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Galles A, Monlun E, Villeneuve L, Poirot-Mazères S. [Capnocytophaga canimorsus meningitis]. Med Mal Infect 2020; 50:754-756. [PMID: 32911060 DOI: 10.1016/j.medmal.2020.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Revised: 03/25/2020] [Accepted: 09/01/2020] [Indexed: 11/19/2022]
Affiliation(s)
- A Galles
- Service des maladies infectieuses et tropicales, centre hospitalier de Pau, 4, boulevard Hauterive, 64000 Pau, France
| | - E Monlun
- Service des maladies infectieuses et tropicales, centre hospitalier de Pau, 4, boulevard Hauterive, 64000 Pau, France
| | - L Villeneuve
- Service de bactériologie, centre hospitalier de Pau, 4, boulevard Hauterive, 64000 Pau, France
| | - S Poirot-Mazères
- Service des maladies infectieuses et tropicales, centre hospitalier de Pau, 4, boulevard Hauterive, 64000 Pau, France; Service des maladies infectieuses et tropicales, centre hospitalo-universitaire de Bordeaux, 1, place Améli-Raba-Léon, 33000 Bordeaux, France.
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Cabasson S, Roux J, Charron M, Sarlangue J, Debeugny S, Jouhet V, Monlun E. Poor adherence to population-based vaccination in two counties after meningococcal B:14:P1.7,16 outbreak: an illustration of the growing vaccine hesitancy in France. Arch Pediatr 2019; 26:75-79. [PMID: 30617005 DOI: 10.1016/j.arcped.2018.12.004] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Revised: 11/05/2018] [Accepted: 12/11/2018] [Indexed: 11/25/2022]
Abstract
BACKGROUND Neisseria meningitidis is a virulent bacteria provoking outbreaks of invasive meningococcal disease (IMD) that authorities may try to control with population-based vaccinations. Such campaigns are most often thoroughly followed. We assess the response of poor adherence during a population-based vaccination after a meningococcal B:14:P1.7,16 outbreak. METHODS Between July, 2012, and April, 2013, six cases including one fatality of invasive meningococcal disease related to N. meningitidis B:14:P1.7,16/ST32 were reported in two neighboring counties. A vaccination campaign with MenBVac® targeting 6911 inhabitants was implemented. People entering the vaccination schedule from January 2014 received 4CMenB. RESULTS The number of immunized patients proved to be low, with 1721 (24.1%) receiving at least one dose out of 5069 doses administered. However, the incidence of IMD in the zone dramatically fell, with only one purpura fulminans case in June 2014 with a good outcome. The campaign was stopped after 1 year and a 2-year monitoring period was implemented until June, 2016, with no new cases. CONCLUSIONS This outbreak probably self-terminated in a context of a low incidence of serogroup B IMD during 2014 in France. Poor adherence illustrates the growing vaccine hesitancy in France. Similar campaigns will have to be thoroughly planned and implemented in terms of timing, modalities of injections, and mass communication.
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Affiliation(s)
- S Cabasson
- Service de pédiatrie et réanimation pédiatrique, Centre hospitalier de Pau, Boulevard Hauterive, 64046 Pau, France.
| | - J Roux
- Service de pédiatrie et réanimation pédiatrique, Centre hospitalier de Pau, Boulevard Hauterive, 64046 Pau, France
| | - M Charron
- Cellule D'Intervention en Région (CIRE), Santé publique France, 103, rue de Belleville, 33000 Bordeaux, France
| | - J Sarlangue
- Département de pédiatrie médicale, Hôpital Pellegrin-Enfants, CHU de Bordeaux, Place Amélie-Raba-Léon, 33076 Bordeaux France
| | - S Debeugny
- Unité de recherche clinique, Centre hospitalier de Pau, Boulevard Hauterive, 64046 Pau, France
| | - V Jouhet
- Institut de Santé publique et du développement, Université Victor-Ségalen Bordeaux 2, 146, rue Léo-Saignat, 33000 Bordeaux, France
| | - E Monlun
- Service de maladies infectieuses, Centre hospitalier de Pau, Boulevard Hauterive, 64046 Pau, France
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Gaches F, Noel E, Kaminsky P, Monlun E, Gaborieau V, Lorcerie B. Prise en charge de la maladie de Fabry en France (enquête TOPS). Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.077] [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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Baldauf JJ, Dreyfus M, Monlun E, Ritter J, Obert G. Increased prevalence of herpes viruses in high grade CIN and carcinoma of the cervix: the potential for synergistic effect⋆. J Eur Acad Dermatol Venereol 2006. [DOI: 10.1111/j.1468-3083.1995.tb00298.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: 11/28/2022]
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Noyer B, Guérin B, Delarche N, Estrade G, Monlun E, Doireau V. Dorsalgies révélant une maladie de Takayasu. Arch Pediatr 2004; 11:1462-4. [PMID: 15596335 DOI: 10.1016/j.arcped.2004.09.011] [Citation(s) in RCA: 3] [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: 09/23/2003] [Accepted: 09/02/2004] [Indexed: 11/24/2022]
Abstract
UNLABELLED Takayasu arteritis is an uncommon inflammatory arteritis especially in children. We report a case. CASE REPORT A 11-year-old boy presented dorsalgia with inflammatory syndrome. One year later, the investigation of an hypertension with asymmetric blood pressure revealed an aortic coarctation and a bilateral renal arteries stenosis leading to Takayasu's arteritis diagnosis. CONCLUSION Takayasu's arteritis must be evokated in young children in case of associated hypertension and inflammatory syndrome.
