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Grouteau G, Mignonat C, Marchou B, Martin-Blondel G, Glass O, Roubaud-Baudron C, Lansalot-Matras P, Alik S, Balardy L, De Nadaï T, Bénéjat L, Jehanne Q, Le Coustumier A, Lehours P. Campylobacter fetus foodborne illness outbreak in the elderly. Front Microbiol 2023; 14:1194243. [PMID: 37485516 PMCID: PMC10361658 DOI: 10.3389/fmicb.2023.1194243] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 06/12/2023] [Indexed: 07/25/2023] Open
Abstract
In June 2021, a cluster of seven cases of Campylobacter fetus infections occurred in a rehabilitation center and caused significant morbidity in elderly patients including five with bacteremia and two with osteoarticular medical device infections. The genetic identity identified by whole genome sequencing of the different Campylobacter fetus strains confirms a common source. This foodborne illness outbreak may have resulted from the consumption of unpasteurized dairy products, such as a cow's raw milk cheese resulting from a farm-to-fork strategy.
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Affiliation(s)
- Gaspard Grouteau
- Infectious and Tropical Diseases Department, Centre Hospitalier Tarbes-Lourdes, Lourdes, France
| | - Cédric Mignonat
- Rehabilitation Center, L'Arbizon, Bagnères de Bigorre, France
| | - Bruno Marchou
- Infectious and Tropical Diseases Department, Centre Hospitalier Tarbes-Lourdes, Lourdes, France
| | - Guillaume Martin-Blondel
- Infectious and Tropical Diseases Department, CHU de Toulouse, Toulouse, France
- Institut Toulousain des Maladies Infectieuses et Inflammatoires (Infinity) INSERM UMR1291—CNRS UMR5051—Université Toulouse III, Toulouse, France
| | - Olivier Glass
- Cellule de veille d'alerte et de gestion sanitaire, Agence Régionale de Santé Occitanie, Toulouse, France
| | - Claire Roubaud-Baudron
- Pôle de Gérontologie Clinique, CHU de Bordeaux, Bordeaux, France
- Bordeaux Institute of Oncology, BRIC U1312, INSERM, Université de Bordeaux, CHU de Bordeaux, Bordeaux, France
| | - Pauline Lansalot-Matras
- Infectious and Tropical Diseases Department, Centre Hospitalier Tarbes-Lourdes, Lourdes, France
| | - Simon Alik
- Infectious and Tropical Diseases Department, Centre Hospitalier Tarbes-Lourdes, Lourdes, France
| | | | | | - Lucie Bénéjat
- National Reference Center for Campylobacters and Helicobacters, Bacteriology Department, CHU de Bordeaux, Bordeaux, France
| | - Quentin Jehanne
- National Reference Center for Campylobacters and Helicobacters, Bacteriology Department, CHU de Bordeaux, Bordeaux, France
| | | | - Philippe Lehours
- Bordeaux Institute of Oncology, BRIC U1312, INSERM, Université de Bordeaux, CHU de Bordeaux, Bordeaux, France
- National Reference Center for Campylobacters and Helicobacters, Bacteriology Department, CHU de Bordeaux, Bordeaux, France
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Loubet D, Sarton B, Lelièvre L, Grouteau G, Iriart X, Chauvin P, Fillaux J, Valentin A, Berry A, Silva S, Bonneville F, Cassaing S, Guemas E. Fatal mucormycosis and aspergillosis coinfection associated with haemophagocytic lymphohistiocytosis: A case report and literature review. J Mycol Med 2023; 33:101325. [PMID: 36270214 DOI: 10.1016/j.mycmed.2022.101325] [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: 01/24/2022] [Revised: 07/08/2022] [Accepted: 08/05/2022] [Indexed: 11/15/2022]
Abstract
Invasive mould infections are life-threatening and mainly occur in immunocompromised patients. Whereas aspergillosis is described during haemophagocytic lymphohistiocytosis (HLH), only a few cases of concomitant mucormycosis with HLH have been reported. Here, we present an uncommon coinfection of mucormycosis and aspergillosis associated with HLH probably due to a varicella zoster virus (VZV) viraemia which was unresponsive to triple antifungal therapy (liposomal amphotericin B combined with isavuconazole and caspofungin). A review of the cases of mucormycosis with HLH showed that this uncommon association was always lethal and underscored the relevance of screening for mould infections in patients with HLH.
