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Biomedical subjects

M Clerc

Publications and source records attributed to M Clerc.

At least 91 records · Page 5Linked to original sources

[Acute parvovirus B 19-induced erythroblastopenia and hereditary spherocytosis. Apropos of 1 pediatric case and review of the literature].

Authors report a new case of acute erythroblastopenia linked to a parvovirus B 19 infection by a 10 years old boy suffering from an hereditary spherocytosis. Aurillac antigen or parvovirus B 19 is one of the smallest virus to be known. It has been well demonstrated in vitro that the virus inhibits especially erythropoiesis but mechanism remains unclear. Systematic vaccination of all children at risk with congenital or acquired chronic haemolytic anaemia should be in the near future the best prophylaxis of parvovirus B 19 infections.

Acute Disease↗

[M monoclonal macroglobulinemia induced in BALB/C mice. Effect on blood cholesterol and its significance].

BALB/C mice have been inoculated with a monoclonal IgM secreting hybridoma and have developed an hypocholesterolemia strongly dependent of the hypermacroglobulinemia M obtained (P less than 0.001). Cholesterolegram shows cholesterol is carried on the monoclonal IgM fraction. This result has been established in comparison with a lot of mice treated with the same no secreting hybridoma and a lot of untreated-mice, in these cases cholesterolemia is not modified. The whole aminoacids sequence of this IgM being nearly achieved, it is thinked of check the hypocholesterolemic activity of several parts of this immunoglobulin.

Animals↗

Intravenous plasmin-treated gammaglobulin therapy in idiopathic thrombocytopenic purpura. Results in 40 patients.

A study of the effects of high-dose IV plasmin-treated IgG was undertaken in 40 patients (30 children and 10 adults) with idiopathic thrombocytopenic purpura (ITP). After a first course of treatment, a success therapy (platelet counts greater than 100 X 10(9)/l) was observed in 21 patients. The results after additional courses of pH 4 treated IgG in 7 patients tended to indicate that the 2 kinds of concentrates might induce similar platelet responses. No significant side-effects were observed. Platelet associated (PA), IgG, IgM and C3 levels were determined before therapy and on the 7th day after the first infusion (day 8) in 27 patients (36 courses). In spite of great variability, overall results showed a significant decrease in PA IgG (P less than 0.05), PA IgM (P less than 0.01) and PA C3 (P less than 0.001) at day 8. A significant inverse relationship was found between either PA IgG, or PA IgM or PA C3 levels, and platelets counts (respectively, r = -0.57, -0.55, -0.66, P less than 0.001). Our results also showed that pretreatment platelet counts were higher in patients with success therapy (25.8 +/- 16.9 X 10(9)/l) than in others (11.3 +/- 12.1 X 10(9)/l, P less than 0.001). This suggested that pretreatment platelet counts could help predicting the platelet response.

Adolescent↗

[Sinus histiocytosis with massive lymphadenopathy or the Destombes-Rosai-Dorfman disease in the Ivory Coast].

Sinusal histiocytosis with massive lymphadenopathy is a rare pathological entity since, as of 1983, only 200 cases have been published. Following the seminal description in 1965 by Destombes in Blacks, histological features of this disease were specified by Rosai and Dorfman in 1969 and 1972. We report three cases in young Ivorian subjects. The presenting finding is always chronically enlarged lymph nodes, but extranodal lesions are possible, most commonly involving the eye, salivary glands, upper respiratory tract, skin, bone, testis, and nervous system. Diagnosis can be ascertained only upon histologic examination of lymph node biopsy specimens which shows the three cardinal criteria, i.e. massive sinusal histiocytosis, lymphophagocytosis, and mature plasmocytosis. Although a few fatal cases have been reported, the disease usually runs a benign course, with exacerbations of variable duration. Great caution should therefore be taken in deciding upon management, particularly as regards corticosteroid therapy, radiotherapy or anticancer chemotherapy. Etiopathogeny of the disease is unsettled; there is general agreement as to the existence of a cellular immune dysfunction resulting in the lympho-histiocytic proliferation.

Adolescent↗

Growth and division of Spiroplasma citri: elongation of elementary helices.

The smallest viable cell of Spiroplasma citri is a two-turn helix (elementary helix). This elementary helix grows into longer parental cells, which then divide by constriction. The helical morphology is conserved during this process. The growth pattern of S. citri membranes has been investigated by different methods of membrane labeling. When labeling is done with specific antibodies, a diffuse growth of the membrane is observed. On the contrary, pulse-labeling of the membrane with tritiated amino acids reveals a polar growth of the organism. Finally, labeling of oxydo reduction sites with potassium tellurite also indicates a polarity in the organism. These results are discussed, and a scheme for spiroplasma growth is proposed.

Amino Acids↗

[Calculi experimentally obtained in the rat by intrarenal injection of Ureaplasma urealyticum].

Male Sprague Dawley rats have been contaminated with Ureaplasma urealyticum (by injection in their kidney of a 10(8) C.C.U. suspension of micro-organisms of human origin). They produce urinary tract stones similar to the humans ones and composed of struvite crystals (NH4MgPO4, 6H2O). It is concluded that such a model is a very good tool to develop new research on struvite lithiasis.