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Affiliation(s)
- B Noyer
- Service d'infectiologie et médecine interne, centre hospitalier de Pau, 4, boulevard Hauterive, 64046 Pau, France.
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Bouchaud O, Muanza K, Le Bras J, Fontanet A, Danis M, Scott T, Goetschel A, Le Bras M, Chulay JD, Coulaud JP, Gentilini M, Monlun E. Atovaquone plus proguanil versus halofantrine for the treatment of imported acute uncomplicated Plasmodium falciparum malaria in non-immune adults: a randomized comparative trial. Am J Trop Med Hyg 2000. [DOI: 10.4269/ajtmh.2000.63.274] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.3] [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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Bouchaud O, Monlun E, Muanza K, Fontanet A, Scott T, Goetschel A, Chulay JD, Le Bras J, Danis M, Le Bras M, Coulaud JP, Gentilini M. Atovaquone plus proguanil versus halofantrine for the treatment of imported acute uncomplicated Plasmodium falciparum malaria in non-immune adults: a randomized comparative trial. Am J Trop Med Hyg 2000; 63:274-9. [PMID: 11421377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023] Open
Abstract
In endemic zones, the atovaquone-proguanil (AP) combination is well tolerated and effective in treating acute, uncomplicated malaria. Trials involving non-immune patients are lacking, however. We conducted a randomized, multicenter open-label trial to determine the efficacy and tolerability of the AP combination (1,000 mg + 400 mg once daily for 3 days) in comparison with halofantrine (HF) (1,500 mg in 3 doses) in non-immune adults with imported uncomplicated Plasmodium falciparum malaria. Follow-up visits were programmed on Days 7, 14, 21, 28, and 35 after hospital discharge. Out of 48 patients enrolled in the study, 41 were assessable for the cure rate (21 in the AP group and 20 in the HF group). All the patients were cured. The mean parasite clearance time was longer (63+/-23 hours) in the AP group than in the HF group (48+/-15 hours) (P = 0.02). The frequency of gastrointestinal adverse events was higher in the AP group. No noteworthy electrocardiographic changes were observed, particularly in the QTc interval. The AP combination appears to be a valuable alternative treatment in non-immune adults.
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Affiliation(s)
- O Bouchaud
- Department of Infectious Diseases, Tropical Diseases, and Parasitology, Bichat-Claude Bernard Hospital, Paris, France.
