthogranulomatous pyelonephritis in adults: clinical, biological, radiological and therapeutic main findings in diffuse and focal forms. About 42 cases. Tunis Med 2018; 96:495-500. [PMID: 30430527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Xanthogranulomatous pyelonephritis (XGPN) is a particular form of chronic renal suppuration characterized by the destruction of renal parenchyma and its replacement by a granulomatous tissue containing xanthomatous cells. OBJECTIVE To report and describe the main clinical, biological, radiological and therapeutic aspects of xanthogranulomatous pyelonephritis in adults in focal and diffuse forms. METHODS This was a monocentric retrospective study involving 42 cases of XGPN operated and histologically confirmed between 2005 and 2015. We included in our study the patients belonging to any age, of both sexes, with a preoperative CT and whose XGPN diagnosis was confirmed histologically. Clinical, biological, bacteriological, radiological data and surgical procedures were collected and analyzed. RESULTS The mean age was 50 years (34-79) with a sex ratio of 0.61. The XGPN was diffuse in 88% and focal in 12% of cases. Clinical symptoms were dominated by low back pain (95%), fever (64%) and recurrent urinary tract infections (41%). Urine culture was positive in 67% of cases and Escherichia Coli was the most isolated germ (36%). 64% of patients had inflammatory anemia and 57% of patients had an inflammatory biological syndrome. Ultrasound and CT revealed obstruction of the urinary tract in all cases: a lithiasic cause in 90% of cases and the rest were isolated cases of retroperitoneal fibrosis, abnormal pyelo-ureteral junction, ureteral stenosis and pyelo-ureteric duplicity. A peri-renal abscess and / or psoas was associated in 6 cases (14%). The preoperative diagnosis was often pyonephrosis (50%). Neoplasia was suspected in 4 cases. The treatment consisted in a radical nephrectomy for all patients preceded by drainage of the excretory pathways in 41% of the cases and drainage of a collection in 21% of the cases. CONCLUSION The XGPN is a rare entity whose diagnosis is difficult. This is suspected on a cluster of clinical and biological arguments and can be evoked on the preoperative CT. The kidney cancer is the main differential diagnosis.
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Karray O, Batti R, Talbi E, Ayed H, Chakroun M, Ouarda MA, Bouzouita A, Cherif M, Ben Slama MR, Amel M, Abdelmoula J, Derouiche A, Chebil M. Purple urine bag syndrome, a disturbing urine discoloration. Urol Case Rep 2018; 20:57-59. [PMID: 29992092 PMCID: PMC6034577 DOI: 10.1016/j.eucr.2018.06.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2018] [Accepted: 06/19/2018] [Indexed: 11/28/2022] Open
Affiliation(s)
- Omar Karray
- Urology Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Rym Batti
- Oncology Department, Salah Azaiez Institute, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Emna Talbi
- Biochemistry Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Haroun Ayed
- Urology Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Marouene Chakroun
- Urology Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Mouna Ayadi Ouarda
- Oncology Department, Salah Azaiez Institute, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Abderrazek Bouzouita
- Urology Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Mohamed Cherif
- Urology Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Mohamed Riadh Ben Slama
- Urology Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Mezlini Amel
- Oncology Department, Salah Azaiez Institute, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Jouida Abdelmoula
- Biochemistry Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Amine Derouiche
- Urology Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Mohamed Chebil
- Urology Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
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104
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Karray O, Saadi A, Chakroun M, Ayed H, Cherif M, Bouzouita A, Slama MRB, Derouiche A, Chebil M. Retro-peritoneal paraganglioma, diagnosis and management. Prog Urol 2018; 28:488-494. [PMID: 29983333 DOI: 10.1016/j.purol.2018.06.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2017] [Revised: 02/06/2018] [Accepted: 06/07/2018] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Paragangliomas, defined as extra-adrenal chromaffin-cells tumors, are rarely located in the retro-peritoneum. Clinical presentation is similar to pheochromocytoma, and mainly depends on the producing character of the tumor. Positive diagnosis requires plasmatic and urinary hormonal assays. Radiological and isotopic explorations are essential before surgery. The only curative therapeutic strategy is surgical, associated to peri-operative prevention and monitoring of the frequently reported hemodynamic and cardiovascular disorders. Outcome depends of the metastatic character of the tumor, the presence of tumor remnant after surgical resection. Genetic study is recommended; the risk of recurrence and association to other neoplasm is more described in genetic forms. MATERIAL AND METHODS Authors report 5cases of retro-peritoneal paraganglioma, operated in the department of urology of Hospital, between 2013 and 2017. Observations are about 2men and 3women. Clinical presentation is not always specific and paraganglioma may be discovered fortuitously. Two patients have been operated by coelioscopic approach, midline incision was performed in two other cases, and dorsal lumbotomy associated to a Rutherford-Morrison incision in a patient. RESULTS Two patients presented resistant hypertension and palpitation associated to suspect retro-peritoneal masses in imagery and elevated urinary methoxylated derivates before surgery. One patient was asymptomatic and the tumor was discovered in imagery. Per-operative hypertensive crisis and sinus tachycardia occurred in a case. The average follow-up period is 22.8months. Hypertension and palpitation disappeared after surgery. There was no recurrence for all the operated patients. CONCLUSION Retro-peritoneal paraganglioma is a rare condition. Symptoms are not specific and clinical presentation may be similar to pheochromocytoma. Abdominal CT-scan and MRI, in association with MIBG scintigraphy are strongly evocative. Histological examination ensures diagnosis. Per-operative cardio-vascular disorders are to consider and must prevented and managed by anesthesiologists. Complete surgical resection is the only curative treatment and avoids recurrences.
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Affiliation(s)
- O Karray
- Urology department, Charles Nicolle hospital, Faculty of Medecine of Tunis, Tunis El Manar University, Tunis, Tunisia.
| | - A Saadi
- Urology department, Charles Nicolle hospital, Faculty of Medecine of Tunis, Tunis El Manar University, Tunis, Tunisia.
| | - M Chakroun
- Urology department, Charles Nicolle hospital, Faculty of Medecine of Tunis, Tunis El Manar University, Tunis, Tunisia.
| | - H Ayed
- Urology department, Charles Nicolle hospital, Faculty of Medecine of Tunis, Tunis El Manar University, Tunis, Tunisia.
| | - M Cherif
- Urology department, Charles Nicolle hospital, Faculty of Medecine of Tunis, Tunis El Manar University, Tunis, Tunisia.
| | - A Bouzouita
- Urology department, Charles Nicolle hospital, Faculty of Medecine of Tunis, Tunis El Manar University, Tunis, Tunisia.
| | - M R B Slama
- Urology department, Charles Nicolle hospital, Faculty of Medecine of Tunis, Tunis El Manar University, Tunis, Tunisia.
| | - A Derouiche
- Urology department, Charles Nicolle hospital, Faculty of Medecine of Tunis, Tunis El Manar University, Tunis, Tunisia.
| | - M Chebil
- Urology department, Charles Nicolle hospital, Faculty of Medecine of Tunis, Tunis El Manar University, Tunis, Tunisia.
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105
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Karray O, Oueslati A, Chakroun M, Ayed H, Bouzouita A, Cherif M, Ben Slama MR, Derouiche A, Chebil M. Splenogonadal fusion - a rare cause of scrotal swelling: a case report. J Med Case Rep 2018; 12:172. [PMID: 29921313 PMCID: PMC6011191 DOI: 10.1186/s13256-018-1712-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Accepted: 05/06/2018] [Indexed: 11/10/2022] Open
Abstract
Background Splenogonadal fusion is a rare and benign condition. Diagnosis is challenging for clinicians. Despite its indolence, diagnosis is often confirmed after orchidectomy. Surgery is mandatory, particularly to rule out the extremely rare association with malignancy. Case presentation We report a case of splenogonadal fusion in a 38-year-old North African man presenting a palpable scrotal mass. We describe clinical aspects, pathogenic hypothesis, radiological features, as well as surgical management principles. Conclusions Splenogonadal fusion is rarely suspected and diagnosed preoperatively. A diagnosis is made once an ectopic testicular mass is associated with cryptorchidism and suggestive radiological signs. A better knowledge of the clinical and radiological features of splenogonadal fusion provides an opportunity for conservative surgery.
