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Daboussi S, Saidane A, Mhamdi S, Kacem M, Essbaa S, Aichaouia C, Ghedira H, Gargouri F, Msakni I, Moatemri Z. Case Report: A very rare case of a Pleural Effusion revealing Multiple Myeloma. F1000Res 2023; 12:476. [PMID: 38774309 PMCID: PMC11106595 DOI: 10.12688/f1000research.133007.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/01/2023] [Indexed: 05/24/2024] Open
Abstract
Multiple myeloma is a common malignant bone-based disease. Pleural effusions reported in these patients remain rare. It is commonly due to congestive heart disease, pulmonary embolism, nephrotic syndrome or a second neoplasia. The true myelomatous pleural effusion resulting from a direct tumoral invasion of the pleural are extremely rare. We report here the case of a massive pleural effusion revealing multiple myeloma in a 71-year-old patient. The chest ultrasound showed a massive pleural effusion in the left side with a multinodular thickening of the pleura. The medical thoracoscopy showed a grape-cluster appearance. The diagnosis was made by pleural guided biopsy revealing abnormal plasma cells with an intense positive CD 138 (plasma cell marker) and MUM1 (multiple myeloma oncogene1) staining with a light kappa chain in the protein electrophoresis associated with a myeloma. Unfortunately, our patient died one month after the initial diagnosis. We present also a review of the recent literature in order to highlight the clinical presentations of the myelomatous pleural effusion, the diagnostic tools, the therapeutic strategies as well as the outcomes.
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Affiliation(s)
- Selsabil Daboussi
- Faculty of Medicine, University of Tunis El Manar, Tunis, 1007, Tunisia
- Department of Pneumology, Military Hospital, Tunis, 1008, Tunisia
| | - Asma Saidane
- Faculty of Medicine, University of Tunis El Manar, Tunis, 1007, Tunisia
- Department of Pneumology, Military Hospital, Tunis, 1008, Tunisia
| | - Samira Mhamdi
- Faculty of Medicine, University of Tunis El Manar, Tunis, 1007, Tunisia
- Department of Pneumology, Military Hospital, Tunis, 1008, Tunisia
| | - Marwa Kacem
- Faculty of Medicine, University of Tunis El Manar, Tunis, 1007, Tunisia
- Department of Pneumology, Military Hospital, Tunis, 1008, Tunisia
| | - Samia Essbaa
- Faculty of Medicine, University of Tunis El Manar, Tunis, 1007, Tunisia
- Department of Pneumology, Military Hospital, Tunis, 1008, Tunisia
| | - Chiraz Aichaouia
- Faculty of Medicine, University of Tunis El Manar, Tunis, 1007, Tunisia
- Department of Pneumology, Military Hospital, Tunis, 1008, Tunisia
| | - Hela Ghedira
- Faculty of Medicine, University of Tunis El Manar, Tunis, 1007, Tunisia
- Department of Hematology, Military Hospital, Tunis, 1008, Tunisia
| | - Faten Gargouri
- Faculty of Medicine, University of Tunis El Manar, Tunis, 1007, Tunisia
- Pathology Departmeny, Military Hospital, Tunis, 1008, Tunisia
| | - Issam Msakni
- Faculty of Medicine, University of Tunis El Manar, Tunis, 1007, Tunisia
- Pathology Departmeny, Military Hospital, Tunis, 1008, Tunisia
| | - Zied Moatemri
- Faculty of Medicine, University of Tunis El Manar, Tunis, 1007, Tunisia
- Department of Pneumology, Military Hospital, Tunis, 1008, Tunisia
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Mejri I, Ben Hmida L, Kacem M, Msalmani M, Snène H, Blibech H, Ayadi A, Zaouali J, Moatemri Z. Case Report: The first reported case of pulmonary alveolar proteinosis with myasthenia gravis in a 27-year-old patient. F1000Res 2023; 11:1439. [PMID: 38779463 PMCID: PMC11109554 DOI: 10.12688/f1000research.127299.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/14/2023] [Indexed: 05/25/2024] Open
Abstract
Background: Pulmonary alveolar proteinosis is a very rare diffuse lung disease characterized by the accumulation of amorphous and periodic acid Schiff-positive lipoproteinaceous material in the alveolar spaces due to impaired surfactant clearance by alveolar macrophages. Three main types were identified: Autoimmune, secondary and congenital. Pulmonary alveolar proteinosis has been previously reported to be associated with several systemic auto-immune diseases. Accordingly, we present the first case report of pulmonary alveolar proteinosis associated with myasthenia gravis. Case: A 27-year-old female patient, ex-smoker, developed a dyspnea on exertion in 2020. The chest X-ray detected diffuse symmetric alveolar opacities. Pulmonary infection was ruled out, particularly COVID-19 infection. The chest scan revealed the "crazy paving" pattern. The bronchoalveolar lavage showed a rosy liquid with granular acellular eosinophilic material Periodic acid-Schiff positive. According to the lung biopsy results, she was diagnosed with pulmonary alveolar proteinosis. The granulocyte macrophage colony-stimulating factor autoantibodies were negative. Nine months later, she was diagnosed with bulbar seronegative myasthenia gravis, confirmed with the electroneuromyography with repetitive nerve stimulation showing significant amplitude decrement of the trapezius and spinal muscles. She was treated with pyridostigmine, oral corticosteroids and azathioprine. Given the worsening respiratory condition of the patient, a bilateral whole lung lavage was performed with a partial resolution of symptoms. Thus, this previously unreported association was treated successfully with rituximab, including improvement of dyspnea, diplopia and muscle fatigability at six months of follow-up. Conclusions: This case emphasizes on the possible association of auto-immune disease to PAP, which could worsen the disease course, as the specific treatment does not exist yet. Hence, further studies are needed to establish clear-cut guidelines for PAP management, particularly when associated to auto-immune diseases.
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Affiliation(s)
- Islam Mejri
- Pneumology Department, Military Hospital of Tunis, Montfleury, Tunis, 1008, Tunisia
| | - Lenda Ben Hmida
- Pneumology Department, Military Hospital of Tunis, Montfleury, Tunis, 1008, Tunisia
| | - Maroua Kacem
- Pneumology Department, Military Hospital of Tunis, Montfleury, Tunis, 1008, Tunisia
| | - Mariem Msalmani
- Neurology Department, Military Hospital of Tunis, Montfleury, Tunis, 1008, Tunisia
| | - Houda Snène
- Pneumology Department, Mongi Slim Hospital, La Marsa, Tunis, 2070, Tunisia
| | - Hana Blibech
- Pneumology Department, Mongi Slim Hospital, La Marsa, Tunis, 2070, Tunisia
| | - Aida Ayadi
- Pathology Department, Abderrahmen Mami Hospital, Ariana, 2080, Tunisia
| | - Jamel Zaouali
- Neurology Department, Military Hospital of Tunis, Montfleury, Tunis, 1008, Tunisia
| | - Zied Moatemri
- Pneumology Department, Military Hospital of Tunis, Montfleury, Tunis, 1008, Tunisia
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Daboussi S, Kacem M, Boubaker N, Chaabene M, Aichaouia C, Mhamdi S, Moatemri Z. Dieulafoy's disease of the bronchus: rare but potentially fatal: a case report and a review of literature. J Cardiothorac Surg 2023; 18:207. [PMID: 37403165 DOI: 10.1186/s13019-023-02242-0] [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: 10/08/2022] [Accepted: 04/02/2023] [Indexed: 07/06/2023] Open
Abstract
BACKGROUND Dieulafoy's disease of the bronchus can cause massive and even fatal hemoptysis. Even though it is rare, it should be considered by physicians all over the world. This paper reports a case of bronchial Dieulafoy's disease and summarizes the data of similar cases reported in literature. METHODS We report a case of bronchial Dieulafoy's disease (BDD) in Tunisia. We also present a review of literature related to BDD from 1995 to 2022 using the PubMed, Google Scholar, web of science and Chinese National Knowledge Infrastructure Databases. Clinical characteristics, chest imaging, bronchoscopic and angiographic findings were summarized. Treatment courses were identified as well as patients' outcome. RESULTS We report the case of a 41-year-old man, so far in good health, presenting with massive hemoptysis. Bronchoscopy showed blood clots and a protruding lesion covered by mucosa with a white pointed cap at the entrance of the right upper lobe. Biopsies were not attempted. Embolization of bronchial artery was first realized and was not successful, with post procedure complications. Surgical intervention stopped the bleeding and pathological examination of the resected specimen confirmed Dieulafoy's disease of the bronchus. Ninety cases of BDD were reported from 1995 to 2022. The main symptom was hemoptysis. Chest imaging findings were not specific. The diagnosis of BDD was mainly based on the bronchoscopy, branchial angiography and pathological findings or surgical specimens. Bronchoscopy findings were mostly nodular or prominent lesions (52.4%). Twenty-eight patients underwent bronchoscopic biopsies, 20 had massive bleeding and 10 died. Bronchial angiography mainly showed tortuous and dilation of bronchial artery, and the lesions were mainly located in the right bronchus. Selective bronchial artery embolization (SBAE) was performed in 32 patients and 39 patients underwent surgery. CONCLUSION To our knowledge, this is the first case of bronchial Dieulafoy's disease to be reported in Tunisia and North Africa. When the diagnosis is suspected, bronchoscopic biopsy should be avoided as it might lead to fatal hemorrhage. Selective bronchial artery embolization can stop the bleeding, but surgery can be required.
