[Lethal reactions to intravenous colchicine].
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Biomedical subjects
Publications and source records attributed to F Bavoux.
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An alert was published during 1999 by the French Perinatal Cohort: eight cases of mitochondrial dysfunction were reported among 1754 infants exposed to nucleoside analogues in utero and during the neonatal period. These eight infants were not infected by HIV. Mitochondrial toxicity of nucleoside analogues is clearly described in adult HIV patients receiving NRTI. Zidovudine (the only and the first NRTI studied) induced mitochondrial DNA dysfunction in animals (monkeys) and neurobehavourial effects in mice at a dose similar to the human dose. Practitioners have been informed. Retrospective and prospective studies are in progress. The recommendations for prevention of maternofoetal transmission of HIV are not reassessed. Pregnant women in rich countries are receiving combination antiretroviral therapy. Information of women has to be undertaken and therapeutic strategies for maternal indication have to be discussed case by case. Careful long term follow up of children exposed to antiretroviral agents is a priority.
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A 4 1/2 year old girl with acute lymphoblastic leukemia developed corneal toxicity while receiving courses of chemotherapy once a month (standard doses of vincristine, cyclophosphamide or teniposide, always associated with cytarabine and asparaginase). Symptoms began after 18 courses of treatment and consisted of ocular pain, foreign body sensation, blurred vision, bilateral conjunctival hyperemia. The symptoms appeared during the course of chemotherapy and decreased before the following course. Symptomatic treatment appeared to be effective. Ocular toxicity of antineoplastic agents and particularly cytarabine is discussed.
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We have carried out an analysis of the amino acids in the mother's plasma and in the liquor amnii of 26 pregnant women who delivered either normal premature babies or those with intra-uterine growth failure. The levels found at delivery showed no difference in cases of prematurity in the composition of the substances in the plasma, but the liquor is poor in glycocol (GLY), Tyrosine (TYR), Phenylalanine (PHE). In the case of growth failure a significant drop in the concentration of Threonine (THR), Alanine (ALA), Valine (VAL), Methionine (MET) and Arginine (ARG) was found in the plasma. The liquor amnii however had shown no change in composition.
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