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Elhadhri S, Chaouch N, Boughanmi K, Zlitni M, Hentgen B, Fallouh A. Hypothenar hammer syndrome associated with rapidly evolving ulnar false aneurysm. J Med Vasc 2022; 47:153-156. [PMID: 36055686 DOI: 10.1016/j.jdmv.2022.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 07/04/2022] [Indexed: 06/15/2023]
Affiliation(s)
- S Elhadhri
- Department of vascular and thoracic surgery, René-Dubos Hospital, Pontoise, France.
| | - N Chaouch
- Department of vascular and thoracic surgery, René-Dubos Hospital, Pontoise, France
| | - K Boughanmi
- Department of vascular and thoracic surgery, René-Dubos Hospital, Pontoise, France
| | - M Zlitni
- Department of vascular and thoracic surgery, René-Dubos Hospital, Pontoise, France
| | - B Hentgen
- Department of vascular and thoracic surgery, René-Dubos Hospital, Pontoise, France
| | - A Fallouh
- Department of vascular and thoracic surgery, René-Dubos Hospital, Pontoise, France
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Snene H, Badri I, Mehiri N, Ben Salah N, Blibech H, Aouina H, Belhadj S, Boussen H, Chaouch N, Charfi R, Fenniche S, Gharbi L, Ghrairi H, Hamzaoui A, Megdiche L, Merai S, Mezni F, Tritar F, Daghfous J, Marghli A, Louzir B. [Diagnostic and therapeutic management of operable bronchopulmonary carcinoid tumours]. Rev Mal Respir 2021; 38:249-256. [PMID: 33674138 DOI: 10.1016/j.rmr.2021.02.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 02/10/2021] [Indexed: 12/24/2022]
Abstract
INTRODUCTION Bronchial carcinoid tumours (CT), divided into typical carcinoid (TC) or atypical carcinoid (AC), are rare tumours whose therapeutic management remains unspecified. METHODS Retrospective study collecting cases of bronchial CT operated at the thoracic surgery department of Abderrahmane-Mami hospital of Ariana and recruited from the pneumology departments of Northern Tunisia, during a 12-year period. RESULTS Ninety patients were collected (74 cases of TC and 16 cases of AC). The mean age was 45 years and the sex ratio H/F=0.5. The chest X-ray was normal in 11 cases, as well as flexible bronchoscopy in seven cases. The tumour was classified: stage IA (10 cases), IIA (28 cases), IIB (31 cases), IIIA (15 cases) and IIIB (six cases). Surgery resulted in a complete resection in 78 patients, an extensive resection in six patients, and a conservative resection in six patients. Adjuvant chemotherapy was given in 10 patients. The survival was 84% at five years and 42% at 10 years. CONCLUSION The prognosis of CT depends directly on the histological subtype. It is excellent for TC after complete resection, unlike ACs that are similar to well-differentiated bronchial carcinomas.
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Affiliation(s)
- H Snene
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie allergologie, CHU Mongi-Slim La Marsa, 2047, Sidi-Daoued, Tunis, Tunisie.
| | - I Badri
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie allergologie, CHU Mongi-Slim La Marsa, 2047, Sidi-Daoued, Tunis, Tunisie
| | - N Mehiri
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie allergologie, CHU Mongi-Slim La Marsa, 2047, Sidi-Daoued, Tunis, Tunisie
| | - N Ben Salah
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie allergologie, CHU Mongi-Slim La Marsa, 2047, Sidi-Daoued, Tunis, Tunisie
| | - H Blibech
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie allergologie, CHU Mongi-Slim La Marsa, 2047, Sidi-Daoued, Tunis, Tunisie
| | - H Aouina
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie allergologie, CHU Charles-Nicolle, Tunis, Tunisie
| | - S Belhadj
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie allergologie, hôpital régional de Menzel-Bourguiba, Bizerte, Tunisie
| | - H Boussen
- Faculté de médecine de Tunis, université de Tunis El Manar, service d'oncologie médicale, CHU Abderrahmen-Mami, Ariana, Tunisie
| | - N Chaouch
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie pavillon 2, CHU Abderrahmen-Mami, Ariana, Tunisie
| | - R Charfi
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie, hôpital des forces de sécurité intérieur, Tunis, Tunisie
| | - S Fenniche
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie pavillon 4, CHU Abderrahmen-Mami, Ariana, Tunisie
| | - L Gharbi
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie pavillon D, CHU Abderrahmen-Mami, Ariana, Tunisie
| | - H Ghrairi
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie, hôpital Taher-Maamouri, Nabeul, Tunisie
| | - A Hamzaoui
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie pavillon B, CHU Abderrahmen-Mami, Ariana, Tunisie
| | - L Megdiche
