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Schmidt AR, Inserra PIF, Giacchino M, Ferraris S, Lange F, Figueredo RV, Halperin J, Vitullo AD, Dorfman VB. Neurovascular description in the South American plains vizcacha, Lagostomus maximus (Chinchilloidea, Caviomorpha). A study involving evolutionarily related species of Caviomorpha and Muroidea. Anat Rec (Hoboken) 2024; 307:658-668. [PMID: 38328879 DOI: 10.1002/ar.25318] [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: 06/05/2023] [Revised: 08/29/2023] [Accepted: 08/31/2023] [Indexed: 02/09/2024]
Abstract
Oxygenated blood is required for the adequate metabolic activity of the brain. This is supplied by the circle of Willis (CoW) and the vertebrobasilar and carotid systems. The CoW ensures blood flow in case of arterial stenosis or occlusion. Different animal models have been explored for the CoW morphological and functional study. This work aims to characterize the vascular architecture of the CoW of the plains vizcacha, Lagostomus maximus (Suborder: Hystricomorpha), and to compare it with evolutionarily related species of Caviomorpha and Muroidea. The blood supply in adult plains vizcachas was studied using latex cerebrovascular casts and angiography. A caudo-rostral flow direction was determined, beginning in the spinal and vertebral arteries and converging in the basilar artery which bifurcates in the carotid-basilar communication in the caudal communicating arteries. In the first third of its course, the caudal cerebral arteries project laterally, and the middle and rostral cerebral arteries bifurcate from their rostral terminal segment, supplying the temporo-parietal and frontal cortex. The CoW architecture is mainly conserved between rodent species. Likewise, the small neurovascular variations observed could be considered phylogenetic morphological variations more than evolutionary adaptations. The absence of the rostral communicating artery that generates the rostral open architecture of the CoW in the vizcacha as in the other analyzed species, supports the need for a revision of the CoW classical function as a security system. Finally, this work supports the importance of expanding our understanding of brain anatomy among species, which may contribute to a better understanding of functional neuroanatomy.
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Affiliation(s)
- Alejandro Raúl Schmidt
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Ciudad Autónoma de Buenos Aires, Argentina
| | - Pablo Ignacio Felipe Inserra
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Ciudad Autónoma de Buenos Aires, Argentina
| | - Mariela Giacchino
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina
| | - Sergio Ferraris
- Centro de Ciencias Veterinarias (CCV), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina
| | - Fernando Lange
- Centro de Ciencias Veterinarias (CCV), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina
| | - Ramiro Vidal Figueredo
- Facultad de ciencias veterinarias, Universidad de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
| | - Julia Halperin
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Ciudad Autónoma de Buenos Aires, Argentina
| | - Alfredo Daniel Vitullo
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Ciudad Autónoma de Buenos Aires, Argentina
| | - Verónica Berta Dorfman
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Ciudad Autónoma de Buenos Aires, Argentina
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Inserra PIF, Charif SE, Fidel V, Giacchino M, Schmidt AR, Villarreal FM, Proietto S, Cortasa SA, Corso MC, Gariboldi MC, Leopardo NP, Fraunhoffer NA, Di Giorgio NP, Lux-Lantos VA, Halperin J, Vitullo AD, Dorfman VB. The key action of estradiol and progesterone enables GnRH delivery during gestation in the South American plains vizcacha, Lagostomus maximus. J Steroid Biochem Mol Biol 2020; 200:105627. [PMID: 32070756 DOI: 10.1016/j.jsbmb.2020.105627] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 02/07/2020] [Accepted: 02/09/2020] [Indexed: 11/23/2022]
Abstract
The South American plains vizcacha, Lagostomus maximus, is the only mammal described so far that shows expression of estrogen receptors (ERs) and progesterone receptors (PRs) in gonadotropin-releasing hormone (GnRH) neurons. This animal therefore constitutes an exceptional model for the study of the effect of steroid hormones on the modulation of the hypothalamic-pituitary-ovarian (HPO) axis. By using both in vivo and ex vivo approaches, we have found that pharmacological doses of progesterone (P4) and estradiol (E2) produced an inhibition in the expression of hypothalamic GnRH, while physiological doses produced a differential effect on the pulsatile release frequency or genomic expression of GnRH. Our ex vivo experiment indicates that a short-term effect of E2 modulates the frequency of GnRH release pattern that would be associated with membrane ERs. On the other hand, our in vivo approach suggests that a long-term effect of E2, acting through the classical nuclear ERs-PRs pathway, would produce the modification of GnRH mRNA expression during the GnRH pre-ovulatory surge. Particularly, P4 induced a rise in GnRH mRNA expression and protein release with a decrease in its release frequency. These results suggest different levels of action of steroid hormones on GnRH modulation. We conclude that the fine action of E2 and P4 constitute the key factor to enable the hypothalamic activity during the pregnancy of this mammal.