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Affiliation(s)
- O Karray
- Urology department, Charles Nicolle hospital, Tunis, Tunisia.
| | - A Oueslati
- Urology department, Charles Nicolle hospital, Tunis, Tunisia
| | - M Chakroun
- Urology department, Charles Nicolle hospital, Tunis, Tunisia
| | - H Ayed
- Urology department, Charles Nicolle hospital, Tunis, Tunisia
| | - A Bouzouita
- Urology department, Charles Nicolle hospital, Tunis, Tunisia
| | - M Cherif
- Urology department, Charles Nicolle hospital, Tunis, Tunisia
| | - M R Ben Slama
- Urology department, Charles Nicolle hospital, Tunis, Tunisia
| | - A Derouiche
- Urology department, Charles Nicolle hospital, Tunis, Tunisia
| | - M Chebil
- Urology department, Charles Nicolle hospital, Tunis, Tunisia
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106
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Marrakchi W, Aouam A, Kooli I, Ben Brahim H, Loussaief C, Toumi A, Chakroun M. Les facteurs de gravité des dermohypodermites bactériennes. Med Mal Infect 2018. [DOI: 10.1016/j.medmal.2018.04.102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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107
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Chaker K, Chakroun M, Bouzouita A, Gharbi M, Saidani M, Ferjani A, Cherif M, Ayed H, Benslama R, Derouiche A, Chebil M. Évaluation de la prescription des carbapénèmes au cours des pyélonéphrites aiguës obstructives. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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108
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Aouam A, Marrakchi W, Kooli I, Ben Brahim H, Loussaief C, Toumi A, Chakroun M. Le traitement des dermohypodermites bactériennes des membres inférieurs : la pénicilline G a-t-elle encore sa place ? Med Mal Infect 2018. [DOI: 10.1016/j.medmal.2018.04.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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109
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Kooli I, Loussaif C, Ben Brahim H, Aouam A, Toumi A, Chakroun M. West Nile virus (WNV) presenting as acute cerebellar ataxia in an immunocompetent patient. Rev Neurol (Paris) 2017; 173:238-240. [PMID: 28377090 DOI: 10.1016/j.neurol.2017.03.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Revised: 10/30/2016] [Accepted: 03/07/2017] [Indexed: 11/28/2022]
Affiliation(s)
- I Kooli
- Infectious Disease Department, Fattoumma Bourguiba Hospital, 5000 Monastir, Tunisia.
| | - C Loussaif
- Infectious Disease Department, Fattoumma Bourguiba Hospital, 5000 Monastir, Tunisia
| | - H Ben Brahim
- Infectious Disease Department, Fattoumma Bourguiba Hospital, 5000 Monastir, Tunisia
| | - A Aouam
- Infectious Disease Department, Fattoumma Bourguiba Hospital, 5000 Monastir, Tunisia
| | - A Toumi
- Infectious Disease Department, Fattoumma Bourguiba Hospital, 5000 Monastir, Tunisia
| | - M Chakroun
- Infectious Disease Department, Fattoumma Bourguiba Hospital, 5000 Monastir, Tunisia
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Chakroun M, Kerkeni W, Saadi A, Ayed H, Bouzouita A, Cherif M, Ben Slama M, Derouiche A, Chebil M. Résultats de la cystectomie chez les sujets jeunes et les sujets âgés, étude comparative. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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111
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Chakroun M, Kerkeni W, Saadi A, Ayed H, Bouzouita A, Cherif M, Ben Slama M, Derouiche A, Chebil M. Le pronostic des tumeurs vésicales en fonction du mode de présentation : les tumeurs non infiltrant le muscle qui progressent sont-elles associées à un moins bon pronostic ? Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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112
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Chakroun M, Bouzouita A, Saadi A, Kerkeni W, Ayed H, Cherif M, Ben slama M, Derouiche A, Chebil M. Complications hémorragiques de la néphrolithotomie percutanée, quels facteurs prédictifs ? Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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113
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Chakroun M, Kerkeni W, Zidi Y, Ayed H, Bouzouita A, Ben Slama MR, Rammeh S, Derouiche A, Chebil M. Voluminous Incidental Oncocytic Neoplasm of the Adrenal Gland With Uncertain Malignant Potential. Urol Case Rep 2016; 8:26-7. [PMID: 27413692 PMCID: PMC4925894 DOI: 10.1016/j.eucr.2016.05.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2016] [Accepted: 05/19/2016] [Indexed: 11/09/2022] Open
Abstract
A 74-year-old man presented with right flank pain and a palpable mass in the left flank. Blood pressure was normal. Contrastenhanced computed tomography (CT) showed a 17 × 16 × 12 cm retroperitoneal mass over the left kidney, solid and heterogeneous. There were also 3 retro aortic lymph nodes and bilateral renal lithiasis. Twenty four-hour urinary metanephrines and normetanephrines were normal. The patient underwent a resection of the mass with left adrenalectomy by a lumbar incision. Histological findings revealed an adrenal oncocytic neoplasm (AON) with uncertain malignant potential. Six months after surgery, CT control showed neither local nor distant recurrence.
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Affiliation(s)
| | - Waild Kerkeni
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Yosra Zidi
- Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Haroun Ayed
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
| | | | | | - Sihem Rammeh
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Amine Derouiche
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Mohamed Chebil
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
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Abstract
But : Les tumeurs urothéliales de la vessie sont rares chez le jeune adulte. Leur profil évolutif et leur pronostic restent matière à controverse. Nous rapportons notre expérience à propos de 54 patients.Méthodologie : Entre 1990 et 2010, 54 patients de moins de 40 ans au moment du diagnostic ont été traités pour carcinome à cellules transitionnelles de la vessie. Nous avons étudié le profil évolutif de ces tumeurs en séparant les patients en deux groupes (moins de 30 ans, et 30 à 40 ans). Résultats : La tumeur n’infiltrait pas le muscle vésical dans 37 cas et l’infiltrait dans 17 cas. Pour les tumeurs n’infiltrant pas le muscle vésical, elles étaient de stade Ta dans 20 cas et de grade I-II dans 36 cas. Le pronostic de ces tumeurs était meilleur avant l’âge de 30 ans avec un taux de récidive de 15,3 % sans progression. Pour les patients de 30 à 40 ans, le taux de récidive était de 33,3 %, et 25 % des tumeurs qui ont récidivé ont présenté une progression du stade. Pour les tumeurs infiltrant le muscle vésical, le pronostic était sombre (localement avancées dans neuf cas et métastatiques d’emblée dans cinq cas).Conclusion : Le profil évolutif des tumeurs n’infiltrant pas le muscle vésical a semblé meilleur avant l’âge de 30 ans. Entre 30 et 40 ans, le profil évolutif s’est approché de celui des sujets âgés. Les tumeursinfiltrantes étaient souvent évoluées et agressives, évoquant un potentiel évolutif particulier.
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Affiliation(s)
| | - Ahmed Saadi
- Service d'urologie, hôpital Charles-Nicolle,Tunis, Tunisie
| | - Walid Kerkeni
- Service d'urologie, hôpital Charles-Nicolle,Tunis, Tunisie
| | | | - Mohamed Cherif
- Service d'urologie, hôpital Charles-Nicolle,Tunis, Tunisie
| | - Haroun Ayed
- Service d'urologie, hôpital Charles-Nicolle,Tunis, Tunisie
| | - Selim Selmi
- Service d'urologie, hôpital Charles-Nicolle,Tunis, Tunisie
| | | | | | - Mohamed Chebil
- Service d'urologie, hôpital Charles-Nicolle,Tunis, Tunisie
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115
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Cherif M, Chakroun M, Bouzouita A, Dimassi H, Ayed H, Derouiche A, Ben Slama M, Chebil M. Caractéristiques épidémiologiques du cancer de la vessie chez la femme en Tunisie. African Journal of Urology 2016. [DOI: 10.1016/j.afju.2015.06.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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Chakroun M, Kerkeni W, Bouzouita A, Ayed H, Cherif M, Derouiche A, Ben Slama MR, Chebil M. MP26-11 IS PRE-OPERATIVE URINE CULTURE SUFFICIENT TO PREDICT SEPTIC COMPLICATIONS OF PERCUTANEOUS NEPHROLITHOTOMY? J Urol 2016. [DOI: 10.1016/j.juro.2016.02.2948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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117
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Chlif M, Chakroun M, Ben Rhouma S, Ben Chehida MA, Sellami A, Gargouri MM, Nouira Y. Xanthogranulomatous pyelonephritis presenting as a pseudotumour. Can Urol Assoc J 2016; 10:E36-40. [PMID: 26858786 DOI: 10.5489/cuaj.3225] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
INTRODUCTION Xanthogranulomatous pyelonephritis (XGPN) is an atypical form of chronic pyelonephritis referred to as the "great imitator" because the clinical and radiological findings closely resemble other pathological entities, especially for the focal forms. Distinguishing focal XGPN from renal cancer is preoperatively difficult. METHODS We report a total number of 12 pseudotumoural XGPN cases diagnosed and treated in our department. The aim of this study is to try to better understand the clinicopathological profile of XGPN and improve its management. RESULTS The mean age of patients was 51.52 years. Gender ratio was 0.71. An obstructive renal calculus was noticed in nine patients (75%). Only one patient (8.3 %) presented with loin pain associated with fever, weight loss, asthenia, and increased biological inflammation markers. A bifocal mass was noticed in one case (8.3 %). The average size of the tumour was 6.58 cm. The mass was cystic in three cases (25 %). Perinephral fat strand, thickening of Gerota's fascia, hydronephrosis, and presence of renal calculi was noticed in all solid tumour cases. XGPN was suspected in only one case (8.3%), a percutaneous biopsy showed XGPN lesions treated by antibiotics and a double J drainage. Radical nephrectomy was performed in eight patients (66.7 %) and three patients underwent partial nephrectomy (25 %). No recurrence of XGPN has been noted. CONCLUSION Pseudotumoural XGPN is a rare benign disease of the kidney. Its treatment should be conservative. Lack of knowledge of this disease may explain the high rate of abusive nephrectomies. These data should be considered in the future.