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Affiliation(s)
- Salsabil Daboussi
- The pulmonology department of the military hospital of Tunis, Tunis, Tunisia.
| | - Marwa Kacem
- The pulmonology department of the military hospital of Tunis, Tunis, Tunisia
| | - Nouha Boubaker
- The pulmonology department of the military hospital of Tunis, Tunis, Tunisia
| | - Mariem Chaabene
- The pulmonology department of the military hospital of Tunis, Tunis, Tunisia
| | - Chiraz Aichaouia
- The pulmonology department of the military hospital of Tunis, Tunis, Tunisia
| | - Samira Mhamdi
- The pulmonology department of the military hospital of Tunis, Tunis, Tunisia
| | - Zied Moatemri
- The pulmonology department of the military hospital of Tunis, Tunis, Tunisia
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Dhahri R, Mejri I, Ghram A, Dghaies A, Slouma M, Boussaid S, Metoui L, Gharsallah I, Ayed K, Moatemri Z, Farahat RA, AlHamdani A, Dergaa I. Assessment Tools for Pulmonary Involvement in Patients with Ankylosing Spondylitis: Is Diaphragmatic Ultrasonography Correlated to Spirometry? J Multidiscip Healthc 2023; 16:51-61. [PMID: 36660040 PMCID: PMC9843477 DOI: 10.2147/jmdh.s393061] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 12/23/2022] [Indexed: 01/12/2023] Open
Abstract
Objective Spondyloarthritis (SpA) is a chronic inflammatory rheumatic disease that can lead to spinal ankylosis and consequently, restrictive pulmonary dysfunction. Thus, the present study aimed to assess the accuracy of diaphragm ultrasound compared to spirometry in the screening of restrictive pulmonary disorders in radiographic SpA patients. Methods We conducted a cross-sectional study of 50 patients with radiographic SpA, over six months. Sociodemographic data, clinical characteristics of the disease, as well as biological, radiological, and therapeutic data, were collected. Spirometry and diaphragm ultrasound were performed. Results The mean age of the study participants (N= 50) was 42.7±11 years [range: 25-66] with male predominance (N= 41). Spirometry showed a restrictive disorder in 32% of cases. The mean chest expansion (CE) value was 3.9±1.81cm [range: 1-9] with a median of 4 cm. A pathological value (<5cm) was observed in 72% of cases. A significant positive correlation was found between the right inspiratory diaphragmatic thickness and forced vital capacity (FVC) (r= 0.36; p = 0.02) and the supine FVC (r=0.29; p = 0.04). The left inspiratory diaphragmatic thickness was correlated with the percentage of the FVC decrease (r= 0.35; p = 0.01) defined as the percentage of difference between FVC and supine FVC. The right expiratory diaphragmatic thickness was associated with the FVC (r=0.32; p = 0.02). A significant positive correlation was found between the CE and the presence of B lines (r=0.32; p = 0.02), but not between the CE and the FVC. Conclusion The present study showed that diaphragm ultrasonography is correlated with spirometric findings in radiographic SpA patients. Further studies are required to assess its reliability, specificity, and sensitivity in this pathology.
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Affiliation(s)
- Rim Dhahri
- Department of Rheumatology, Military Hospital of Instruction, Tunis, Tunisia,University of Tunis el Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Islam Mejri
- University of Tunis el Manar, Faculty of Medicine of Tunis, Tunis, Tunisia,Department of Pneumology, Military Hospital of instruction, Tunis, Tunisia
| | - Amine Ghram
- Department of Pneumology, Military Hospital of instruction, Tunis, Tunisia,Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA,Research Laboratory “Heart Failure, LR12SP09”, Hospital Farhat HACHED of Sousse, Sousse, Tunisia
| | - Abir Dghaies
- Department of Rheumatology, Military Hospital of Instruction, Tunis, Tunisia,University of Tunis el Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Marwa Slouma
- Department of Rheumatology, Military Hospital of Instruction, Tunis, Tunisia,University of Tunis el Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Soumaya Boussaid
- University of Tunis el Manar, Faculty of Medicine of Tunis, Tunis, Tunisia,Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA,Department of Rheumatology, Rabta Hospital, Tunis, Tunisia
| | - Leila Metoui
- Department of Rheumatology, Military Hospital of Instruction, Tunis, Tunisia,University of Tunis el Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Imen Gharsallah
- Department of Rheumatology, Military Hospital of Instruction, Tunis, Tunisia,University of Tunis el Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Khadija Ayed
- University of Tunis el Manar, Faculty of Medicine of Tunis, Tunis, Tunisia,Aviation Medicine Center of Expertise, Tunis, Tunisia
| | - Zied Moatemri
- University of Tunis el Manar, Faculty of Medicine of Tunis, Tunis, Tunisia,Department of Pneumology, Military Hospital of instruction, Tunis, Tunisia
| | | | | | - Ismail Dergaa
- Primary Health Care Corporation (PHCC), Doha, Qatar,Research Unit Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia,High Institute of Sport and Physical Education, University of Sfax, Sfax, Tunisia,Correspondence: Ismail Dergaa, Primary Health Care Corporation (PHCC), Doha, Qatar, Email ;
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Yacoub A, Ayadi A, Ayed W, Ayari S, Chebbi S, Magroun I, Ben Afia L, Mersni M, Mechergui N, Brahim D, Ben Said H, Bahri G, Youssef I, Ladhari N, Mziou N, Grassa A, M'rad M, Khessairi N, Krir A, Chihaoui M, Mahjoub S, Bahlous A, Jridi M, Cherif Y, Derbal S, Chebbi D, Hentati O, Ben Dahmen F, Abdallah M, Hamdi I, Sahli F, Ouerdani Y, Mnekbi Y, Abaza H, Ajmi M, Guedria A, Randaline A, Ben Abid H, Gaddour N, Maatouk A, Zemni I, Gara A, Kacem M, Maatouk I, Ben Fredj M, Abroug H, Ben Nasrallah C, Dhouib W, Bouanene I, Sriha A, Mahmoudi M, Gharbi G, Khsiba A, Azouz M, Ben Mohamed A, Yakoubi M, Medhioub M, Hamzaoui L, Azouz M, Ben Attig Y, Hamdi S, Essid R, Ben Jemia E, Rezgui B, Boudaya MS, Hassine H, Dabbabi H, Fradi Y, Cherif D, Lassoued I, Yacoub H, Kchir H, Maamouri N, Khairi W, Ben Ammar H, Abaza H, Chelbi E, Merhaben S, Neffati W, Ajmi M, Tarchalla S, Boughzala S, Gazzeh M, Gara S, Labidi A, Touati H, Nefzi AM, Ben Mustpha N, Fekih M, Serghini M, Boubaker J, Zouiten L, Driss A, Meddeb N, Driss I, Walha S, Ben Said H, Bel Hadj Mabrouk E, Zaimi Y, Mensi A, Trad N, Ayadi S, Said Y, Mouelhi L, Dabbèche R, Belfkih H, Bani M, Moussa A, Souissi S, Trabelsi Werchfeni B, Chelly S, Ezzi O, Ammar A, Besbes M, Njah M, Mahjoub M, Ghali H, Neffati A, Bhiri S, Bannour R, Ayadi S, Khouya FE, Kamel A, Hariz E, Aidani S, Kefacha S, Ben Cheikh A, Said H, Dogui S, Atig A, Gara A, Ezzar S, Ben Fradj M, Bouanène I, M'kadmi H, Farhati M, Dakhli N, Nalouti K, Chanoufi MB, Abouda SH, Louati C, Zaaimi Y, Dabbeche R, Hermi A, Saadi A, Mokaddem S, Boussaffa H, Bellali M, Zaghbib S, Ayed H, Bouzouita A, Derouiche A, Allouche M, Chakroun M, Ben Slama R, Gannoun N, Kacem I, Tlili G, Kahloul M, Belhadj Chabbah N, Douma F, Bouhoula M, Chouchene A, Aloui A, Maoua M, Brahem A, Kalboussi H, El Maalel O, Chatti S, Jaidane M, Naija W, Mrizek N, Sellami I, Feki A, Hrairi A, Kotti N, Baklouti S, Jmal Hammami K, Masmoudi ML, Hajjaji M, Naaroura A, Ben Amar J, Ouertani H, Ben Moussa O, Zaibi H, Aouina H, Ben Jemaa S, Gassara Z, Ezzeddine M, Kallel MH, Fourati H, Akrout R, Kallel H, Ayari M, Chehaider A, Souli F, Abdelaali I, Ziedi H, Boughzala C, Haouari W, Chelli M, Soltani M, Trabelsi H, Sahli H, Hamdaoui R, Masmoudi Y, Halouani A, Triki A, Ben Amor A, Makni C, Eloillaf M, Riahi S, Tlili R, Jmal L, Belhaj Ammar L, Nsibi S, Jmal A, Boukhzar R, Somai M, Daoud F, Rachdi I, Ben Dhaou B, Aydi Z, Boussema F, Frikha H, Hammami R, Ben Cheikh S, Chourabi S, Bokri E, Elloumi D, Hasni N, Hamza S, Berriche O, Dalhoum M, Jamoussi H, Kallel L, Mtira A, Sghaier Z, Ghezal MA, Fitouri S, Rhimi S, Omri N, Rouiss S, Soua A, Ben Slimene D, Mjendel I, Ferchichi I, Zmerli R, Belhadj Mabrouk E, Debbeche R, Makhloufi M, Chouchane A, Sridi C, Chelly F, Gaddour A, Kacem I, Chatti S, Mrizak N, Elloumi H, Debbabi H, Ben Azouz S, Marouani R, Cheikh I, Ben Said M, Kallel M, Amdouni A, Rejaibi N, Aouadi L, Zaouche K, Khouya FE, Aidani S, Khefacha S, Jelleli N, Sakly A, Zakhama W, Binous MY, Ben Said H, Bouallegue E, Jemmali S, Abcha S, Wahab H, Hmida A, Mabrouk I, Mabrouk M, Elleuch M, Mrad M, Ben Safta N, Medhioub A, Ghanem M, Boughoula K, Ben Slimane B, Ben Abdallah H, Bouali R, Bizid S, Abdelli MN, Ben Nejma Y, Bellakhal S, Antit S, Bourguiba R, Zakhama L, Douggui MH, Bahloul E, Dhouib F, Turki H, Sabbah M, Baghdadi S, Trad D, Bellil N, Bibani N, Elloumi H, Gargouri D, Ben Said M, Hamdaoui R, Chokri R, Kacem M, Ben Rejeb M, Miladi A, Kooli J, Touati S, Trabelsi S, Klila M, Rejeb H, Kammoun H, Akrout I, Greb D, Ben Abdelghaffar H, Hassene H, Fekih L, Smadhi H, Megdiche MA, Ksouri J, Kasdalli H, Hayder A, Gattoussi M, Chérif L, Ben Saida F, Gueldich M, Ben Jemaa H, Dammak A, Frikha I, Saidani A, Ben Amar J, Aissi W, Chatti AB, Naceur I, Ben Achour T, Said F, Khanfir M, Lamloum M, Ben Ghorbel I, Houman M, Cherif T, Ben Mansour A, Daghfous H, Slim A, Ben Saad S, Tritar F, Naffeti W, Abdellatif J, Ben Fredj M, Selmi