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Affiliation(s)
- Dorian Loubet
- Department of Parasitology and Mycology, CHU Toulouse, Toulouse, France
| | - Benjamine Sarton
- Critical Care Unit, University Hospital of Purpan, Toulouse, France; Toulouse NeuroImaging Center, Unité Mixte de Recherche 1214, Institut National de la Santé et de la Recherche Médicale, Université Paul Sabatier, Toulouse, France
| | - Lucie Lelièvre
- Department of Infectious and Tropical Diseases, CHU Toulouse, Toulouse, France
| | - Gaspard Grouteau
- Department of Infectious and Tropical Diseases, CHU Toulouse, Toulouse, France
| | - Xavier Iriart
- Department of Parasitology and Mycology, CHU Toulouse, Toulouse, France; Institut Toulousain des Maladies Infectieuses et Inflammatoires (Infinity), Université Toulouse, CNRS UMR5051, INSERM UMR1291, UPS, Toulouse, France
| | - Pamela Chauvin
- Department of Parasitology and Mycology, CHU Toulouse, Toulouse, France
| | - Judith Fillaux
- Department of Parasitology and Mycology, CHU Toulouse, Toulouse, France
| | - Alexis Valentin
- Department of Parasitology and Mycology, CHU Toulouse, Toulouse, France; PHARMA-Dev, UMR 152 IRD-UPS, Université Toulouse, France
| | - Antoine Berry
- Department of Parasitology and Mycology, CHU Toulouse, Toulouse, France; Institut Toulousain des Maladies Infectieuses et Inflammatoires (Infinity), Université Toulouse, CNRS UMR5051, INSERM UMR1291, UPS, Toulouse, France
| | - Stein Silva
- Critical Care Unit, University Hospital of Purpan, Toulouse, France; Toulouse NeuroImaging Center, Unité Mixte de Recherche 1214, Institut National de la Santé et de la Recherche Médicale, Université Paul Sabatier, Toulouse, France
| | - Fabrice Bonneville
- Neuroradiology Department, Pierre-Paul-Riquet/Purpan University Hospital, Toulouse, France
| | - Sophie Cassaing
- Department of Parasitology and Mycology, CHU Toulouse, Toulouse, France; RESTORE Institute, UMR 1301-Inserm 5070-CNRS EFS Univ. P. Sabatier, Toulouse, France
| | - Emilie Guemas
- Department of Parasitology and Mycology, CHU Toulouse, Toulouse, France; Institut Toulousain des Maladies Infectieuses et Inflammatoires (Infinity), Université Toulouse, CNRS UMR5051, INSERM UMR1291, UPS, Toulouse, France.
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Martin-Blondel G, Lescure FX, Assoumou L, Charpentier C, Chapplain JM, Perpoint T, Grouteau G, Cordel H, Pialoux G, Pacanowski J, Thy M, Bauvois A, Laureillard D, Hamrouni F, Algarte-Genin M, Poissy J, Descamps D, Costagliola D. Increased risk of severe COVID-19 in hospitalized patients with SARS-CoV-2 Alpha variant infection: a multicentre matched cohort study. BMC Infect Dis 2022; 22:540. [PMID: 35698029 PMCID: PMC9189443 DOI: 10.1186/s12879-022-07508-x] [Citation(s) in RCA: 1] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Accepted: 04/25/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The impact of the variant of concern (VOC) Alpha on the severity of COVID-19 has been debated. We report our analysis in France. METHODS We conducted an exposed/unexposed cohort study with retrospective data collection, comparing patients infected by VOC Alpha to contemporaneous patients infected by historical lineages. Participants were matched on age (± 2.5 years), sex and region of hospitalization. The primary endpoint was the proportion of hospitalized participants with severe COVID-19, defined as a WHO-scale > 5 or by the need of a non-rebreather mask, occurring up to day 29 after admission. We used a logistic regression model stratified on each matched pair and accounting for factors known to be associated with the severity of the disease. RESULTS We included 650 pairs of patients hospitalized between Jan 1, 2021, and Feb 28, 2021, in 47 hospitals. Median age was 70 years and 61.3% of participants were male. The proportion of participants with comorbidities was high in both groups (85.0% vs 90%, p = 0.004). Infection by VOC Alpha was associated with a higher odds of severe COVID-19 (41.7% vs 38.5%-aOR = 1.33 95% CI [1.03-1.72]). CONCLUSION Infection by the VOC Alpha was associated with a higher odds of severe COVID-19.