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Affiliation(s)
- Mohamed Chlif
- Urology Department, La Rabta Hospital, Tunis, Tunisia
| | | | | | | | - Ahmed Sellami
- Urology Department, La Rabta Hospital, Tunis, Tunisia
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Ghariani S, Elazreg H, Chtourou-Ghorbel N, Chakroun M, Trifi-Farah N. Genetic diversity analysis in Tunisian perennial ryegrass germplasm as estimated by RAPD, ISSR, and morpho-agronomical markers. Genet Mol Res 2015; 14:18523-33. [PMID: 26782500 DOI: 10.4238/2015.december.23.40] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Tunisia is rich in diverse forage and pasture species including perennial ryegrass. In order to enhance forage production and improve agronomic performance of this local germplasm, a molecular analysis was undertaken. Random amplified polymorphic DNA (RAPD), inter simple sequence repeats (ISSR) and morpho-agronomical traits markers were used for genetic diversity estimation of ryegrass germplasm after screening 20 spontaneous accessions, including a local and an introduced cultivars. Same mean polymorphism information content values were obtained (0.37) for RAPD and ISSR suggesting that both marker systems were equally effective in determining polymorphisms. The average pairwise genetic distance values were 0.57 (morpho-agronomical traits), 0.68 (RAPD), and 0.51 (ISSR) markers data sets. A higher Shannon diversity index was obtained with ISSR marker (0.57) than for RAPD (0.54) and morpho-agronomical traits (0.36). The Mantel test based on genetic distances of a combination of molecular markers and morpho-agronomical data exhibited a significant correlation between RAPD and ISSR data, suggesting that the use of a combination of molecular techniques was a highly efficient method of estimating genetic variability levels among Tunisian ryegrass germplasm. In summary, results showed that combining molecular and morpho-agronomical markers is an efficient way in assessing the genetic variability among Tunisian ryegrass genotypes. In addition, the combined analysis provided an exhaustive coverage for the analyzed diversity and helped us to identify suitable accessions showed by Beja and Jendouba localities, which present large similarities with cultivated forms and can be exploited for designing breeding programmes, conservation of germplasm and management of ryegrass genetic resources.
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Affiliation(s)
- S Ghariani
- Université Tunis El Manar, Faculté des Sciences de Tunis, Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie, Campus Universitaire El Manar, Tunisie
| | - H Elazreg
- Université Tunis El Manar, Faculté des Sciences de Tunis, Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie, Campus Universitaire El Manar, Tunisie
| | - N Chtourou-Ghorbel
- Université Tunis El Manar, Faculté des Sciences de Tunis, Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie, Campus Universitaire El Manar, Tunisie
| | - M Chakroun
- Laboratoire des Productions Animales et Fourragères, Institut National de Recherche Agronomique de la Tunisie, Ariana, Tunisie
| | - N Trifi-Farah
- Université Tunis El Manar, Faculté des Sciences de Tunis, Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie, Campus Universitaire El Manar, Tunisie
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Chakroun M, Gargouri M, Chelif M, Ayari Y, Sellami A, Ben rhouma S, Nouira Y. Quel mode de réalignement de l’urètre faut-il préconiser dans le traitement des ruptures post-traumatiques de l’urètre ? Prog Urol 2015; 25:773. [DOI: 10.1016/j.purol.2015.08.118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Bosworth A, Ghabbari T, Dowall S, Varghese A, Fares W, Hewson R, Zhioua E, Chakroun M, Tiouiri H, Ben Jemaa M, Znazen A, Letaief A. Serologic evidence of exposure to Rift Valley fever virus detected in Tunisia. New Microbes New Infect 2015; 9:1-7. [PMID: 26740887 PMCID: PMC4678919 DOI: 10.1016/j.nmni.2015.10.010] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2015] [Revised: 10/09/2015] [Accepted: 10/14/2015] [Indexed: 12/18/2022] Open
Abstract
Rift Valley fever virus (RVFv) is capable of causing dramatic outbreaks amongst economically important animal species and is capable of causing severe symptoms and mortality in humans. RVFv is known to circulate widely throughout East Africa; serologic evidence of exposure has also been found in some northern African countries, including Mauritania. This study aimed to ascertain whether RVFv is circulating in regions beyond its known geographic range. Samples from febrile patients (n = 181) and nonfebrile healthy agricultural and slaughterhouse workers (n = 38) were collected during the summer of 2014 and surveyed for exposure to RVFv by both serologic tests and PCR. Of the 219 samples tested, 7.8% of nonfebrile participants showed immunoglobulin G reactivity to RVFv nucleoprotein and 8.3% of febrile patients showed immunoglobulin M reactivity, with the latter samples indicating recent exposure to the virus. Our results suggest an active circulation of RVFv and evidence of human exposure in the population of Tunisia.
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Affiliation(s)
- A Bosworth
- Public Health England, Porton Down, Salisbury, UK; National Institute of Health Research, Health Protection Research Unit in Emerging and Zoonotic Infections, Liverpool, UK
| | - T Ghabbari
- Infectious Diseases Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - S Dowall
- Public Health England, Porton Down, Salisbury, UK
| | - A Varghese
- Public Health England, Porton Down, Salisbury, UK
| | - W Fares
- Institut Pasteur de Tunis, Tunis, Tunisia
| | - R Hewson
- Public Health England, Porton Down, Salisbury, UK; National Institute of Health Research, Health Protection Research Unit in Emerging and Zoonotic Infections, Liverpool, UK
| | - E Zhioua
- Institut Pasteur de Tunis, Tunis, Tunisia
| | - M Chakroun
- Infectious Diseases Department, F Bourguiba University hospital, Monastir, Tunisia
| | - H Tiouiri
- Infectious Diseases Department, Sfax, Tunisia
| | | | - A Znazen
- Laboratory of Microbiology, Sfax, Tunisia
| | - A Letaief
- Infectious Diseases Department, Farhat Hached University Hospital, Sousse, Tunisia
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Crise A, Kaberi H, Ruiz J, Zatsepin A, Arashkevich E, Giani M, Karageorgis AP, Prieto L, Pantazi M, Gonzalez-Fernandez D, Ribera d'Alcalà M, Tornero V, Vassilopoulou V, Durrieu de Madron X, Guieu C, Puig P, Zenetos A, Andral B, Angel D, Altukhov D, Ayata SD, Aktan Y, Balcıoğlu E, Benedetti F, Bouchoucha M, Buia MC, Cadiou JF, Canals M, Chakroun M, Christou E, Christidis MG, Civitarese G, Coatu V, Corsini-Foka M, Cozzi S, Deidun A, Dell'Aquila A, Dogrammatzi A, Dumitrache C, Edelist D, Ettahiri O, Fonda-Umani S, Gana S, Galgani F, Gasparini S, Giannakourou A, Gomoiu MT, Gubanova A, Gücü AC, Gürses Ö, Hanke G, Hatzianestis I, Herut B, Hone R, Huertas E, Irisson JO, İşinibilir M, Jimenez JA, Kalogirou S, Kapiris K, Karamfilov V, Kavadas S, Keskin Ç, Kideyş AE, Kocak M, Kondylatos G, Kontogiannis C, Kosyan R, Koubbi P, Kušpilić G, La Ferla R, Langone L, Laroche S, Lazar L, Lefkaditou E, Lemeshko IE, Machias A, Malej A, Mazzocchi MG, Medinets V, Mihalopoulos N, Miserocchi S, Moncheva S, Mukhanov V, Oaie G, Oros A, Öztürk AA, Öztürk B, Panayotova M, Prospathopoulos A, Radu G, Raykov V, Reglero P, Reygondeau G, Rougeron N, Salihoglu B, Sanchez-Vidal A, Sannino G, Santinelli C, Secrieru D, Shapiro G, Simboura N, Shiganova T, Sprovieri M, Stefanova K, Streftaris N, Tirelli V, Tom M, Topaloğlu B, Topçu NE, Tsagarakis K, Tsangaris C, Tserpes G, Tuğrul S, Uysal Z, Vasile D, Violaki K, Xu J, Yüksek A, Papathanassiou E. A MSFD complementary approach for the assessment of pressures, knowledge and data gaps in Southern European Seas: The PERSEUS experience. Mar Pollut Bull 2015; 95:28-39. [PMID: 25892079 DOI: 10.1016/j.marpolbul.2015.03.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Revised: 03/09/2015] [Accepted: 03/15/2015] [Indexed: 06/04/2023]
Abstract
PERSEUS project aims to identify the most relevant pressures exerted on the ecosystems of the Southern European Seas (SES), highlighting knowledge and data gaps that endanger the achievement of SES Good Environmental Status (GES) as mandated by the Marine Strategy Framework Directive (MSFD). A complementary approach has been adopted, by a meta-analysis of existing literature on pressure/impact/knowledge gaps summarized in tables related to the MSFD descriptors, discriminating open waters from coastal areas. A comparative assessment of the Initial Assessments (IAs) for five SES countries has been also independently performed. The comparison between meta-analysis results and IAs shows similarities for coastal areas only. Major knowledge gaps have been detected for the biodiversity, marine food web, marine litter and underwater noise descriptors. The meta-analysis also allowed the identification of additional research themes targeting research topics that are requested to the achievement of GES.