M, Kbir GH, Maatouk M, Jedidi L, Taamallah F, Ben Moussa M, Halouani L, Rejeb S, Khalffalah N, Ben Ammar J, Hedhli S, Azouz MM, Chatti S, Athimni Z, Bouhoula M, Elmaalel O, Mrizak N, Maalej M, Kammoun R, Gargouri F, Sallemi S, Haddar A, Masmoudi K, Oussaifi A, Sahli A, Bhouri M, Hmaissi R, Friha M, Cherif H, Baya C, Triki M, Yangui F, Charfi MR, Ben Hamida HY, Karoui S, Aouini F, Hajlaoui A, Jlassi H, Sabbah M, Fendri MN, Kammoun N, Fehri S, Nouagui H, Harzalli A, Snène H, Belakhal S, Ben Hassine L, Labbene I, Jouini M, Kalboussi S, Ayedi Y, Harizi C, Skhiri A, Fakhfakh R, Jelleli B, Belkahla A, Fejjeri M, Zeddini M, Mahjoub S, Nouira M, Frih N, Debiche S, Blibech H, Belhaj S, Mehiri N, Ben Salah N, Louzir B, Kooli J, Bahri R, Chaka A, Abdenneji S, Majdoub Fehri S, Hammadi J, Dorgham D, Hriz N, Kwas H, Issaoui N, Jaafoura S, Bellali H, Shimi M, Belhaj Mabrouk E, Sellami R, Ketata I, Medi W, Mahjoub M, Ben Yacoub S, Ben Chaabene A, Touil E, Ben Ayed H, Ben Miled S, El Zine E, Khouni H, Ben Kadhi S, Maatoug J, Boulma R, Rezgui R, Boudokhane M, Jomni T, Chamekh S, Aissa S, Touhiri E, Jlaiel N, Oueslati B, Maaroufi N, Aouadi S, Belkhir S, Daghfous H, Merhaben S, Dhaouadi N, Ounaes Y, Chaker K, Yaich S, Marrak M, Bibi M, Mrad Dali K, Sellami A, Nouira Y, Sellami S, Anane I, Trabelsi H, Ennaifer R, Benzarti Z, Bouchabou B, Hemdani N, Nakhli A, Cherif Y, Abdelkef M, Derbel K, Barkous B, Yahiaoui A, Sayhi A, Guezguez F, Rouatbi S, Racil H, Ksouri C, Znegui T, Maazaoui S, Touil A, Habibech S, Chaouech N, Ben Hmid O, Ismail S, Chouaieb H, Chatti M, Guediri N, Belhadj Mohamed M, Bennasrallah C, Bouzid Y, Zaouali F, Toumia M, El Khemiri N, El Khemiri A, Sfar H, Farhati S, Ben Chehida F, Yamoun R, Braham N, Hamdi Y, Ben Mansour A, Mtir M, Ayari M, Toumia M, Rouis S, Sakly H, Nakhli R, Ben Garouia H, Chebil D, Hannachi H, Merzougui L, Samet S, Hrairi A, Mnif I, Hentati O, Bouzgarrou L, Souissi D, Boujdaria R, Kadoussi R, Rejeb H, Ben Limem I, Ben Salah I, Greb D, Ben Abdelghaffar H, Smadhi H, Laatiri H, Manoubi SA, Gharbaoui M, Hmandi O, Zhioua M, Taboubi F, Hamza Y, Hannach W, Jaziri H, Gharbi R, Hammami A, Dahmani W, Ben Ameur W, Ksiaa M, Ben Slama A, Brahem A, Elleuch N, Jmaa A, Kort I, Jlass S, Benabderrahim S, Turki E, Belhaj A, Kebsi D, Ben Khelil M, Rmadi N, Gamaoun H, Alaya Youzbechi F, Brahim T, Boujnah S, Abid N, Gader N, Kalboussi S, Ben Sassi S, Loukil M, Ghrairi H, Ben Said N, Mrad O, Ferjaoui M, Hedhli L, Ben Kaab B, Berriche A, Charfi R, Mourali O, Smichi I, Bel Haj Kacem L, Ksentini M, Aloui R, Ferchichi L, Nasraoui H, Maoua M, Chérif F, Belil Y, Ayed MA, Alloulou Y, Belhadj S, Daghfous J, Mehiri N, Louzir B, Abbes A, Ghrab A, Chermiti A, Akacha A, Mejri O, Debbiche A, Yahiaoui C, Binous M, Tissaoui A, Mekni K, El Fekih C, Said MA, Chtioui S, Mestiri S, Smaoui H, Ben Hamida S, Haddar A, Mrizek N, Gares N, Zaibi A, Bouazizi N, Gallas S, Lachhab A, Belhadj M, Hadj Salem N, Garrouch A, Mezgar Z, Khrouf M, Abbassi H, Souissi D, Hamra I, Ben Mustapha N, Abessi I, Boubaker F, Bouchareb S, ElOmma Mrabet H, Touil I, Boussoffara L, Knani J, Boudawara N, Alaya W, Sfar MH, Fekih S, Snène H, Boudawara N, Gargouri I, Benzarti W, Knaz A, Abdelghani A, Aissa S, Hayouni A, Mejri I, Kacem M, Mhamdi S, Daboussi S, Aichaouia C, Moatemri Z, Chaachou A, Fsili R, Ben Ghezala H, Ben Jazia A, Brahmi N. 2022 TUNISIAN NATIONAL CONGRESS OF MEDICINE ABSTRACTS. Tunis Med 2023; 101:62-64. [PMID: 37682263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Indexed: 09/09/2023]
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Guediri N, Mejri I, Boubaker N, Mhamdi S, Daboussi S, Aichaouia C, Messaoudi H, Ayadi A, Moatemri Z. Spontaneous Resolution of a Pulmonary Cystic Amyloidosis Mass. Eur J Case Rep Intern Med 2022; 9:003586. [PMID: 36506737 PMCID: PMC9728224 DOI: 10.12890/2022_003586] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Accepted: 11/03/2022] [Indexed: 12/03/2022] Open
Abstract
Introduction Amyloidosis is a rare illness characterized by the deposition in organs of amyloid, which can be detected by histological staining. Amyloidosis restricted to the lower respiratory tract is unusual. Results We reported the case of a 68-year-old woman with no history of chronic diseasewho presented with dyspnoea on exertion, cough and fatigue. The physical examination was unremarkable. A CT scan showed a cystic mass with a thickened wall in the apical segment of the left lower lobe. A biopsy of the mass was performed, and histological and immunohistochemical study confirmed the diagnosis of AL amyloidosis. The patient's clinical and radiological symptoms spontaneously improved without treatment after 3 years. Conclusion Amyloid-related cystic lung disease is a rare presentation of amyloidosis in the thorax. More case reports are required to determine if such masses can resolve without treatment and whether amyloid-associated cystic lung disease actually exists. LEARNING POINTS Dyspnoea and cough are a rare atypical presentation that can reveal pulmonary amyloidosis.A cystic lung mass should raise suspicion for pulmonary amyloidosis.Clinical symptoms and radiological findings of a cystic mass spontaneously resolved without treatment after 3 years in this patient with pulmonary amyloidosis.
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Affiliation(s)
- Nouha Guediri
- Pulmonology Department, Military Hospital of Tunis, Tunisia
| | - Islam Mejri
- Pulmonology Department, Military Hospital of Tunis, Tunisia
| | - Nouha Boubaker
- Pulmonology Department, Military Hospital of Tunis, Tunisia
| | - Samira Mhamdi
- Pulmonology Department, Military Hospital of Tunis, Tunisia
| | | | | | | | - Aida Ayadi
- Anatomo-Pathology Department, Abdurrahman Mami Hospital, Ariana, Tunisia
| | - Zied Moatemri
- Pulmonology Department, Military Hospital of Tunis, Tunisia
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Mejri I, Saidane A, Boubaker N, Mhamdi S, Daboussi S, Aichaouia C, Moatemri Z. A recurrent side-changing febrile pleural effusion revealing familial Mediterranean fever: a case report. Pan Afr Med J 2022; 43:121. [PMID: 36762168 PMCID: PMC9883795 DOI: 10.11604/pamj.2022.43.121.33324] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 10/20/2022] [Indexed: 11/06/2022] Open
Abstract
Familial Mediterranean Fever (FMF), characterized by recurrent polyserositis, is an autosomal recessive disease involving essentially Mediterranean populations. We report the case of a 30-year-old Tunisian military patient complaining of fever and chest pain recurring on board a Navy military vessel, due to side-changing pleural effusion. On landing, a marked improvement of symptoms was noticed. Gene testing was performed when the diagnostic survey ruled out common etiologies, revealing a homozygous mutation of the FMF gene type M680l/M680l. The prescription of colchicine and the exemption from boarding led to the resolution of the symptoms with no recurrence of pleural effusion. Therefore, the diagnosis of FMF should be considered in a context of a recurrent pleural effusion in the youth, with a negative etiological assessment, notably in an ethnic group at risk. Thus, early diagnosis and adequate treatment may prevent the development of secondary amyloidosis, a serious complication of FMF.
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Affiliation(s)
- Islam Mejri
- Military Hospital, Department of Pulmonology, Tunis, Tunisia,,University of Tunis El Manar, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia,Corresponding author: Islam Mejri, Military Hospital, Department of pulmonology, Tunis, Tunisia.
| | - Asma Saidane
- Military Hospital, Department of Pulmonology, Tunis, Tunisia
| | - Nouha Boubaker
- Military Hospital, Department of Pulmonology, Tunis, Tunisia
| | - Samira Mhamdi
- Military Hospital, Department of Pulmonology, Tunis, Tunisia,,University of Tunis El Manar, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia
| | - Selsabil Daboussi
- Military Hospital, Department of Pulmonology, Tunis, Tunisia,,University of Tunis El Manar, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia
| | - Chiraz Aichaouia
- Military Hospital, Department of Pulmonology, Tunis, Tunisia,,University of Tunis El Manar, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia
| | - Zied Moatemri
- Military Hospital, Department of Pulmonology, Tunis, Tunisia,,University of Tunis El Manar, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia
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Mejri I, Ben Hmida L, Bedoui I, Znegui T, Kacem M, Moatemri Z, Derbali H, Jammeli S, Fekih Mrissa N. Parsonage-Turner syndrome of the brachial plexus secondary to COVID-19 vaccine: A case report. Clin Case Rep 2022; 10:e6483. [PMID: 36276907 PMCID: PMC9582668 DOI: 10.1002/ccr3.6483] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 09/22/2022] [Accepted: 09/27/2022] [Indexed: 11/08/2022] Open
Abstract
Parsonage-Turner syndrome (PTS) is a peripheral inflammatory neuropathy of unknown etiology. We present a rare case of a 50-year-old male patient with PTS post-COVID-19 BNT162b2 mRNA vaccine. Symptoms occurred 15 days after the second dose. He was treated with corticosteroids, analgesics, and physical rehabilitation with a partial recovery.
