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Robail M, Cariou M, Muller S, Rouzic N, Lorleac’h A. Prise en charge des endocardites infectieuses (EI) dans un centre hospitalier général (CHG). Infect Dis Now 2021. [DOI: 10.1016/j.idnow.2021.06.078] [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]
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Berthe P, Rouzic N, Daelman L, Jacobzone C, Espitia A, Cohen-Aubart F, Haroche J, Émile JF, Lorleac'h A. [Use of targeting therapy in Erdheim-Chester disease: A case report with neurologic involvement]. Rev Med Interne 2020; 41:413-417. [PMID: 32113636 DOI: 10.1016/j.revmed.2020.02.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 06/17/2019] [Revised: 01/07/2020] [Accepted: 02/01/2020] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Erdheim-Chester disease (ECD) is a rare multisystemic disease characterised by an infiltration of various organs by CD68+ CD1a- histiocytes. The clinical and radiological presentation is very variable. CASE REPORT We report the case of a 71-year-old woman with ECD which was revealed by neurological and cutaneous manifestations. The diagnosis was confirmed by skin biopsy and the BRAFV600E mutation was identified in skin tissue, leading to the use of combined therapy targeting the RAS-RAF-ERK-MEK pathway. This therapy allowed an improvement of cutaneous manifestations but neurological manifestations lead to death, underlying their notable severity. CONCLUSION Our case report shows the persistent diagnostic difficulty of the ECD and the particular gravity of neurologic involvement.
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Affiliation(s)
- P Berthe
- Service de médecine interne et maladies infectieuses, groupe hospitalier Bretagne-Sud, 5, avenue de Choiseul, 56322 Lorient, France.
| | - N Rouzic
- Service de médecine interne et maladies infectieuses, groupe hospitalier Bretagne-Sud, 5, avenue de Choiseul, 56322 Lorient, France
| | - L Daelman
- Service de neurologie, groupe hospitalier Bretagne-Sud, 5, avenue de Choiseul, 56322 Lorient, France
| | - C Jacobzone
- Service de dermatologie, groupe hospitalier Bretagne-Sud, 5, avenue de Choiseul, 56322 Lorient, France
| | - A Espitia
- Service de médecine interne, Hôtel-Dieu, CHU de Nantes, place Alexis-Ricordeau, 44093 Nantes, France
| | - F Cohen-Aubart
- Service de médecine interne, hôpital de la Pitié-Salpêtrière, Sorbonne université, Assistance publique-Hôpitaux de Paris, 2, centre national de référence histiocytoses, 75013, Paris, France
| | - J Haroche
- Service de médecine interne, hôpital de la Pitié-Salpêtrière, Sorbonne université, Assistance publique-Hôpitaux de Paris, 2, centre national de référence histiocytoses, 75013, Paris, France
| | - J-F Émile
- Département d'anatomo-pathologie, EA4340, hôpital Ambroise-Paré, université de Versailles, AP-HP, 92104 Boulogne, France
| | - A Lorleac'h
- Service de médecine interne et maladies infectieuses, groupe hospitalier Bretagne-Sud, 5, avenue de Choiseul, 56322 Lorient, France
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Russo D, Lorleac’h A, Rouzic N, Cariou M. La tularémie, une autre étiologie des granulomatoses. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.252] [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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Marquet A, Guiet A, Fontaine E, Aupee M, Rouzic N, Ansart S, Tattevin P, Chacou M, Piriou G. BPC-02 - Formations antibiologie en EHPAD : comment mobiliser les médecins ? Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30319-5] [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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Antri K, Rouzic N, Dauwalder O, Boubekri I, Bes M, Lina G, Vandenesch F, Tazir M, Ramdani-Bouguessa N, Etienne J. High prevalence of methicillin-resistant Staphylococcus aureus clone ST80-IV in hospital and community settings in Algiers. Clin Microbiol Infect 2011; 17:526-32. [PMID: 20518793 DOI: 10.1111/j.1469-0691.2010.03273.x] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
USA300 is an epidemic community-acquired methicillin-resistant Staphylococcus aureus (C-MRSA) clone in the USA, whereas the European C-MRSA clone ST80-IV has mainly a sporadic diffusion in Europe. The prevalence of European clone ST80-IV in Algeria is poorly documented. We prospectively studied S. aureus infections at Mustapha Bacha hospital in Algiers over a 20-month period. S. aureus nasal colonization was studied during a further 6-month period. The European clone ST80-IV was responsible for more than one-third of both community infections (35.7%) and hospital infections (35.8%). Panton-Valentine leukocidin (PVL)-positive MRSA isolated from hospital inpatients were resistant to multiple antibiotics, including fluoroquinolones in 44.9% of cases. The PVL-positive MRSA nasal carriage rate was high among patients and staff in the dermatology unit (8.7% and 18.5%, respectively), but low (2.7%) among patients attending the outpatient clinic. The European PVL-positive C-MRSA clone ST80-IV is widespread in the Algiers hospital and community settings.