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Affiliation(s)
- Pablo I F Inserra
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Santiago E Charif
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Victoria Fidel
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2)
| | - Mariela Giacchino
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Alejandro R Schmidt
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Federico M Villarreal
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2)
| | - Sofía Proietto
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Santiago A Cortasa
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - María C Corso
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - María C Gariboldi
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Noelia P Leopardo
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Nicolás A Fraunhoffer
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Noelia P Di Giorgio
- Laboratorio de Neuroendocrinología, Instituto de Biología y Medicina Experimental (IByME)-CONICET, Ciudad Autónoma de Buenos Aires, Argentina
| | - Victoria A Lux-Lantos
- Laboratorio de Neuroendocrinología, Instituto de Biología y Medicina Experimental (IByME)-CONICET, Ciudad Autónoma de Buenos Aires, Argentina
| | - Julia Halperin
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Alfredo D Vitullo
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Verónica B Dorfman
- Centro de Estudios Biomédicos Básicos, Aplicados y Desarrollo (CEBBAD), Universidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina(2); Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina.
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Buongiorno M, Vaucheret E, Giacchino M, Mayoni P, Polin A, Pardo-Campos M. [Facial emotion recognition in children with attention-deficit/hyperactivity disorder]. Rev Neurol 2020; 70:127-133. [PMID: 32043534 DOI: 10.33588/rn.7004.2019268] [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: 11/24/2022]
Abstract
INTRODUCTION There are difficulties in relationships that are attributed to a commitment in facial emotions recognition skills in subjects with attention-deficit/hyperactivity disorder (ADHD). The studies carried out did not always take into account the nature of the stimulus selected in pediatrics, which is important because the familiarity in faces, in terms of their physiognomic characteristics, makes it easier the recognition of the expressions. AIM To identify the profile of recognition of emotions in pediatric subjects with ADHD, using as a stimulus photos of boys and girls. SUBJECTS AND METHODS Analytical cross-sectional study of cases and controls. We analyzed the results obtained from 54 participants between 7 and 13 years divided into two groups: 26 in control group and 28 in ADHD group. They conducted an assessment with the Wechsler Intelligence Scale for Children (WISC-V), Conners' Continuous Performance Test II (CPT-II), and Child Affective Facial Expression set (CAFE). RESULTS The ADHD group showed a lower performance in recognition of emotions in general, with greater difficulty in the recognition of anger, surprise and neutral expression in particular. No relationship was found between the recognition of emotions and age, sex, total intelligence quotient or CPT-II care variables. CONCLUSIONS The subjects with ADHD present deficits in the recognition of emotions, especially in the recognition of anger, surprise and neutral expression, which could explain the difficulties in the interaction and that should be treated within the therapeutic framework.
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Affiliation(s)
- M Buongiorno
- Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - E Vaucheret
- Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - M Giacchino
- Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - P Mayoni
- Neurología Infantil de Buenos Aires , Buenos Aires, Argentina
| | - A Polin
- Neurología Infantil de Buenos Aires , Buenos Aires, Argentina
| | - M Pardo-Campos
- Neurología Infantil de Buenos Aires , Buenos Aires, Argentina
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Giacchino M, Caresio C, Gorji N, Molinari F, Massazza G, Minetto M. Quantitative analysis of patellar tendon size and structure in asymptomatic professional players: sonographic study. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.03.2017.07] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
| | - C. Caresio
- Biolab, Department of Electronics and Telecommunications, Politecnico di Torino, Turin, Italy
| | - N.E. Gorji
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Turin, Italy
| | - F. Molinari
- Biolab, Department of Electronics and Telecommunications, Politecnico di Torino, Turin, Italy
| | - G. Massazza
- Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - M.A. Minetto
- Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Turin, Italy
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Candoni A, Caira M, Cesaro S, Busca A, Giacchino M, Fanci R, Delia M, Nosari A, Bonini A, Cattaneo C, Melillo L, Caramatti C, Milone G, Scime' R, Picardi M, Fanin R, Pagano L. Multicentre surveillance study on feasibility, safety and efficacy of antifungal combination therapy for proven or probable invasive fungal diseases in haematological patients: the SEIFEM real-life combo study. Mycoses 2013; 57:342-50. [PMID: 24373120 DOI: 10.1111/myc.12161] [Citation(s) in RCA: 18] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2013] [Revised: 10/14/2013] [Accepted: 11/09/2013] [Indexed: 11/30/2022]
Abstract