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Delmas-Beauvieux MC, Morlat P, Subra C, Monlun E, Le Bras M, Clerc M, Beylot J. Activité antitrypsique urinaire (AATU).Intérêt diagnostique chez le patient VIH fébrile. Med Mal Infect 1998. [DOI: 10.1016/s0399-077x(98)80125-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: 11/26/2022]
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Saillour F, Bernard N, Ragnaud JM, Morlat P, Blanchard Y, Monlun E, Labouyrie E, Chene G, Dabis F. Incidence of cytomegalovirus disease in the Aquitaine cohort of HIV-infected patients: a retrospective survey, 1987-1993. Groupe d'Epidémilogie Clinique du SIDA en Aquitaine (GECSA). J Infect 1997; 35:155-61. [PMID: 9354350 DOI: 10.1016/s0163-4453(97)91644-3] [Citation(s) in RCA: 4] [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] [Indexed: 02/05/2023]
Abstract
We estimated the incidence of the first episodes of cytomegalovirus (CMV) disease in the Aquitaine cohort of HIV-infected subjects, south-western France. Cases were retrospectively investigated using standardized definition criteria. Retinitis was confirmed by an ophthalmologist. Gastro-intestinal lesions were confirmed histologically. Encephalitis was histologically confirmed; it was considered possible if TDM or magnetic resonance imaging (MRI) and symptomatology suggested this diagnosis. Pneumopathy was probable in case of hypoxemia, interstitial X-Ray images and response to CMV treatment; it was confirmed if intranuclear inclusions were identified on biopsy or brushing specimen. In the cohort (n = 3525) followed for an average of 46 months, 158 patients had a first episode of CMV disease. The cumulative incidence was 4.5% and the incidence rate (IR) 1.2 per 100 person-years. The IR was higher for homosexuals (2.0) than for heterosexuals (1.0) and intravenous drug users (0.5). Retinitis was the most frequent site (90 cases), followed by digestive system (40), lung (three confirmed and 17 probable) and central nervous system (eight confirmed and three possible). Sixty-eight percent of the patients were at the AIDS stage when CMV disease was diagnosed, with a mean CD4 count of 42/mm3. The cumulative probability of developing CMV disease 2 years after falling below 200 CD4 lymphocytes/mm3 was 8.0%. Retinitis is by far the most common site for CMV disease. Homosexual transmission of HIV, clinical AIDS and low CD4 count are associated with the occurrence of the first episode of CMV disease.
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Affiliation(s)
- F Saillour
- Unité INSERM 330, Université de Bordeaux II, France
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Monlun E, de Blay F, Berton C, Gasser B, Jaeger A, Pauli G. Invasive pulmonary aspergillosis with cerebromeningeal involvement after short-term intravenous corticosteroid therapy in a patient with asthma. Respir Med 1997; 91:435-7. [PMID: 9327046 DOI: 10.1016/s0954-6111(97)90259-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The present case report describes a case of invasive pulmonary aspergillosis with cerebromeningeal invasion in an asthmatic non-immunocompromised patient. This fatal complication occurred despite early anti-fungal antibiotherapy after a 2-week course of intravenous corticosteroid therapy for treatment of an exacerbated asthma. Diagnostic and therapeutic procedures are discussed.
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Affiliation(s)
- E Monlun
- Service de Réanimation Médicale, Hôpitaux Universitaires de Strasbourg, France
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Neau D, Bonnet F, Ragnaud J, Pellegrin J, Schaeverbeke T, Monlun E, Dupon M, Beylot J, Longy-Boursier M, Le Bras M. Etude rétrospective de 59 cas de brucellose humaine en Aquitaine. Aspects cliniques, biologiques et thérapeutiques. Med Mal Infect 1997. [DOI: 10.1016/s0399-077x(97)80215-6] [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: 11/25/2022]
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Neau D, Vatan R, Monlun E, Deminière C, Potaux L, Longy-Boursier M, Bras ML. [Hypokalemic quadriparesis disclosing distal tubular acidosis in primary Gougerot-Sjögren syndrome]. Rev Med Interne 1996; 17:1039-40. [PMID: 9008755 DOI: 10.1016/s0248-8663(97)80851-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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13
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Helmer C, Morlat P, Dabis F, Chene G, Ragnaud J, Dupon M, Pellegrin JL, Monlun E. Transmission hétérosexuelle de l'infection par le VIH en Aquitaine. Résultats d'un système de surveillance hospitalier, 1985–1993. Med Mal Infect 1996. [DOI: 10.1016/s0399-077x(96)80064-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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14