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Affiliation(s)
- A Crise
- OGS (Istituto Nazionale di Oceanografia e di Geofisica Sperimentale), Borgo Grotta Gigante 42/C, 34010_22 Sgonico, Trieste, Italy.
| | - H Kaberi
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - J Ruiz
- Agencia Estatal Consejo Superior de Investigaciones Cientificas, Instituto de Ciencias Marinas de Andalucia, Avda Republica Saharaui 2, 11519 Puerto Real, Cadiz, Spain
| | - A Zatsepin
- P.P. Shirshov Institute of Oceanology of Russian Academy of Sciences, Nakhimovsky Ave. 36, 117997 Moscow, Russia
| | - E Arashkevich
- P.P. Shirshov Institute of Oceanology of Russian Academy of Sciences, Nakhimovsky Ave. 36, 117997 Moscow, Russia
| | - M Giani
- OGS (Istituto Nazionale di Oceanografia e di Geofisica Sperimentale), Borgo Grotta Gigante 42/C, 34010_22 Sgonico, Trieste, Italy
| | - A P Karageorgis
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - L Prieto
- Agencia Estatal Consejo Superior de Investigaciones Cientificas, Instituto de Ciencias Marinas de Andalucia, Avda Republica Saharaui 2, 11519 Puerto Real, Cadiz, Spain
| | - M Pantazi
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - D Gonzalez-Fernandez
- Institute for Environment and Sustainability, Joint Research Centre, European Commission, Via Enrico Fermi 2749, 21027, Italy
| | | | - V Tornero
- Institute for Environment and Sustainability, Joint Research Centre, European Commission, Via Enrico Fermi 2749, 21027, Italy; Stazione Zoologica Anton Dohrn, Villa Comunale, 80121 Napoli, Italy
| | - V Vassilopoulou
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - X Durrieu de Madron
- Centre National de la Recherche Scientifique, Centre d'Etude et de Formation sur les Environnements Méditerranéens, Université de Perpignan Via Domitia, 52 avenue Paul Alduy, 66860 Perpignan, France
| | - C Guieu
- LOV UPMC CNRS Laboratoire d'Océanographie de Villefranche, France
| | - P Puig
- Institut de Ciencies del Mar (CSIC), Passeig Joan de Borbo s/n, 08039 Barcelona, Catalonia, Spain
| | - A Zenetos
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - B Andral
- Institut Francais de Recherche pour l' Exploitation de la Mer, 155 Rue Jean Jacques Rousseau, Issy-Moulineaux 92138, France
| | - D Angel
- University of Haifa, Mount Carmel, Abba Khoushi Blvd, 31905 Haifa, Israel
| | - D Altukhov
- A.O. Kovalevskiy Institute of Biology of Southern Seas, Nakhimov Avenue 2, 99011 Sevastopol, Ukraine
| | - S D Ayata
- LOV UPMC CNRS Laboratoire d'Océanographie de Villefranche, France
| | - Y Aktan
- Istanbul University, Istanbul Universitesi Center Campus, 34452 Beyazit/Eminonu-Istanbul, Turkey
| | - E Balcıoğlu
- Istanbul University, Istanbul Universitesi Center Campus, 34452 Beyazit/Eminonu-Istanbul, Turkey
| | - F Benedetti
- LOV UPMC CNRS Laboratoire d'Océanographie de Villefranche, France
| | - M Bouchoucha
- Institut Francais de Recherche pour l' Exploitation de la Mer, 155 Rue Jean Jacques Rousseau, Issy-Moulineaux 92138, France
| | - M-C Buia
- Stazione Zoologica Anton Dohrn, Villa Comunale, 80121 Napoli, Italy
| | - J-F Cadiou
- Institut Francais de Recherche pour l' Exploitation de la Mer, 155 Rue Jean Jacques Rousseau, Issy-Moulineaux 92138, France
| | - M Canals
- Universitat de Barcelona, Departement d'Estratigrafia, Paleontologia i Geociènces Marines University of Barcelona, Zona Universitaria de Pedralbes, 08028 Barcelona, Spain
| | - M Chakroun
- SAROST SA, Immeuble SAADI Tour EF 8ème étage El Menzah IV, 1082, Tunisia
| | - E Christou
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - M G Christidis
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - G Civitarese
- OGS (Istituto Nazionale di Oceanografia e di Geofisica Sperimentale), Borgo Grotta Gigante 42/C, 34010_22 Sgonico, Trieste, Italy
| | - V Coatu
- Institutul National De Cercetare-Dezvoltare Marina, Grigore Antipa, Mamaia Blvd 300, 900581 Constanta, Romania
| | - M Corsini-Foka
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - S Cozzi
- Consiglio Nazionale delle Ricerche, Piazzale Aldo Moro 7, 00185 Roma, Italy
| | - A Deidun
- Universitata Malta, University Campus, Tal-Qroqq Imsida MSD20_1180, Malta
| | - A Dell'Aquila
- Agenzia Nazionale per le Nuove Tecnologie, l'Energia e lo Sviluppo Economico Sostenibile, Lungotevere Grande Ammiraglio Thaon di Revel 76, 00196 Roma, Italy
| | - A Dogrammatzi
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - C Dumitrache
- Institutul National De Cercetare-Dezvoltare Marina, Grigore Antipa, Mamaia Blvd 300, 900581 Constanta, Romania
| | - D Edelist
- University of Haifa, Mount Carmel, Abba Khoushi Blvd, 31905 Haifa, Israel
| | - O Ettahiri
- Institut National de Recherche Halieutique, Rue Tiznit 2, 20000 Casablanca, Morocco
| | - S Fonda-Umani
- Consorzio Nazionale Interuniversitario per le Scienze del Mare, Piazzale Flaminio 9, 00196 Rome, Italy
| | - S Gana
- SAROST SA, Immeuble SAADI Tour EF 8ème étage El Menzah IV, 1082, Tunisia
| | - F Galgani
- Institut Francais de Recherche pour l' Exploitation de la Mer, 155 Rue Jean Jacques Rousseau, Issy-Moulineaux 92138, France
| | - S Gasparini
- LOV UPMC CNRS Laboratoire d'Océanographie de Villefranche, France
| | - A Giannakourou
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - M-T Gomoiu
- Institutul National de Cercetare-DezvoltarePentru Geologie si Geoecologie Marina, Dimitrie Onciul Street 23-25, 024053 Bucharest, Romania
| | - A Gubanova
- A.O. Kovalevskiy Institute of Biology of Southern Seas, Nakhimov Avenue 2, 99011 Sevastopol, Ukraine
| | - A-C Gücü
- Middle East Technical University, Dumlupinar 1, Cankaya 06800, Turkey
| | - Ö Gürses
- Middle East Technical University, Dumlupinar 1, Cankaya 06800, Turkey
| | - G Hanke
- Institute for Environment and Sustainability, Joint Research Centre, European Commission, Via Enrico Fermi 2749, 21027, Italy
| | - I Hatzianestis
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - B Herut
- Israel Oceanographic and Limnological Research, Tel Shikmona, 31080 Haifa, Israel
| | - R Hone
- University of Plymouth, Drake Circus, PL4 8AA Plymouth, UK
| | - E Huertas
- Agencia Estatal Consejo Superior de Investigaciones Cientificas, Instituto de Ciencias Marinas de Andalucia, Avda Republica Saharaui 2, 11519 Puerto Real, Cadiz, Spain
| | - J-O Irisson
- LOV UPMC CNRS Laboratoire d'Océanographie de Villefranche, France
| | - M İşinibilir
- Istanbul University, Istanbul Universitesi Center Campus, 34452 Beyazit/Eminonu-Istanbul, Turkey
| | - J A Jimenez
- Laboratori d'Enginyeria Marítima, Universitat Politècnica de Catalunya, BarcelonaTech, c/Jordi Girona 1-3, Campus Nord ed D1, Barcelona 08034, Spain
| | - S Kalogirou
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - K Kapiris
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - V Karamfilov
- Institute for Biodiversity and Ecosystem Research at the Bulgraian Academy of Sciences, 2, Gagarin Street, 1113 Sofia, Bulgaria
| | - S Kavadas
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - Ç Keskin
- Istanbul University, Istanbul Universitesi Center Campus, 34452 Beyazit/Eminonu-Istanbul, Turkey
| | - A E Kideyş
- Middle East Technical University, Dumlupinar 1, Cankaya 06800, Turkey
| | - M Kocak
- Middle East Technical University, Dumlupinar 1, Cankaya 06800, Turkey
| | - G Kondylatos
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - C Kontogiannis
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - R Kosyan
- P.P. Shirshov Institute of Oceanology of Russian Academy of Sciences, Nakhimovsky Ave. 36, 117997 Moscow, Russia
| | - P Koubbi
- Unité Biologie des organismes et écosystèmes aquatiques (BOREA, UMR 7208), Sorbonne Universités, Muséum national d'Histoire naturelle, Université Pierre et Marie Curie, Université de Caen Basse-Normandie, CNRS, IRD; CP26, 57 rue Cuvier 75005 Paris, France
| | - G Kušpilić