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Affiliation(s)
- Islam Mejri
- Pneumology DepartmentMilitary Hospital of TunisTunisTunisia,Faculty of Medicine of TunisUniversity Tunis El ManarTunisTunisia
| | - Lenda Ben Hmida
- Pneumology DepartmentMilitary Hospital of TunisTunisTunisia,Faculty of Medicine of TunisUniversity Tunis El ManarTunisTunisia
| | - Ines Bedoui
- Faculty of Medicine of TunisUniversity Tunis El ManarTunisTunisia,Neurology DepartmentMilitary Hospital of TunisTunisTunisia
| | - Tasnim Znegui
- Pneumology DepartmentMilitary Hospital of TunisTunisTunisia,Faculty of Medicine of TunisUniversity Tunis El ManarTunisTunisia
| | - Maroua Kacem
- Pneumology DepartmentMilitary Hospital of TunisTunisTunisia,Faculty of Medicine of TunisUniversity Tunis El ManarTunisTunisia
| | - Zied Moatemri
- Pneumology DepartmentMilitary Hospital of TunisTunisTunisia,Faculty of Medicine of TunisUniversity Tunis El ManarTunisTunisia
| | - Hajer Derbali
- Faculty of Medicine of TunisUniversity Tunis El ManarTunisTunisia,Neurology DepartmentMilitary Hospital of TunisTunisTunisia
| | - Samia Jammeli
- Faculty of Medicine of TunisUniversity Tunis El ManarTunisTunisia,Department of RheumatologyRabta HospitalTunisTunisia
| | - Nejiba Fekih Mrissa
- Faculty of Medicine of TunisUniversity Tunis El ManarTunisTunisia,Molecular Biology Unit (UR17DN06), Laboratory of HematologyMilitary Hospital of TunisTunisTunisia
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Mejri I, Youssfi I, Znegui T, Mechergui N, El Kefi H, Hammami R, Chenik S, Ben Mansour A, Ben Saad S, Moatemri Z. Mental health status of healthcare workers at a third line Tunisian hospital during COVID-19 pandemic. Tunis Med 2022; 100:670-675. [PMID: 36571751 PMCID: PMC9833317] [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] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
INTRODUCTION During the COVID-19(coronavirus-19 disease) pandemic, health care workers (HCWs) faced the risk of infection and distressing work to meet health requirements. The aim of the present stud ywas to evaluate perceptions of HCWs of their security at work in COVID-19 units and their coping strategies, at the military hospital of Tunis, during the second wave of COVID-19. METHODS A cross-sectional study was conducted via an auto-questionnaire on February 2021.HCWs of the military hospital of Tunis were included. Participants were asked about their perceived security at work in COVID-19 units and their coping behaviors. Mental disorders were assessed, via qualitative questionnaires. RESULTS A total of 110 HCWs' responses were collected. Fifty-eight participants (52.7%) were females. The mean age was 33.7 years (SD 9.3). They were doctors at 45.5% and nurses at 39.1%. HCWs declared having worked in COVID-19 units in 81.8% of cases. The participants reported their fears about being infected in 58.2% and infecting family members in 85.5% of cases. Protective factors included information about the disease (80%), availability of personal protective equipment (PPE) (80.9%), support from colleagues(72.7%)or superiors at work (50.9%), and ability to communicate with others (63.6%). Depression, anxiety, and insomnia were found in respectively 25.5%, 30%, and 41.8% of HCWs. In multivariate analysis, suffering from a traumatic distress was significantly associated with anxiety and depression (p (p<0.01 and, p<0.05 respectively). In addition, insomnia severity was linked to age (p=0.05) and having colleagues infected with COVID-19 (p<0.05). CONCLUSION In the present study, HCWs of the military hospital of Tunis stated having high levels of insomnia, anxiety, and depression since the early outbreak of the COVID-19 pandemic. These mental disorders may have a negative impact on the quality of life of HCWs and should be enhanced by psychological support and preventive measures.
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Affiliation(s)
- Islam Mejri
- 1. Pneumology Department, Military Hospital of Tunis, Tunis, Tunisia / Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Imen Youssfi
- 2. Occupational Health Department, Charles Nicolle Hospital of Tunis, Tunis, Tunisia, / Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Tasnim Znegui
- 1. Pneumology Department, Military Hospital of Tunis, Tunis, Tunisia / Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Nejla Mechergui
- 2. Occupational Health Department, Charles Nicolle Hospital of Tunis, Tunis, Tunisia, / Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Hamdi El Kefi
- 3. Psychiatry Department, Military Hospital of Tunis, Tunis, Tunisia / Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Rim Hammami
- 4. Emergency Department, Military Hospital of Tunis, Tunis, Tunisia / Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Sarra Chenik
- 5. Cardiology Department, Military Hospital of Tunis, Tunis, Tunisia / Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Ameni Ben Mansour
- 6. Pneumology C Department, AbderrahmenMami Hospital of Ariana, Tunisia / Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Soumaya Ben Saad
- 6. Pneumology C Department, AbderrahmenMami Hospital of Ariana, Tunisia / Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Zied Moatemri
- 1. Pneumology Department, Military Hospital of Tunis, Tunis, Tunisia / Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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Meijri I, Boubaker N, Znegui T, Daboussi S, Aichaouia C, Mhamdi S, Moatemri Z. Massive Haemoptysis Treated with Bronchial Artery Embolisation in COVID-19 Infection. Eur J Case Rep Intern Med 2022; 9:003475. [PMID: 36093306 PMCID: PMC9451510 DOI: 10.12890/2022_003475] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Accepted: 07/14/2022] [Indexed: 11/05/2022] Open
Abstract
Background: Massive haemoptysis is a rare symptom ofcoronavirus disease 2019 (COVID-19). Management can be very challenging due to the lack of clear recommendations. Case description: We report a case of massive recurrent haemoptysis in a young patient who tested positive for COVID-19 with successful management using endovascular embolization. Discussion: Life-threatening massive haemoptysis has rarely been reported as the only manifestation of COVID-19. Embolisation was the therapeutic option chosen to manage this emergency.
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Affiliation(s)
- Islam Meijri
- Pneumology Department, Military Hospital, Tunis, Tunisia
| | - Nouha Boubaker
- Pneumology Department, Military Hospital, Tunis, Tunisia
| | - Tasnim Znegui
- Pneumology Department, Military Hospital, Tunis, Tunisia
| | | | | | - Samira Mhamdi
- Pneumology Department, Military Hospital, Tunis, Tunisia
| | - Zied Moatemri
- Pneumology Department, Military Hospital, Tunis, Tunisia
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Znegui T, Mejri I, Hamami R, Daboussi S, Mhamdi S, Moatemri Z. Precision of pleural puncture sites using thoracic ultrasound. Tunis Med 2022; 100:642-646. [PMID: 36571732 PMCID: PMC9940760] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
INTRODUCTION Lung ultrasound (LUS) has been recommended by the British Thoracic Society as a standard of care before performing pleural procedures since 2010. Indeed, the choice of the puncture site based only on physical examination and chest x-ray can lead to complications. The aim of this study was to compare the accuracy of pleural puncture sites using LUS as opposed to clinical examination. METHODS An evaluative prospective study including 43 patients hospitalized in the pneumology department at the Military Hospital of Tunis was conducted between January and November 2021.Pleural puncture sites were proposed by two groups involving 'senior' and 'junior' physicians, classified according to their experience and grades, based on the clinical examination and the chest x-ray findings. The accuracy of the proposed sites was then verified by an ultrasound-qualified "expert" using LUS. RESULTS The mean age was 60 ± 17 years. LUS revealed the presence of pleural effusion in 88% of the cases (n=38). Differential diagnosis was therefore excluded in 12% of the cases (n=5), including pleural thickening (5%, n=2) and atelectasis (7%, n=3). Compared to LUS, clinical examination and chest x-ray had lower sensitivities, estimated at 74% and 83%, respectively. The clinical identification error rate was significantly higher in junior (77%) compared to senior physicians (49%) (p<0.05). LUS prevented possible accidental organ puncture in 36% of the cases (n=31). The risk factors associated with inaccurate clinical site selection included right-sided effusion and minimal pleural effusion on chest radiography, with an estimated relative risk (RR) of 1.44 [CI95%:0.56-3.72] and 1.82 [CI95%:0.52-6.40], respectively. The experience of the senior physicians influenced the choice of the clinical sites with moderate agreement (Kappa index: 0.4-0.6). CONCLUSION Compared to the ACPA- group, the ACPA+ one had more lung-hyperinflation and OVI, and comparative percentages of RVI, MVI, and NSVI. CONCLUSION LUS significantly improves the accuracy of pleural puncture sites, thus minimizing the risk of complications regardless of the operator's level of clinical experience.
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Affiliation(s)
- Tasnim Znegui
- 1. Service de pneumologie, Hôpital Militaire Principal d’Instruction de Tunis / Faculté de médecine de Tunis
| | - Islam Mejri
- 1. Service de pneumologie, Hôpital Militaire Principal d’Instruction de Tunis / Faculté de médecine de Tunis
| | - Rim Hamami
- 2. Service des urgences, Hôpital Militaire Principal d’Instruction de Tunis / Faculté de médecine de Tunis
| | - Selsabil Daboussi
- 1. Service de pneumologie, Hôpital Militaire Principal d’Instruction de Tunis / Faculté de médecine de Tunis
| | - Samira Mhamdi
- 1. Service de pneumologie, Hôpital Militaire Principal d’Instruction de Tunis / Faculté de médecine de Tunis
| | - Zied Moatemri
- 1. Service de pneumologie, Hôpital Militaire Principal d’Instruction de Tunis / Faculté de médecine de Tunis
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Boubaker N, M’hamdi S, Daboussi S, Guediri N, Mejri I, Moatemri Z, Aichaouia C, Khadhraoui M. Évaluation des troubles de sommeil à long terme chez les patients hospitalisés pour pneumopathie à SARS-CoV-2. Revue des Maladies Respiratoires Actualités 2022. [PMCID: PMC8709606 DOI: 10.1016/j.rmra.2021.11.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Introduction La maladie à coronavirus 2019 (COVID-19) est une maladie émergeante grave responsable d’un retentissement important sur la qualité de vie des patients. Les troubles de sommeil ont été bien décrits chez les patients hospitalisés pour COVID-19. Néanmoins leur prévalence à long terme reste mal connue. L’objectif de notre étude était d’évaluer la prévalence des troubles de sommeil 3 mois après hospitalisation pour pneumopathie à SARS-CoV-2. Méthodes Étude transversale incluant 50 patients suivis à la consultation externe de pneumologie de l’hôpital militaire de Tunis après hospitalisation pour pneumopathie à SARS-CoV-2. Tous les patients ont répondu au questionnaire index de sévérité de l’insomnie (ISI). Un score supérieur à 7 témoigne de la présence d’insomnie. La Hospital Anxiety and Depression Scale (HADS) a été utilisé pour évaluer la symptomatologie anxieuse et dépressive chez ces patients. Résultats L’étude a inclus 50 patients. L’âge moyen était 56 ± 20 ans. Une prédominance masculine était notée dans 66 % des cas. Les troubles de sommeil ont été trouvés chez 68 % des patients et ont été dominé par l’insomnie (80 %). Cette dernière était significativement associée à l’obésité (p = 0,03), aux antécédents de séjour en service de réanimation (p = 0,001) et à une durée d’hospitalisation plus importante (p = 0,04). Par ailleurs, notre étude ne trouve pas de corrélation entre les troubles du sommeil et l’étendu de l’atteinte pulmonaire à la tomodensitométrie thoracique faite à l’admission ainsi qu’au contrôle à 3 mois (p = 0,2 et p = 0,8 respectivement). Les troubles de sommeils étaient associés à un score de dépression élevé (p = 0,0119). Conclusion L’insomnie est fréquente après une pneumopathie à SARS-CoV-2. Une évaluation de la qualité du sommeil est nécessaire afin d’améliorer la qualité de vie des patients.
