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Biomedical subjects

G Huault

Publications and source records attributed to G Huault.

At least 73 records · Page 4Linked to original sources

[Microbiological diagnosis of epiglottitis].

Forty patients, between July 1977 and April 1982, with clinical diagnosis of epiglottitis were studied for the presence of capsular antigen by counter-immunoelectrophoresis (CIE) and for positive blood culture. Blood culture was positive, for Haemophilus influenzae only, in 15 patients. Haemophilus influenzae type b antigen was present in blood and/or urine of 25 patients (blood 14 patients, urine 18 patients). CIE associated with blood culture give conclusive proofs of Haemophilus influenzae etiology in 30 patients.

Antigens, Bacterial↗

[Microbiological diagnosis of epiglottitis].

Forty patients, between July 1977 and April 1982, with clinical diagnosis of epiglottitis were studied for the presence of capsular antigen by counter-immunoelectrophoresis (CIE) and for positive blood culture. Blood culture was positive for Haemophilus influenzae only, in 15 patients. Haemophilus influenzae type b antigen was present in blood and/or urine of 25 patients (blood 14 patients, urine 18 patients). CIE associated with blood culture give conclusive proofs of Haemophilus influenzae etiology in 30 patients.

Antigens, Bacterial↗

[Legionella pneumophila pneumopathy in a 4 1/2-month-old infant].

A 4 1/2 month-old infant presented with severe alveolo-interstitial pneumonitis needing intubation and mechanical ventilation. Legionella pneumophila infection was established by a significant increase in antibody titers. The clinical picture was consistent with that of legionnaires' disease. No immune defect could be proven.

Female↗

[Diaphragmatic paralysis and eventration].

Paralysis of the diaphragm normally heals in a matter of weeks, provided that it does not result from permanent damage to the phrenic nerve. The most frequent cause is traumatic, a consequence of birth or a postoperative complication, especially after cardiovascular surgery. The vital prognosis may involve respiratory insufficiency and consequent ventilation problems. But the situation has greatly changed as a result of the technical progress made in respiratory reanimation. When the necessary time is available, the indications of surgical plication are becoming rarer. Diaphragmatic eventration, on the other hand, involves rarefaction or the complete disappearance of the muscle fibres of the diaphragm. Over two thirds of such cases require surgical treatment. The eventration may result from an acquired affection leading to permanent destruction of the phrenic nerve. But it may also be associated with malformations, and in that event the prognosis is definitely severe.

Adolescent↗

[Perioperative management of 98 cases of type C esophageal atresia (1970-1980) ].

We report our experience about 98 cases of type C esophageal atresia admitted to our unit from 1970 to 1980. 78.6% underwent successful anastomosis; 65.3% were considered at high risk because of delayed diagnosis (34.6%), low weight (22.4%) or associated malformations (15.3%). These latest two were especially responsible for mortality. Our results are encouraging and stress the need for a high quality of surgical management, for a systematic detection of this malformation and for a delayed surgical procedure allowing a better preoperative care.

Esophageal Atresia↗

[Complication of a vegetarian diet in a breast-fed girl (author's transl)].

A case is presented of megaloblastic anemia with metabolic acidosis. The baby was eleven months old. She was strictly fed with human milk from a vegetarian mother. Baby's and mother's B 12 serum levels were low. Baby's weight and neurological development were retarded. Complications included acido-cetosis, coagulation disorder and liver disorder. All these problems were corrected by cobalamine supplementation. X-rays also disclosed bone demineralization.

Acidosis↗

[Pneumococcal infections and pediatric intensive care (author's transl)].

During the period 1965 to 1978, 62 cases of severe pneumococcal infection were admitted in Saint-Vincent de Paul pediatric intensive care unit. Recovery without sequelae was observed in only 17 of 49 meningitis. 5 fulminant pneumococcal infections after splenectomy or other disorders were observed. This late condition may be preventable by vaccination.

Adolescent↗

[Severe hyperthermia in children].

In some children severe hyperthermia may be the result of fever that causes cellular damage. This can be seen histologically as cell necrosis. When hyperthermia occurs with collapse or with neurological symptoms it should lead to a search for other lesions (renal, hepatic and/or coagulation disorders). Treatment of these conditions may, in some cases, lead to improvement. Simple prophylactic measures and close supervision of febrile children should prevent this serious syndrome.

Blood Coagulation Disorders↗