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Schein F, Gaultier J, Dutour M, Carneiro-Esteves L, Cathébras P. Périartérite noueuse survenant à l’arrêt d’un traitement par apremilast. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.265] [Citation(s) in RCA: 1] [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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Schein F, Munoz-Pons H, Mahinc C, Grange R, Cathébras P, Flori P. Fatal aspergillosis complicating severe SARS-CoV-2 infection: A case report. J Mycol Med 2020; 30:101039. [PMID: 32861584 PMCID: PMC7440034 DOI: 10.1016/j.mycmed.2020.101039] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [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: 05/22/2020] [Revised: 08/03/2020] [Accepted: 08/17/2020] [Indexed: 01/16/2023]
Abstract
As aspergillosis is a well-known complication of severe influenza, we suggest that SARS-CoV-2 might be a risk factor for invasive aspergillosis (IA). We report the case of an 87 year-old woman, with no history of immune deficit, admitted in our emergency room for severe respiratory distress. Coronavirus disease 2019 (COVID-19) diagnosis was confirmed by a SARS-CoV-2 reverse transcriptase polymerase chain reaction (PCR) on nasal swab. On day 14, pulmonary examination deteriorated with haemoptysis and a major increase of inflammatory response. A computed tomography (CT) scan revealed nodules highly suggestive of IA. Aspergillus antigen was found highly positive in sputum and blood, as was Aspergillusspp PCR on serum. Sputum cultures remained negative for Aspergillus. This patient died rapidly from severe respiratory failure, despite the addition of voriconazole. Considering SARS-CoV-2 acute respiratory distress syndrome (ARDS) as an acquired immunodeficiency, we report here a new case of "probable" IA based on clinical and biological arguments, in accordance with the last consensus definition of invasive fungal disease. On a routine basis, we have detected 30% of aspergillosis carriage (positive culture and antigen in tracheal secretions) in critically ill patients with COVID-19 in our centre. Further studies will have to determine whether sputum or tracheal secretions should be systematically screened for fungal investigations in intensive care unit (ICU) COVID-19 patients to early diagnose and treat aspergillosis.
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Affiliation(s)
- F Schein
- Department of internal medicine, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - H Munoz-Pons
- Department of internal medicine, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - C Mahinc
- Laboratory of infectious agents, Parasitology-Mycology Section, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - R Grange
- Department of Radiology, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - P Cathébras
- Department of internal medicine, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - P Flori
- Laboratory of infectious agents, Parasitology-Mycology Section, University Hospital of Saint-Étienne, Saint-Étienne, France.
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Schein F, Groh M, Marotte H, Soubrier M, Schleinitz N, Cornec D, Sève P, Toussirot E, Christen J, Kahn J, Cathébras P, Killian M. Étude PREO – polyarthrite rhumatoïde séropositive associée à une hyperéosinophilie persistante : caractéristiques de 50 cas rétrospectifs. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.10.099] [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: 11/29/2022]
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Breugnon E, Graouch S, Solvar L, Schein F, Charles R, Guglielminotti C, Poizat B, Gagneux-Brunon A, Botelho-Nevers E. Prévention vaccinale des infections sexuellement transmissibles (IST) : connaissances et méconnaissances des consultants en CeGIDD et au planning familial. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.329] [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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Schein F, Groh M, Marotte H, Soubrier M, Schleinitz N, Cornec D, Sève P, Toussirot E, Christen J, Kahn J, Cathébras P, Killian M. PREO : recueil national des cas de polyarthrites rhumatoïdes à anti-CCP associées à une hyperéosinophilie persistante. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.036] [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: 10/26/2022]
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Vergnon-Miszczycha D, Schein F, Verhoeven P, Fresard A, Cazorla C, Lucht F, Daoud F, Gagneux-Brunon A, Botelho-Nevers E. Facteurs de risque de portage nasal persistant de Staphylococcus aureus dans une cohorte de patients vivant avec le VIH. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.365] [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: 10/26/2022]
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Schein F, Graouch S, Solvar L, Breugnon E, Guglielminotti C, Poizat B, Gagneux-Brunon A, Botelho-Nevers E. Connaissances des modes de transmission et de prévention non vaccinale des infections sexuellement transmissibles chez les consultants en CeGIDD et planning familial. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.099] [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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Fouillet L, Daguenet E, Schein F, Tavernier E, Flandrin-Gresta P, Cornillon J. Clonal evolution of myelofibrosis treated with hematopoietic transplantation, using RUXOLITINIB for chronic GvHD: A case report. Curr Res Transl Med 2018; 66:111-113. [PMID: 30097215 DOI: 10.1016/j.retram.2018.07.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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: 03/22/2018] [Revised: 06/15/2018] [Accepted: 07/01/2018] [Indexed: 11/15/2022]
Abstract
Deciphering the mutational patterns and/or the biomarkers that might predict clinical response in patients with myelofibrosis is primordial to make treatment decisions. In this report, we discuss the clinical history, pathological evaluation, and genomics findings in a patient with JAK2-positive myelofibrosis who developed a secondary myelodysplasia after hematopoietic stem cell transplantation and JAK1/2 inhibitor treatment. Using next-generation sequencing, a paired comparison of relapse-specific versus primary tumour mutations highlighted the dynamic clonal evolution at relapse, showing concurrently the complete eradication of the JAK2-positive clone and the expansion of a second JAK2-negative clone with additional mutations. Importantly, another unexpected finding was that myelodysplasia was not secondary to allogeneic transplantation as relapse was driven by the overgrowth of a preexisting mutated clone, probably fostered by initial treatment options. This case underlines the fact that determining the genetic changes associated with the primary disease and its evolution is crucial to accurately correlate variants frequency to treatment decision and/or treatment response.
