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Biomedical subjects

J C Carré

Publications and source records attributed to J C Carré.

4 recordsLinked to original sources

[Paragonimiasis].

Paragonimiasis is a helminthic disease of carnivorous animals. Man is infected accidentally. It has a worldwide distribution but is mainly encountered in Southeast Asia, particularly in Korea. Other endemic areas include Africa and South America. Cerebral paragonimiasis is not rare, but pleuropulmonary manifestations are the most prevalent. They include hemoptysis (frequently rusty-colored), unilateral or bilateral pleural effusions, and pulmonary infiltrates or cavities. This constellation of symptoms often mimics those of tuberculosis. Cerebral and lung involvement has recently been investigated by CT-scan and NMR. The diagnosis is based on the identification of parasite eggs in sputum or feces, and on ELISA serology. The treatment of choice is praziquantel.

Anthelmintics↗

[Idiopathic subacute pulmonary eosinophilia].

We report a case of pneumonia with hypoxaemia and a swinging fever which was resistant to antibiotics, but was associated with a hypereosinophilia (44%) noted in the bronchoalveolar lavage. Investigations as to the cause of the eosinophilic pneumonia were negative; a lung biopsy confirmed the eosinophilic infiltration and the absence of any angiitis. There was a rapid and favourable clinical outcome following steroid therapy, which was maintained for three months. No relapse has been noted in the ten months of follow up since ceasing the cortico-steroids. The diagnosis appears to be that of a sub-acute, idiopathic eosinophilic pneumonia. The similarities and differences between this case and the chronic idiopathic eosinophilic pneumonia of Carrington were discussed.

Acute Disease↗

[Cardiopulmonary manifestations of Mycoplasma pneumoniae infections (author's transl)].

Studies to detect the presence of Mycoplasma pneumoniae infection were undertaken in departments of pulmonary medicine, respiratory intensive care, cardiology, between 1973 and 1977. The diagnosis was based upon the complement deviation reaction, with the exclusion or other serological or culture methods. In addition to acute benign pleuropneumonia, 9 cases of severe pulmonary forms were seen: in 4, acute decompensation in the presence of pre-existence chronic insufficiency, and in the other 5 a radiological picture of acute bilateral bronchopneumonia with dyspnoea. Two patients died in a clinical context of progressive coma. Five cardiac forms with a favourable course were diagnosed: one case of acute myocarditis and 4 of acute pericarditis.

Acute Disease↗