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Klisnick A, Souweine B, Gazuy N, Baguet J. Crit Care 2001; 1:P072. [DOI: 10.1186/cc3839] [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: 11/10/2022] Open
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Nicolet L, Heng AE, Souweine B, Mahnès G, Aublet B, Gazuy N, Glanddier PY, Deteix P. Outcome of renal transplant recipients and graft survival in the ICU. Crit Care 2001. [PMCID: PMC3333408 DOI: 10.1186/cc1288] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Mahnès G, Souweine B, Aublet B, Heng AE, Nicolet L, Gazuy N, Deteix P. Outcome prediction in ICU admitted end-stage renal disease patients. Crit Care 2001. [PMCID: PMC3333416 DOI: 10.1186/cc1296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Klisnick A, Soriano C, Stolz A, Schmidt J, Gazuy N, Guillot J, Baguet J. Syndrome paraphalloïdien par ingestion de Lepiota brunneoincarnata. À propos d'un cas d'évolution favorable. ACTA ACUST UNITED AC 2000. [DOI: 10.1016/s1164-6756(00)88958-6] [Citation(s) in RCA: 4] [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: 11/17/2022]
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Souweine B, Traore O, Aublet-Cuvelier B, Badrikian L, Bret L, Sirot J, Gazuy N, Laveran H, Deteix P. Dialysis and central venous catheter infections in critically ill patients: results of a prospective study. Crit Care Med 1999; 27:2394-8. [PMID: 10579254 DOI: 10.1097/00003246-199911000-00012] [Citation(s) in RCA: 44] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To determine the incidence of dialysis catheter (DC)-related infections in intensive care unit (ICU) patients, and to compare the frequency of DC and central venous catheter (CVC) infections in an ICU setting. DESIGN Prospective, descriptive survey. SETTING An adult, 10-bed medical/surgical ICU at a university hospital. PATIENTS A total of 151 DCs and 230 CVCs placed in 170 patients were evaluated. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS Catheter colonization was defined by a quantitative catheter tip culture yielding > or =10(3) colony-forming units/mL, catheter-related bacteremia was defined as catheter colonization and blood culture positive for the same organism, and site infection was defined as the presence of pus at the insertion site. The mean duration of catheterization was 6.8+/-6 days for DCs and 5.9+/-4.6 for CVCs (p = .52). There was no difference between DCs and CVCs in catheter colonization and catheter-related bacteremia incidence rates per 1000 days of catheter use (24.2 vs. 19.8 [p = .46] and 0.96 vs. 1.5 [p = .60], respectively). Site infection was observed in one patient (CVC placement). For DCs and CVCs the duration of catheterization was associated with catheter infection (p = .0007 and p = .04, respectively), but when the catheters were examined over 5-day intervals, the incidence of catheter infections did not increase with duration of catheter use (p = .23 and p = .10, respectively). CONCLUSIONS DC-related infections are associated with DC longevity. As shown by the 5-day-interval analysis, the incidence of DC-related infections did not increase with DC duration, suggesting that the risk for DC-related infections remained unchanged with time. The characteristics of DC-related infections in ICU patients were comparable to those previously reported for CVC-related infections.