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Saillour F, Dabis F, Dupon M, Lacoste D, Trimoulet P, Rispal P, Monlun E, Ragnaud JM, Morlat P, Pellegrin JL, Fleury H, Couzigou P. Prevalence and determinants of antibodies to hepatitis C virus and markers for hepatitis B virus infection in patients with HIV infection in Aquitaine. Groupe d'Epidémiologie Clinique du SIDA en Aquitaine. BMJ 1996; 313:461-4. [PMID: 8776313 PMCID: PMC2351885 DOI: 10.1136/bmj.313.7055.461] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To evaluate the prevalence of antibodies to hepatitis C virus and serological markers for hepatitis B virus infection in patients with HIV. DESIGN Cross sectional survey. SETTING Aquitaine, southwestern France, 1991-94. SUBJECTS 1935 HIV positive patients seen at least once since June 1991. MAIN OUTCOME MEASURES Presence of antibodies to hepatitis C virus were detected by second or third generation enzyme linked immunosorbent assay (ELISA) and recombinant immunoblot assay (RIBA) and markers for hepatitis B virus detected by ELISA. RESULTS The prevalence was 42.5% (823) for antibodies to hepatitis C virus, 56.4 (507) for antibodies to hepatitis B core antigen, 6.9% (133) for hepatitis B surface antigen, 30.2% (584) for antibodies to hepatitis B core and surface antigen with no detectable surface antigen, 26.2% (507) for antibodies to core antigen only, and 4.8% (92) for antibodies to surface antigen only. The prevalence of antibodies to hepatitis C virus was 86.1% (726/843) in subjects who had bloodborne HIV infection and 7.3% (66/899) in those with sexually acquired infection. The prevalence of markers for hepatitis B was higher among homosexuals than in the other groups of patients, except for antibodies to surface antigen alone. The relation between markers for hepatitis B and hepatitis C virus was negative among men but positive among women. CONCLUSIONS The results favour the hypothesis that hepatitis C virus is sexually transmitted much less commonly than either HIV or hepatitis B virus.
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Affiliation(s)
- F Saillour
- Unité INSERM No 330, Université de Bordeaux II, France
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Hallé O, Neau D, Monlun E, Rullier E, Longy-Boursier M, Le Bras M. [Peritoneal tuberculosis: late complication of BCG treatment for bladder carcinoma]. Rev Med Interne 1996; 17:265-6. [PMID: 8734152 DOI: 10.1016/0248-8663(96)81257-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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Abstract
Sweet's syndrome is an acute febrile neutrophilic dermatosis. Although it frequently appears as an idiopathic disorder, it may occur in association, often as presenting sign, with malignancy or more rarely with infections. We report two cases of Sweet's syndrome preceded by digestive infection due to Yersinia enterocolitica, affirmed by significant rises in serum antibody titers. Other nongastrointestinal manifestations of such infections are known, predominantly arthritis and erythema nodosum. Sweet's syndrome is a rare complication of these infections. Treatment with systemic steroids, usually effective, can be replaced by antibiotics with apparently favorable results. The search of an infectious origin should be systematic in cases of Sweet's syndrome that appear to be idiopathic.
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Affiliation(s)
- D Neau
- Service de médecine interne et tropicale, hôpital Saint-André, Bordeaux, France
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Viallard JF, Monlun E, Neau D, Vital C, Longy-Boursier M, Lebras M. Aspergillosis of the muscle in a woman with sarcoidosis and CD4+ T lymphocytopenia. Clin Infect Dis 1995; 21:1345-6. [PMID: 8589180 DOI: 10.1093/clinids/21.5.1345] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Affiliation(s)
- J F Viallard
- Service de Médecine Interne et Maladies Tropicales, Hôpital Saint-André, Bordeaux, France
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Viallard JF, Neau D, Bernard P, Monlun E, De Mascarel A, Longy-Boursier M, Lebras M. [A rare cause of paroxysmal eosinophilia: eosinophilic gastroenteritis]. Rev Med Interne 1995; 16:619-21. [PMID: 7569435 DOI: 10.1016/0248-8663(96)80762-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The authors report the case of a 16 year-old boy admitted for the seventh acute occurrence in 18 months of abdominal pain associated with hypereosinophilia. Each episode was identical in nature and receded spontaneously after 5 or 6 days. Biopsy of a fiber colonoscopically obtained specimen of small intestine was performed. The diagnosis of eosinophilic gastroenteritis was based upon an infiltration of the digestive mucosa by eosinophils, the absence of elements in favor of other types of digestive-tract disease (parasitic, allergic, hematologic, or inflammatory), and the absence or other illness outside the digestive system. However, the incidental discovery of a distal dilation of both of the patients ureters during one such episode, that disappeared with the other symptoms, raises the possibility of a bladder location as well, and thus of a hypereosinophilic syndrome. Corticoids were administered then tapered down. A relapse occurred 2 months later. Currently, he is taking 20 mg of a corticoid every other day and has presented no manifestations over the last 9 months.