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Affiliation(s)
- Guillaume Martin-Blondel
- Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Toulouse, Toulouse, France. .,Institut Toulousain des Maladies Infectieuses et Inflammatoires (Infinity), INSERM UMR1291, CNRS UMR5051, Université Toulouse III, Toulouse, France.
| | - François-Xavier Lescure
- Service des Maladies Infectieuses et Tropicales, Hôpital Bichat-Claude-Bernard, APHP, Paris, France
| | - Lambert Assoumou
- Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP), Paris, France
| | - Charlotte Charpentier
- Service de Virologie, Université de Paris, INSERM, IAME, UMR 1137, AP-HP, Hôpital Bichat-Claude Bernard, 75018, Paris, France
| | - Jean-Marc Chapplain
- Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Rennes, Rennes, France
| | - Thomas Perpoint
- Service des Maladies Infectieuses et Tropicales, Hospices Civils de Lyon, Lyon, France
| | - Gaspard Grouteau
- Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Hugues Cordel
- Service des Maladies Infectieuses et Tropicales, Hôpital Avicenne, AP-HP, Bobigny, France
| | - Gilles Pialoux
- Service des Maladies Infectieuses et Tropicales, Hôpital Tenon, APHP, Paris, France
| | - Jérome Pacanowski
- Service des Maladies Infectieuses et Tropicales, Hôpital Saint-Antoine, APHP, Paris, France
| | - Michael Thy
- Service des Maladies Infectieuses et Tropicales, Hôpital Bichat-Claude-Bernard, APHP, Paris, France
| | - Adeline Bauvois
- Service de Médecine Interne, Hôpital Ambroise Paré, APHP, Boulogne-Billancourt, France
| | - Didier Laureillard
- Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Nîmes, Nîmes, France
| | - Fadia Hamrouni
- Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP), Paris, France
| | - Michèle Algarte-Genin
- Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP), Paris, France
| | - Julien Poissy
- University of Lille, Inserm U1285, CHU Lille, Pôle de Médecine Intensive Réanimation, CNRS, UMR 8576, UGSF, Unité de Glycobiologie Structurale et Fonctionnelle, 59000, Lille, France
| | - Diane Descamps
- Service de Virologie, Université de Paris, INSERM, IAME, UMR 1137, AP-HP, Hôpital Bichat-Claude Bernard, 75018, Paris, France
| | - Dominique Costagliola
- Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP), Paris, France
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Delamarre L, Gollion C, Grouteau G, Rousset D, Jimena G, Roustan J, Gaussiat F, Aldigé E, Gaffard C, Duplantier J, Martin C, Fourcade O, Bost C, Fortenfant F, Delobel P, Martin-Blondel G, Pariente J, Bonneville F, Geeraerts T. COVID-19-associated acute necrotising encephalopathy successfully treated with steroids and polyvalent immunoglobulin with unusual IgG targeting the cerebral fibre network. J Neurol Neurosurg Psychiatry 2020; 91:1004-1006. [PMID: 32651243 PMCID: PMC7476305 DOI: 10.1136/jnnp-2020-323678] [Citation(s) in RCA: 62] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 06/15/2020] [Accepted: 06/25/2020] [Indexed: 11/04/2022]
Affiliation(s)
- Louis Delamarre
- Anesthesiology and Intensive Care, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Cédric Gollion
- Neurology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Gaspard Grouteau
- Infectious and Tropical Diseases, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - David Rousset
- Anesthesiology and Intensive Care, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Guillaume Jimena
- Anesthesiology and Intensive Care, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Jérôme Roustan
- Intensive Care, Centre Hospitalier de Montauban, Montauban, Midi-Pyrénées, France
| | - François Gaussiat
- Intensive Care, Centre Hospitalier de Montauban, Montauban, Midi-Pyrénées, France
| | - Etienne Aldigé
- Anesthesiology and Intensive Care, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Charlène Gaffard
- Anesthesiology and Intensive Care, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Julien Duplantier
- Neuroradiology, Centre Hospitalier Universitaire de Toulouse, Toulouse, Midi-Pyrénées, France
| | - Charlotte Martin
- Anesthesiology and Intensive Care, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Olivier Fourcade
- Anesthesiology and Intensive Care, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Chloé Bost