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Affiliation(s)
- B Souweine
- Service de Réanimation Polyvalente et Néphrologie, Hôpital Gabriel Montpied, Clermont-Ferrand, France
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Klisnick A, Bibas D, Stolz A, Seifeddine A, Soriano C, Gazuy N, Chambon M, Kemeny JL. [A "vampire" ulcer]. Rev Med Interne 1999; 20 Suppl 2:289s-291s. [PMID: 10422174 DOI: 10.1016/s0248-8663(99)80469-x] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- A Klisnick
- Service de réanimation médicale polyvalente, hôpital Gabriel-Montpied, Clermont-Ferrand
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Klisnick A, Soriano C, Gazuy N, Forestier C, Peigue-Lafeuille H. [Rotavirus infection associated with adult thrombotic microangiopathy]. Presse Med 1999; 28:1287-9. [PMID: 10442058] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/13/2023] Open
Abstract
BACKGROUND A preceding viral syndrome is classically cited as a triggering factor for thrombotic microangiopathy although only anecdotal reports of the causal agent have been documented. CASE REPORT An 84-year-old woman developed thrombotic microangiopathy secondary to diarrhea. An exhaustive etiological work-up documented the presence of Rotavirus alone in the fecal matter. The clinical course was favorable after 9 plasma exchanges using frozen fresh plasma and was associated with disappearance of the Rotavirus. DISCUSSION Enterohemorrhagic Escherichia coli is the most commonly identified infectious agent causing thrombotic microangiopathy. A small number of cases caused by viral agents (particularly retroviruses) have also been documented. To our knowledge, this is the first case attributable to a Rotavirus. In our case, the presence of the Rotavirus in the fecal matter and the favorable clinical course when the virus disappeared would be in favor of its causal role in the pathogenesis of thrombotic micorangiopathy.
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Affiliation(s)
- A Klisnick
- Service de Réanimation médicale polyvalente, CHU Clermont-Ferrand
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Klisnick A, Dechery T, Gazuy N. [Cruralgia paresthetica: an unusual presentation of a ruptured abdominal aortic aneurysm]. Ann Fr Anesth Reanim 1999; 18:281-2. [PMID: 10207606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Klisnick A, Levannier M, Soriano C, Gazuy N, Fourcade J, Forestier C, Souweine B, Baguet JC. [Intestinal complications of thrombotic microangiopathy in the adult. 4 cases and review of the literature]. Ann Med Interne (Paris) 1999; 150:4-9. [PMID: 10093657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
Abstract
We report four cases of adult thrombotic microangiopathy associating diarrhea with severe ischemic colitis. In one case, the intestinal complications was severe and diffuse ischemic colitis, in two cases an inaugural colonic perforation requiring colectomy and in the last case a massive mesenteric infarct. In three cases, histologic examination showed vessel occlusion with microthrombi. Despite treatment with plasma exchange and plasma infusion, death ensued in two cases. Principally described in childhood thrombotic microangiopathy, intestinal complications occur exceptionally in adult thrombotic microangiopathy and are associated with a poor prognosis. Inaugural ischemic colitis revealing an adult thrombotic microangiopathy is also uncommon and thrombotic microangiopathy could be evoked in all patients presenting acute ischemic colitis.
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Affiliation(s)
- A Klisnick
- Service de Néphrologie et de Réanimation Médicale Polyvalente, Hôpital Gabriel-Montpied, Clermont-Ferrand
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Klisnick A, Souweine B, Gazuy N, Schmidt J, Aumaître O, Baguet JC. [Association of acute pericarditis and acute renal insufficiency: causes and prognosis]. Presse Med 1998; 27:1668-73. [PMID: 9834778] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
Abstract
OBJECTIVE To assess the etiologic diagnoses and outcome of acute pericardial effusion associated to acute renal renal failure. PATIENTS AND METHODS A retrospective study from 1978 to 1996 in a 10 bed medical/surgical intensive care unit included 11 patients who have an acute pericardial effusion associated with an acute renal failure. RESULTS Etiological diagnoses were systemic lupus with extracapillary glomerulonephritis (n = 2), systemic fibrosis with obstructive renal failure (n = 2), anticoagulation accident with hemodynamic renal failure (n = 2), lung adenocarcinoma (n = 2), adenocarcinoma of undetermined origin (n = 1), systemic polyarteritis nodosa (n = 1), and Wegener granulomatosis (n = 1). Intensive care unit deaths was 4, including 2 cases of neoplasic origin. DISCUSSION Despite infection or malignancy being claimed as the leading causes of acute pericardial effusion, when associated to acute renal failure other etiologic diagnoses, such connectivite tissue disease or vasculitis, must be evoked that prompt specific treatment and could prevent unfavorable evolution. Neoplasic causes were characterised by receiving pericardial effusion and a high mortality rate.