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Jelassi W, Mejri I, Guediri N, Daboussi S, Mhamdi S, Aichaouia C, Moatemri Z, Khadhraoui M. Les symptômes du bas appareil urinaire et pneumopathie COVID-19 : quels liens ? Revue des Maladies Respiratoires Actualités 2022. [PMCID: PMC8709627 DOI: 10.1016/j.rmra.2021.11.169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Introduction Les pneumopathies infectieuses liées au COVID-19 présentent actuellement un motif fréquent d’hospitalisation aux services de pneumologie. Il s’agit d’une pathologie potentiellement grave notamment sur le plan respiratoire. Par ailleurs, plusieurs autres atteintes peuvent être associées pouvant altérer la qualité de vie des patients. Peu d’études se sont intéressées à décrire les symptômes du bas appareil urinaire au cours de l’infection à COVID-19. L’objectif de notre travail était de dépister les symptômes urinaires associés à l’infection COVID-19 et de déterminer leur prévalence en fonction de la sévérité du tableau clinique. Méthodes Nous avons mené une étude descriptive faisant inclure 51 patients hospitalisés au service de pneumologie de l’hôpital militaire de Tunis entre mars et août 2021. Le recueil des données clinicobiologiques et radiologiques a été rétrospectif. Le dépistage des signes urinaires a été réalisé en utilisant le Questionnaire de Symptômes Urinaires USP (Urinary Symptom Profile), à travers un entretien téléphonique. Les données ont été saisies et analysées à l’aide du logiciel SPSS version 25. Résultats Notre population comportait 22 femmes (41,5 %) et 29 hommes (54,7 %), avec un âge moyen de 54,86 ± 16 ans. Aucun de nos patients n’avait un antécédent urinaire antérieur à l’infection COVID-19. Les signes du bas appareil urinaires retrouvés chez nos patients étaient : une incontinence urinaire (58 %), une hyperactivité vésicale (68,3 %) et une dysurie (14,6 %). L’étendue des lésions pulmonaires scanographiques étaient réparties comme suit : étendue légère (10–25 %) : 13,5 % ; étendue modérée (25–50 %) : 11,5 % et étendue sévère (> 50 %) : 69,2 %. Sur le plan clinique l’hyperactivité vésicale, la dysurie et l’incontinence urinaire étaient significativement corrélées à une prévalence plus importante de formes sévères (p = 0,003, p = 0,03 et p = 0,01 respectivement). L’hyperactivité vésicale a été significativement associée à une atteinte scanographique étendue (p = 0,003), à une procalcitonine positive (p = 0,001) et à une hyperfibrinogénémie (p = 0,03). Aucune corrélation n’a été retrouvée entre l’hyperactivité vésicale et l’augmentation de la C reactive protein (CRP). Conclusion Notre étude a mis l’accent sur la prévalence des symptômes du bas appareil urinaire chez les sujets atteints de pneumopathie type COVID-19. D’autres travaux prospectifs sont nécessaires afin de déterminer le mécanisme physiopathologique et la valeur pronostique des atteintes urinaires.
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Asma S, Daboussi S, Mhamdi S, Mejri I, Boubaker N, Aichaouia C, Moatemri Z. Une étude de corrélations entre la sévérité clinique et l’intensité de l’inflammation. Revue des Maladies Respiratoires Actualités 2022. [PMCID: PMC8709584 DOI: 10.1016/j.rmra.2021.11.161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Introduction Le coronavirus 19 peut être à l’origine d’un spectre varié de manifestations cliniques. Le défi actuel est de déterminer des biomarqueurs fiables pour identifier les formes sévères. Méthodes C’est une étude prospective, longitudinale, incluant 143 patients infectés par le SARS2-COVID (confirmés par une PCR), admis au service de pneumologie de l’hôpital militaire, entre le mois de septembre 2020 et le mois de janvier 2021. Ils ont bénéficié d’un examen, d’un bilan sanguin, d’un scanner thoracique et d’un test PCR. Résultats Nous avons inclus 143 patients d’âge moyen de 62 ans, avec une nette prédominance masculine (69 %). Quant aux comorbidités, un diabète de type 2 était retrouvé dans (36 cas), une hypertension dans (56 cas), une insuffisance coronaire dans (5 cas), une dyslipidémie dans (28 cas) et une BPCO dans (8 cas). Une obésité morbide était retrouvée dans (38 cas). La fièvre était le motif principal de consultation (91 cas [64,1 %]). Par ailleurs, les frissons ont été rapportés dans 35 cas (24,5 %), un syndrome grippal dans 59 cas (41,3 %), une anosmie-agueusie dans 23 cas (16,1 %) et des troubles digestifs (une diarrhée dans 30 cas [21 %] et des vomissements dans 17 cas [12 %]). Donc, l’infection était donc classée comme : minime chez 33 patients (25,8 %), modérée chez 25 patients (19,5 %), sévère chez 60 patients (46,9 %) et critique chez 10 patients (7,8 %). Concernant les données biologiques, une hyperleucocytose était notée dans 36 cas (25 %). La CRP était élevée dans 108 cas (75,52 %). Les D-Dimères étaient élevées dans 117 cas (81,81 %). Le fibrinogène était élevé dans 12 cas (8,4 %). L’interleukine 6 étaient élevée dans 6 cas (4,2 %). Il est pertinent de noter qu’il existe une forte corrélation entre la sévérité clinique et le tabagisme (p = 0,033), l’obésité (p = 0,023), la présence d’une insuffisance cardiaque (p = 0,02) ou d’une néoplasie préexistante (p = 0,01) et l’intensité de l’inflammation (CRP [p = 0,031], fibrinogène [p = 0,011]). Concernant le traitement, une antibiothérapie était prescrite chez 135 cas (95,4 %). De plus, certains cas ont nécessité le recours à : la VNI (14 cas) ou à l’Optiflow (9 cas). Une intubation trachéale était pratiquée dans (3 cas). Par ailleurs, 23 cas ont présenté des complications nécessitant le transfert en réanimation. Nous rapportons désormais 13 cas de décès. Conclusion Notre étude soutient l’hypothèse d’une inflammation « auto-entretenue » chez les patients atteints du COVID-19 à l’origine d’un pronostic plus péjoratif.
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Moatemri Z, Mejri I, Mhammedi S, Aichaouia C, Daboussi S, Mohsen K. DISSEMINATED TUBERCULOSIS PROGNOSIS. Chest 2020. [DOI: 10.1016/j.chest.2020.05.088] [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] Open
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Moatemri Z, Mejri I, Mhammedi S, Aichaouia C, Daboussi S, Mohsen K. RELATIONSHIP BETWEEN SMOKING AND SEVERITY OF SLEEP APNEA SYNDROME. Chest 2020. [DOI: 10.1016/j.chest.2020.05.485] [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: 10/24/2022] Open
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Soussi G, Daboussi S, Mhamdi S, Moatemri Z, Ghedira H, Aichaouia C, Khadhraoui M, El Mezni F, Cheikh R. Second lung malignancy and Richter syndrome in chronic lymphocytic leukemia: case report and literature review. Multidiscip Respir Med 2019. [DOI: 10.4081/mrm.2017.253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background: Chronic lymphocytic leukemia (CLL) is the most frequent lymphoproliferative disease. Transformation into Richter disease and occurrence of second malignancies involving the lungs are rare complications. The hallmarks of any thoracic involvement are still unknown. Case presentation: We report a case of a 56-year-old male patient, with history of tobacco smoking, who presented with recurrent hemoptysis, fatigue and weight loss. Physical examination was normal except a slightly enlarged supraclavicular lymph node. Chest x-ray revealed a mediastinal widening due to enlarged paratracheal nodes and a left parahilar infiltrate. Blood tests showed a hyperlymphocytosis and a biological inflammatory syndrome. CT scan showed bilateral mediastinal and axillary lymphadenopathy, as well as left supraclavicular lymphadenopathy, with a left upper lobe alveolar attenuation and a solitary contralateral pulmonary nodule. Examination of Virchow’s node and bone marrow biopsies confirmed metastasis of a pulmonary adenocarcinoma, as well as chronic lymphocytic leukemia with Richter’s transformation. The clinical course was unfavorable since the first days of therapy as the patient passed away in a matter of a few days. Conclusions: Steady surveillance of CLL patients and systematic screening for second solid tumors, particularly lung cancer, and Richter’s transformation seem to be relevant more than ever. Early diagnosis might help us understand the pathways leading to these complications and adapt therapy.