- Immunology, Centre Hospitalier Universitaire de Toulouse, Toulouse, Midi-Pyrénées, France
- INSERM U1043-CNRS UMR 5282, Centre de Physiopathologie de Toulouse Purpan, Toulouse, Midi-Pyrénées, France
| | - Françoise Fortenfant
- Immunology, Centre Hospitalier Universitaire de Toulouse, Toulouse, Midi-Pyrénées, France
| | - Pierre Delobel
- Infectious and Tropical Diseases, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Guillaume Martin-Blondel
- Infectious and Tropical Diseases, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Jérémie Pariente
- Neurology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Fabrice Bonneville
- Neuroradiology, Centre Hospitalier Universitaire de Toulouse, Toulouse, Midi-Pyrénées, France
| | - Thomas Geeraerts
- Anesthesiology and Intensive Care, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
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Grouteau G, Lafourcade F, Fayolle H, Ricard C, Balardy L, Delobel P, Constantin A, Beyne Rauzy O, Alric L, Payoux P, Hitzel A, Faruch M, Sailler L. AB1095 DIAGNOSTIC PERFORMANCE OF THE AORTIC WALL THICKENING DETERMINED BY ROUTINE CT-SCAN FOR THE DIAGNOSIS OF AORTITIS OVER 50 YEARS OF AGE. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.2804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Making the diagnosis of aortitis may be challenging in the “real life”.18F-FDG PET/CT (PET) has emerged has the gold standard to diagnose aortitis but it is expensive and not always quickly available. Injected CT-scan (CT) can also be used to diagnose aortitis, which is suspected when there is an extended circumferential, non-atherosclerotic increase of the aortic wall thickness (AWT). However, data are lacking on the diagnostic performances of AWT to diagnose aortitis.Objectives:To describe the diagnostic performance of AWT measured by CT to diagnose aortitis in patients over 50 years of age.Methods:We performed a monocentric retrospective study between 2013 and 2018 including 1) all patients over 50 years of age who had performed a PET for inflammation or fever of unknown origin or for suspicion of classical giant cell arteritis (GCA), aortitis or large vessel vasculitis (LVV); 2) with an injected CT-scan performed in the 30 days before or after PET; 3) not diagnosed to have cancer or infection 4) exposed to corticosteroids for less than 3 days at the time of CT and PET. The gold standard for aortitis was PET positivity according to the 2018 European consensus grading criteria (1). AWT was measured at different aortic segments (ascending aorta, descending thoracic aorta and suprarenal abdominal aorta) by a single radiologist unaware of the result of PET and of the previous interpretation of CT-scan.Results:Eighty-nine patients were included (female: 47%; mean age 68.8 (50-93) years; GCA: n=28). Twenty patients had aortitis according to the PET result (GCA: n=16).Mean maximal aortic wall thickening was: 3.25 mm (median: 3.3; range: 2-4.6) in the aortitis group and 2.2 mm (median: 2.1; range 1-3.8) in the negative PET group (p < 0.001).The best ROC curve AUC (85%) was obtained considering the maximal AWT on the thoracic and suprarenal abdominal aorta only. The AUC of the ROC curve at the ascendant thoracic aorta was poor (75%) (Figure).The Youden’s index of the ROC curve was 2.6 mm with a sensitivity of 85 % and specificity of 71 % (Table) for aortitis diagnosis. An AWT ≤ 2.0 mm exclude the diagnosis of aortitis. The 3 mm threshold had a PPV of only 52% and an AWT ≥ 4 mm was fully specific.Conclusion:Aortitis diagnosis using a routine injected CT-scan interpreted by a single radiologist may be certain when showing an AWT ≥ 4 and excluded for an AWT≤ 2.0. The threshold of 3 mm seems not sufficiently specific to diagnose aortitis without a confirmatory PET.References:[1]Riemer H.J.A. Slart et al. FDG-PET/CT(A) imaging in large vessel vasculitis and polymyalgia rheumatica: joint procedural recommendation of the EANM, SNMMI, and the PET Interest Group (PIG), and endorsed by the ASNC. Eur J Nucl Med Mol Imaging. 2018 Jul;45(7):1250–69.Table.Performance of different threshold for maximal thickness of the aortic wall for diagnosis of aortitis using PET positivity as the gold standard*.Thickness (mm)SensitivitySpecificityNPVPPVaccuracy≥ 1.9100 %30.4%100 %29.41 %46 %≥ 2.0100 %31.88 %100 %29.85 %47 %≥ 2.295 %53.62 %97.36 %37.25 %63 %≥ 2.685 %71.01 %94.23 %45.94 %74 %≥ 3.060 %84.05 %87.88 %52.17 %78 %≥ 3.360 %92.75 %88.89 %70.59 %85 %≥ 3.535 %95.65 %83.54 %70 %82 %≥ 3.825 %98.55 %81.92 %83.33 %82 %≥ 4.020 %100 %81.17 %100 %82 %*Made with ROC curve in descendant thoracic and suprarenal segment of the aorta; PET:18F-FDG PET/CT; NPV: negative predictive value; PPV: positive predictive value.Figure.ROC curve of aortic wall thickness, in descendant thoracic and suprarenal abdominal segments for the diagnosis of aortitis.Disclosure of Interests:None declared