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie pavillon Ibn Nafis, CHU Abderrahmen-Mami, Ariana, Tunisie
| | - S Merai
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie, CHU La Rabta, Tunis, Tunisie
| | - F Mezni
- Faculté de médecine de Tunis, université de Tunis El Manar, service d'anatomie pathologie, CHU Abderrahmen-Mami, Ariana, Tunisie
| | - F Tritar
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie pavillon C, CHU Abderrahmen-Mami, Ariana, Tunisie
| | - J Daghfous
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie allergologie, CHU Mongi-Slim La Marsa, 2047, Sidi-Daoued, Tunis, Tunisie
| | - A Marghli
- Faculté de médecine de Tunis, université de Tunis El Manar, service de chirurgie thoracique et cardiovasculaire, CHU Abderrahmen-Mami, Ariana, Tunisie
| | - B Louzir
- Faculté de médecine de Tunis, université de Tunis El Manar, service de pneumologie allergologie, CHU Mongi-Slim La Marsa, 2047, Sidi-Daoued, Tunis, Tunisie
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Moussa I, Habibèch S, Racil H, Habouria C, Chabbou A, Chaouch N. Facteurs prédictifs de retard de négativation des bascilloscopies. Rev Mal Respir 2019. [DOI: 10.1016/j.rmr.2018.10.610] [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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Mlika M, Lamzirbi O, Limam M, Mejri N, Ben Saad S, Chaouch N, Ben Miled K, Marghli A, Mezni F. [Clinical and pathological profile of the pleural malignant mesothelioma: A retrospective study about 30 cases]. Rev Pneumol Clin 2018; 74:427-435. [PMID: 30293912 DOI: 10.1016/j.pneumo.2018.06.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Revised: 05/24/2018] [Accepted: 06/14/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND The malignant pleural mesothelioma (MPM) is a rare tumour usually associated to asbestos exposure. The delay between the exposure and the occurrence of the cancer can reach 40 years. This caused the pick of incidence described in many countries including Tunisia. The diagnosis is suspected based on clinical features but positive diagnosis is microscopic. Our aim was to describe the clinical and microscopic features of MPM through a single institution experience. PATIENTS AND METHODS We conducted a retrospective study about 30 MPM diagnosed over a 20-year-period (1995-2015). We included only patients with complete records including clinical, radiologic and microscopic features. All the microscopic diagnoses were reviewed by 2 pathologists. A mean of 12 slides per case was reviewed. The diagnosis was based on the 2015 WHO classification. RESULTS The mean age of the patients was 61 years, average 22 to 80 years. The sex ratio was 6,5. An asbetose exposition was reported in 21 cases. The most frequent symptoms was chest pain reported in 25 cases. Physical exam was normal in 9 cases. It revealed pleural syndorm in most patients (60 %). Imaging findings consisted mainly in diffuse pleural thickening in 17 cases. Twelve tumours were classified as stage I, 3 stage II, 14 stage III et 1 stage IV. Pleural biopsy was performed using needle in 18 cases, through thoracoscopy in 16 cases, thoracotomy in 3 cases and allowed the diagnosis in respectively 7 cases/18, 16 cases/16 and 3 cases/3. A lymph node biopsy was performed through mediastinoscopy in one case and yelded the diagnosis. The diagnosis was performed on surgical specimen in 2 patients: one bullectomy and one right upper lobectomy. The microscopic exam concluded to an EM in 17 cases, sarcomatoid mesothelioma (SM) in 4 cases and biphasic mesothelioma (BM) in 9 cases. Pan-cytokeratin antibody was used in all cases in association with 2 antibodies with positive diagnostic value and 2 antibodies with negative diagnostic value. It was repeated in 15 cases and the most used antibodies were the anti-calretinin and the TTF1. This was due to the lack of fixation in one case and in order to reach a quality criteria in the other cases. Surgical resection was possible in 2 patients. 15 patients were lost of view after a mean follow-up period of 3 months. Thirteen patients died before or during the follow-up. CONCLUSION This work was about a Tunisian experience in the diagnosis and management of MPM. The major limits faced were the incomplete databases, the small number of patients included. Microsocpic positive diagnosis necessitates a degree of expertise and every laboratory has to determine the most valuable antibodies through its experience in order to optimize the diagnosis and to reduce the delay of diagnosis.
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Affiliation(s)
- M Mlika
- Service de Pathologie, Hôpital Abderrahman Mami, 2037 Ariana, Tunisie; Unité de recherche, 12SP18, Ariana, Tunisie.