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Alami Aroussi A, Fouad A, Omrane A, Razzak A, Aissa A, Akkad A, Amraoui A, Aouam A, Arfaoui A, Belkouchi A, Ben Chaaben A, Ben Cheikh A, Ben Khélifa A, Ben Mabrouk A, Benhima A, Bezza A, Bezzine A, Bourrahouat A, Chaieb A, Chakib A, Chetoui A, Daoudi A, Ech-Chenbouli A, Gaaliche A, Hassani A, Kassimi A, Khachane A, Labidi A, Lalaoui A, Masrar A, McHachi A, Nakhli A, Ouakaa A, Siati A, Toumi A, Zaouali A, Condé AY, Haggui A, Belaguid A, El Hangouche AJ, Gharbi A, Mahfoudh A, Bouzouita A, Aissaoui A, Ben Hamouda A, Hedhli A, Ammous A, Bahlous A, Ben Halima A, Belhadj A, Bezzine A, Blel A, Brahem A, Banasr A, Meherzi A, Saadi A, Sellami A, Turki A, Ben Miled A, Ben Slama A, Daib A, Zommiti A, Chadly A, Jmaa A, Mtiraoui A, Ksentini A, Methnani A, Zehani A, Kessantini A, Farah A, Mankai A, Mellouli A, Zaouali A, Touil A, Hssine A, Ben Safta A, Derouiche A, Jmal A, Ferjani A, Djobbi A, Dridi A, Aridhi A, Bahdoudi A, Ben Amara A, Benzarti A, Ben Slama AY, Oueslati A, Soltani A, Chadli A, Aloui A, Belghuith Sriha A, Bouden A, Laabidi A, Mensi A, Ouakaa A, Sabbek A, Zribi A, Green A, Ben Nasr A, Azaiez A, Yeades A, Belhaj A, Mediouni A, Sammoud A, Slim A, Amine B, Chelly B, Jatik B, Lmimouni B, Daouahi B, Ben Khelifa B, Louzir B, Dorra A, Dhahri B, Ben Nasrallah C, Chefchaouni C, Konzi C, Loussaief C, Makni C, Dziri C, Bouguerra C, Kays C, Zedini C, Dhouha C, Mohamed C, Aichaouia C, Dhieb C, Fofana D, Gargouri D, Chebil D, Issaoui D, Gouiaa D, Brahim D, Essid D, Jarraya D, Trad D, Ben Hmida E, Sboui E, Ben Brahim E, Baati E, Talbi E, Chaari E, Hammami E, Ghazouani E, Ayari F, Ben Hariz F, Bennaoui F, Chebbi F, Chigr F, Guemira F, Harrar F, Benmoula FZ, Ouali FZ, Maoulainine FMR, Bouden F, Fdhila F, Améziani F, Bouhaouala F, Charfi F, Chermiti Ben Abdallah F, Hammemi F, Jarraya F, Khanchel F, Ourda F, Sellami F, Trabelsi F, Yangui F, Fekih Romdhane F, Mellouli F, Nacef Jomli F, Mghaieth F, Draiss G, Elamine G, Kablouti G, Touzani G, Manzeki GB, Garali G, Drissi G, Besbes G, Abaza H, Azzouz H, Said Latiri H, Rejeb H, Ben Ammar H, Ben Brahim H, Ben Jeddi H, Ben Mahjouba H, Besbes H, Dabbebi H, Douik H, El Haoury H, Elannaz H, Elloumi H, Hachim H, Iraqi H, Kalboussi H, Khadhraoui H, Khouni H, Mamad H, Metjaouel H, Naoui H, Zargouni H, Elmalki HO, Feki H, Haouala H, Jaafoura H, Drissa H, Mizouni H, Kamoun H, Ouerda H, Zaibi H, Chiha H, Kamoun H, Saibi H, Skhiri H, Boussaffa H, Majed H, Blibech H, Daami H, Harzallah H, Rkain H, Ben Massoud H, Jaziri H, Ben Said H, Ayed H, Harrabi H, Chaabouni H, Ladida Debbache H, Harbi H, Yacoub H, Abroug H, Ghali H, Kchir H, Msaad H, Ghali H, Manai H, Riahi H, Bousselmi H, Limem H, Aouina H, Jerraya H, Ben Ayed H, Chahed H, Snéne H, Lahlou Amine I, Nouiser I, Ait Sab I, Chelly I, Elboukhani I, Ghanmi I, Kallala I, Kooli I, Bouasker I, Fetni I, Bachouch I, Bouguecha I, Chaabani I, Gazzeh I, Samaali I, Youssef I, Zemni I, Bachouche I, Youssef I, Bouannene I, Kasraoui I, Laouini I, Mahjoubi I, Maoudoud I, Riahi I, Selmi I, Tka I, Hadj Khalifa I, Mejri I, Béjia I, Bellagha J, Boubaker J, Daghfous J, Dammak J, Hleli J, Ben Amar J, Jedidi J, Marrakchi J, Kaoutar K, Arjouni K, Ben Helel K, Benouhoud K, Rjeb K, Imene K, Samoud K, El Jeri K, Abid K, Chaker K, Abid K, Bouzghaîa K, Kamoun K, Zitouna K, Oughlani K, Lassoued K, Letaif K, Hakim K, Cherif Alami L, Benhmidoune L, Boumhil L, Bouzgarrou L, Dhidah L, Ifrine L, Kallel L, Merzougui L, Errguig L, Mouelhi L, Sahli L, Maoua M, Rejeb M, Ben Rejeb M, Bouchrik M, Bouhoula M, Bourrous M, Bouskraoui M, El Belhadji M, El Belhadji M, Essakhi M, Essid M, Gharbaoui M, Haboub M, Iken M, Krifa M, Lagrine M, Leboyer M, Najimi M, Rahoui M, Sabbah M, Sbihi M, Zouine M, Chefchaouni MC, Gharbi MH, El Fakiri MM, Tagajdid MR, Shimi M, Touaibia M, Jguirim M, Barsaoui M, Belghith M, Ben Jmaa M, Koubaa M, Tbini M, Boughdir M, Ben Salah M, Ben Fraj M, Ben Halima M, Ben Khalifa M, Bousleh M, Limam M, Mabrouk M, Mallouli M, Rebeii M, Ayari M, Belhadj M, Ben Hmida M, Boughattas M, Drissa M, El Ghardallou M, Fejjeri M, Hamza M, Jaidane M, Jrad M, Kacem M, Mersni M, Mjid M, Sabbah M, Serghini M, Triki M, Ben Abbes M, Boussaid M, Gharbi M, Hafi M, Slama M, Trigui M, Taoueb M, Chakroun M, Ben Cheikh M, Chebbi M, Hadj Taieb M, Kacem M, Ben Khelil M, Hammami M, Khalfallah M, Ksiaa M, Mechri M, Mrad M, Sboui M, Bani M, Hajri M, Mellouli M, Allouche M, Mesrati MA, Mseddi MA, Amri M, Bejaoui M, Bellali M, Ben Amor M, Ben Dhieb M, Ben Moussa M, Chebil M, Cherif M, Fourati M, Kahloul M, Khaled M, Machghoul M, Mansour M, Abdesslem MM, Ben Chehida MA, Chaouch MA, Essid MA, Meddeb MA, Gharbi MC, Elleuch MH, Loueslati MH, Sboui MM, Mhiri MN, Kilani MO, Ben Slama MR, Charfi MR, Nakhli MS, Mourali MS, El Asli MS, Lamouchi MT, Cherti M, Khadhraoui M, Bibi M, Hamdoun M, Kassis M, Touzi M, Ben Khaled M, Fekih M, Khemiri M, Ouederni M, Hchicha M, Kassis M, Ben Attia M, Yahyaoui M, Ben Azaiez M, Bousnina M, Ben Jemaa M, Ben Yahia M, Daghfous M, Haj Slimen M, Assidi M, Belhadj N, Ben Mustapha N, El Idrissislitine N, Hikki N, Kchir N, Mars N, Meddeb N, Ouni N, Rada N, Rezg N, Trabelsi N, Bouafia N, Haloui N, Benfenatki N, Bergaoui N, Yomn N, Ben Mustapha N, Maamouri N, Mehiri N, Siala N, Beltaief N, Aridhi N, Sidaoui N, Walid N, Mechergui N, Mnif N, Ben Chekaya N, Bellil N, Dhouib N, Achour N, Kaabar N, Mrizak N, Mnif N, Chaouech N, Hasni N, Issaoui N, Ati N, Balloumi N, Haj Salem N, Ladhari N, Akif N, Liani N, Hajji N, Trad N, Elleuch N, Marzouki NEH, Larbi N, M'barek N, Rebai N, Bibani N, Ben Salah N, Belmaachi O, Elmaalel O, Jlassi O, Mihoub O, Ben Zaid O, Bouallègue O, Bousnina O, Bouyahia O, El Maalel O, Fendri O, Azzabi O, Borgi O, Ghdes O, Ben Rejeb O, Rachid R, Abi R, Bahiri R, Boulma R, Elkhayat R, Habbal R, Rachid R, Tamouza R, Jomli R, Ben Abdallah R, Smaoui R, Debbeche R, Fakhfakh R, El Kamel R, Gargouri R, Jouini R, Nouira R, Fessi R, Bannour R, Ben Rabeh R, Kacem R, Khmakhem R, Ben Younes R, Karray R, Cheikh R, Ben Malek R, Ben Slama R, Kouki R, Baati R, Bechraoui R, Fakhfakh R, Fradi R, Lahiani R, Ridha R, Zainine R, Kallel R, Rostom S, Ben Abdallah S, Ben Hammamia S, Benchérifa S, Benkirane S, Chatti S, El Guedri S, El Oussaoui S, Elkochri S, Elmoussaoui S, Enbili S, Gara S, Haouet S, Khammeri S, Khefecha S, Khtrouche S, Macheghoul S, Mallouli S, Rharrit S, Skouri S, Helali S, Boulehmi S, Abid S, Naouar S, Zelfani S, Ben Amar S, Ajmi S, Braiek S, Yahiaoui S, Ghezaiel S, Ben Toumia S, Thabeti S, Daboussi S, Ben Abderahman S, Rhaiem S, Ben Rhouma S, Rekaya S, Haddad S, Kammoun S, Merai S, Mhamdi S, Ben Ali R, Gaaloul S, Ouali S, Taleb S, Zrour S, Hamdi S, Zaghdoudi S, Ammari S, Ben Abderrahim S, Karaa S, Maazaoui S, Saidani S, Stambouli S, Mokadem S, Boudiche S, Zaghbib S, Ayedi S, Jardek S, Bouselmi S, Chtourou S, Manoubi S, Bahri S, Halioui S, Jrad S, Mazigh S, Ouerghi S, Toujani S, Fenniche S, Aboudrar S, Meriem Amari S, Karouia S, Bourgou S, Halayem S, Rammeh S, Yaïch S, Ben Nasrallah S, Chouchane S, Ftini S, Makni S, Manoubi S, Miri S, Saadi S, Manoubi SA, Khalfallah T, Mechergui T, Dakka T, Barhoumi T, M'rad TEB, Ajmi T, Dorra T, Ouali U, Hannachi W, Ferjaoui W, Aissi W, Dahmani W, Dhouib W, Koubaa W, Zhir W, Gheriani W, Arfa W, Dougaz W, Sahnoun W, Naija W, Sami Y, Bouteraa Y, Elhamdaoui Y, Hama Y, Ouahchi Y, Guebsi Y, Nouira Y, Daly Y, Mahjoubi Y, Mejdoub Y, Mosbahi Y, Said Y, Zaimi Y, Zgueb Y, Dridi Y, Mesbahi Y, Gharbi Y, Hellal Y, Hechmi Z, Zid Z, Elmouatassim Z, Ghorbel Z, Habbadi Z, Marrakchi Z, Hidouri Z, Abbes Z, Ouhachi Z, Khessairi Z, Khlayfia Z, Mahjoubi Z, Moatemri Z. 46th Medical Maghrebian Congress. November 9-10, 2018. Tunis. Tunis Med 2019; 97:177-258. [PMID: 31535714] [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: 06/10/2023]
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Soussi G, Daboussi S, Mhamdi S, Moatemri Z, Ghedira H, Aichaouia C, Khadhraoui M, El Mezni F, Cheikh R. Second lung malignancy and Richter syndrome in chronic lymphocytic leukemia: case report and literature review. Multidiscip Respir Med 2017; 12:24. [PMID: 28975027 PMCID: PMC5621112 DOI: 10.1186/s40248-017-0107-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Accepted: 09/11/2017] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Chronic lymphocytic leukemia (CLL) is the most frequent lymphoproliferative disease. Transformation into Richter disease and occurrence of second malignancies involving the lungs are rare complications. The hallmarks of any thoracic involvement are still unknown. CASE PRESENTATION We report a case of a 56-year-old male patient, with history of tobacco smoking, who presented with recurrent hemoptysis, fatigue and weight loss. Physical examination was normal except a slightly enlarged supraclavicular lymph node. Chest x-ray revealed a mediastinal widening due to enlarged paratracheal nodes and a left parahilar infiltrate. Blood tests showed a hyperlymphocytosis and a biological inflammatory syndrome. CT scan showed bilateral mediastinal and axillary lymphadenopathy, as well as left supraclavicular lymphadenopathy, with a left upper lobe alveolar attenuation and a solitary contralateral pulmonary nodule. Examination of Virchow's node and bone marrow biopsies confirmed metastasis of a pulmonary adenocarcinoma, as well as chronic lymphocytic leukemia with Richter's transformation. The clinical course was unfavorable since the first days of therapy as the patient passed away in a matter of a few days. CONCLUSIONS Steady surveillance of CLL patients and systematic screening for second solid tumors, particularly lung cancer, and Richter's transformation seem to be relevant more than ever. Early diagnosis might help us understand the pathways leading to these complications and adapt therapy.
