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Biomedical subjects

B Bouvier

Publications and source records attributed to B Bouvier.

8 recordsLinked to original sources
PubMed1992

[Benign non-parasitic splenic cysts. 9 cases].

Benign non-parasitic splenic cysts are uncommon. Their diagnosis can benefit from ultrasounds and computed tomography. However, it may be difficult, before surgery, to distinguish between true cysts, which are congenital with epidermal lining, and false cysts, which are consecutive to a trauma, inflammatory or degenerative, without epidermal lining. We report nine cases of non-parasitic splenic cysts and try to determine the preoperative diagnostic approach. To prevent the overwhelming post-splenectomy infection syndrome, conservative surgical treatment is mandatory. Various surgical methods are discussed.

Adult↗
PubMed1990

[Synchronous bilateral cancer of the kidney in the adult. Apropos of a case].

Following a case of synchronous bilateral renal cancer, we carried out a review of the literature and defined the specific therapeutic and prognostic characteristics of this clinical condition. Conservative surgery should be proposed as first line treatment. Results in terms of survival depend on the histological characteristics of the more affected kidney. The prognosis is relatively good in general and better than that of unilateral cancer.

Aged↗
PubMed1989

Epidemic keratoconjunctivitis in a university medical center ophthalmology clinic; need for re-evaluation of the design and disinfection of instruments.

During the period from early December 1987 to late January 1988, an outbreak of epidemic keratoconjunctivitis (EKC) caused by adenovirus type 8 occurred at a university medical center eye clinic. A telephone survey of patients revealed an attack rate of 17% among patients seen during the epidemic period. A case-control study demonstrated that development of EKC was associated with exposure to pneumotonometry and to three caregivers. After controlling for exposure to pneumotonometry, however, only exposure to one caregiver was significantly associated with risk of the disease. On January 19, 1988, after recognition of the outbreak, the eye clinic instituted additional infection control measures. A survey of patients seen the following week showed a substantial decrease in the attack rate (1.9%). Before these control measures were implemented, clinic personnel had followed the manufacturer's recommendations and disinfected pneumotonometer tips with 70% isopropyl alcohol, fearing that other disinfectants would corrode the instrument metal. Isopropyl alcohol, shown to have limited activity against adenovirus in vitro, also was being used to "disinfect" pneumotonometer tips between uses at six other area eye clinics polled by telephone. The results of this study demonstrate the need for changes in the design and manufacture of equipment used in the eye clinic.

Academic Medical Centers↗
PubMed1989

Considerations and controversies of AIDS.

The statistical probability of seroconversion is proportional to the number of needlesticks incurred and the likelihood that the needlesticks will be with HIV infected blood. Careful adherence to recommended operating room practices, combined with meticulous attention to handling needles and sharps, should result in few, if any, cases of occupational HIV seroconversion among OR personnel. HIV testing is not feasible in the management of emergency patients; these are often the individuals at highest risk for HIV infection and over whom the surgical team has the least control. Non-operative treatment of HIV-infected patients is not an option; many procedures are performed either to enable the individual to lead a more comfortable, productive life or for diagnostic purposes.

Acquired Immunodeficiency Syndrome↗
PubMed1988

[Saccular aneurysm of the superior vena cava].

The authors report a case of a saccular aneurysm of the superior vena cava in a 38 year old female. The diagnosis could only be made at thoracotomy because of the additional difficulty posed by a complete thrombosis of the aneurysmal pocket, which produced a particularly deceptive CT image. This type of lesion is exceptionally rare as a cause of a mediastinal "tumour" since only 24 cases of congenital aneurysm of the superior vena cava have been reported, of which only 4 were of the saccular type.

Adult↗
PubMedDate not supplied

[Pleuro-pulmonary complications of typhoid fever. 1case].

The authors report a case of typhoid fever with pleuro-pulmonary complications and recall their characteristics: Usually early (second week), may appear under treatment, whereas the disease evolves normally. Characterised by the absence of infective phenomena, the multiple manifestations, the fleeting course and the favourable prognosis. This corresponds to the pleuro-pulmonary typhus syndrome described long ago, which is probably due to immunological phenomena. Sometimes late, evolving towards suppuration, abscess formation and empyema with presence of typhoid bacilli, rarely seen nowadays.

Humans↗