| | - O Lamzirbi
- Service de Pathologie, Hôpital Abderrahman Mami, 2037 Ariana, Tunisie; Unité de recherche, 12SP18, Ariana, Tunisie
| | - M Limam
- Unité de recherche, 12SP18, Ariana, Tunisie
| | - N Mejri
- Unité de recherche, 12SP18, Ariana, Tunisie
| | - S Ben Saad
- Unité de recherche, 12SP18, Ariana, Tunisie; Service de Pneumologie, Pavillon IV, Hôpital Abderrahman Mami, Ariana, Tunisie
| | - N Chaouch
- Service de Pneumologie, Pavillon II, Hôpital Abderrahman Mami, Ariana, Tunisie
| | - K Ben Miled
- Service de Radiologie, Hôpital Abderrahman Mami, Ariana, Tunisie
| | - A Marghli
- Service de Chrirugie Thoracique, Hôpital Abderrahman Mami, Ariana, Tunisie
| | - F Mezni
- Service de Pathologie, Hôpital Abderrahman Mami, 2037 Ariana, Tunisie; Unité de recherche, 12SP18, Ariana, Tunisie
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Bacha S, Moussa I, Habibech S, Agrebi S, Racil H, Chabbou A, Chaouch N. Facteurs pronostiques du cancer bronchopulmonaire non à petites cellules avec métastases cérébrales. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Kallel N, Saad SB, Melki B, Mansour AB, Gharbi LDE, Fennich S, Chaouch N, Aouina H, Cherif J, Hamzaoui A, Merghli A, Daghfous H, Tritar F. Pyopneumothorax tuberculeux : facteurs prédictifs de chronicité. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Habibech S, Bacha S, Moussa I, Agrebi S, Racil H, Chabbou A, Chaouch N. Évaluation de la dépression chez les patients atteints de tuberculose pulmonaire. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.382] [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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Habibech S, Bacha S, Moussa I, Agrebi S, Racil H, Chabbou A, Chaouch N. Association entre la tuberculose pulmonaire bacillifère et la maladie thromboembolique : à propos de 39 cas. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Cherif H, Bacha S, Habibech S, Moussa I, Agerbi S, Racil H, Chabbou A, Chaouch N. Évènements osseux dans le cancer du poumon non à petites cellules avec métastases osseuses. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.483] [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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Habibech S, Bacha S, Agrebi S, Moussa I, Racil H, Chabbou A, Chaouch N. Les troubles du sommeil chez les patients atteints de tuberculose pulmonaire. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Cherif H, Bacha S, Habibech S, Moussa I, Agerbi S, Racil H, Chabbou A, Chaouch N. Anémie chimio-induite au cours des cancers bronchopulmonaires non à petites cellules. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.484] [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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Agrebi S, Racil H, Habibech S, Bacha S, Chaouch N. Moyens diagnostiques du cancer broncho-pulmonaire primitif chez l’homme en Tunisie. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.473] [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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13
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Melki B, Saad SB, Gharbi LDE, Fennich S, Chaouch N, Aouina H, Cherif J, Hamzeoui A, Adel M, Daghfous H, Tritar F. Pneumothorax tuberculeux : facteurs prédictifs de mauvais pronostic. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Kchouk H, Racil H, Habibech S, Bacha S, Chaouch N. Délais diagnostiques du cancer bronchopulmonaire en fonction du type histologique. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.506] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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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Kallel N, Saad SB, Melki B, Mansour AB, Gharbi LDE, Fennich S, Chaouch N, Aouina H, Cherif J, Hamzaoui A, Merghli A, Daghfous H, Tritar F. Pyopneumothorax tuberculeux : facteurs prédictifs de drainage prolongé. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Bacha S, Habibech S, Attia M, Cheikhrouhou S, Chaouch N, Racil H, Chabbou A. [Pulmonary opacity]. Rev Med Interne 2017; 39:441-442. [PMID: 28277264 DOI: 10.1016/j.revmed.2016.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Accepted: 09/21/2016] [Indexed: 11/17/2022]
Affiliation(s)
- S Bacha
- Service de pneumologie, hôpital Abderrahmane-Mami, 2080 Ariana, Tunisie.
| | - S Habibech
- Service de pneumologie, hôpital Abderrahmane-Mami, 2080 Ariana, Tunisie
| | - M Attia
- Service de radiologie, hôpital Abderrahmane-Mami, 2080 Ariana, Tunisie
| | - S Cheikhrouhou
- Service de pneumologie, hôpital Abderrahmane-Mami, 2080 Ariana, Tunisie
| | - N Chaouch
- Service de pneumologie, hôpital Abderrahmane-Mami, 2080 Ariana, Tunisie
| | - H Racil
- Service de pneumologie, hôpital Abderrahmane-Mami, 2080 Ariana, Tunisie
| | - A Chabbou
- Service de pneumologie, hôpital Abderrahmane-Mami, 2080 Ariana, Tunisie
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Ben Tkhayat A, Racil H, Bacha S, Habibech S, Chikhrouhou S, Ayadi A, Attia M, Chabbou A, Chaouch N. Délai et moyens diagnostiques du cancer broncho-pulmonaire primitif. Rev Mal Respir 2017. [DOI: 10.1016/j.rmr.2016.10.177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Bacha S, Khemiri M, Racil H, Hantous S, Chaouch N, Cheikhrouhou S, Chabbou A, Megdiche ML. [Paradoxical reaction following antituberculosis therapy in immunocompetent patient]. Rev Pneumol Clin 2016; 72:367-372. [PMID: 27776947 DOI: 10.1016/j.pneumo.2016.09.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Revised: 08/27/2016] [Accepted: 09/17/2016] [Indexed: 06/06/2023]
Abstract
INTRODUCTION The features of paradoxical reactions (PR) that occurred in non-HIV infected patients are rare and not well known. CASE REPORT The authors reported the case of a 21years old, non-immunocompromised, and HIV negative patient treated for disseminated tuberculosis. PR occurred after 8months after initiation of antituberculous treatment. PR presented as left cervical lymphadenopathy, pulmonary, pleural, costal and spinal location of the tuberculosis. The antituberculous drugs were prolonged. Patient's clinical symptoms improved initially. However, left inguinal lymphadenopathy appeared after 20months of antituberculous therapy. Inguinal lymph node biopsy revealed tuberculous lymphadenitis. The patient has a good compliance to the treatment. The patient was continued on same antituberculous treatment for a total of 28months. The cervical and inguinal lymphadenopathy disappeared and CT scan showed regression of thoracic, abdominal, costal and spinal lesions. CONCLUSION PR during antituberculous treatment must be considered after exclusion of other causes. No consensus on the therapeutic management of this entity has been developed to date.