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Affiliation(s)
- Ghassen Soussi
- Department of Respiratory Medicine, Military Hospital of Instruction of Tunis, Tunis, Tunisia
| | - Selsabil Daboussi
- Department of Respiratory Medicine, Military Hospital of Instruction of Tunis, Tunis, Tunisia
| | - Samira Mhamdi
- Department of Respiratory Medicine, Military Hospital of Instruction of Tunis, Tunis, Tunisia
| | - Zied Moatemri
- Department of Respiratory Medicine, Military Hospital of Instruction of Tunis, Tunis, Tunisia
| | - Hela Ghedira
- Department of Hematology, Military Hospital of Instruction of Tunis, Tunis, Tunisia
| | - Chiraz Aichaouia
- Department of Respiratory Medicine, Military Hospital of Instruction of Tunis, Tunis, Tunisia
| | - Mohsen Khadhraoui
- Department of Respiratory Medicine, Military Hospital of Instruction of Tunis, Tunis, Tunisia
| | - Faouzi El Mezni
- Department of Pathology, Abderrahmen Mami Hospital, Ariana, Tunisia
| | - Rezaik Cheikh
- Department of Respiratory Medicine, Military Hospital of Instruction of Tunis, Tunis, Tunisia
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Abdelghani A, Abouda M, Adelmoulah K, Aichaouia C, Ajmi N, Akad A, Akrout I, Ammar J, Amouri Z, Aouadi S, Aouina H, Aounallah A, Atitallah S, Ayadi H, Ayadi N, Ayadi S, Azzabi S, Baccar MA, Bahloul N, Bdira B, Bejar D, Beji M, Belajouza C, Belhadj I, Belhaja R, Ben Abdelghaffar H, Ben Amar J, Ben Jemia E, Ben Mahmoud L, Ben Mansour A, Ben Romdhane M, Ben Saad A, Ben Saad H, Ben Saad S, Ben Salah N, Ben Salem N, Ben Tkhayat A, Benzarti M, Berraïes A, Besma H, Bouakkez H, Bouhoula M, Boussetta K, Boussoffara L, Bouzekri H, Brahem A, Brini I, Chaouech N, Charfeddine I, Charfi MR, Charrad R, Chatti S, Cheikh R, Cheikh M'hamed S, Cheikh Rouhou S, Cherif H, Cherif J, Dabboussi S, Daghfous H, Daghfous J, Dahmouni A, Denguezli M, Dhahri B, Djaman Allico J, Douik El Gharbi L, El Gharbi L, El Guedr S, El Kamel A, El Maalel O, Elfekih L, Essalah M, Fahem N, Fessi R, Fki W, Gammoudi R, Garrouch A, Ghariani N, Gharsalli H, Ghedira H, Ghorbel A, Ghozzi H, Ghrairi N, Greb D, Gribaa Y, Guedri S, Gueriani A, Guermazi E, Habouria C, Hadj Hassine S, Hajjej S, Hamdi B, Hamdia B, Hammami A, Hamouda S, Hamzaoui A, Hamzaoui K, Hassen H, Hayouni M, Hedhli A, Houaneb Marghli Y, Jdidi S, Joober S, Kaabachi W, Kacem I, Kaddoussi R, Kalboussi H, Kallel N, Kallel S, Kammoun S, Kamoun H, Kchouk H, Ketata W, Khadhraoui M, Khalsi F, Khattab A, Khbou A, Khessain Z, Khessari Z, Khmekhem R, Khouaja I, Khouani H, Khssairi Z, Kpan Sea E, Kwas H, Lahmer O, Loued L, Louhaichi S, Louzir B, M'saad S, Maalej S, Maazaoui S, Maoua M, Masmoudi D, Mbarek NH, Megdiche ML, Mehiri N, Mejri I, Mhamdi S, Mjid M, Mkaouar N, Moatemri Z, Mokni S, Mrizak N, N'guessan JD, Nouira R, Ouahchi Y, Oujani S, Raies S, Rouatbi S, Rouetbi N, Rouis H, Sakka D, Salhi M, Slama M, Smadhi H, Snene H, Souissi N, Tabboubi A, Tinsa F, Toujeni S, Trigui G, Triki M, Tritar F, Yalaoui S, Yangui F, Yangui I, Yapo-Crezoit C, Zaibi H, Zaim A, Zayani I, Zayen K, Zendah I. Abstracts of the Communications of the Sixteenth Francophone Allergology Meetings Hammamet, 4-7 October 2017. Tunis Med 2017; 95:806-836. [PMID: 29873051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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Blibech H, Dabboussi S, Mhamdi S, Moatemri Z, Rouis H, Aichaouia C, Khadhraoui M, Cheikh R. Test de provocation bronchique non spécifique : quels patients ? Rev Mal Respir 2017. [DOI: 10.1016/j.rmr.2016.10.328] [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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Blibech H, Moatemri Z, Dabboussi S, Mhamdi S, Aichaouia C, Khadhraoui M, Cheikh R. Métastases cérébrales du cancer du poumon : facteurs pronostiques. Rev Mal Respir 2017. [DOI: 10.1016/j.rmr.2016.10.179] [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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Abdallah M, Abdelaziz A, Abdelaziz O, Abdelhedi N, Abdelkbir A, Abdelkefi M, Abdelmoula L, Abdennacir S, Abdennadher M, Abidi H, Abir Hakiri A, Abou El Makarim S, Abouda M, Achour W, Aichaouia C, Aissa A, Aissa Y, Aissi W, Ajroudi M, Allouche E, Aloui H, Aloui D, Amdouni F, Ammar Y, Ammara Y, Ammari S, Ammous A, Amous A, Amri A, Amri M, Amri R, Annabi H, Antit S, Aouadi S, Arfaoui A, Assadi A, Attia L, Attia M, Attia L, Ayadi I, Ayadi Dahmane I, Ayari A, Azzabi S, Azzouz H, B Mefteh N, B Salah C, Baccar H, Bachali A, Bahlouli M, Bahri G, Baïli H, Bani M, Bani W, Bani MA, Bassalah E, Bawandi R, Bayar M, Bchir N, Bechraoui R, Béji M, Beji R, Bel Haj Yahia D, Belakhel S, Belfkih H, Belgacem O, Belgacem N, Belhadj A, Beltaief N, Beltaief N, Ben Abbes M, Ben Abdelaziz A, Ben Ahmed I, Ben Aissia N, Ben Ali M, Ben Ammar H, Ben Ammou B, Ben Amor A, Ben Amor M, Benatta M, Ben Ayed N, Ben Ayoub W, Ben Charrada N, Ben Cheikh M, Ben Dahmen F, Ben Dhia M, Ben Fadhel S, Ben Farhat L, Ben Fredj Ismail F, Ben Hamida E, Ben Hamida Nouaili E, Ben Hammamia M, Ben Hamouda A, Ben Hassine L, Ben Hassouna A, Ben Hasssen A, Ben Hlima M, Ben Kaab B, Ben Mami N, Ben Mbarka F, Ben Mefteh N, Ben Kahla N, Ben Mrad M, Ben Mustapha N, Ben Nacer M, Ben Neticha K, Ben Othmen E, Ben Rhouma S, Ben Rhouma M, Ben Saadi S, Ben Safta A, Ben Safta Z, Ben Salah C, Ben Salah N, Ben Sassi S, Ben Sassi J, Ben Tekaya S, Ben Temime R, Ben Tkhayat A, Ben Tmim R, Ben Yahmed Y, Ben Youssef S, Ben Ali M, Ben Atta M, Ben Safta Z, Ben Salah M, Berrahal I, Besbes G, Bezdah L, Bezzine A, Bezzine A, Bokal Z, Borsali R, Bouasker I, Boubaker J, Bouchekoua M, Bouden F, Boudiche S, Boukhris I, Bouomrani S, Bouraoui S, Bouraoui S, Bourgou S, Boussabeh E, Bouzaidi K, Chaker K, Chaker L, Chaker A, Chaker F, Chaouech N, Charfi M, Charfi MR, Charfi F, Chatti L, Chebbi F, Chebbi W, Cheikh R, Cheikhrouhou S, Chekir J, Chelbi E, Chelly I, Chelly B, Chemakh M, Chenik S, Cheour M, Cheour M, Cherif E, Cherif Y, Cherif W, Cherni R, Chetoui A, Chihaoui M, Chiraz Aichaouia C, Dabousii S, Daghfous A, Daib A, Daib N, Damak R, Daoud N, Daoud Z, Daoued N, Debbabi H, Demni W, Denguir R, Derbel S, Derbel B, Dghaies S, Dhaouadi S, Dhilel I, Dimassi K, Dougaz A, Dougaz W, Douik H, Douik El Gharbi L, Dziri C, El Aoud S, El Hechmi Z, El Heni A, ELaoud S, Elfeleh E, Ellini S, Ellouz F, Elmoez Ben O, Ennaifer R, Ennaifer S, Essid M, Fadhloun N, Farhat M, Fekih M, Fourati M, Fteriche F, G Hali O, Galai S, Gara S, Garali G, Garbouge W, Garbouj W, Ghali O, Ghali F, Gharbi E, Gharbi R, Ghariani W, Gharsalli H, Ghaya Jmii G, Ghédira F, Ghédira A, Ghédira H, Ghériani A, Gouta EL, Guemira F, Guermazi E, Guesmi A, Hachem J, Haddad A, Hakim K, Hakiri A, Hamdi S, Hamed W, Hamrouni S, Hamza M, Haouet S, Hariz A, Hendaoui L, Hfaidh M, Hriz H, Hsairi M, Ichaoui H, Issaoui D, Jaafoura H, Jazi R, Jazia R, Jelassi H, Jerraya H, Jlassi H, Jmii G, Jouini M, Kâaniche M, Kacem M, Kadhraoui M, Kalai M, Kallel K, Kammoun O, Karoui M, Karouia S, Karrou M, Kchaou A, Kchaw R, Kchir N, Kchir H, Kechaou I, Kerrou M, Khaled S, Khalfallah N, Khalfallah M, Khalfallah R, Khamassi K, Kharrat M, Khelifa E, Khelil M, Khelil A, Khessairi N, Khezami MA, Khouni H, Kooli C, Korbsi B, Koubaa MA, Ksantini R, Ksentini A, Ksibi I, Ksibi J, Kwas H, Laabidi A, Labidi A, Ladhari N, Lafrem R, Lahiani R, Lajmi M, Lakhal J, Laribi M, Lassoued N, Lassoued K, Letaif F, Limaïem F, Maalej S, Maamouri N, Maaoui R, Maâtallah H, Maazaoui S, Maghrebi H, Mahfoudhi S, Mahjoubi Y, Mahjoubi S, Mahmoud I, Makhlouf T, Makni A, Mamou S, Mannoubi S, Maoui A, Marghli A, Marrakchi Z, Marrakchi J, Marzougui S, Marzouk I, Mathlouthi N, Mbarek K, Mbarek M, Meddeb S, Mediouni A, Mechergui N, Mejri I, Menjour MB, Messaoudi Y, Mestiri T, Methnani A, Mezghani I, Meziou O, Mezlini A, Mhamdi S, Mighri M, Miled S, Miri I, Mlayeh D, Moatemri Z, Mokaddem W, Mokni M, Mouhli N, Mourali MS, Mrabet A, Mrad F, Mrouki M, Msaad H, Msakni A, Msolli S, Mtimet S, Mzabi S, Mzoughi Z, Naffeti E, Najjar S, Nakhli A, Nechi S, Neffati E, Neji H, Nouira Y, Nouira R, Omar S, Ouali S, Ouannes Y, Ouarda