UNLABELLED This multicentre observational study evaluated the feasibility, efficacy and toxicity of antifungal combination therapy (combo) as treatment of proven or probable invasive fungal diseases (IFDs) in patients with haematological malignancies. Between January 2005 and January 2010, 84 cases of IFDs (39 proven and 45 probable) treated with combo were collected in 20 Hematological Italian Centres, in patients who underwent chemotherapy or allogeneic haematopoietic stem cell transplantation for haematological diseases. Median age of patients was 34 years (range 1-73) and 37% had less than 18 years. Acute leukaemia was the most common underlying haematological disease (68/84; 81%). The phase of treatment was as follows: first induction in 21/84 (25%), consolidation phase in 18/84 (21%) and reinduction/salvage in 45/84 (54%). The main site of infection was lung with or without other sites. The principal fungal pathogens were as follows: Aspergillus sp. 68 cases (81%), Candida sp. six cases (8%), Zygomycetes four cases (5%) and Fusarium sp. four cases (5%). The most used combo was caspofungin+voriconazole 35/84 (42%), caspofungin + liposomal amphotericin B (L-AmB) 20/84 (24%) and L-AmB+voriconazole 15/84 (18%). The median duration of combo was 19 days (range 3-180). The overall response rate (ORR) was 73% (61/84 responders) without significant differences between the combo regimens. The most important factor that significantly influenced the response was granulocyte (PMN) recovery (P 0.009). Only one patient discontinued therapy (voriconazole-related neurotoxicity) and 22% experienced mild and reversible adverse events (hypokalaemia, ALT/AST increase and creatinine increase). The IFDs-attributable mortality was 17%. This study indicates that combo was both well tolerated and effective in haematological patients. The most used combo regimens were caspofungin + voriconazole (ORR 80%) and caspofungin + L-AmB (ORR 70%). The ORR was 73% and the mortality IFD related was 17%. PMN recovery during combo predicts a favourable outcome. CLINICAL TRIALS REGISTRATION NCT00906633.
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Affiliation(s)
- A Candoni
- Division of Hematology, University of Udine, Italy
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Giacchino M, Bezzio S, Chiapello N, Saracco P, Fagioli F, Caviglia I, Moroni C, Castagnola E. Continuous antibiotic infusion for salvage therapy of partially implanted central venous catheter tunnel infections due to staphylococci. Pediatr Blood Cancer 2007; 49:1010-2. [PMID: 16685738 DOI: 10.1002/pbc.20864] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Tunnel infection is an uncommon but serious complication observed in patients with partially implanted central venous catheters. International guidelines suggest that should include antibiotics and catheter removal. A success rate of only 5-20% was reported without catheter removal. We treated 13 episodes of tunnel Gram-positive bacterial infection occurring in pediatric patients with cancer or serious blood disorders with 24-hr intra-catheter antibiotic continuous infusion. This approach led to a 69% success rate. Continuous infusion might be an attractive option to treat tunnel Gram-positive bacterial infections when catheter removal might not be feasible or advisable.
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Affiliation(s)
- M Giacchino
- Department of Pediatrics, Regina Margherita Children's Hospital, Turin, Italy.
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Bertaina C, Giacchino M, Bezzio S, Fagioli F. [Sepsis due to Paecilomyces in familial hemo-phagocytic lymphohistiocytosis after allogenic transplant of hemopoietic staminal cells]. Minerva Pediatr 2007; 59:415. [PMID: 17947848] [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: 05/25/2023]
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Farinasso L, Bertorello N, Garbarini L, Gajno TM, Barisone E, Artesani L, Valori A, Giacchino M, Pastore G, Saracco P. Risk factors of central venous lines-related thrombosis in children with acute lymphoblastic leukemia during induction therapy: a prospective study. Leukemia 2007; 21:552-6. [PMID: 17268522 DOI: 10.1038/sj.leu.2404560] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Cesaro S, Spiller M, Giacchino M, Buldini B, Castellini C, Caselli D, Giraldi E, Tucci F, Tridello G, Locatelli F, Rossi M, Castagnola E. 107 Safety and efficacy of a caspofungin-based combination therapy for the treatment of invasive mycoses in pediatric hematological patients. Int J Infect Dis 2006. [DOI: 10.1016/s1201-9712(06)80104-9] [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: 11/16/2022] Open
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Viscoli C, Castagnola E, Giacchino M, Cesáro S, Properzi E, Tucci F, Mura RM, Alvisi P, Zanazzo G, Surico G, Bonetti F, De Sio L, Izzi G, Di Cataldo A, Ziino O, Massolo F, Nardi M, Santoro N, Binda S. Bloodstream infections in children with cancer: a multicentre surveillance study of the Italian Association of Paediatric Haematology and Oncology. Supportive Therapy Group-Infectious Diseases Section. Eur J Cancer 1999; 35:770-4. [PMID: 10505037 DOI: 10.1016/s0959-8049(99)00052-0] [Citation(s) in RCA: 73] [Impact Index Per Article: 2.9] [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: 11/24/2022]
Abstract
A one-year prospective, multicentre surveillance study on aetiology, main clinical features and outcome of bloodstream infections in children with cancer was conducted in 18 paediatric haematology centres belonging to the Italian Association for Paediatric Haematology and Oncology. A total of 191 bloodstream infections were reported during the study period. Of them, 123 (64%) occurred in neutropenic and 68 (36%) in non-neutropenic patients. Gram-positive cocci caused 45% (85/191) of the episodes, gram-negative rods 41% (78/191), and fungi 9% (18/191). The remaining 5% (10/191) of the episodes were poly-microbial infections. A total of 204 pathogens were isolated (46% gram-positive cocci; 44% gram-negative rods; and 10% fungi). The aetiologic distribution was similar among neutropenic and non-neutropenic patients. A correlation between the infection and the presence of an indwelling central venous catheter was found in 20% (23/114) of the episodes among neutropenic patients and in 55% (23/62) among non-neutropenic patients. Gram-negative micro-organisms were isolated in an unusually high proportion of catheter-related infections (48%). The overall mortality rate from any cause within 30 days from the first positive blood culture was 11%, and was higher among patients who were neutropenic at the onset of the infection than among those who were not neutropenic (15 versus 4%, P = 0.03). In addition, the mortality was significantly higher in recipients of bone marrow transplantation than in patients with acute leukaemia or solid tumour (21, 11 and 6%, respectively) and was also higher in fungaemias and poly-microbial infections (22 and 30%) than in single gram-positive and gram-negative bacteraemias (11 and 6%).