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Affiliation(s)
- J F Viallard
- Service de médecine interne et maladies tropicales, hôpital Saint-André, France
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Monlun E, Le Metayer P, Szwandt S, Neau D, Longy-Boursier M, Horton J, Le Bras M. Cardiac complications of halofantrine: a prospective study of 20 patients. Trans R Soc Trop Med Hyg 1995; 89:430-3. [PMID: 7570888 DOI: 10.1016/0035-9203(95)90041-1] [Citation(s) in RCA: 51] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Halofantrine, increasingly used for treatment of Plasmodium falciparum malaria, is a normally well-tolerated amino-alcohol with very few side-effects, but torsades de pointes ventricular tachycardia due to halofantrine has been reported in a few patients with a congenital long QT interval (Romano-Ward syndrome). We performed a prospective study of the cardiac effect of halofantrine in 20 patients with 48 h ambulatory electrocardiographic (ECG) monitoring; the halofantrine levels in their serum were also determined. Minimal ECG changes were noted, with lengthening of the QT interval without clinical symptoms. This effect was dose-dependent and can be very severe in cases of pre-existing cardiopathy; it also occurs in patients without any pre-existing cardiopathy. In order to reduce the likelihood of such incidents, which are admittedly rare, we suggest performing electrocardiography on all patients before initiating treatment with halofantrine.
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Affiliation(s)
- E Monlun
- Department of Internal Medicine, Hôpital Saint André, Bordeaux, France
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Lasseur C, Maugein J, Pellegrin JL, Dupon M, Ragnaud JM, Morlat P, Pellegrin I, Constans J, Monlun E, Chene G. [Disseminated Mycobacterium avium complex infections in AIDS. Apropos of 100 cases. Groupe d'Epidémiologie clinique du SIDA en Aquitaine]. Rev Med Interne 1995; 16:110-20. [PMID: 7709100 DOI: 10.1016/0248-8663(96)80675-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The improvement of survival of AIDS patients allowed the emergence of disseminated Mycobacterium avium Complex infections (D.MAC). Here we report the experience of the group of "Epidémiologie clinique du sida en Aquitaine (GECSA)" about 100 patients. There were no differences according to sex, age and route of acquisition of HIV. Clinical and biological characteristics of the infections were not specific. The mean TCD4+ lymphocytes count was 18/mm3. The diagnostic was generally established by systematic blood culture on Septi-Chek in patients with TCD4+ lymphocytes count below 75/mm3. The recommendations on therapy for D.MAC are to use regimen containing azithromycin or clarithromycin, ethambutol and one of the following drugs, rifabutin, clofazimine, amikacin, or ciprofloxacin. Rifabutin is recommended for prophylaxis in patients with lymphocytes TCD4+ count below 100/mm3.
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Affiliation(s)
- C Lasseur
- Groupe d'Epidémiologie clinique du sida en Aquitaine, Hôpital Haut-Lévêque, CHU Bordeaux, Pessac, France
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Viallard JF, Neau D, Monlun E, Longy-Boursier M, Le Bras M. [Neuropathy of the chin disclosing renal lymphoma in human immunodeficiency virus infection]. Presse Med 1995; 24:196. [PMID: 7899362] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
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Monlun E, Le Bras M. [Prophylaxis for travellers in Africa: new aspects]. Med Trop (Mars) 1995; 55:120. [PMID: 8649258] [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: 05/22/2023]
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Vital C, Monlun E, Vital A, Martin-Negrier ML, Cales V, Leger F, Longy-Boursier M, Le Bras M, Bloch B. Concurrent herpes simplex type 1 necrotizing encephalitis, cytomegalovirus ventriculoencephalitis and cerebral lymphoma in an AIDS patient. Acta Neuropathol 1995; 89:105-8. [PMID: 7709722 DOI: 10.1007/bf00294267] [Citation(s) in RCA: 14] [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] [Indexed: 01/26/2023]
Abstract
Unlike cytomegalovirus (CMV) ventriculoencephalitis, herpes simplex virus type 1 necrotizing encephalitis has only rarely been observed in AIDS patients. A 40-year-old bisexual man was followed for an HIV1 infection from 1987 onwards. In June 1993 he was referred for sudden confusion, left hemiparesia and fever. The blood contained less than 10 CD4 lymphocytes/mm3. The patient remained comatose and febrile, and died 4 weeks later. In coronal sections of the brain there was necrosis of the internal parts of the left temporal lobe, necrosis of certain areas of the ventricular walls and a small tumor at the top of the right frontal lobe, which proved to be a polymorphic high-grade lymphoma. CMV ventriculoencephalitis lesions were prominent in the ventricular walls of the occipital lobes and there was a strong nuclear signal for CMV using in situ hybridization. Herpes simplex virus type 1 was shown in the nuclei and cytoplasm of certain neurons and astrocytes in the borders of the necrotized temporal lobe areas by immunohistochemistry, in situ hybridization and electron microscopy, whereas in situ hybridization and immunohistochemistry for CMV were negative in such areas. Necrotizing type 1 encephalitis must not be overlooked in immunodeficient patients.
