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Martin A, Lepers R, Julliand V, Julliand S. 31 Performance of exercised trotters fed high-cereal or high-alfalfa diets. J Equine Vet Sci 2021. [DOI: 10.1016/j.jevs.2021.103494] [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: 10/21/2022]
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Julliand S, Julliand V, Grimm P. 66 In vitro comparison of six raw materials on gastric ecosystem activity and acidity. J Equine Vet Sci 2021. [DOI: 10.1016/j.jevs.2021.103529] [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: 10/21/2022]
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Buttet M, Omphalius C, Milojevic V, Julliand V, Julliand S. 11 Assessment of the impact of age on fecal microbial ecosystem in horses. J Equine Vet Sci 2021. [DOI: 10.1016/j.jevs.2021.103474] [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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Julliand S, Buttet M, Hermange T, Julliand V. 93 Effect of replacing part of concentrates with pelleted alfalfa on squamous gastric ulcers in exercised trotters. J Equine Vet Sci 2021. [DOI: 10.1016/j.jevs.2021.103556] [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: 10/21/2022]
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Collinet A, Grimm P, Julliand S, Julliand V. Oral administration of antibiotics alters fecal ecosystem of adult horses in the long-term. J Equine Vet Sci 2019. [DOI: 10.1016/j.jevs.2019.03.130] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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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Collinet A, Grimm P, Julliand S, Julliand V. Antibiotics challenge, dysbiosis, and immunoglobulin A response in horses. J Equine Vet Sci 2019. [DOI: 10.1016/j.jevs.2019.03.032] [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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Grimm P, Julliand V, Julliand S. In vitro effect of alfalfa composition on gastric ecosystem activity. J Equine Vet Sci 2019. [DOI: 10.1016/j.jevs.2019.03.106] [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: 10/26/2022]
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Soichot M, Julliand S, Filatriau J, Hurbain A, Bourgogne E, Mihoubi A, Gourlain H, Delhotal-Landes B. Diagnosis of Heroin Overdose in an 8-Year-Old Boy: Reliable Contribution of Toxicological Investigations. J Anal Toxicol 2018; 42:255-264. [PMID: 29301012 DOI: 10.1093/jat/bkx111] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Indexed: 11/12/2022] Open
Abstract
Toxicological investigations are often required by clinicians in comatose patients with suspected poisoning. However, the usefulness of toxicological analyses to support a diagnosis of acute poisoning is debated among clinicians and the interpretation of laboratory tests is challenging given the wide diversity of analytical techniques available. We report the case of an 8-year-old boy who was admitted to an intensive care unit with severe respiratory depression and neurological impairment. In order to formulate appropriate hypothesizes about the diagnosis and circumstances of intoxication, clinicians consulted toxicologists for a comprehensive toxicological screening. Routine blood immunoassays were negative for common toxicants but urine tests were positive for opiates. A general unknown screening using liquid and gas chromatography combined with mass spectrometry detection confirmed the presence of morphine, codeine and related glucuronides metabolites in plasma and urine. Subsequently, morphine and codeine were quantified in plasma samples by online-SPE-LC-MS-MS. In addition, analyses performed with GC-MS and LC-MSn identified compounds used as markers when profiling illicit heroin, namely noscapine, dextromethorphan and codeine. In conjunction with the patient's history, clinical picture and circumstances of intoxication, toxicological findings strongly suggested an acute pediatric opioid overdose as a collateral damage of parental heroin abuse in the home. This case highlights the significant contribution of toxicological investigations in sensitive legal cases and the critical role of communications between clinicians and toxicologists.
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Affiliation(s)
- M Soichot
- Service de Toxicologie, Hôpital Lariboisière, AP-HP, 2 Rue Ambroise Paré, Paris 75010, France
| | - S Julliand
- Service Mobile d'Urgence et de Réanimation (SMUR), Hôpital Robert Debré, AP-HP, 48 Boulevard Sérurier, Paris 75019, France
| | - J Filatriau
- Service de Réanimation Pédiatrique, Hôpital Robert Debré, AP-HP, 48 Boulevard Sérurier, Paris 75019, France
| | - A Hurbain
- Bruker Daltonics, 34 Rue de l'Industrie, Wissembourg 67160, France
| | - E Bourgogne
- Service de Toxicologie, Hôpital Lariboisière, AP-HP, 2 Rue Ambroise Paré, Paris 75010, France.,UMR 8638, Université Paris Descartes, 4 Avenue de l'Observatoire, Paris 75006, France
| | - A Mihoubi
- Service de Toxicologie, Hôpital Lariboisière, AP-HP, 2 Rue Ambroise Paré, Paris 75010, France
| | - H Gourlain
- Service de Toxicologie, Hôpital Lariboisière, AP-HP, 2 Rue Ambroise Paré, Paris 75010, France
| | - B Delhotal-Landes
- Service de Toxicologie, Hôpital Lariboisière, AP-HP, 2 Rue Ambroise Paré, Paris 75010, France
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Julliand S, Martin A, Julliand V. In vitro impact of two commercially available complementary feeds on gastric content buffering capacity. J Equine Vet Sci 2017. [DOI: 10.1016/j.jevs.2017.03.119] [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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Soichot M, Julliand S, Filatriau J, Lehnert A, Desnous B, Laprévote O, Mihoubi A, Bourgogne E, Gourlain H, Delhotal-Landes B. Intoxication sévère aux opiacés chez un enfant de 8ans : la piste de l’héroïne. Toxicologie Analytique et Clinique 2016. [DOI: 10.1016/j.toxac.2016.03.077] [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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Dauger S, Lachaussée N, Angoulvant F, Julliand S, Prot-Labarthe S. [Management of acute asthma]. Arch Pediatr 2016; 22:161-2. [PMID: 26112571 DOI: 10.1016/s0929-693x(15)30080-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- S Dauger
- Service de Réanimation et Surveillance Continue Pédiatriques, Hôpital Robert-Debré, AP-HP, Université Paris Diderot, Paris 7, France.
| | - N Lachaussée
- Service de Réanimation et Surveillance Continue Pédiatriques, Hôpital Robert-Debré, AP-HP, Université Paris Diderot, Paris 7, France
| | - F Angoulvant
- Service des Urgences Pédiatriques Médico-chirurgicales, Hôpital Necker-Enfants Malades, AP-HP, Université René Descartes, Paris 5, France
| | - S Julliand
- Service de Réanimation et Surveillance Continue Pédiatriques, Hôpital Robert-Debré, AP-HP, Université Paris Diderot, Paris 7, France
| | - S Prot-Labarthe
- Service de Pharmacie, Hôpital Robert-Debré, AP-HP, INSERM U1123, ECEVE, France
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Hérissé AL, Hogan J, Lebourgeois F, Julliand S, Dauger S. Intoxication accidentelle au gamma-hydroxybutyrate chez un nourrisson. Arch Pediatr 2016; 23:109. [DOI: 10.1016/j.arcped.2015.10.012] [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] [Received: 06/24/2015] [Accepted: 10/06/2015] [Indexed: 10/22/2022]
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Julliand S, Omphalius C, Orard M, Parodi O, Villot C, Warren H, Julliand V. Relating sensory characteristics with biochemical analyses of hays fed to horses. J Equine Vet Sci 2013. [DOI: 10.1016/j.jevs.2013.03.063] [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: 10/26/2022]
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