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Viscoli C, Castagnola E, Caniggia M, De Sio L, Garaventa A, Giacchino M, Indolfi P, Izzi GC, Manzoni P, Rossi MR, Santoro N, Zanazzo GA, Masera G. Italian guidelines for the management of infectious complications in pediatric oncology: empirical antimicrobial therapy of febrile neutropenia. Oncology 1998; 55:489-500. [PMID: 9732231 DOI: 10.1159/000011901] [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] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The Italian Association for Paediatric Haematology and Oncology prepared a guideline document aimed at unifying and rationalising as much as possible the management of febrile neutropenia in children with cancer, because of the potential impact of these procedures on hospital costs and on the development of antibiotic resistance. Before starting anti-infective therapy, at least 2 blood cultures, a throat swab, urine-culture, and cultures from any suspected infected site, should be performed. Routine chest X-rays at onset of febrile neutropenia are probably not necessary, in absence of respiratory signs. At the present time, the safer option probably remains the combination of a beta-lactam and an aminoglycoside, and treating febrile neutropenia outside of hospital should be considered an investigational approach. The choice of the most appropriated regimen for each institution should be based also on the local bacteriological statistics and patterns of bacterial resistance. Antibiotic toxicity and cost should be other important factors. Every subsequent addition or substitution of antibiotics should be based on objective signs of clinical deterioration. The only accepted empirical modification is empirical antifungal therapy, while the empirical addition of a glycopeptide antibiotic cannot be recommended.
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Affiliation(s)
- C Viscoli
- Italian Association for Paediatric Haematology and Oncology (Associazione Italiana Ematologia e Oncologia Pediatrica - AIEOP) Supportive Therapy Group - Infectious Disease Section, Genoa, Italy
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Miniero R, Nesi F, Vai S, De Intinis G, Papalia F, Targhetta R, Busca A, Vassallo E, Giacchino M. Cryptococcal meningitis following a thrombotic microangiopathy in an unrelated donor bone marrow transplant recipient. Pediatr Hematol Oncol 1997; 14:469-74. [PMID: 9267880 DOI: 10.3109/08880019709028778] [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
In patients undergoing bone marrow transplantation cryptococcosis is rarely encountered. We report a fatal case of Cryptococcus meningitis in a 12-year-old girl with acute lymphoblastic leukemia (ALL) in second remission who had a transplant from a human leukocyte antigen (HLA)-identical unrelated bone marrow donor. The conditioning regimen was thiotepa, cyclophosphamide, and total body irradiation (TBI); graft-versus-host disease (GVHD) prophylaxis consisted of cyclosporin A, methotrexate, and antilymphocyte globulin (ALG). The patient experienced stage III GVHD responsive to high-dose corticosteroids. On day +54 a thrombotic microangiopathy occurred. On day +64 neurological status worsened; a brain computed tomographic (CT) scan showed hyperdense lesions suggesting fungal infection. Detection of cryptococcal antigen by latex agglutination was positive but India ink stain and culture were negative. Despite treatment with amphotericin B, 5-flucytosine, and granulocyte-macrophage colony-stimulating factor, the patient died 13 days after the diagnosis.