F, Ouechtati W, Ouertani J, Ouertani J, Ouertani H, Oueslati A, Oueslati J, Oueslati I, Oueslati A, Rabai B, Rahali H, Rbia E, Rebai W, Regaïeg N, Rejeb O, Rhaiem W, Rhimi H, Riahi I, Ridha R, Robbena L, Rouached L, Rouis S, Safer M, Saffar K, Sahli H, Sahraoui G, Saidane O, Sakka D, Salah H, Sallami S, Salouage I, Samet A, Sammoud K, Sassi Mahfoudh A, Sayadi C, Sayhi A, Sebri T, Sedki Y, Sellami A, Serghini M, Sghaier I, Skouri W, Skouri W, Slama I, Slimane H, Slimani O, Souhail O, Souhir S, Souissi A, Souissi R, Taboubi A, Talbi G, Tbini M, Tborbi A, Tekaya R, Temessek H, Thameur M, Touati A, Touinsi H, Tounsi A, Tounsia H, Trabelsi S, Trabelsi S, Triki A, Triki M, Turki J, Turki K, Twinsi H, Walha Y, Wali J, Yacoub H, Yangui F, Yazidi M, Youssef I, Zaier A, Zainine R, Zakhama L, Zalila H, Zargouni H, Zehani A, Zeineb Z, Zemni I, Zghal M, Ziadi J, Zid Z, Znagui I, Zoghlami C, Zouaoui C, Zouari B, Zouiten L, Zribi H. Abstracts of the 40th National Congress of Medicine Tunis, 19-20 October 2017. Tunis Med 2017; 95:1002-1070. [PMID: 29877564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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Moatemri Z, Soussi G, Dabboussi S, Mhamdi S, Aichaouia C, Khadraoui M, Cheikh R. Spontaneous resolution of a tumor like pulmonary sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis 2016; 33:292-296. [PMID: 27758997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/10/2015] [Accepted: 09/15/2015] [Indexed: 06/06/2023]
Abstract
We report a case of thoracic sarcoidosis in a 72-year-old female, snuff taker, who presented with multinodular pulmonary lesions on chest x-ray. Clinical and biological findings were poor. Thoracic imaging showed soft tissue density nodules with irregular borders. The diagnosis of 'cannon ball' metastases was suspected. A thorough investigation strategy could not prove malignancy. A complete radiologic clearing was obtained spontaneously within three months. A rereading of pathology slides performed afterwards showed multinucleated giant cells on hemorrhagic background with a lymphocytic alveolitis. The diagnosis of pseudotumoral sarcoidosis was made. The clinical course was favorable with a 6years follow-up.
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Affiliation(s)
- Zied Moatemri
- Military Hospital of Tunis Faculté de Médecine Tunis ; Tunis El Manar University.
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Moatemri Z, Zaibi H, Dabboussi S, Mhamedi S, Aichaouia C, Khadhraoui M, Cheikh R. [Alveolar haemorrhage following a cannabis water pipe]. Rev Pneumol Clin 2016; 72:316-319. [PMID: 27421143 DOI: 10.1016/j.pneumo.2016.03.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [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: 05/05/2015] [Accepted: 03/21/2016] [Indexed: 06/06/2023]
Abstract
Respiratory toxicity of cannabis is well-known today particularly with the new consumption patterns. We report the case of a 25-year-old man admitted for haemoptysis, with unfavourable outcome and acute respiratory failure. Various explorations concluded to acute respiratory distress syndrome secondary to diffuse alveolar haemorrhage. Etiological assessment was initially negative. Outcome was favourable during hospitalization, authorizing the discharge of our patient. Two days later, alveolar haemorrhage recur, with positive toxicological tests for cannabis and the patient admits smoking cannabis by plastic "bang". We illustrate, through this case, the severity of respiratory complications caused by new methods of using cannabis, particularly with plastic 'bang', hence the need to insist of the importance of supported withdrawal and to inform young people how these techniques are serious.ssss.
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Affiliation(s)
- Z Moatemri
- Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie.
| | - H Zaibi
- Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie
| | - S Dabboussi
- Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie
| | - S Mhamedi
- Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie
| | - C Aichaouia
- Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie
| | - M Khadhraoui
- Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie
| | - R Cheikh
- Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie
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Soussi G, Moatemri Z, Mhamdi S, El Bey R, Aïchaouia C, Daboussi S, Khadhraoui M, Cheikh R. Facteurs pronostiques influençant la durée d’hospitalisation pour exacerbation aiguë de BPCO. Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.395] [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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Ghorbal D, Mhamdi S, Ben Salah E, Moatemri Z, Dabbousi S, Aichaouia C, Khadhraoui M, Cheikh R. Particularités de la tuberculose pulmonaire bilatérale de l’adulte. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.355] [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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Ghorbal D, Moatemri Z, Ben Salah E, Mhamdi S, Dabbousi S, Aichaouia C, Khadhraoui M, Cheikh R. Facteurs prédictifs de succès du sevrage tabagique. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.391] [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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Moatemri Z, Khanfir M, Dabboussi S, Mhammdi S, Ben Ghorbel I, Aichaouia C, Khadraoui M, Cheikh R. Le syndrome du poumon rétractile lupique (Shrinking lung syndrome) : à propos de trois observations. Rev Mal Respir 2013. [DOI: 10.1016/j.rmr.2012.10.446] [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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Aichaouia C, Daboussi S, Haddaoui A, Moatemri Z, Farah S, Khadraoui M, Bouzaiene A, Cheikh R. [Unusual lung localization of histiocytic sarcoma]. Rev Pneumol Clin 2012; 68:318-322. [PMID: 22884168 DOI: 10.1016/j.pneumo.2012.06.002] [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: 03/03/2012] [Revised: 05/23/2012] [Accepted: 06/07/2012] [Indexed: 06/01/2023]
Abstract
Histiocytic sarcoma, proliferation araising from immunoregulatory effector system cells, is a very rare and recently recognised tumor. Diagnosis is based on immunohistochemistry and molecular genetic techniques, which allow to distinguish histiocytic sarcoma from lymphocytic proliferation, such as non-Hodgkin's. We report this rare case of multivisceral histiocytic sarcoma revealed by lung localization and for which the evolution was fatal.
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Affiliation(s)
- C Aichaouia
- Service de Pneumologie et d'Allergologie, Hôpital Militaire Principal d'Instruction de Tunis, Bab Mnara, 1008 La Kasba, Tunis, Tunisie.
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Laaribi G, Moatemri Z, Hdiji M, Farah S, Hamdi B, Aichaouia C, Khadraoui M, Cheikh R. Obésité sévère : conséquences ventilatoires. Rev Mal Respir 2012. [DOI: 10.1016/j.rmr.2011.10.839] [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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Hamdi B, Moatemri Z, Aichaouia C, Laaribi G, Daboussi S, Hdiji M, Khadraoui M, Cheikh R. Tuberculose pulmonaire et diabète. Rev Mal Respir 2012. [DOI: 10.1016/j.rmr.2011.10.948] [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: 10/14/2022]
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Hamdi B, Moatemri Z, Mhamedi S, Laaribi G, Aichaouia C, Hdiji M, Dabboussi S, Khadraoui M, Cheikh R. Profil clinique et évolutif de la pneumopathie organisée cryptogénique. Rev Mal Respir 2012. [DOI: 10.1016/j.rmr.2011.10.342] [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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Annabi H, Mahouachi R, Chtourou A, Moatemri Z, Taktak S, Belhaoui N, Trabelsi S, Ben Kheder A. 436 Les pleurésies métastatiques chez l’homme. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72812-7] [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: 11/30/2022]
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