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Affiliation(s)
- C Vital
- Department of Neuropathology, Bordeaux II University, France
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Neau D, Laharie D, Monlun E, Weill FX, Ragnaud JM, Constans J, Conri C, Lacoste D, Beylot J, Longy-Boursier M, Le Bras M. Distomatose hépatique à Fasciola hepatica: aspects épidémiologiques, cliniques et thérapeutiques, à propos de 26 observations. Rev Med Interne 1995. [DOI: 10.1016/0248-8663(96)86592-1] [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: 10/18/2022]
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Viallard JF, Neau D, Monlun E, Longy-Boursier M, Le Bras M. [Hypereosinophilia associated with heparin: a case with a challenge test]. Therapie 1994; 49:518. [PMID: 7878617] [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: 01/27/2023]
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27
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Traore-Lamizana M, Zeller H, Monlun E, Mondo M, Hervy JP, Adam F, Digoutte JP. Dengue 2 outbreak in southeastern Senegal during 1990: virus isolations from mosquitoes (Diptera: Culicidae). J Med Entomol 1994; 31:623-627. [PMID: 7932611 DOI: 10.1093/jmedent/31.4.623] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
During 1990, Dengue-2 (DEN-2) virus was isolated for the first time from mosquitoes (Aedes furcifer, six isolates; Ae. taylori, six isolates; Ae. luteocephalus, seven isolates) collected during an epidemic in which DEN-2 virus also was isolated from humans. Numerous isolations have been made previously from mosquitoes in the absence of human infection. In Senegal, DEN-2 virus appears to be maintained in an enzootic cycle and, therefore, plays an expanding role in human disease and increases the need for effective surveillance in mosquito populations.
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Affiliation(s)
- M Traore-Lamizana
- Institut Francais de Recherche Scientifique pour le Developpement en cooperation, O.R.S.T.O.M., Dakar, Senegal
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28
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Ragnaud JM, Morlat P, Buisson M, Longy-Boursier M, Monlun E, Wone C, Lebras M, Beylot J, Aubertin J. [Epidemiological, clinical, biological and developmental aspects of leptospirosis: apropos of 30 cases in Aquitaine]. Rev Med Interne 1994; 15:452-9. [PMID: 7938956 DOI: 10.1016/s0248-8663(05)81469-9] [Citation(s) in RCA: 9] [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] [Indexed: 01/28/2023]
Abstract
We have studied retrospectively 30 cases of leptospirosis observed in Aquitaine (South West France) from 1980 till 1992. This review was made in three internal and a nephrology department in Bordeaux hospital. Most cases occurred by indirect contact with infected animals or by occupational exposures. Onset was brutal with fever often associated with painful syndrome and sometimes conjunctival suffusion. Jaundice (70%), acute renal failure (67%), meningitis (50%) and hemorrhagic signs (50%) were among the major visceral manifestations. Diagnosis was always confirmed by micro-agglutination test. Leptospira ictero-hemorrhage was the predominant serogroup found. The outcome was favorable in 22 patients; reversible complications were seen in six cases (five acute renal failure with hemodialysis myocarditis and pulmonary edema in two hemodialysed patients, polyradiculoneuritis). Two patients died (acute respiratory failure and meningo-encephalitis with diffuse hemorrhagic syndrome). The characteristic of our series is the high frequency of hepatorenal syndrome due to the importance of our nephrologist recruitment. Furthermore our study confirm the vital prognostic characters of the pulmonary, renal, hemorrhagic and neurologic complications. No absolute relationship was found between the clinical and laboratory findings and the serotype of leptospira. Penicillin remains the treatment of choice and should be started as soon as possible the avoid the life threatening visceral complications.