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Affiliation(s)
- R Miniero
- Department of Paediatrics, University of Turin, Italy
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Giacchino M, Vai S, Savant-Levet P, Balbo L, Oderda S, Massara FM, Ferrero Poschetto C, Valori A, Miniero R. [Indwelling central venous catheters after discontinuation of therapy and risk of infection in children with cancer]. Minerva Pediatr 1996; 48:445-9. [PMID: 9053723] [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: 02/03/2023]
Abstract
In this retrospective study we report the incidence of CVC-related infections in a pediatric oncology population during the off therapy period. We analysed 128 children with oncologic diseases (solid tumors and leukemia), 78 boys and 50 girls, aged 1 to 21 years, who maintained the CVC in situ at least 6 months after the cessation of chemotherapeutic protocols. Seventy-eight patients had a single lumen Broviac-Hickman CVC, 8 patients had a double lumen Broviac-Hickman and 42 a implantable port device. The permanence of CVC in situ after discontinuation of treatment varied between 6 and 24 months. CVC was removed in 5 patients that presented a CVC-related infection, respectively 6, 6, 6, 7 and 10 months from discontinuation of therapy, in 85 patients because was considered no more necessary. 38 patients are still with CVC in situ; in this group 11 patients relapsed more than 6 months after discontinuation of the therapy and were analysed until the time of relapsed. The result of our study show that the incidence of CVC related infections in patients off therapy is very low. Considering the discomfort that frequent blood withdrawals cause to children and the relapse risk, we think that CVC may be maintained in situ more than 6 months after discontinuation of the therapy without risks for the patients.
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Affiliation(s)
- M Giacchino
- Dipartimento di Scienze Pediatriche e dell'Adolescenza, Università degli Studi, Torino
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Cometta A, Viscoli C, Castagnola E, Massimo L, Giacchino R, Gibson B, Giacchino M, Balbo L, Engelhard D, Shapiro M, Amsallem D, Estavoyer JM, Ferster A, Glauser MP. Empirical treatment of fever in neutropenic children: the role of the carbapenems. International Antimicrobial Therapy Cooperative Group of the European Organisation for Research and Treatment of Cancer and the Gimema Infection Program. Pediatr Infect Dis J 1996; 15:744-8. [PMID: 8858693 DOI: 10.1097/00006454-199608000-00036] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- A Cometta
- Division of Infectious Diseases, Centre Hospitalier Universitaire Vaudois Lausanne, Switzerland
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15
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Viscoli C, Castagnola E, Van Lint MT, Moroni C, Garaventa A, Rossi MR, Fanci R, Menichetti F, Caselli D, Giacchino M, Congiu M. Fluconazole versus amphotericin B as empirical antifungal therapy of unexplained fever in granulocytopenic cancer patients: a pragmatic, multicentre, prospective and randomised clinical trial. Eur J Cancer 1996; 32A:814-20. [PMID: 9081359 DOI: 10.1016/0959-8049(95)00619-2] [Citation(s) in RCA: 87] [Impact Index Per Article: 3.1] [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: 02/04/2023]
Abstract
Amphotericin B, despite its intrinsic servere toxicity, is the most commonly used empirical antifungal therapy in cancer patients with unexplained fever not responding to empirical antibacterial therapy. The aim of this study was to show whether fluconazole was as effective as, and less toxic than, amphotericin, with no effort made to compare the antifungal activity of the two drugs. A group of 112 persistently febrile (> 38 degrees C) and granulocytopenic (< 1000 cells/mm3) cancer patients, not receiving any absorbable antifungal antibiotic for prophylaxis, with a mean age of 27 years (range 1-73 years), undergoing chemotherapy for a variety of malignancies and with a diagnosis of unexplained fever after at least 96 h of empirical antibacterial therapy, were randomised to receive either fluconazole (6 mg/kg/day up to 400 mg/day) or amphotericin B (0.8 mg/kg/day) as empirical antifungal treatment. Patients were required to have normal chest X-rays at randomisation, no previous history of aspergillosis and negative surveillance cultures for Aspergillus. The intention-to-treat analysis showed defervescence and survival without treatment modification in 42 of 56 patients (75%) in the fluconazole group and in 37 of 56 (66%) in the amphotericin B group (P = 0.4). Duration of therapy was 6 days (95% CI = 4-8 days) in both groups. Death occurred in 3 patients (5%) in the fluconazole and in 2 (4%) in the amphotericin B group. No fungal death was documented in either group. Adverse events developed in 18 of 56 patients (32%) in the fluconazole group and in 46 of 56 (82%) in the amphotericin B group (P < 0.001). In the amphotericin B group, 5 patients had treatment discontinued because of toxicity, versus none in the fluconazole group, a difference which approached statistical significance (P = 0.06). This study shows that fluconazole is by far less toxic than amphotericin B and suggests that it might be as effective as amphotericin B, in pragmatical terms and for this specific indication. However, numbers are too small to allow definitive conclusions about efficacy, and the use of fluconazole for this indication remains experimental. Future studies should try to identify patients more at risk of fungal infections, with the aim of individualising antifungal approaches.