- Institute of Oceanography and Fisheries, Seatliste Ivana Mestrovica 63, 21000 Split, Croatia
| | - R La Ferla
- Consiglio Nazionale delle Ricerche, Piazzale Aldo Moro 7, 00185 Roma, Italy
| | - L Langone
- Consiglio Nazionale delle Ricerche, Piazzale Aldo Moro 7, 00185 Roma, Italy
| | - S Laroche
- Institut Francais de Recherche pour l' Exploitation de la Mer, 155 Rue Jean Jacques Rousseau, Issy-Moulineaux 92138, France
| | - L Lazar
- Institutul National De Cercetare-Dezvoltare Marina, Grigore Antipa, Mamaia Blvd 300, 900581 Constanta, Romania
| | - E Lefkaditou
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - I E Lemeshko
- Marine Hydrophysical Institute, Ukrainian National Academy of Sciences, 2, Kapitanskaya Street, 99011 Sevastopol, Ukraine
| | - A Machias
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - A Malej
- Nacionalni Institut Za Biologijo, VecnaPot 111, 1000 Ljubljana, Slovenia
| | - M-G Mazzocchi
- Stazione Zoologica Anton Dohrn, Villa Comunale, 80121 Napoli, Italy
| | - V Medinets
- Odessa National I.I. Mechnikov University, Dvoryanskaya Str 2, Odessa 65082, Ukraine
| | - N Mihalopoulos
- University of Crete, Panepistimioupoli Rethymnon, 74100 Rethymnon Kritis, Greece
| | - S Miserocchi
- Consiglio Nazionale delle Ricerche, Piazzale Aldo Moro 7, 00185 Roma, Italy
| | - S Moncheva
- Institute of Oceanology, Bulgarian Academy of Sciences, Parvi May Str 40, 9000 Varna, Bulgaria
| | - V Mukhanov
- A.O. Kovalevskiy Institute of Biology of Southern Seas, Nakhimov Avenue 2, 99011 Sevastopol, Ukraine
| | - G Oaie
- Institutul National de Cercetare-DezvoltarePentru Geologie si Geoecologie Marina, Dimitrie Onciul Street 23-25, 024053 Bucharest, Romania
| | - A Oros
- Institutul National De Cercetare-Dezvoltare Marina, Grigore Antipa, Mamaia Blvd 300, 900581 Constanta, Romania
| | - A A Öztürk
- Istanbul University, Istanbul Universitesi Center Campus, 34452 Beyazit/Eminonu-Istanbul, Turkey
| | - B Öztürk
- Istanbul University, Istanbul Universitesi Center Campus, 34452 Beyazit/Eminonu-Istanbul, Turkey
| | - M Panayotova
- Institute of Oceanology, Bulgarian Academy of Sciences, Parvi May Str 40, 9000 Varna, Bulgaria
| | - A Prospathopoulos
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - G Radu
- Institutul National De Cercetare-Dezvoltare Marina, Grigore Antipa, Mamaia Blvd 300, 900581 Constanta, Romania
| | - V Raykov
- Institute of Oceanology, Bulgarian Academy of Sciences, Parvi May Str 40, 9000 Varna, Bulgaria
| | - P Reglero
- Instituto Espanol de Oceanografia, Corazon De Maria 8, Madrid, Spain
| | - G Reygondeau
- Center for Macroecology, Evolution and Climate, National Institute for Aquatic Resources, Technical University of Denmark (DTU Aqua), Kavalergården 6, 2920 Charlottenlund, Denmark; Fisheries Centre, 2202 Main Mall, Aquatic Ecosystems Research Laboratory, The University of British Columbia, Vancouver, British Columbia, Canada V6T 1Z4
| | - N Rougeron
- Institut Francais de Recherche pour l' Exploitation de la Mer, 155 Rue Jean Jacques Rousseau, Issy-Moulineaux 92138, France
| | - B Salihoglu
- LOV UPMC CNRS Laboratoire d'Océanographie de Villefranche, France
| | - A Sanchez-Vidal
- Universitat de Barcelona, Departement d'Estratigrafia, Paleontologia i Geociènces Marines University of Barcelona, Zona Universitaria de Pedralbes, 08028 Barcelona, Spain
| | - G Sannino
- Agenzia Nazionale per le Nuove Tecnologie, l'Energia e lo Sviluppo Economico Sostenibile, Lungotevere Grande Ammiraglio Thaon di Revel 76, 00196 Roma, Italy
| | - C Santinelli
- Consiglio Nazionale delle Ricerche, Piazzale Aldo Moro 7, 00185 Roma, Italy
| | - D Secrieru
- Institutul National de Cercetare-DezvoltarePentru Geologie si Geoecologie Marina, Dimitrie Onciul Street 23-25, 024053 Bucharest, Romania
| | - G Shapiro
- University of Plymouth, Drake Circus, PL4 8AA Plymouth, UK
| | - N Simboura
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - T Shiganova
- P.P. Shirshov Institute of Oceanology of Russian Academy of Sciences, Nakhimovsky Ave. 36, 117997 Moscow, Russia
| | - M Sprovieri
- Consiglio Nazionale delle Ricerche, Piazzale Aldo Moro 7, 00185 Roma, Italy
| | - K Stefanova
- Institute of Oceanology, Bulgarian Academy of Sciences, Parvi May Str 40, 9000 Varna, Bulgaria
| | - N Streftaris
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - V Tirelli
- OGS (Istituto Nazionale di Oceanografia e di Geofisica Sperimentale), Borgo Grotta Gigante 42/C, 34010_22 Sgonico, Trieste, Italy
| | - M Tom
- Israel Oceanographic and Limnological Research, Tel Shikmona, 31080 Haifa, Israel
| | - B Topaloğlu
- Istanbul University, Istanbul Universitesi Center Campus, 34452 Beyazit/Eminonu-Istanbul, Turkey
| | - N E Topçu
- Istanbul University, Istanbul Universitesi Center Campus, 34452 Beyazit/Eminonu-Istanbul, Turkey
| | - K Tsagarakis
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - C Tsangaris
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - G Tserpes
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
| | - S Tuğrul
- Middle East Technical University, Dumlupinar 1, Cankaya 06800, Turkey
| | - Z Uysal
- Middle East Technical University, Dumlupinar 1, Cankaya 06800, Turkey
| | - D Vasile
- Institut Francais de Recherche pour l' Exploitation de la Mer, 155 Rue Jean Jacques Rousseau, Issy-Moulineaux 92138, France
| | - K Violaki
- University of Crete, Panepistimioupoli Rethymnon, 74100 Rethymnon Kritis, Greece
| | - J Xu
- University of Plymouth, Drake Circus, PL4 8AA Plymouth, UK
| | - A Yüksek
- Istanbul University, Istanbul Universitesi Center Campus, 34452 Beyazit/Eminonu-Istanbul, Turkey
| | - E Papathanassiou
- Hellenic Centre for Marine Research, 46.7 km Athinon - Souniou Ave., 19013 Anavyssos, Greece
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Chtourou-Ghorbel N, Elazreg H, Ghariani S, Ben Mheni N, Sekmani M, Chakroun M, Trifi-Farah N. Variation and genetic structure of Tunisian Festuca arundinacea populations based on inter-simple sequence repeat pattern. Genet Mol Res 2015; 14:3071-81. [PMID: 25966071 DOI: 10.4238/2015.april.10.17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Tunisian tall fescue (Festuca arundinacea Schreb.) is an important grass for forages or soil conservation, particularly in marginal sites. Inter-simple sequence repeats were used to estimate genetic diversity within and among 8 natural populations and 1 cultivar from Northern Tunisia. A total of 181 polymorphic inter-simple sequence repeat markers were generated using 7 primers. Shannon's index and analysis of molecular variance evidenced a high molecular polymorphism at intra-specific levels for wild and cultivated accessions, showing that Tunisian tall fescue germplasm constitutes an important pool of diversity. Within-population variation accounted for 39.42% of the total variation, but no regional differentiation was discernible to designate close relationships between regions. Most of the variation (GST = 67%) occurred between populations, rather than within populations. The ɸST (0.60) revealed high population structuring. Additionally, the population structure was independent of the geographic origin and was not affected by environmental factors. The unweighted pair group method with arithmetic mean tree based on genetic similarity and principal coordinate analysis based on coefficient similarity illustrated that continental populations from the proximate localities of Beja and Jendouba were genetically closely related, while the wild Skalba population from the littoral Tunisian locality was the most diverse from the others. Moreover, great molecular similarity of the spontaneous population Sedjnane originated from the mountain areas was revealed with the local cultivar Mornag. The observed genetic diversity can be used to implement conservation strategies and breeding programs for improving forage crops in Tunisia.