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Affiliation(s)
- S Bacha
- Service de pneumologie, hôpital Abderrahmane Mami, pavillon 2 Ariana, Tunisie.
| | - M Khemiri
- Service de pneumologie, hôpital Abderrahmane Mami, pavillon 2 Ariana, Tunisie
| | - H Racil
- Service de pneumologie, hôpital Abderrahmane Mami, pavillon 2 Ariana, Tunisie
| | - S Hantous
- Service de radiologie, hôpital Abderrahmane Mami, Ariana, Tunisie
| | - N Chaouch
- Service de pneumologie, hôpital Abderrahmane Mami, pavillon 2 Ariana, Tunisie
| | - S Cheikhrouhou
- Service de pneumologie, hôpital Abderrahmane Mami, pavillon 2 Ariana, Tunisie
| | - A Chabbou
- Service de pneumologie, hôpital Abderrahmane Mami, pavillon 2 Ariana, Tunisie
| | - M L Megdiche
- Service de pneumologie, hôpital Abderrahmane Mami, pavillon 2 Ariana, Tunisie
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Bacha S, Zidi A, Racil H, Cheikhrouhou S, Chaouch N, Chabbou A, Megdiche ML. [A chronic cough of unusual cause]. Rev Med Interne 2016; 38:71-72. [PMID: 26774915 DOI: 10.1016/j.revmed.2015.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Accepted: 12/07/2015] [Indexed: 12/01/2022]
Affiliation(s)
- S Bacha
- Service de pneumologie, pavillon 2, hôpital Abderrahamne-Mami, 2080 Ariana, Tunisie.
| | - A Zidi
- Service de radiologie, hôpital Abderrahamne-Mami, 2080 Ariana, Tunisie
| | - H Racil
- Service de pneumologie, pavillon 2, hôpital Abderrahamne-Mami, 2080 Ariana, Tunisie
| | - S Cheikhrouhou
- Service de pneumologie, pavillon 2, hôpital Abderrahamne-Mami, 2080 Ariana, Tunisie
| | - N Chaouch
- Service de pneumologie, pavillon 2, hôpital Abderrahamne-Mami, 2080 Ariana, Tunisie
| | - A Chabbou
- Service de pneumologie, pavillon 2, hôpital Abderrahamne-Mami, 2080 Ariana, Tunisie
| | - M L Megdiche
- Service de pneumologie, pavillon 2, hôpital Abderrahamne-Mami, 2080 Ariana, Tunisie
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Bacha S, Khemiri M, Majdoub S, Chaouch N, Cherif H, Racil H, Cheikhrouhou S, Megdiche M, Chabbou A. Réactions paradoxales au traitement antituberculeux chez le sujet immunocompétent : cinq nouvelles observations. Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bacha S, Majdoub S, El Oueslati S, Khemiri M, Chaouch N, Cherif H, Racil H, Cheikhrouhou S, Megdiche M, Chabbou A. Chimiothérapies en fin de vie chez les patients pris en charge pour cancer pulmonaire : analyse des pratiques. Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.180] [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: 11/24/2022]
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Bacha S, Khemiri M, Majdoub S, Chaouch N, Cherif H, Cheikhrouhou S, Racil H, Megdiche M, Chabbou A. Évaluation de l’association entre la dépendance tabagique et les symptômes de sevrage. Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.624] [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: 10/22/2022]
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Hedhli A, Racil H, Bacha S, Mhiri E, Cheikhrouhou S, Chaouch N, Chabbou A. Caractéristiques bactériologiques et profil évolutif de la tuberculose pulmonaire étendue versus localisée. Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.307] [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: 12/01/2022]
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Bacha S, Chaouch N, Ayadi A, Zidi A, Cheikhrouhou S, Racil H, Chabbou A. [Malignant peripheral sheath nerve tumor: An exceptional mass of the anterior and middle mediastinum]. Rev Pneumol Clin 2015; 71:364-368. [PMID: 26190334 DOI: 10.1016/j.pneumo.2015.03.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2014] [Revised: 03/12/2015] [Accepted: 03/28/2015] [Indexed: 06/04/2023]
Abstract
Malignant peripheral nerve sheath tumors (MPNST) are rare nervous tumors usually located in the posterior mediastinum in the paravertebral gutters. We report the case of a non-smoking 62-year-old man who was admitted with a 4 months history of cough, hoarseness and shortness of breath. Physical examination noted a superior vena cava syndrome. CT scan of the chest revealed a right anterior and middle mediastinal mass compressing the superior vena cava, the ascending aorta, the right pulmonary artery, invading the superior root of the pulmonary vein and the right auricle. Flexible bronchoscopy showed extrinsic compression of the right main bronchus, the right upper lobe bronchus and intermedius bronchus. The patient underwent surgical biopsy of the mass by mediastinoscopy. Histological examination revealed a malignant peripheral nerve sheath tumor. The patient received a single cycle of chemotherapy (ifosfamid-adriamycin). Clinical course was marked by the fast worsening of the dyspnea and the general state. Patient died three weeks after the cure of the chemotherapy. This case is original by the exceptional clinical presentation of MPSNT with a superior vena cava syndrome and the very rare location of this tumor in the anterior and middle mediastinum.