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Affiliation(s)
- C Viscoli
- Clinical Immunology Service, National Institute for Cancer Research, Genova, Italy
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16
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Dessì S, Batetta B, Spano O, Sanna F, Tonello M, Giacchino M, Tessitore L, Costelli P, Baccino FM, Madon E. Clinical remission is associated with restoration of normal high-density lipoprotein cholesterol levels in children with malignancies. Clin Sci (Lond) 1995; 89:505-10. [PMID: 8549065 DOI: 10.1042/cs0890505] [Citation(s) in RCA: 17] [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] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
1. Serum lipids and lipoprotein profiles were determined in children affected by different types of malignancies (leukaemias or lymphomas and solid tumours) both before any treatment and after remission of the disease following chemical or surgical therapy. 2. At the time of diagnosis, children bearing tumours showed hypertriglyceridaemia and reduced concentrations of plasma high-density lipoprotein cholesterol levels, the decrease being particularly prominent in patients with haematological tumours. Children bearing solid tumours displayed an increase of total cholesterol, while those with haematological cancer showed decreased phospholipid levels; low-density lipoprotein cholesterol in neoplastic patients was not significantly different from control values. High triacylglycerol and low high-density lipoprotein cholesterol levels were also evident in cancer patients divided according to age into three groups (0-5, 6-10 and 11-15 years) when compared with age-matched control subjects. Similarly, high triacylglycerol and low high-density lipoprotein cholesterol levels were also observed in both male and female children when patients were divided according to sex and compared with corresponding controls. 3. Clinical remission after therapy was accompanied by an increase of high-density lipoprotein cholesterol levels compared with values observed at diagnosis. In contrast, post-treatment levels of triacylglycerol were higher than those observed before therapy. These results support the hypothesis that alterations of high-density lipoprotein cholesterol levels may be related, at least in part, to the rate of tumour growth, while modifications of triacylglycerol levels may be mediated by different mechanisms.
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Affiliation(s)
- S Dessì
- Dipartimento di Patologia Sperimentale, Università di Cagliari, Italy
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17
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Imperiale A, Bruzzone M, Giacchino M, Parodi GC, Lombardo N, Loria F. [Mammographic diagnosis of foreign bodies left after surgery. Report of 2 cases]. Radiol Med 1993; 85:492-3. [PMID: 8516482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- A Imperiale
- Istituto Nazionale per la Ricerca sul Cancro, Università, Genova
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18
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Giacchino M, Busca A, Miniero R, Defilippi C, Massara FM, Vassallo E, Madon E. [Pulmonary complications after bone marrow transplantation]. Minerva Pediatr 1993; 45:141-50. [PMID: 8355644] [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: 01/30/2023]
Abstract
Pulmonary toxicity occurs in approximately 10 to 50% of patients undergoing bone marrow transplantation (BMT). Bacterial pneumonia very commonly affects patients within the first 6 months post-BMT. Etiologic factors include neutropenia and the presence of graft-versus-host disease (GVHD). Pulmonary fungal infections, due to candida and aspergillus, may develop in 16% of patients receiving BMT, with a high mortality rate, being about 80%. A prolonged neutropenia as well as GVHD and associated immunosuppressive treatments are important factors in predisposing a patient to develop fungal pneumonitis. Interstitial pneumonitis occurs in 10-40% of patients; herpes viruses are the most commonly documented cause, with cytomegalovirus (CMV) being the most common pathogen. No causative organism is identified in up to 60% of the cases. It is likely that some of these cases may result from drug or radiation toxicity. Lung shielding and fractionation of the dose have decreased the incidence of interstitial pneumonitis to less than 5%. Patients with GVHD are predisposed to lung infections because of the immunosuppression that accompanies GVHD and its treatment. In addition, GVHD itself appears to have a direct effect on pulmonary epithelium. Cultural and serologic studies as well as radiographic investigations and other diagnostic procedures (ie bronchoalveolar lavage) are needed for appropriate management of pulmonary complications.
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Affiliation(s)
- M Giacchino
- Istituto Discipline Pediatriche, Clinica Pediatrica II, Torino
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19
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Busca A, Giacchino M, Cappelletto R, Miniero R, Defilippi C, Gaino T, Madon E. [The leukemia-lymphoma syndrome with gastrointestinal involvement in childhood. A case report]. Minerva Pediatr 1992; 44:115-9. [PMID: 1518492] [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: 12/27/2022]
Abstract
The gastrointestinal tract is an uncommon site of presentation for acute lymphoblastic leukemia in children. We report a child who developed a leukemia-lymphoma syndrome with central nervous system and gastrointestinal tract involvement at the diagnosis. The patient received an intensive combination chemotherapy and is currently off-therapy in continuous complete remission 29 months after the diagnosis.