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Affiliation(s)
- J M Ragnaud
- Clinique médicale et des maladies infectieuses, hôpital Pellegrin, Bordeaux, France
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29
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Viallard JF, Neau D, Monlun E, Vital C, Ragnaud JM, Longy-Boursier M, Le Bras M. Infections opportunistes et déficit en lymphocytes TCD 4 + sans infection VIH : deux nouvelles observations. Rev Med Interne 1994. [DOI: 10.1016/s0248-8663(05)82732-8] [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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30
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Monlun E, Neau D, Viallard JF, Deminière C, Combe C, Faure I, Longy-Boursier M, Aparicio M, Le Bras M. Rein, cryoglobuline et virus de l'hépatite C : une observation d'évolution favorable sous interféron. Rev Med Interne 1994. [DOI: 10.1016/s0248-8663(05)82652-9] [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: 10/24/2022]
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31
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Morlat P, Helmer C, Chène G, Lasseur C, Buisson M, Monlun E, Dupon M, Lacoste D, Constans J, Bonnal F, Bernard N, Rispal P, Paty MC, Ragnaud JM, Salamon R, Beylot J. Transmission hétérosexuelle de l'infection par le VIH1 en Aquitaine. Résultats d'un système hospitalier de surveillance (1985–1993). Rev Med Interne 1994. [DOI: 10.1016/s0248-8663(05)82633-5] [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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32
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Lasseur C, Vital A, Ragnaud JM, Monlun E, Rispal P, Ellie E, Bonnal F, Pellegrin JL, Vital C, Leng B. Leucoencéphalite multifocale progressive au cours de l'infection par le virus de l'immunodéficience humaine. À propos de 14 cas prouvés. Rev Med Interne 1994. [DOI: 10.1016/s0248-8663(05)82636-0] [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: 10/24/2022]
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33
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Baldi I, Morlat P, Chene G, Dupon M, Lacoste D, Pellegrin J, Monlun E, Ragnaud J, Dabis F. Evolution des caractéristiques cliniques et immunologiques au moment du diagnostic de SIDA : résultats de la cohorte Aquitaine, 1985–1991. Med Mal Infect 1993. [DOI: 10.1016/s0399-077x(05)81369-1] [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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34
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Monlun E, Pillet O, Cochard JF, Favarel Garrigues JC, le Bras M. Prolonged QT interval with halofantrine. Lancet 1993; 341:1541-2. [PMID: 8099420] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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35
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Monlun E, Zeller H, Adam F, Receveur M, Bouabdallah K, Longy-Boursier M, Le Bras M. La fièvre de la Vallée du Rift: une anthropozoonose à connaître au retour d'Afrique. Etude de l'épidémie survenue en Mauritanie en 1987. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80346-7] [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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36
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Ragnaud J, Morlat P, Longy-Boursier M, Monlun E, Le Bras M, Beylot J, Aubertin J, Wone C. Aspects épidémiologiques, cliniques, biologiques et évolutifs de la leptospirose: à propos de 30 observations recueillies en Aquitaine. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80371-6] [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: 11/30/2022]
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37
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Nouts C, Monlun E, Lasseur C, Rispal P, Receveur MC, Neau D, Longy-Boursier M, Le Bras M. Fasciites de shulman: 3 observations. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80186-9] [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: 10/25/2022]
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38
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Morlat P, Hocke C, Chene G, Lasseur C, Dupon M, Monlun E, Bonnal F, Constans J, Lacoste D, Ragnaud JM. [Prognostic role of pregnancy on the course of HIV infection: a retrospective cohort study (1985-92)]. Rev Med Interne 1993; 14:1000. [PMID: 8008998 DOI: 10.1016/s0248-8663(05)80118-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
In a hospital-based cohort study of HIV-infected patients, we compare the progression of the disease (occurrence of CDC group IV, death, decline of CD4 below 200/mm3) between 55 women with delivery and 89 matched control HIV positive women with no history of pregnancy. After a mean follow-up of three years, no significant difference was observed between the two groups even after adjustment on prognostic variables.