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Affiliation(s)
- S Bacha
- Service de pneumologie, pavillon 2, hôpital Abderrahman-Mami, Ariana, Tunisie.
| | - N Chaouch
- Service de pneumologie, pavillon 2, hôpital Abderrahman-Mami, Ariana, Tunisie
| | - A Ayadi
- Service d'anatomie pathologique, hôpital Abderrahman-Mami, Ariana, Tunisie
| | - A Zidi
- Service de radiologie, hôpital Abderrahman-Mami, Ariana, Tunisie
| | - S Cheikhrouhou
- Service de pneumologie, pavillon 2, hôpital Abderrahman-Mami, Ariana, Tunisie
| | - H Racil
- Service de pneumologie, pavillon 2, hôpital Abderrahman-Mami, Ariana, Tunisie
| | - A Chabbou
- Service de pneumologie, pavillon 2, hôpital Abderrahman-Mami, Ariana, Tunisie
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Bacha S, Chaouch N, Mlika M, Racil H, Cheikhrouhou S, Chabbou A. [Unusual location of an intrathoracic mesothelial cyst in the posterior and upper mediastinum]. Rev Mal Respir 2015; 33:626-9. [PMID: 26596228 DOI: 10.1016/j.rmr.2015.10.740] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2014] [Accepted: 09/06/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND Intrathoracic mesothelial cysts are congenital lesions due to an abnormal development of the pericardial coelom. They are usually asymptomatic and found incidentally on chest radiography or computed tomography. As their classic anatomical location is in the cardiophrenic angle, they are also referred to pleuropericardial cysts. CASE REPORT A 50-year-old male presented with a history of chest pain. Physical examination and chest X-ray were normal. Computed tomography (CT) scan revealed a cystic lesion in the posterior and upper mediastinum. The cyst was surgically removed through a posterolateral thoracotomy. Histopathological examination confirmed that it was a mesothelial cyst. The surgical resection of the cyst lead to relief of the thoracic pain over a three-year follow-up period. CT-scan showed an aberrant right subclavian artery or arteria lusoria, which is an anomaly of the aortic arch secondary to abnormal embryogenesis. We know no other report of concurrent ectopic coelomic cyst and aberrant right subclavian artery. CONCLUSION Although the majority of coelomic cysts needs only radiological and clinical follow-up, surgical resection should be performed when the patient is symptomatic or when the diagnosis is uncertain.
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Affiliation(s)
- S Bacha
- Service de pneumologie, pavillon 2, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie.
| | - N Chaouch
- Service de pneumologie, pavillon 2, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie
| | - M Mlika
- Service d'anatomopathologie, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie
| | - H Racil
- Service de pneumologie, pavillon 2, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie
| | - S Cheikhrouhou
- Service de pneumologie, pavillon 2, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie
| | - A Chabbou
- Service de pneumologie, pavillon 2, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie
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Soussi G, Racil H, Hedhli A, Cheikh Rouhou S, Bacha S, Chaouch N, Chabbou A. Carcinome bronchique non à petites cellules aux stades précoces : à propos de 60 cas. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.672] [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: 12/01/2022]
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Ayari A, Racil H, Soussi G, Rouhou SC, Bacha S, Chaouch N, Slim L, Chabbou A. La pleurésie purulente : profil clinique et évolutif. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.175] [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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Ayari A, Racil H, Soussi G, Rouhou SC, Bacha S, Chaouch N, Zidi A, Chabbou A. L’embolie pulmonaire de découverte fortuite : particularités cliniques et pronostiques. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Blibech H, Bacha S, Chaouch N, Ayari A, Racil H, Cheikh Rouhou S, Zarrouk M, Chabbou A. Cancer du poumon et chimiothérapie : quels effets indésirables ? Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Soussi G, Racil H, Laaribi G, Cheikh Rouhou S, Ben Alaya N, Bacha S, Chaouch N, Chabbou A. Intérêt de l’utilisation d’un index pronostique dans le carcinome bronchique non à petites cellules. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Bacha S, Hedhli A, Skandaji W, Chaouch N, Racil H, Cheikhrouhou S, Chabbou A. Évaluation du comportement alimentaire au cours du sevrage tabagique. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Blibech H, Bacha S, Chaouch N, Ayari A, Cheikh Rouhou S, Racil H, Zarrouk M, Chabbou A. Consultation antitabac : une expérience tunisienne. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Chaouch N, Ouahrani M, Laouini S. Adsorption of Lead (II) from aqueous solutions onto activated carbon prepared from Algerian dates stones of Phoenix dactylifera.L (Ghars variety) by H3PO4 activation. ACTA ACUST UNITED AC 2014. [DOI: 10.13005/ojc/300349] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ben Salah E, Racil H, Chikhrouhou S, Chaouch N, Bacha S, Chabbou A. La maladie veineuse thromboembolique en cas de cancer bronchopulmonaire. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Sahnoun I, Racil H, Hfayedh S, Cheikh Rouhou S, Bacha S, Chaouch N, Chabbou A. Les dilatations des bronches diffuses : profil étiologique et fonctionnel. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Ben Salem N, Racil H, Ghorbel D, Cheikhrouhou S, Bacha S, Chaouch N, Chabbou A. Intérêt pronostique des exacerbations chez les BPCO : étude rétrospective de 53 cas. Rev Mal Respir 2013. [DOI: 10.1016/j.rmr.2012.10.248] [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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Salem NB, Racil H, Cheikhrouhou S, Ghorbel D, Chaouch N, Bacha S, Chabbou A. Intérêt pronostique de l’index BODE chez les patients présentant une BPCO : à propos de 53 cas. Rev Mal Respir 2013. [DOI: 10.1016/j.rmr.2012.10.249] [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: 12/01/2022]