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Affiliation(s)
- N Chtourou-Ghorbel
- Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie, Faculté des Sciences de Tunis, University Tunir El Manar, Campus Universitaire, El Manar Tunis, Tunisie
| | - H Elazreg
- Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie, Faculté des Sciences de Tunis, University Tunir El Manar, Campus Universitaire, El Manar Tunis, Tunisie
| | - S Ghariani
- Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie, Faculté des Sciences de Tunis, University Tunir El Manar, Campus Universitaire, El Manar Tunis, Tunisie
| | - N Ben Mheni
- Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie, Faculté des Sciences de Tunis, University Tunir El Manar, Campus Universitaire, El Manar Tunis, Tunisie
| | - M Sekmani
- Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie, Faculté des Sciences de Tunis, University Tunir El Manar, Campus Universitaire, El Manar Tunis, Tunisie
| | - M Chakroun
- Laboratoire des Productions Animales et Fourragères, Institut National de la Recherche Agronomique de Tunisie, Ariana, Tunisie
| | - N Trifi-Farah
- Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie, Faculté des Sciences de Tunis, University Tunir El Manar, Campus Universitaire, El Manar Tunis, Tunisie
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Bouzouita A, Kerkeni W, Ben Slama MR, Chakroun M, Cherif M, Farah F, Derouiche A, Zermani R, Chebil M. Urinary bladder metastasis from breast carcinoma. Tunis Med 2014; 92:653-654. [PMID: 25860690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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124
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Kooli I, Loussaief C, Darmoul M, Ben brahim H, Toumi A, Hattab MN, Chakroun M. H-03: Empyème intracrânien. Med Mal Infect 2014. [DOI: 10.1016/s0399-077x(14)70183-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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125
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Boussaid H, Ben Brahim H, Aouam A, Loussaief C, Toumi A, Chakroun M. M-06: Prise en charge hospitalière des échecs de l’antibiothérapie de ville : expérience d’un service de maladies infectieuses. Med Mal Infect 2014. [DOI: 10.1016/s0399-077x(14)70243-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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El Mhamdi S, Letaief M, Alouane A, Chakroun M, Guediche MN, Hamdi A. Tracking medication pathway as per better securing drugs' use in three clinical departments at the University hospital of Monastir (Tunisia). Tunis Med 2014; 92:262-267. [PMID: 25224422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND In Tunisia, few studies have an interest to the assessment of medication errors and the implementation of preventive measures. The aim of this study was to evaluate the barriers existing in hospital pharmacies in order to prevent medication errors and to help institutions to make improvement actions. methods: First step: a clinical audit was conducted by observation against a set of standards that are representing a guideline. Second step: interview with health professionals to identify their perceptions about medication safety. Third step: in this step we develop adverse events scenarios according to results of the clinical audit in order to be investigated by the field practice. Fourth step: organizing a multi-professional feedback meeting to raise health professional's awareness and to make them more conscientious about adverse drug events negative consequences and invite them to contribute in the establishment and implementation of corrective solutions. results: In the participating departments medical prescription did not include patient information's (age, weight medical background). Nurses do not verify systematically duration of prescription and administration route. Health professionals interview revealed that physician's have lack of awareness about prescription rules. Lack of communication was the main nurse's problem that requires improvement. CONCLUSION This project has led to a first overview of the situation of medication use in Tunisia. Results will be used to create a dynamic process to improve the medication system safety.
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Loussaief C, Toumi A, Ben Brahim H, Aouam A, Kairallah M, Chakroun M. [Macrophage activation syndrome: rare complication of murine typhus]. ACTA ACUST UNITED AC 2014; 62:55-6. [PMID: 24461392 DOI: 10.1016/j.patbio.2013.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2013] [Accepted: 10/02/2013] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Typhi is one of the rickettsial species endemic in the Mediterranean countries and is associated with the zoonotic infection of murine typhus, which may have a complicated course especially in adult patients. The association with macrophage activation syndrome (MAS) has rarely been reported in the medical literature. CASE REPORT We describe a case of murine typhus in a diabetic woman complicated with MAS, who was effectively treated with cyclin and parenteral immunoglobulin. CONCLUSION The murine typhus can be exceptionally complicated with SAM. This infection should be suspected in front of the discovery of SAM.
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Affiliation(s)
- C Loussaief
- Service des maladies infectieuses, hôpital Fattouma Bourguiba, 5019 Monastir, Tunisie.
| | - A Toumi
- Service des maladies infectieuses, hôpital Fattouma Bourguiba, 5019 Monastir, Tunisie
| | - H Ben Brahim
- Service des maladies infectieuses, hôpital Fattouma Bourguiba, 5019 Monastir, Tunisie
| | - A Aouam
- Service des maladies infectieuses, hôpital Fattouma Bourguiba, 5019 Monastir, Tunisie
| | - M Kairallah
- Service d'ophtalmologie, hôpital Fattouma Bourguiba, 5019 Monastir, Tunisie
| | - M Chakroun
- Service des maladies infectieuses, hôpital Fattouma Bourguiba, 5019 Monastir, Tunisie
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128
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Maatouk MF, Selmi W, Hamdi S, Jomaa W, Ben-Hamda K, Mosrati M, Trimech T, Chakroun M. Critical pulmonary stenosis of the neonate: procedural particularities, short and long term outcome. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p4740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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129
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Maatouk MF, Selmi W, Jomaa W, Hamdi S, Mosrati M, Cherif G, Trimech T, Chakroun M, Ben-Hamda K. Long term (more than 15 years) evolution of residual gradient after percutaneous balloon pulmonary valvuloplasty. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p4739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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130
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Essabbah Aguir N, Toumi A, Loussaïf C, Gorcii M, M'rad S, Ben Brahim H, Chakroun M, Babba H. [Visceral leishmaniasis in immunocompetent adults. About six cases]. ACTA ACUST UNITED AC 2012; 61:54-8. [PMID: 22516103 DOI: 10.1016/j.patbio.2012.02.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2010] [Accepted: 02/14/2012] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Studying the epidemiological variations of visceral leishmaniasis in Tunisia and proving the importance of parasitological investigations to raise the diagnosis. PATIENTS AND METHODS Six patients hospitalised during the period between January 1998 and January 2009 at Fattouma Bourguiba Teaching Hospital in Monastir, five men and an only one woman, aged from 26 to 70 years old, originating from the central and eastern regions of the country. Epidemiological, clinical, biological and therapeutic data were obtained from the patient's medical files. RESULTS The major clinical symptoms were fever, weakness and spleen enlargement. Biological data revealed the presence of anaemia in every case and leucopoenia associated or not associated with thrombopenia in four cases. The diagnosis of visceral leishmaniasis was confirmed by the identification of the parasite in the blood or in the bone marrow. All patients were treated with two courses of antimoniate of meglumine separated by a 6-week interval. The outcome was positive and the patients were cured. CONCLUSION Visceral leishmaniasis is increasing among adults in Tunisia. Moreover, it is spreading outside its epidemiological area in the north to reach the central and southern regions. It should be raised when fever and spleen enlargement occur. Biological data are hardly specific. Diagnosis is based on finding the parasite in human fluids, mainly by molecular techniques. The rapid establishment of a specific treatment is vital.