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Affiliation(s)
- P Morlat
- Centre d'information et de soins de l'immunodéficience humaine, CHRU de Bordeaux
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39
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Monlun E, Leenhardt A, Pillet O, Gaston R, Receveur MC, Neau D, Bouabdallah K, Longy-Boursier M, Favarel-Garrigues JC, Bras ML. Arythmies ventriculaires et prise d'halofantrine: 3 observations. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80162-6] [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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40
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Lataste P, Neau D, Monlun E, Gosse P, Le Métayer P, Longy-Boursier M, Le Bras M. Myxome ventriculaire révélé par des manifestations rhumatologiques. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80237-1] [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: 11/27/2022]
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41
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Monlun E, Lifermann F, Lasseur C, Rispal P, Ragnaud JM, Neau D, Longy-Boursier M, Beylot J, Le Bras M. [Joint manifestations and parvovorus B19 infections: 8 cases]. Rev Med Interne 1993; 14:1020. [PMID: 8009016 DOI: 10.1016/s0248-8663(05)80137-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Human Parvovirus B19 (PB19) may cause joint manifestations. We report eight cases of polyarthritis associated with PB19 IgM: six cases of acute polyarthritis spontaneously resolving within a few days, and two other cases suggesting that PB19 should be responsible for accutisation of chronic disease (lupus with Kikuchi's disease and HLA B27 related arthritis).
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Affiliation(s)
- E Monlun
- Clinique médicale propédeutique et médecine tropicale, hôpital Saint André, CHU Bordeaux
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42
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Monlun E, Le Metayer P, Receveur MC, Bouabdallah K, Neau D, Longy-Boursier M, Le Bras M. [Cardiac complications of halofantrine: continuous electrocardiographic study (holter) in 20 patients]. Rev Med Interne 1993; 14:954. [PMID: 8009050 DOI: 10.1016/s0248-8663(05)80072-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Three cases of long QT-interval due to halofantrine were documented in 1992 in France. Two of them had a congenital long QT-interval (Romano-Ward syndrome). We performed a prospective study of cardiac monitoring in 20 patients taking halofantrine. Minimal ECG changes were noted with lengthening of the QT-interval. Systematic ECG is necessary before giving halofantrine.
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Affiliation(s)
- E Monlun
- Clinique médicale propédeutique, médecine interne et maladies tropicales, hôpital Saint André, CHU Bordeaux, France
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43
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44
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Zeller HG, Traoré-Lamizana M, Monlun E, Hervy JP, Mondo M, Digoutte JP. Dengue-2 virus isolation from humans during an epizootic in southeastern Senegal in November, 1990. Res Virol 1992; 143:101-2. [PMID: 1594790 DOI: 10.1016/s0923-2516(06)80088-9] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- H G Zeller
- Laboratoire des Arbovirus Institut Pasteur, Dakar
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45
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Baldauf JJ, Dreyfus M, Monlun E, Ritter J, Obert G. [Role of herpes virus simplex and cytomegalovirus as cofactors of papillomavirus in dysplastic and cancerous lesions of the uterine cervix]. Chirurgie 1992; 118:652-8. [PMID: 1345699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/25/2023]
Abstract
Human papillomaviruses (HPV) play an important role in cervical carcinogenesis but are probably not the only factors. To assess the role of HPV 6 and 11, of herpes simplex virus (HSV) and of cytomegalovirus (CMV) as cofactors for HPV 16 and HPV 18, we used polymerase chain reaction (PCR). The genomes of these six viruses was searched for in cervical biopsies, inbred in paraffin, from 22 normal cervices, 21 low grade cervical intraepithelial neoplasia (CIN), 21 high grade CIN and 20 squamous cancers. HPV 16 DNA had the highest prevalence in cervical lesions. Its frequency reached 24% in low grade CIN, 57% in high grade CIN, 50% in cancers and 9% in normal cervices. The simultaneous presence of HPV 16 and/or HPV 18 DNA and CMV and/or HSV DNA was significantly more frequent in high grade CIN and cancers than in normal cervices. On the other hand the presence of HPV 16 and/or HPV 18 DNA in samples lacking the other viral genomes did not significantly differ between the groups. Consequently the disease-viral infection relation was not apparent when these two "potentially oncogenic" HPV are isolated without coinfection by HSV or CMV. Our results are in agreement with the hypothesis of the role of herpesviruses as cofactors in cervical carcinogenesis. These viruses may disturb the control mechanisms of cellular growth and differentiation in HPV infected cells.
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Affiliation(s)
- J J Baldauf
- Service de Gynécologie-Obstétrique I. Hôpitaux universitaires de Strasbourg, Hôpital de Hautepierre
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