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38
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Chaouch N, Mjid M, Brahem E, Zarrouk M, Racil H, Cheikh Rouhou S, Boudaya S, Hantous S, Zakhama B, Chabbou A. [Granulosa cell tracheal tumour: bronchoscopic treatment]. Rev Mal Respir 2012. [PMID: 23200596 DOI: 10.1016/j.rmr.2012.09.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Racil H, Ben Salem N, Chaouch N, Ismail O, Cheikh Rouhou S, Hantous S, Chabbou A. [Silicoproteinosis: a specific clinical and radiological entity]. Rev Mal Respir 2012. [PMID: 23200588 DOI: 10.1016/j.rmr.2012.05.019] [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: 10/27/2022]
Abstract
INTRODUCTION Silicoproteinosis is a rare disease, which can cause the rapid onset of respiratory failure following massive exposure to silica dust. CASE REPORT A 25-year-old patient presented with altered state and dyspnea. The diagnosis of military pulmonary tuberculosis was first considered and antituberculous treatment was started. The diagnosis was reconsidered due to a lack of improvement and the discovery of an 18-month history of exposure to silica. The patient had stopped work 6 months prior to hospitalization. High-resolution CT showed air space condensation associated to centrilobular nodules throughout the lungs and multiple mediastinal lymph nodes, suggesting sarcoidosis. Bronchoalveolar lavage (BAL) suggested the diagnosis of lipoproteinosis. Because of discordance between the bacteriological, radiological and the BAL results, a surgical lung biopsy was performed which led to the diagnoses of a secondary lipoproteinosis. The diagnosis of silicoproteinosis was then considered. Over a one-year follow up, the patient's respiratory failure has progressed markedly despite treatment with corticosteroids. CONCLUSION Silicoproteinosis is a distinct pathological entity, the diagnosis of which depends on clinical and radiological features as well as BAL findings, which may avoid the need for more invasive investigations.
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Affiliation(s)
- H Racil
- Service de pneumologie (pavillon II), UR oncologie thoracique, faculté de médecine de Tunis, université de Tunis El Manar, hôpital Abderrahmen Mami, Ariana, Tunisia.
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Chaouch N, Ferchiou F, Mejid M, Racil H, Zarrouk M, Cheikh-Rouhou S, Ridène I, Chabbou A. [Pain and primary lung cancer in the elderly]. Rev Mal Respir 2012; 29:650-5. [PMID: 22682590 DOI: 10.1016/j.rmr.2012.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2010] [Accepted: 10/24/2011] [Indexed: 11/16/2022]
Abstract
The study of pain in elderly patients with a primary lung cancer (PLC) deserves special attention particularly because this symptom is frequently associated with the condition and influences the management and prognosis. To study the characteristics of pain due to PLC in the elderly, we prospectively evaluated pain in all patients aged over 65 years admitted for PLC. Thirty-nine elderly patients were enrolled in 15 months (62% of all PLC). The average age was 72 years. The cancer was advanced NSCLC in most cases. Pain was present in 74.3%. It was significantly less common among those over 75 years (50% versus 85.1%; P<0.05). The pain, mild in most cases, worsened during follow-up in 55.5%. The last mean visual analogue scale score was significantly lower than the first (1.3 versus 3.6; P=0.001). The pain treatment required was based on level I in 20.6%, level II in 48.2% and level III in 31% of cases. Pain management in the elderly should be early, adequate and continued in order to preserve to a maximum the quality of life of these patients with PLC.
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Affiliation(s)
- N Chaouch
- Service de pneumologie, unité de recherche oncologie thoracique, hôpital A.-Mami, Ariana, Tunisia.
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Zarrouk M, Chaouch N, Cheikhrouhou S, Ayadi A, Smadhi H, Racil H, Marnich K, Chabbou A. [Solitary fibrous tumour of the pleura: about five cases]. Rev Mal Respir 2012; 29:664-72. [PMID: 22682592 DOI: 10.1016/j.rmr.2012.02.008] [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] [Received: 05/29/2011] [Accepted: 10/08/2011] [Indexed: 11/30/2022]
Abstract
BACKGROUND Pleural solitary fibrous tumour (PSFT) is a rare, usually benign tumour, with unpredictable behaviour. PATIENTS AND METHODS Five cases of PSFT were diagnosed in our department over a 12-year period from January 1999 to December 2010. Clinical, radiological, histological, therapeutic and follow-up information were provided in all cases. RESULTS Our series comprised four men and one woman. The mean age of the patients at presentation was 55 years. All patients were symptomatic. Radiologic investigations showed a pleural lesion with a mean size of 10.6cm ranging from 3 to 17cm. Histologic diagnosis was made from resected parietal pleura in three cases and visceral pleura in two cases. The histologic features were suggestive of malignancy in two cases and benign in three cases. Immunohistochemical study showed that the tumour cells expressed vimentin, CD34, CD99 and Bcl2. Complete resection was obtained in all patients. The evolution was marked in the two patients with malignant PSFT by the recurrence of the tumour after 6 and 21 months respectively. Both died from the condition. The three patients with a benign form are disease-free after 3, 11 and 2 and half years of follow-up. CONCLUSIONS PSFT is rare tumour, the diagnosis of which is based on histologic investigations. These tumours require long-term monitoring due to the possibility of local recurrence and malignant transformation.