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Affiliation(s)
- N Essabbah Aguir
- Laboratoire de parasitologie-mycologie, hôpital Fattouma-Bourguiba, rue 1er-Juin, 5000 Monastir, Tunisie.
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131
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Neji S, Chakroun M, Dammak Y, Trabelsi H, Makni F, Cheikhrouhou F, Sellami H, Marrekchi S, Meziou J, Ayadi A. Les mycoses superficielles : profil épidémiologique et mycologique des différents champignons isolés au CHU de Sfax (Tunisie). J Mycol Med 2012. [DOI: 10.1016/j.mycmed.2011.12.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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132
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Khairallah M, Yahia SB, Jelliti B, Romdhane FB, Loussaief C, Attia S, Toumi A, Messaoud R, Chakroun M. Diagnostic value of ocular examination in Mediterranean spotted fever. Clin Microbiol Infect 2009; 15 Suppl 2:273-4. [DOI: 10.1111/j.1469-0691.2008.02232.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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133
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Toumi A, Mrani Zentar A, Loussaïef C, Ben Romdhane F, Bouzouaïa N, Chakroun M. F-03 Faut-il faire des hémocultures au cours de la pyélonéphrite, même compliquée, de l’adulte ? Med Mal Infect 2009. [DOI: 10.1016/s0399-077x(09)74366-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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134
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Toumi A, Loussaief C, Ben Brahim H, Ben Romdhane F, Bouzouaïa N, Chakroun M. Q-02 Staphylococcie de la face. À propos de 100 cas. Med Mal Infect 2009. [DOI: 10.1016/s0399-077x(09)74491-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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135
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Romdhane FB, Loussaief C, Toumi A, Yahia SB, Khaiyrallah M, Bouzouaïa N, Chakroun M. Mediterranean spotted fever: a report of 200 cases in Tunisia. Clin Microbiol Infect 2009; 15 Suppl 2:209-10. [PMID: 19456798 DOI: 10.1111/j.1469-0691.2008.02280.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- F B Romdhane
- Department of Infectious Diseases, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
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136
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Khairallah M, Yahia SB, Toumi A, Jelliti B, Loussaief C, Romdhane FB, Messaoud R, Chakroun M. Ocular manifestations associated with murine typhus. Br J Ophthalmol 2009; 93:938-42. [DOI: 10.1136/bjo.2008.156059] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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137
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Chaabane A, Aouam K, Boughattas NA, Chakroun M. [Allergy to betalactams: myth and realities]. Med Mal Infect 2008; 39:278-87. [PMID: 18990520 DOI: 10.1016/j.medmal.2008.09.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2007] [Revised: 06/03/2008] [Accepted: 09/09/2008] [Indexed: 11/27/2022]
Abstract
Allergic reactions to penicillins have been reported since the 1950s, shortly after their introduction as therapeutic agents. An increasing number of reported anaphylactic reactions and other adverse effects proved this to be a serious public health problem. Fifty years later, betalactam-induced hypersensitivity is the most frequent cause of drug reaction and has been the source of a great number of publications. Clinically, betalactam-induced allergic reactions may be immediate or non-immediate according to the time interval between drug intake and the occurrence of symptoms. The diagnosis of betalactam hypersensitivity is based on skin tests methods, in vitro tests and drug provocation test. There are three classical methods for skin testing: prick, intradermal, and patch. These tests are still the most sensitive techniques. In vitro tests, mainly based on the quantification of IgE antibodies to betalactams by immunoassay (Fluorescent Enzyme Immunoassay [FEIA]), may sometimes yield useful complementary information. Drug provocation tests must be performed with the required caution and the adequate indication. Algorithms are available for both immediate and non-immediate reactions to provide a practical approach for patient evaluation. They are based on the following data: clinical history, skin tests, FEIA, and drug provocation tests. Finally, cross reactivity between betalactams has been reported, especially between penicillins and cephalosporins. Their frequency was long over-estimated, but recent evidence, indicates that cross reactivity between betalactams has become rare. Administration of cephalosporins in patients with a history of penicillin allergy requires performing skin testing with penicillin, the probably allergenic drug, and the cephalosporin to be prescribed.
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Affiliation(s)
- A Chaabane
- Laboratoire de pharmacologie, faculté de médecine, rue Avicenne, 5019 Monastir, Tunisie.
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138
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Belhadjali H, Ghannouchi N, Njim L, Mohamed M, Moussa A, Bayou F, Chakroun M, Zakhama A, Zili J. Acute generalized exanthematous pustulosis induced by bufexamac in an atopic girl. Contact Dermatitis 2008; 58:247-8. [DOI: 10.1111/j.1600-0536.2007.01271.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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139
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Belhadjali H, Mohamed M, Youssef M, Mandhouj S, Chakroun M, Zili J. Contact sensitization in atopic dermatitis: results of a prospective study of 89 cases in Tunisia. Contact Dermatitis 2008; 58:188-9. [DOI: 10.1111/j.1600-0536.2007.01248.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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140
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Aouam K, Chaabane A, Loussaïef C, Ben Romdhane F, Boughattas NA, Chakroun M. Les effets indésirables des antituberculeux: épidémiologie, mécanismes et conduite à tenir. Med Mal Infect 2007; 37:253-61. [PMID: 17336011 DOI: 10.1016/j.medmal.2006.12.006] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2006] [Accepted: 12/11/2006] [Indexed: 01/22/2023]
Abstract
Tuberculosis, what ever its localization, is an infectious disease which can be totally cured by combining antitubercular drugs. Current therapeutic regimens with isoniazid, rifampicin, pyrazinamide, ethambutol, and streptomycin have proved successful in treating tuberculosis. However, they are associated to a high rate of adverse effects that can lead to therapeutic failure. Understanding the nature and the severity of these adverse effects allows for their appropriate management. Toxic neuropathy and hepatitis are the most common adverse reactions to isoniazid. Rifampicin is generally well tolerated but some severe immuno-allergic reactions may occur in case of intermittent regimen. Pyrazinamide-induced liver injury is rare but sometimes lethal. Joint affections, usually due to hyperuricemia, are more frequent but easily manageable. The major adverse effect related to ethambutol is ocular optic neuropathy. It occurs dose-dependently and can be irreversible. Finally, administration of streptomycin is potentially associated with renal and cochleo-vestibular toxicity that might be milder than when induced by other aminoglycosides. The management of antituberculosis-induced adverse effects depends on parameters related to the adverse effect itself and to the administrated drug.
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Affiliation(s)
- K Aouam
- Laboratoire de pharmacologie, faculté de médecine, 5019 Monastir, Tunisie
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141
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Boughammoura-Bouatay A, Ben Romdhane F, Chebel S, Ben Brahim H, Chakroun M, Frih-Ayed M. L - 3 Syndrome extrapyramidal au cours d’une infection par le West Nile virus. Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90870-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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142
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Toumi A, Loussaief C, Ben Yahia S, Ben Romdhane F, Khairallah M, Chakroun M, Bouzouaïa N. Méningite révélant une infection à Rickettsia typhi. Rev Med Interne 2007; 28:131-3. [PMID: 17166631 DOI: 10.1016/j.revmed.2006.10.325] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2006] [Revised: 10/02/2006] [Accepted: 10/11/2006] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Neurological manifestations are rarely observed in murine typhus. We present a case of meningitis caused by Rickettsia typhi. EXEGESIS We report a case of Tunisian 57-year-old woman admitted for suspicion of meningitis. Clinical examination revealed fever at 39,5 degrees C and nuchal rigidity. There were no focal neurologic signs, cutaneous rash or eschar. Lumbar puncture showed clear cerebrospinal fluid containing normal glucose, 0,48 g/l protein and 30 WBC (78% lymphocyte). Gram-stained smear and culture were negative. Serology confirmed the diagnosis. The patient was initially treated by ampicillin 12 g daily but remained febrile. Retinal lesions were detected on ophthalmic examination, suggesting rickettsial infection. Clinical outcome was good after 7-day treatment with oral ciprofloxacin 1,5 g daily. The mean follow-up was six months. CONCLUSION Murine typhus is an endemic zoonosis. Neurological manifestations were uncommon. An ophthalmic examination is recommended if rickettsiosis was suspected.
