[Liver pathology in Wilson's disease].
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Adult↗
Biomedical subjects
J Valmary
Publications and source records attributed to J Valmary.
[Shigellosis in Tananarive (Madagascar). II : Bacteriologic and therapeutic features (author's transl)].
In acute dysenteries or diarrhoeas shigellae are the bacterial organisms which are the most frequently isolated from coprocultures. The most frequent sub-group is sub-group B (S. flexniri). In vitro, shigellae are sensible to all antibiotics but often resistant to sulfamids. Treatment is not difficult.
Adolescent↗
[Distribution of HBs antigen in Tananarive (author's transl)].
This survey has been conducted among blood donors and patients with hepatitis, cirrhosis, liver carcinomas and various causes of liver dysfunction or enlargement. The frequency is 5,4 p. 100 among blood donors and 50 p. 100 among cases of hepatitis.
Blood Donors↗
[Cerebral malaria with renal insufficiency in a 5 months pregnant woman. The use of prostaglandines for delivery (author's transl)].
Report of a typical case of cerebral malaria with coma during 3 days, pneumopathy and renal insufficiency with failure of concentration. The delivery of a dead foetus has been started by prostaglandines.
Acute Kidney Injury↗
[Distribution of HBs antigen in Tananarive (author's transl)].
This survey has been conducted among blood donors and patients with hepatitis, cirrhosis, liver carcinomas and various causes of liver dysfunction or enlargement. The frequency is 5,4 p. 100 among blood donors and 50 p. 100 among cases of hepatitis.
Blood Donors↗
[Thyphoid fever in Tananarive (Madagascar): a review of 20o cases (author's transl)].
A clinical and biological study of 200 cases in Tananarive. The conventional clinical form is still frequent because patients have no immunity and report too late to the hospital. The main complications concern the heart and the digestive tract. Hemoculture is the main clue for the diagnosis. Biochemical and specially enzymatic unconventional data whichs have been recently reported are frequently observed. No resistance to chloramphenicol has yet been detected in Tananarive.
Adolescent↗
[Shigellosis in Tananarive (Madagascar) I - Epidemiologic and clinic features (author's transl)].
Reviewing 67 cases of human adult shigellosis observed in Madagascar, the authors emphasize some epidemiologic and clinic features : high frequency during rainy season, usual dysenteriform aspect or diarrhoeas with fever, hemorragic forms, severity according to anterior state of colon and rectum, severity if cases associated with amoebiasis or schistosomiasis (Schistosoma mansoni).
Adolescent↗
[Disseminated Histoplasma duboisii histoplasmosis in a female inhabitant of the Ivory Coast].
The authors describe a disseminated multivisceral form of african histoplasmosis due to H. duboisii in a 45 years old black woman. Clinical examination shows characteristic lesions of skin, bones and lymph glands. Lymphography reveals lesions of deep lymph glands and laparascopy lesions of liver and spleen. First untimely stopped, treatment was started again with ketoconazole. 20 months later, the course of the disease is, as for as we can appreciate it, favourable.
Cote d'Ivoire↗
[Two cases of ankylosing spondylitis in Negroes from Indian Ocean (author's transl)].
Are reported: the first one, observed in Tananarive, on a 26 years old man born in Madagascar, with involvement of sacroiliac articulation and rachis. The second one, observed in Marseille on a 20 years old man who was born in la Reunion, with serious right coxitis and sacroileitis. In the second case, the investigation of HLA B27 antigen was positive. Both cases were probably primitive. A review of literature shows unusualness of ankylosing spondylitis in tropical countries.
Adult↗
[Hepatic amebiasis in France. Apropos of 152 case reports].
The authors report upon 152 cases of hepatic amebiasis (H.A.) observed in France between 1969 and 1983, among young european men (average age 29,2) who were hospitalised in the initial phase of their illness. H.A. was clinically revealed through a painful and febrile hepatomegaly in 3/4 cases and in 6 cases through complications. No chronic form was observed. The amebic serology (I.F.I. and/or H.A.P.) was always positive. The research of an intestinal portage of the parasite was generally negative. The hepatic functions were impaired in the third of the cases. Whichever technique was employed, the anatomic diagnosis has always been made in a phase of intra hepatic collection. The superiority of echotomography over other methods is confirmed (especially for diagnosis of multiple abscess: 47% of success). All patients recovered, most frequently through medical treatment (117 cases). The nitro-imidazoles (1,5 to 2 g per day during 7 to 14 days) remain the prefered treatment, but they are responsible for 5 failures which were overcome by emetine. On the other hand, 4 patients had, after being cured, showed middle and long term relapses without patient recontamination. The evolution of the treated H.A. is significantly correlated to the importance and/or the multiplicity of the liver collection: the voluminous abscess of the right lobe being the most potentially dangerous. The pathogenesis of the H.A. remains imperfectly known. The different clinical aspects which have been found, depend upon the preexistant immunity of the patient and could also be equally associated with a pathology of complex immunity systems.
Adolescent↗
[Acute evolution as a rare complication of a chronic calcified pancreatitis. Report of a Malagasy case (author's transl)].
Report of an acute inflammatory syndrome of the right side of the belly with fever, polyleucocytosis and diabetes in a 35 years old patient with chronic calcified pancreatitis. The right colon was moved forward by an important retroperitoneal infiltration and the pathology demonstrated a cytosteatonecrosis. The post-operative period was disturbed by hyperamylasemia, hyperamylasuria and an external pancreatic fistule.
Abdomen, Acute↗
[Gout and hyperuricemia in Tananarive (Madagascar) (author's transl)].
Review of 41 cases observed in "Girard et Robic hospital", Tananarive (35 cases of plain articular gout either acute or chronic, and 6 cases of latent hyperuricemia).--Gout and hyperuricemia are frequently observed within Malagasy high-lands Merina population.--Women and even, in exceptional cases, children may be affected. A responsible hereditary factor is probably associated with the side effects of food habits (diet rich in rice, local vegetables, zebu meat and pork; beverages are not abundant).
Age Factors↗