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Affiliation(s)
- A Busca
- Clinica Pediatrica III, Università di Torino
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20
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Miniero R, Vai S, Giacchino M, Giubellino C, Madon E. Severe respiratory depression after autologous bone marrow infusion. Haematologica 1992; 77:98-9. [PMID: 1383102] [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: 12/26/2022] Open
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21
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Pavesio D, Pecco P, Giacchino M, Dotti M. Imipenem use in serious childhood infections. J Chemother 1991; 3 Suppl 1:218-21. [PMID: 12041769] [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: 02/25/2023]
Abstract
Imipenem plus cilastatin is a beta-lactam antibiotic with a broad spectrum and good tolerance. For this its use is indicated in serious infections even in children. The authors carried out a preliminary bacteriological study in patients affected by serious infection, cystic fibrosis, tumors, neutropenia, subjects undergoing intensive therapy and those with abdominal surgical infection. Isolated microorganism sensitivity in these patients, towards imipenem was very high (89%-100%). With these premises, 35 patients with serious infections in various locations were treated only with imipenem. Of these, 15 were oncologic neutropenic and 20 normal. In the first group therapeutic success was 66.6% and in the second one 80%. Local and systemic tolerance always showed good results.
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Affiliation(s)
- D Pavesio
- Admittance Dept. Regina Margherita Children's Hospital, Turin, Italy
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22
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Giacchino M, Artino RM, Balbiano R, Biglino A, Vidotto V, Zanchi R, Grazia G, Vivalda M. [Candida and Aspergillus infections in children with neoplasms, neutropenia and fever: serological diagnosis]. Minerva Pediatr 1988; 40:419-23. [PMID: 3205223] [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: 01/04/2023]
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23
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Giacchino M, Artino RM, Miniero R, Grazia G, Vivalda M, Dotti G, Mattirolo F, Madon E. [Infections in neutropenic children with neoplasms. Case series contribution]. Minerva Pediatr 1988; 40:339-44. [PMID: 3054471] [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: 01/03/2023]
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24
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Miniero R, Artino R, Bianco R, Ferri M, Longo S, Valori A, Giacchino M, Saracco P, Iannacci L, Costamagna G. [Use of Broviac and Hickman intra-atrial catheters in children with oncologic diseases and bone marrow aplasia]. Minerva Pediatr 1987; 39:275-9. [PMID: 3112538] [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: 01/04/2023]
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25
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Brunet MR, Riva C, Musso A, Giacchino M, Nigro N. [Kawasaki syndrome. Case report]. Minerva Pediatr 1985; 37:255-8. [PMID: 4021952] [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: 01/08/2023]
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26
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Migliore G, Brunet MR, Giacchino M, Musso A, Nigro N. [Anti-influenza antibodies in children]. Minerva Pediatr 1984; 36:439-40. [PMID: 6472226] [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: 01/20/2023]
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27
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Rosa Brunet M, Giacchino M, Sacchetti C, Vaccino P, Musso A, Riva C, Orrù D, Palena G. [Changes in plasma lipids in acute hepatitis]. Minerva Pediatr 1984; 36:247-56. [PMID: 6738478] [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: 01/21/2023]
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28
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Musso A, Nigro N, Sacchetti C, Vaccino P, Pescarmona M, Motta L, Giacchino M, Rosa Brunet M. [Clinical study on therapy with high-doses of specific anti-pertussis IgG in infants]. Minerva Pediatr 1984; 36:139-44. [PMID: 6328240] [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: 01/19/2023]
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29
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Musso A, Sacchetti C, Micieli G, Vaccino P, Rosa Brunet M, Giacchino M, Nigro N. [Diagnosis of Wilson's disease in children. Personal cases]. Minerva Pediatr 1984; 36:75-6. [PMID: 6717401] [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: 01/21/2023]
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30
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Musso A, Migliore G, Magliano M, Montanari C, Giai Via D, Zuccolin G, Pescarmona M, Vietti Ramus M, Giacchino M, Sacchetti C. [The frequency of various etiologic agents in viral hepatitis in childhood]. Minerva Pediatr 1983; 35:1047-50. [PMID: 6323940] [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: 01/19/2023]
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31
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Musso A, Migliore G, Magliano M, Montanari C, Vietti Ramus M, Zuccolin G, Vaccino P, Giacchino M, Sacchetti C. [Neurologic complications in epidemic parotitis]. Minerva Pediatr 1983; 35:1037-41. [PMID: 6672592] [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: 01/21/2023]
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32
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Viretto A, Musso A, Pecco P, Sacchetti C, Giacchino M, Nigro N, Vaccino P, Stasiowska B, Baldassar AM, Rosa Brunet M. [Bacterial meningitis in childhood. Etiological study of a personal sample of 223 cases]. Minerva Pediatr 1983; 35:69-70. [PMID: 6835184] [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: 01/22/2023]
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33
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Musso A, Sacchetti C, Vaccino P, Patrito A, Brunetti M, Giacchino M, Vietti Ramus M, Nigro N. [Viral hepatitis: epidemiological study. More than 300,000 cases registered in the decade 1971-1980]. Minerva Pediatr 1982; 34:853-9. [PMID: 7155094] [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: 01/23/2023]
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34