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Affiliation(s)
- M Zarrouk
- Unité de recherche oncologie thoracique, service de pneumologie, hôpital A. Mami, Ariana, Tunisia.
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Rahmouni N, Chaouch N, Ben Amar A, Zarrouk M, Bacha S, Racil H, Cheikh Rouhou S, Chabbou A. Aspects cliniques de la bronchiolite oblitérante avec pneumonie organisée. Rev Mal Respir 2012. [DOI: 10.1016/j.rmr.2011.10.338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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43
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Cheikh Rouhou S, Bachouch I, Racil H, Chaouch N, Zarrouk M, Salmi L, Chabbou A. [Anaphylaxis due to chicken meat]. Rev Mal Respir 2011; 29:98-100. [PMID: 22240229 DOI: 10.1016/j.rmr.2011.11.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2011] [Accepted: 09/21/2011] [Indexed: 11/28/2022]
Abstract
Acute anaphylaxis due to chicken meat is very rare; only a few cases have been reported in the literature. We report the case of a 13-year-old girl, with a past history of allergic urticaria due to eggs, who presented immediately after ingestion of lightly grilled chicken meat with facial edema, dysphonia, acute dyspnoea and a feeling of suffocation. A few months later, the patient developed asthma in the vicinity of poultry and after contact with chicken feathers.
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Affiliation(s)
- S Cheikh Rouhou
- Service de pneumologie, d'allergologie et d'endoscopie, université Tunis-El Manar, hôpital A. Mami, 20920 Ariana, Tunisie.
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Chaouch N, Mejid M, Zarrouk M, Racil H, Rouhou SC, El Euch G, Chabbou A. [Isoniazid-induced myopathy]. Rev Pneumol Clin 2011; 67:354-358. [PMID: 22137279 DOI: 10.1016/j.pneumo.2010.05.001] [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] [Subscribe] [Scholar Register] [Received: 10/15/2009] [Revised: 05/04/2010] [Accepted: 05/06/2010] [Indexed: 05/31/2023]
Abstract
Drug-induced muscle disorders are now well known and vary from a simple isolated increase in muscle enzymes to severe drug-induced myopathy. The list of drugs inducing myopathy is very long and continues to grow. The onset of muscle disorders under isoniazid often falls within a drug-induced neuropathy or a drug-induced lupus. However, the occurrence of isolated isoniazid-induced drug myopathy without neuropathy is an extremely rare condition especially with non-toxic doses. The authors report the case of a 28-year-old man, without a previous medical history, hospitalized for pulmonary tuberculosis. After initiating tuberculosis treatment for five days, he presented muscle pain, fasciculation and weakness initially involving the lower left limb that quickly propagated to all four limbs. The physical examination noted a left ankle flush, a swollen left calf and fasciculation of both calves while the neurological examination was normal. The CPK was normal. Electromyography confirmed the myopathy without neuropathic findings. Isoniazid withdrawal was marked by the rapid disappearance of the symptoms. The reintroduction of a half-dose of isoniazid only induced a few transitional muscular fasciculations. The onset of the symptoms under tuberculosis treatment, the absence of later muscle disorders, the absence of any other cause of myopathy and the total disappearance of the symptoms after isoniazid withdrawal confirmed the diagnosis of isoniazid-induced myopathy.
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Affiliation(s)
- N Chaouch
- Service de pneumologie, Pavillon, hôpital Abderrahmen Mami, Ariana, Tunisie.
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Chaouch N, Mjid M, Zarrouk M, Rouhou SC, Ammous I, Hantous S, Racil H, Chabbou A. [Erasmus' syndrome with pseudo-tumour masses]. Rev Mal Respir 2011; 28:924-7. [PMID: 21943540 DOI: 10.1016/j.rmr.2011.06.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2010] [Accepted: 02/09/2011] [Indexed: 01/09/2023]
Abstract
INTRODUCTION Erasmus' syndrome involves the association of systemic scleroderma (SS) and exposure to silica. Silicosis may precede the SS but the latter may be the presentation, in which case a history of exposure to silica should be sought as part of the diagnosis. CASE REPORT A 46-year-old man with history of pulmonary tuberculosis presented with dyspnoea and dysphagea. Clinical examination revealed thickening of the facial skin with a pointed nose, erythema and telangiectasia, Raynaud's syndrome and sclerodactyly. A thoracic CT scan revealed bilateral, fibrotic, pseudo-tumoural masses. Antinuclear antibodies, anti-topoisomerase 1 and antihistone were positive. CONCLUSION The clinical presentation of Erasmus' syndrome associating systemic scleroderma and pulmonary pseudo-tumours may pose a problem of differential diagnosis from lung cancer. This condition requires regular clinical and radiological monitoring, particularly as both scleroderma and silicosis increase the risk of lung cancer.
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Affiliation(s)
- N Chaouch
- Service de pneumologie, pavillon 2, hôpital A.-Mami, 2080 Ariana, Tunisie.