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Affiliation(s)
- K Antri
- Centre Hospitalo-Universitaire Mustapha Bacha, Algiers, Algeria Université Lyon 1, Lyon Hospices Civils de Lyon, Bron, France
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Rouzic N, Héry-Arnaud G, Jaffuel S, Garo B, Payan C, Garré M. [Soft tissue infection associated with bacteremia caused by Shewanella putrefaciens]. ACTA ACUST UNITED AC 2011; 60:e27-9. [PMID: 21616609 DOI: 10.1016/j.patbio.2011.04.005] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2010] [Accepted: 04/11/2011] [Indexed: 11/30/2022]
Abstract
Shewanella putrefaciens is rarely involved in human infectious disease. We report here a case of soft tissue infection with bacteremia on a patient with risk factors (liver cirrhosis, diabetes mellitus).
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Affiliation(s)
- N Rouzic
- Service des maladies infectieuses, CHU, université de Bretagne Occidentale, 29609 Brest cedex, France.
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Rouzic N, Tande D, Payan C, Garo B, Garre M, Lejeune B. [Epidemiology of healthcare-associated infections due to MRSA in Brest University Hospital from 2004 to 2007. Impact of hydroalcoholic gel and antibiotics consumptions]. Pathol Biol (Paris) 2011; 59:e1-e5. [PMID: 21295413 DOI: 10.1016/j.patbio.2010.10.001] [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: 03/29/2010] [Accepted: 10/15/2010] [Indexed: 05/30/2023]
Abstract
UNLABELLED The fight against healthcare-associated infections is based on preventive measures of multidrug resistant bacteria diffusion. Hand hygiene is the simplest and the most effective preventive measure to reduce cross-transmission of infectious agents. Hydroalcoholic solutions for hand hygiene was recently introduced in the University Hospital of Brest (France). The aims of the study were: to describe the epidemiology of healthcare-associated infections due to methicillin-resistant Staphylococcus aureus (MRSA); to determine the annual consumptions of antistaphylococcal antibiotics; and to discuss the relation between consumption of antiseptic products or antibiotics and the epidemiology of MRSA. METHODS A retrospective epidemiological and pharmaco-epidemiological study was realized from January 2004 to December 2007 in the University Hospital of Brest (France). It allowed to bring to light the cases of healthcare-associated infections due to MRSA and to quantify the consumptions of hang hygiene products and antistaphylococcal antibiotics. RESULTS this retrospective study showed a decrease of healthcare-associated infections due to MRSA and an increase of the consumption of hydroalcoholic solutions. Antistaphylococcal resistance rates also decreased in a context of fall of the global antibiotics consumption in the hospital.
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Affiliation(s)
- N Rouzic
- Laboratoire d'hygiène hospitalière, service de santé publique, CHU de Brest, université de Bretagne Occidentale, 29609 Brest, France.
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Antri K, Rouzic N, Boubekri I, Dauwalder O, Beloufa A, Ziane H, Djennane F, Neggazi M, Benhabyles B, Bes M, Tazir M, Étienne J, Ramdani-Bouguessa N. Forte prévalence des infections communautaires et nosocomiales à Staphylococus aureus résistant à la méticilline et portant le gène de la leucocidine de Panton-Valentine dans l’Algérois. ACTA ACUST UNITED AC 2010; 58:e15-20. [DOI: 10.1016/j.patbio.2009.07.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2009] [Accepted: 07/12/2009] [Indexed: 12/16/2022]
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Rouzic N, Hery-Arnaud G, Le Berre R, Talour K, Jaffuel S, Ansart S, Garo B. Q-02 Dermohypodermite et bactériémie à Schewanella putrefaciens. Med Mal Infect 2008. [DOI: 10.1016/s0399-077x(08)73209-8] [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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Rouzic N, Faisant M, Scheydeker JL, Collet M, Lejeune B. [Hospital infections in the maternity department at Brest Hospital over a period from 2000 to 2005]. Pathol Biol (Paris) 2008; 56:58-65. [PMID: 18372117 DOI: 10.1016/j.patbio.2007.09.028] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2007] [Accepted: 09/28/2007] [Indexed: 05/26/2023]
Abstract
Hospital infections are at stake in terms of public health. They are responsible for increase in morbidity and involve the community in high costs. Epidemiologic surveillance has been initiated in the departments of gynecology, obstetrics and maternity with a view to making out the rate of hospital-acquired infections and the risk factors associated to them. It is an incidence survey over a period from 2000 to 2005. Surveillance slips are filled in for every childbirth. All suspicions of hospital infections are analysed in morbidity reviews every trimester. A request to the Medical Information Department of the hospital has allowed to look for variables which were not mentioned on the initial questionnaire and so carry out a more complete analysis. The number of hospital infections amounts to 118 over 9526 childbirths, corresponding to an incidence rate of 1.24%. After vaginal delivery the encountered risk factors are: episiotomy or perineal trauma, epidural anesthesia, urinary infection and the use of tools. After a caesarean section the risk factors are: general anesthesia and lack of antibioprophylaxy. The rate of hospital infections in the maternity department at Brest's centre hospitalier universitaire (CHU) during the considered period and the observed tendency to a decreasing of hospital infections over the same period apparently denotes the interest of surveillance in matter of hospital infections in maternity.
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Affiliation(s)
- N Rouzic
- Service de santé publique, évaluation et hygiène hospitalière, CHU Morvan, 2, avenue Foch, 29609 Brest cedex, France.
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