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Affiliation(s)
- A Toumi
- Service de maladies infectieuses, CHU Fattouma-Bourguiba, 5019 Monastir, Tunisie
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Rouis S, Chakroun M, Saadaoui I, Jaoua S. Proteolysis, histopathological effects, and immunohistopathological localization of δ-endotoxins of Bacillus thuringiensis subsp. kurstaki in the midgut of lepidopteran olive tree pathogenic insect Prays oleae. Mol Biotechnol 2007; 35:141-8. [PMID: 17435280 DOI: 10.1007/bf02686109] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/1999] [Revised: 11/30/1999] [Accepted: 11/30/1999] [Indexed: 10/22/2022]
Abstract
Considering the fact that Prays oleae is one of the most pathogenic insects to the olive tree in the Mediterranean basin, particularly in Tunisia, the mode of action of Cry insecticidal toxins of Bacillus thuringiensis kurstaki in Prays oleae midgut was investigated. The proteolysis of Bacillus thuringiensis delta-endotoxins in the midgut was a key step in determining their potency against Prays oleae. The latter's proteases activated the delta-endotoxins early, yielding stable toxins. The in vitro and in vivo binding of these toxins to Prays oleae larvae midgut was studied immunohistochemically, evidencing a midgut columnar cell vacuolization, microvilli damage, and then a pass of epithelium cell content into the larvae midgut. Moreover, Bacillus thuringiensis toxins were shown to bind to the apical microvilli of the midgut epithelial cells. The in vitro study of the interaction of Prays oleae midgut proteins with biotinylated Bacillus thuringiensis toxins allowed the prediction of four suitable receptor proteins in Prays oleae.
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Affiliation(s)
- S Rouis
- Laboratory of Biopesticides, Centre of Biotechnology of Sfax, Sfax, Tunisia
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144
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Bel Hadj Youssef D, Loussaief C, Ben Rhomdhane F, Chakroun M, Abid A, Bouzouaia N. [Hydatid disease of bone: a report of 2 cases]. Rev Med Interne 2007; 28:255-8. [PMID: 17335941 DOI: 10.1016/j.revmed.2006.12.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2005] [Accepted: 12/06/2006] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The hydatid cyst of Echinococcus granulosus tends to develop in liver. The primary bone hydatidosis is rare. EXEGISIS: The authors report 2 cases of primary hydatidosis of bone in a 57 year old men and 60 year old diabetic women. The symptoms and signs were not specific. The ultrasound investigation: standard radiography and computed tomographic scan, was suggestive of the lesion. The chest radiograph and the abdominal ultrasound were normal. Serological tests for hydatid disease were positive. The two patients have surgical excision and medical treatment: Albendazole administrated for 6 months. Histologic evidence confirmed the diagnosis. The outcome was good for both patients without recurrence after 2 years. CONCLUSION Through these 2 cases and a review of the literature, the authors analyse the epidemiological and clinical aspects of bone hydatidosis and discuss the therapeutic procedures.
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Affiliation(s)
- D Bel Hadj Youssef
- Service des maladies infectieuses, hôpital universitaire Fattouma-Bourguiba, 5000 Monastir, Tunisie.
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145
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Ben Brahim H, Loussaief C, Addad F, Ben Romdhane F, Chakroun M, Bouzouaia N, Ben Farhat M. Une fièvre boutonneuse méditerranéenne compliquée d'une embolie pulmonaire. Rev Med Interne 2006; 27:973-5. [PMID: 17030488 DOI: 10.1016/j.revmed.2006.07.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2005] [Revised: 07/07/2006] [Accepted: 07/19/2006] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Thromboembolic complications were uncommon in mediterranean spotted fever. OBSERVATION We report a case of 55-years- old man who was admitted for mediterranean spotted fever. Two days later, the patient developed chest pain due to a pulmonary thrombosis confirmed by angio-CT. The outcome was good with heparin therapy. The investigation for another cause of thrombosis was negative. CONCLUSION Mediterranean spotted fever is usually a moderately severe self-limited illness. Pulmonary thrombosis was uncommon associated with severe disease.
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Affiliation(s)
- H Ben Brahim
- Service de maladies infectieuses, CHU de Monastir, Tunisie
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Aouam K, Ben Romdhane F, Loussaief C, Chakroun M, Boughattas NA, Bouzouaia N. Lack of cross-reactivity between cefotaxime and imipenem. Swiss Med Wkly 2006; 136:160. [PMID: 16633962 DOI: 10.4414/smw.2006.11279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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147
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Aouam K, Ben Romdhane F, Loussaief C, Chakroun M, Boughattas NA, Bouzouaia N. Lack of cross-reactivity between cefotaxime and imipenem. Swiss Med Wkly 2006; 136:160. [PMID: 16633962 DOI: 2006/09/smw-11279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/08/2023] Open
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148
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Letaïef AO, Kaabia N, Chakroun M, Khalifa M, Bouzouaia N, Jemni L. Clinical and laboratory features of murine typhus in central Tunisia: a report of seven cases. Int J Infect Dis 2005; 9:331-4. [PMID: 16054415 DOI: 10.1016/j.ijid.2004.09.011] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2004] [Revised: 08/11/2004] [Accepted: 09/14/2004] [Indexed: 10/25/2022] Open
Abstract
INTRODUCTION Murine or endemic typhus, caused by Rickettsia typhi, has been reported in all continents. In the 1970s, no cases of murine typhus were diagnosed in Tunisia. METHODS The clinico-epidemiological characteristics of seven cases of murine typhus diagnosed at our hospitals since 1993 are reported. Diagnosis was confirmed by indirect fluorescence assay detecting specific R. typhi antibodies. RESULTS Murine typhus occurred in all ages from 18-80 years during the hot season in rural areas. Clinical features were: sudden onset of fever and absence of eschar in all cases, with maculo-papular rash (five cases), prostration (four cases), meningism (three cases) and pneumonia (four cases). Frequent laboratory findings were moderate thrombopenia (four cases) and elevated transaminases (four cases). Before the results of serology, clinical diagnoses were Mediterranean Spotted Fever (four cases), Q fever (one case), pneumonia (one case), and lymphocytic meningitis (one case). Serology confirmed all diagnoses with cross-reactivity with Rickettsia conorii. CONCLUSION Murine typhus exists in Tunisia and its prevalence is underestimated. Further, more specific studies are needed to evaluate the true prevalence.
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Affiliation(s)
- A Omezzine Letaïef
- Infectious Diseases Unit, F. Hached University Hospital, Sousse, Tunisia.
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Toumi A, Loussaief C, Chakroun M, Ben Romdhane F, Zakhama A, Bouzouïa N. [Phalengeal actinomycosis: a rare disease]. Rev Med Interne 2005; 26:988-90. [PMID: 16185786 DOI: 10.1016/j.revmed.2005.07.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2005] [Accepted: 07/20/2005] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Bone involvement in actinomycosis is rare. EXEGESIS We report a case of a 38 year-old woman with foot bone actinomycosis. The clinical symptoms were non-specific and the diagnosis was difficult. An X-ray revealed an osteolysis and a sclerosis of the proximal phalanx of the big toe. A phalengiectomy was carried out after the failure of antistaphylococcic antibiotherapy. The diagnosis of actinomycosis was substantiated by a histological examination. The clinical outcome was good after six-month treatment by penicillin G substitutes for cotrimoxazol. The patient completely recovered and was feeling well. The mean follow up was fifteen months. CONCLUSION Clinical and therapeutic aspects of this rare localization are reviewed.
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Loussaief C, Toumi A, Ben Romdhane F, Chakroun M, Bouzouaia N. [Pyogenic splenic abscesses. A review of 8 cases]. Rev Med Interne 2005; 26:541-4. [PMID: 15975693 DOI: 10.1016/j.revmed.2005.03.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2004] [Accepted: 03/08/2005] [Indexed: 11/19/2022]
Abstract
PURPOSE Pyogenic splenic abscess is un uncommon and potentially life-threatening disease. Due to inconspicuous and nonspecific clinical picture, it remains a diagnostic challenge. Medical imaging progresses are helpful for diagnosis and treatment. METHODS We tried to establish epidemiologic and clinical features and therapeutic possibilities of 8 cases of splenic abscesses occurred between 1993 and 2002. RESULTS There were 5 male patients and 3 female patients. Aged ranged from 17 to 53 years, with a median of 34 years. One patient was immunocompromised (colonic carcinoma). Common clinical presentations included fever (n=8) and left upper quadrant abdominal pain (n=7). Positive blood cultures were found in only four patients (50%) : Staphylococcus aureus (3) and coagulase negative Staphylococcus (1). Staphylococcus aureus and Bacteroïdes fragilis were isolated in one abscess pus respectively. The diagnosis was obtained by ultrasonography in all 8 cases. Antibiotics were prescribed in all cases for a mean length of 60 days (30 - 110 days). Splenectomy and percutaneous CT-guided drainage were performed in one case respectively. Evolution was good in all cases. CONCLUSION Splenic abscesses are increasingly recognized. The combination of clinical features and imaging findings, early diagnosis and treatment can be made.
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Affiliation(s)
- C Loussaief
- Service des Maladies Infectieuses, hôpital universitaire Fattouma-Bourguiba, 5000 Monastir, Tunisie.
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