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Chaouch N, Alimi F, Kortas C, Limayem F, Braham A, Mlika S, Jerbi S, Ennabli K. [Bilateral popliteal artery complications of multiple hereditary exostosis]. Ann Cardiol Angeiol (Paris) 2011; 60:109-112. [PMID: 21277562 DOI: 10.1016/j.ancard.2010.12.028] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2010] [Accepted: 12/24/2010] [Indexed: 05/30/2023]
Abstract
The osseous exostose is a rare benign tumor of the bone from which the vascular complications can be of venous or arterial order, are translated in various boards. We report the case of a young adult who presents a forgery aneurysm of the right popliteal artery with the popliteal artery booby-trapped to the left. The patient benefited from surgical treatment with good clinical and radiological evolution.
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Affiliation(s)
- N Chaouch
- Service de chirurgie cardiovasculaire et thoracique, CHU Sahloul, Sousse, Tunisie.
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Racil H, Ben Amar J, Rouhou SC, Laaribi G, Ayadi A, Zarrouk M, Chaouch N, Chabbou A. [Haemoptysis revealing tracheobronchial amyloidosis]. Rev Pneumol Clin 2011; 67:109-112. [PMID: 21497726 DOI: 10.1016/j.pneumo.2010.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2009] [Revised: 01/10/2010] [Accepted: 02/08/2010] [Indexed: 05/30/2023]
Abstract
The authors report the case of a 68-year-old man complaining of haemoptysis and breathlessness. Bronchoscopy revealed a budding formation in tracheal bifurcation. Multiple biopsies were performed and concluded as to AL type amyloidosis. Tracheobronchial amyloidosis is an uncommon localised form of amyloidosis that can simulate lung cancer.
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Affiliation(s)
- H Racil
- Service de pneumologie, hôpital Abderrahman Mami, Ariana, Tunisia
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Racil H, Saad S, Ben Amar J, Cheikh Rouhou S, Chaouch N, Zarrouk M, Chabbou A. [Invasive inflammatory pseudotumor of the lung]. Rev Med Interne 2011; 32:e55-8. [PMID: 21396752 DOI: 10.1016/j.revmed.2010.02.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2009] [Revised: 12/22/2009] [Accepted: 02/06/2010] [Indexed: 10/18/2022]
Abstract
Inflammatory pseudotumor of the lung is an uncommon nonneoplastic tumor of unknown origin. It can mimic lung carcinoma. We report a 65-year-old man who presented with productive cough, weight loss, and a heterogeneous right apical lung condensation. This clinical and radiographic presentation suggested a malignant lung tumor. Surgery was performed and the histological examination of the surgical specimen concluded to an inflammatory pseudotumor. A pneumonectomy was performed because of the tumor extension towards the lower lobe and the mediastinum. No recurrence was observed after a 2-year follow-up. Surgery is essential to confirm the diagnosis of inflammatory pseudotumor. Complete resection is the only guarantee to prevent recurrence.
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Affiliation(s)
- H Racil
- Service de pneumologie endoscopie, hôpital Abderrahmane Mami, 2080 Ariana, Tunisie
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Chaouch N, Saad S, Zarrouk M, Racil H, Cheikh Rouhou S, Nefzi K, Ridene I, Ayadi A, Chabbou A. [Diagnostic difficulty in bronchopulmonary tuberculous pseudotumor]. Rev Mal Respir 2011; 28:9-13. [PMID: 21277469 DOI: 10.1016/j.rmr.2010.05.014] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2009] [Accepted: 05/19/2010] [Indexed: 11/16/2022]
Abstract
Pseudotumour is a rare presentation of bronchopulmonary tuberculosis, occurring in immunocompetent patients, which simulates lung cancer and may thus cause diagnostic difficulty. To assess the frequency and clinical features of tuberculous pseudotumour in immunocompetent patients, we analyzed all cases of pulmonary tuberculosis hospitalized in our department. Tuberculous pseudotumour was defined by the presence of a bronchial or pulmonary lesion suggestive of lung cancer. Over a period of 11 years, 12 cases of tuberculous pseudotumour were collected among 341 cases of pulmonary tuberculosis (3.5%). Mean age was 45 years. All patients were smokers. Symptoms were not specific and were dominated by cough and chest pain. Radiological investigations showed consolidation in five cases and a mass lesion in five cases. Fibreoptic bronchoscopy visualized a tumour in four cases and stenosing bronchial wall infiltration in one case. Mean delay to diagnosis was 47 days. The confirmation of tuberculosis was bacteriologic in only three cases but histological in the others (four bronchial biopsies, two transbronchial biopsies, one pleural biopsy, four surgical specimen). The positive diagnosis of tuberculous pseudotumour is difficult because the clinical and radiological presentation may closely mimic lung cancer, especially as the cases are usually smear negative, leading to a very late diagnosis.
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Affiliation(s)
- N Chaouch
- Service de Pneumologie, Pavillon 2, Hôpital A Mami, 2080 Ariana, Tunisie.
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Racil H, Ben Amar J, Cheikh Rouhou S, Ridene I, Zarrok M, Chaouch N, Yalaoui S, Chabbou A. Syndrome de Caplan et Collinet : approche immunologique. Revue Française d'Allergologie 2010. [DOI: 10.1016/j.reval.2009.03.005] [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] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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