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Musso A, Giacchino M, Vaccino P, Sacchetti C, Patrito A, Vietti M, Palena G, Marchetto G. [Modern concepts of drug therapy of whooping cough]. Minerva Pediatr 1982; 34:125-30. [PMID: 6176844] [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: 01/18/2023]
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35
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Musso A, Giacchino M, Sacchetti C, Vaccino P, Marchetto G, Vietti M, Patrito A. [The dissemination of so-called minor salmonellosis in Italy during the decade 1971-80. An epidemiological study]. Minerva Pediatr 1981; 33:1117-26. [PMID: 7329383] [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: 01/24/2023]
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36
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Patrito A, Musso A, Giacchino M, Sacchetti C, Vaccino P, Nigro N. [The diffusion of so-called "minor" salmonellosis in the Piedmont and Valle d'Aosta in the decade of 1971-1980. Several thousand cases]. Minerva Pediatr 1981; 33:947-52. [PMID: 6798400] [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: 01/21/2023]
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37
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Musso A, Giacchino M, Vietti M, Vaccino P, Cerutti A. [The use of silymarin and SAMe in the treatment of acute infective hepatitis in childhood]. Minerva Pediatr 1980; 32:1057-67. [PMID: 7453688] [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: 01/25/2023]
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38
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Giacchino M, Nigro N, Togliatto G, Pastorin L, Rota A, Orrù D, Benso L. [Evaluation of HGH secretion. Comparison of the Bovril and ITT tests]. Minerva Pediatr 1980; 32:853-4. [PMID: 7015101] [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: 01/23/2023]
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39
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Musso A, Vietti Ramus M, Sacchetti C, Giacchino M, Vaccino P. [(+)-Cyanidanol-3 in the treatment of acute viral hepatitis in childhood]. Minerva Pediatr 1980; 32:711-24. [PMID: 7453677] [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: 01/25/2023]
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40
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Fabio MT, Ferrari G, Giacchino M, Passone C, Rota A. [Current aspects of craniometry. I. Evaluation of the neuro-cranial and splanchno-cranial relationship in a group of children in the third year of life]. Minerva Pediatr 1980; 32:343-4. [PMID: 7382946] [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: 01/25/2023]
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41
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Nigro N, Vaccino P, Giacchino M. [Experience with methisoprinol in childhood hepatitis]. Minerva Pediatr 1979; 31:1613-4. [PMID: 95509] [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: 12/13/2022]
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42
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Benso L, Cavallo F, Giacchino M, Nigro N, Pastorin L, Stasiowska B. [Diagnostic procedure for evaluation of short stature]. Minerva Pediatr 1979; 31:405-12. [PMID: 470883] [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: 12/15/2022]
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43
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Benso L, Feyles G, Martini A, Vaccino PU, Musso A, Nigro N, Giacchino M. [Lipid profile and the electrophoretic lipid pattern in the initial phase of viral hepatitis in childhood]. Minerva Pediatr 1979; 31:17-28. [PMID: 262254] [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: 12/14/2022]
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44
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Stasiowska B, Benso L, Pastorin L, Giacchino M, Nigro N. [Comparison of 2 methods of evaluation of skeletal maturation. 2. Analysis of the correlation with another biological variable]. Minerva Pediatr 1978; 30:1665-77. [PMID: 214694] [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: 12/13/2022]
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45
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Giacchino M, Campagnoli C, Pavesio D, Canavese F, Brunet MR, Fracchia F, Nigro N, Benso L. [Gas chromatography of urinary steroids in the diagnosis of adrenal carcinoma in childhood]. Minerva Pediatr 1978; 30:695-712. [PMID: 661779] [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: 12/23/2022]
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46
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Benso L, Pastorin L, Brunet MR, Giacchino M, Toso P, Baltieri M, Merlin L, Stasiowska B. [Practical aspects of the problem of growth disorders in children. I. Basic technics of anthropometry and auxologic evaluation]. Minerva Pediatr 1977; 29:2431-42. [PMID: 604771] [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: 12/23/2022]
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47
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Brunet MR, Giacchino M, Sapore S, Benso L. [A case of congenital adrenogenital syndrome associated with minor salmonellosis and renal agenesis]. Minerva Pediatr 1977; 29:2325-30. [PMID: 604767] [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: 12/23/2022]
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48
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Giacchino M, Toso P, Buzzi M, Nigro N, Benso L. [A rare combination of morbid processes: HGH defect, toxoplasmosis, situs inversus, renal and other abnormalities]. Minerva Pediatr 1977; 29:1879-88. [PMID: 927406] [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: 12/24/2022]
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49
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Benso L, Campagnoli C, Giacchino M, Perona M. [Evaluations of hydroxylation indices in the diagnosis of adrenogenital syndrome]. Minerva Pediatr 1976; 28:538-9. [PMID: 979944] [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: 12/25/2022]
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50
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Nigro N, Brunet MR, Iudicello P, Caramello M, Giacchino M. [Letter: IgM and IgA in the umbilical cord blood. Studies on over 1,100 samples]. Minerva Pediatr 1976; 28:50-1. [PMID: 1256385] [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: 12/26/2022]
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