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Affiliation(s)
- A Klisnick
- Service de Réanimation médicale polyvalente, Hôpital Gabriel-Montpied, Clermont-Ferrand
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Klisnick A, Souweine B, Filaire M, Wauquier JP, Gazuy N, Deteix P, Baguet JC. Peritoneal dialysis in a patient receiving mechanical ventilation in prone position. Perit Dial Int 1998; 18:536-8. [PMID: 9848637] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
Affiliation(s)
- A Klisnick
- Service de Réanimation Médicale Polyvalente, Hôpital Gabriel-Montpied, Clermont-Ferrand, France
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Klisnick A, Nicolet L, Souweine B, Filaire M, Gazuy N, Baguet JC. Péricardite à Achromobacter xylosoxidans : première observation, d'évolution fatale. Rev Med Interne 1998. [DOI: 10.1016/s0248-8663(98)90181-3] [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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Klisnick A, Souweine B, Gazuy N, Baguet JC. Une complication rare de l’hémorragie méningée: l’œdème pulmonaire neurogénique. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80270-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Klisnick A, Souweine B, Fourcade J, Heng AE, Manhes G, Levanier M, Stoltz A, Gazuy N, Baguet JC. [Fever, acute colitis and renal insufficiency in a 44-year-old woman]. Rev Med Interne 1997; 18 Suppl 3:305s-307s. [PMID: 9239389 DOI: 10.1016/s0248-8663(97)80588-7] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- A Klisnick
- Service de réanimation médicale polyvalente, CHRU de Clermont-Ferrand
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Klisnick A, Bibas D, Filaire M, Marques-Verdier A, Gazuy N, Baguet JC. Manifestations digestives inaugurales du syndrome des antiphospholipides: à propos d’une observation. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80665-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Klisnick A, Souweine B, Levanier M, Gazuy N, Baguet JC. Complications intestinales de la microangiopathie thrombotique: à propos de quatre observations. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80033-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Klisnick A, Souweine B, Montetagaud M, Gazuy N. [Acute pancreatitis and Zieve syndrome: an uncommon association]. Ann Med Interne (Paris) 1997; 148:292-3. [PMID: 9255345] [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: 02/05/2023]
Affiliation(s)
- A Klisnick
- Service de Réanimation Médicale Polyvalente, CHU Gabriel-Montpied, Clermont-Ferrand
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Souweine B, Traore O, Badrikian L, Bret L, Gazuy N, Laveran H. Positive cultures of central venous catheter (CVC) in intensive care unit (ICU) patients: results from a prospective survey. Crit Care 1997. [PMCID: PMC3495487 DOI: 10.1186/cc43] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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de Champs C, Henquell C, Guelon D, Sirot D, Gazuy N, Sirot J. Clinical and bacteriological study of nosocomial infections due to Enterobacter aerogenes resistant to imipenem. J Clin Microbiol 1993; 31:123-7. [PMID: 8417016 PMCID: PMC262633 DOI: 10.1128/jcm.31.1.123-127.1993] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Enterobacter aerogenes strains resistant to imipenem were isolated in 10 patients, 7 of whom had received imipenem-cilastatin. The strains were differentiated by biotype, antibiotype, and plasmid content. All of the strains overproduced a chromosomal cephalosporinase and lost a major outer membrane protein with a size of about 40 kDa. In 5 of the 10 patients, E. aerogenes strains resistant to extended-spectrum cephalosporin were isolated during the same stay. In three patients, the similarity between the imipenem-susceptible and -resistant strains suggests the occurrence of mutation and reversion in vivo. The combination imipenem-cilastatin has been critically important for use with multiresistant strains of Enterobacter spp., but its use increases the risk of selection of imipenem-resistant strains.