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Grouteau G, Lancelot O, Bertolotti A, Poubeau P, Manaquin R, Foucher A, Jaubert J, Parola P, Pagès F, Camuset G. Emergence of murine typhus in La Réunion, France, 2012-2017. Med Mal Infect 2019; 50:22-27. [PMID: 31387814 DOI: 10.1016/j.medmal.2019.06.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [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: 05/27/2018] [Revised: 09/01/2018] [Accepted: 06/11/2019] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Murine typhus (MT) is an acute zoonosis caused by Rickettsia typhi, a flea-borne rickettsiosis. The first autochthonous case was reported in 2012. Once autochthonous transmission of Rickettsia typhi was proven, we performed a prospective study to describe and raise awareness of this often-misdiagnosed disease among physicians. PATIENTS AND METHODS We performed a prospective observational study of MT cases in La Réunion from 2012 to 2017. MT cases were defined as clinically compatible illnesses with a specific positive serology and/or PCR. RESULTS Sixty-one confirmed cases were collected. The main clinical features were prolonged fever (90%), asthenia (87%), and headaches (79%). The main biological abnormalities were elevated liver enzymes (84%) and thrombopenia (75%). Renal function was normal in 90% of cases; it was an important feature because leptospirosis is a frequent cause of acute renal failure. A seasonal factor was observed with 79% of cases reported in the warm season and most of them in the west and south of the island (i.e., the dry areas). CONCLUSION MT is an emerging disease in La Réunion, and local conditions could lead to an endemic situation. Cases of acute undifferentiated fever with headaches should guide to the diagnosis of MT especially in the warm season and dry areas. Leptospirosis is an alternative diagnosis, which differs from MT by its epidemiological characteristics and by the associated frequent renal dysfunction.
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Affiliation(s)
- G Grouteau
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion.
| | - O Lancelot
- Service d'accueil des Urgences, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - A Bertolotti
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - P Poubeau
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - R Manaquin
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - A Foucher
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - J Jaubert
- Service de bactériologie, virologie, parasitologie, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
| | - P Parola
- Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, 13005 Marseille, France
| | - F Pagès
- Santé Publique France, 2, bis avenue Georges-Brassens, 97743 Saint-Denis cedex 9, Reunion
| | - G Camuset
- Service de maladies infectieuses et tropicales, centre hospitalier universitaire de La Réunion, site sud, avenue Prés-Mitterrand, 97448 St-Pierre, Reunion
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Grouteau G, Lancelot O, Poubeau P, Manaquin R, Foucher A, Bertolotti A, Jaubert J, Pagès F, Camuset G, Parola P. Le Typhus murin dans l’océan Indien : caractéristiques cliniques, biologiques, et épidémiologiques. Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.279] [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: 10/19/2022]
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Maquet J, Bonnet D, Grouteau G, Jeannel J, Chevrel P, Rondou A, Alric L. Évaluation clinique, biologique et thérapeutique du syndrome hyperéosinophilique dans une cohorte de 13 patients. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.298] [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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