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A Lacombe

Publications and source records attributed to A Lacombe.

43 records · Page 3Linked to original sources
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[First urinary infection in infants aged less than 3 months. Diagnostic and therapeutic aspects from 44 cases].

While studying retrospectively 44 cases in infants less than 3 months with urinary tract infection, clinical, bacteriological and radiological aspects have been analyzed. Clinical symptomatology were chiefly fever and digestive symptoms (anorexia, vomiting) associated with poor weight gain. Among the causative bacteria, E. coli was the most frequent (88%) with ampicillin resistance in 26% of them. Diagnosis difficulties associated with urine collection with a bag, frequently contaminated, have to be emphasized. It is therefore necessary, except in case of emergency to repeat urine collection before treatment. Among 35 infants investigated radiologically, the urinary tract was abnormal in 46% (48% boys and 40% girls). The localization of the abnormality was upper in 16% and lower (reflux) in 43%. Ampicillin alone or associated with an aminoglycoside was the most common treatment (33 cases). Urine sterilization has always been obtained.

Female↗
PubMedDate not supplied

[Gastroesophageal reflux after the surgical treatment of esophageal atresia].

The experience of the authors concerns 100 neonates treated for esophageal atresia between 1968 and 1980. A retrospective study of the sequelae observed in 73 survivors (age 3 to 15 years) found 26 cases of gastroesophageal reflux. This study demonstrates a high incidence of reflux in children who initially presented with a fistula and long gap esophageal atresia. It also shows that chronic respiratory disorders are more frequent in these patients and that esophagitis is the principal factor leading to stricture of the anastomosis stubborn to dilatation. In 14 patients, the severity of the clinical and endoscopic symptoms justified a surgical antireflux procedure, the only guarantee of clinical and radiologic recovery, with long term confirmation in 9 patients.

Adolescent↗