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Affiliation(s)
- C de Champs
- Service d'Hygiène Hospitalière, Faculté de Médecine, Clermont-Ferrand, France
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Schmidt J, Bangil M, Citron B, Gazuy N, Ristori JM. Tamponnade aiguë fébrile pré-syncopale: une complication rare de la maladie de Wegener. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80288-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Abstract
We conducted a 24-month survey of hospital-acquired rotavirus infections in 20 renal transplant recipients who received their graft during 1988. Four cases of nosocomial rotavirus infection were diagnosed (20% of patients), 3-34 days after graft. Two patients presented with severe diarrhoea and two with fever alone. The cases occurred mainly during the winter months and remained sporadic. None of our patients was found to have chronic excretion of rotaviruses. Contacts from paediatric cases can be ruled out. We concluded that rotavirus nosocomial infections were frequent in adult renal transplant recipients and suggest that screening for rotavirus is regularly performed in these immunodeficient patients who are very susceptible to hypovolaemia.
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Affiliation(s)
- H Peigue-Lafeuille
- Department of Nephrology, Hôpital Saint-Jacques, Clermont-Ferrand, France
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Peigue-Lafeuille H, Gazuy N, Mignot P, Deteix P, Beytout D, Baguet JC. Severe respiratory syncytial virus pneumonia in an adult renal transplant recipient: successful treatment with ribavirin. Scand J Infect Dis 1990; 22:87-9. [PMID: 2320966 DOI: 10.3109/00365549009023124] [Citation(s) in RCA: 29] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Respiratory syncytial virus (RSV) pneumonia may be a severe disease especially in immunocompromised patients. It is quite rare in adults. We report a case of severe RSV pneumonia in a 38-year-old male renal transplant recipient with successful outcome after ribavirin aerosol therapy.
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Affiliation(s)
- H Peigue-Lafeuille
- Department of Clinical Virology, Saint Jacques Hospital, Clermont-Ferrand, France
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De Champs C, Sauvant MP, Chanal C, Sirot D, Gazuy N, Malhuret R, Baguet JC, Sirot J. Prospective survey of colonization and infection caused by expanded-spectrum-beta-lactamase-producing members of the family Enterobacteriaceae in an intensive care unit. J Clin Microbiol 1989; 27:2887-90. [PMID: 2592552 PMCID: PMC267156 DOI: 10.1128/jcm.27.12.2887-2890.1989] [Citation(s) in RCA: 92] [Impact Index Per Article: 2.6] [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: 01/01/2023] Open
Abstract
The occurrence of expanded-spectrum-beta-lactamase-producing strains was prospectively studied in 56 patients in an intensive care unit. Ten patients were infected or colonized; some of these patients had asymptomatic intestinal colonization. Four different expanded-spectrum beta-lactamases were identified and used as epidemiological markers to survey nosocomial infections.
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Affiliation(s)
- C De Champs
- Laboratoire de Bactériologie-Virologie-Hygiène, Faculté de Médecine, France
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Peigue-Lafeuille H, Cluzel P, Deteix P, Chapelle N, Boiteux JP, Gazuy N, Beytout D, Baguet JC. Acute rotavirus gastroenteritis in an adult renal transplant recipient. J Infect Dis 1988; 158:1400. [PMID: 3058824 DOI: 10.1093/infdis/158.6.1400] [Citation(s) in RCA: 2] [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: 01/03/2023] Open
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Giraud G, Deteix P, Cluzel P, Gazuy N, Dastugue B, Baguet JC. [Polymorphism of DNA in renal polycystosis]. Presse Med 1988; 17:698. [PMID: 2966959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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Beytout J, Sirot J, Bedock B, Gazuy N, Colnet G, Chambefort A, Petit M, Rey M. Place de la ceftazidime dans le traitement des infections sévères à bacilles à Gram négatif (d'après une série de 62 cas). Med Mal Infect 1986. [DOI: 10.1016/s0399-077x(86)80220-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Baguet JC, Alphonse JC, Briat C, Pablo E, Gazuy N, Maradeix B, Lavarenne J. [Renal insufficiency and hydroelectrolytic disorders of diuretic treatments (author's transl)]. Therapie 1981; 36:359-64. [PMID: 7292417] [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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