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Affiliation(s)
- L Fouillet
- Département d'Hématologie Clinique, Institut de Cancérologie Lucien Neuwirth, Saint-Priest-en-Jarez, France
| | - E Daguenet
- Département d'Hématologie Clinique, Institut de Cancérologie Lucien Neuwirth, Saint-Priest-en-Jarez, France
| | - F Schein
- Département d'Hématologie Clinique, Institut de Cancérologie Lucien Neuwirth, Saint-Priest-en-Jarez, France
| | - E Tavernier
- Département d'Hématologie Clinique, Institut de Cancérologie Lucien Neuwirth, Saint-Priest-en-Jarez, France
| | | | - J Cornillon
- Département d'Hématologie Clinique, Institut de Cancérologie Lucien Neuwirth, Saint-Priest-en-Jarez, France.
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Schein F, Fouillet L, Lutz MF, Daguenet E, Botelho-Nevers E, Cornillon J. Recurrent Enterococcus faecalis meningitis in a patient presenting with Strongyloides hyperinfection syndrome during HTLV-1-induced T-cell lymphoma. Med Mal Infect 2018; 48:428-430. [PMID: 29884325 DOI: 10.1016/j.medmal.2018.04.389] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2018] [Revised: 03/05/2018] [Accepted: 04/06/2018] [Indexed: 10/14/2022]
Affiliation(s)
- F Schein
- Département d'hématologie clinique, institut de cancérologie Lucien-Neuwirth, 108 bis, avenue A.-Raimond, 42271 Saint-Priest-en-Jarez, France
| | - L Fouillet
- Département d'hématologie clinique, institut de cancérologie Lucien-Neuwirth, 108 bis, avenue A.-Raimond, 42271 Saint-Priest-en-Jarez, France
| | - M F Lutz
- Service des maladies infectieuses et tropicales, CHU de Saint-Étienne, 108, avenue Albert-Raimond, 42271 St-Priest, France
| | - E Daguenet
- Département d'hématologie clinique, institut de cancérologie Lucien-Neuwirth, 108 bis, avenue A.-Raimond, 42271 Saint-Priest-en-Jarez, France
| | - E Botelho-Nevers
- Service des maladies infectieuses et tropicales, CHU de Saint-Étienne, 108, avenue Albert-Raimond, 42271 St-Priest, France
| | - J Cornillon
- Département d'hématologie clinique, institut de cancérologie Lucien-Neuwirth, 108 bis, avenue A.-Raimond, 42271 Saint-Priest-en-Jarez, France.
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Gramont B, Guichard I, Basset T, Boucher A, Charmion S, Savall A, Munoz-Pons H, Schein F, Masson I, Cathébras P, Coute L. Une histoire tirée par les cheveux. Rev Med Interne 2018; 39:62-65. [DOI: 10.1016/j.revmed.2017.06.022] [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] [Received: 06/13/2017] [Accepted: 06/20/2017] [Indexed: 10/19/2022]
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Delaval L, Schein F, Agard C, Aumaître O, Deroux A, Dupuy H, Garrouste C, Landron C, Maurier F, Cathébras P, Guillevin L, Terrier B. Artérites temporales révélant une vascularite associée aux ANCA : étude rétrospective portant sur 44 cas. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.097] [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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