Animals↗

[Experimental magnesium ammonium phosphate lithiasis induced by Ureaplasma in the rat].

Struvite urinary stones are commonly associated with infections by urease possessing bacteria (Proteus). Ureaplasma urealyticum, a genital mycoplasma, is predominantly located in the human genito-urinary tract and produces urease. Its possible role in the formation of infection stones was studied in the rat model described by Friedlander and Braude. Struvite bladder stones were produced in 60% of Sprague-Dawley male rats after infection of ureaplasmas (serotype 1, 2, 3, 7) into the renal medulla. Mycoplasma hominis, another genital mycoplasma, produced bladder stones in only 10% of animals. A kinetic study showed that pure struvite stones appeared into the bladder 4 to 5 days after inoculation and that U. urealyticum did not usually remain viable more than 6 days. Acetohydroxamic acid and doxycycline prevented the formation of the stones.

Animals↗

[Comparative bacteriological and chemical analysis of kidney calculi. Apropos of 135 cases].

The formation of some urinary tract stones (struvite stones) is known to be related to infection by urease-possessing microorganisms, such as Proteus sp. and some other bacteria. Ureaplasma urealyticum, a genital mycoplasma, contains also urease and is predominantly located in the urogenital tract. Its significance in the production of human urinary stones has not yet been elucidated. In this study, 135 human calculi obtained by surgery were analysed chemically and were cultured for the presence of conventional bacteria and U. urealyticum, 51 were ammonium magnesium phosphate stones and contained Proteus (27), E. coli (4), Staphylococcus epidermidis (3), Streptococcus D (2), Pseudomonas aeruginosa (1), Staphylococcus aureus (1), Corynebacterium (1), Candida albicans (1). U. urealyticum was isolated in one patient, from two different calculi (left and right) taken after an interval of fifteen days. Different bacteria were isolated from other calculi (oxalate, uric acid). This findings suggest that Ureaplasma urealyticum should be looked for in struvite calculi.

Bacteria↗

Urinary volume, creatinine and thiocyanate of Africans of a tropical savanna region.

For 130 healthy African subjects of savanna region, the 24 h urine output was found to be of the order of 1000 ml. This appears somewhat less than levels found among temperate region peoples. These results permit one to grossly evaluate 24 h excretion of substances on rapid field studies. The creatinine urine excretions found, confirm the known characteristics--the variability with age, sex and amount of muscular tissue. Further the 24 h excretion cannot be accurately measured when one calculates it on the basis of urine creatinine excretion of a single micturition; therefore for an accurate measure one needs controlled 24-h urine collections. The urine thiocyanate excretion of this non-goitrous population on a low cassava diet is significantly lower than that found in an endemic goitrous population.

Adult↗

Growth and division of spiroplasmas: morphology of Spiroplasma citri during growth in liquid medium.

The helical mycoplasma Spiroplasma citri was examined by electron microscopy with a newly developed transfer technique which preserves the helical morphology of the organism. The smallest viable cell was found to be a two-turn (elementary) helix. During the logarithmic phase of growth, organisms increased in length and divided by constriction, liberating two-turn elementary helices. The most frequently dividing parental helix was one with approximately four turns, yielding two elementary helices. Influence of pH and temperature on the morphology of the organism was also investigated. In unbuffered medium, growth of the organism produced a significant decrease in pH and a consequent formation of abnormal morphological forms and cell lysis. At 37 degrees C, cell division was inhibited, leading to a progressive disappearance of two-turn helices and an increase in the average length of other helices. Finally, helices were never seen to arise from round bodies at any stage of the growth cycle.

Cell Division↗

[Clinical and laboratory features of endemic goiter in the Man region (Ivory Coast) (author's transl)].

An epidemiological study involving 616 subjects carried out in the Man region, Côte d'Ivoire, showed endemic goiter in 54,5% of the group overall and in 80% of females. Thyroid function of subjects chosen at random in the goitrous and non-goitrous group (105 G and 71 NG respectively) was identical. Compared with a French control group T4 was significantly lower but T3 and TSH were higher. TBG level is high with low iodine elimination. High levels of TSH are not necessarily associated with low T3 or T4 levels, or with clinical signs of a hypothyroid condition. They are probably the result of a transient reaction. T4-TSH and T3-TSH correlations for NG subjects were (-0,40) but the T3-TSH correlation for the G subjects was significantly lower (-0,23). These differences could be explained by the simultaneous high levels of T3 and TSH more frequently rencountered in G subjects and by the fact that serious hypothyroid conditions are more frequent in the NG group (6 out of 9). The percentage of hypothyroid conditions is high in both clinical and biological investigations. No anti-thyroglobulin antibodies were found in any of the hypothyroid cases with goitre. The histograms illustrate the clinical and biological heterogeneity of a homogeneous non-medicalised population.

Adolescent↗

[Remarks suggested by a case of anencephaly with a different Pi type in fetal and maternal blood (author's transl)].

In an African woman who gave birth to an anencephalic foetus at the 28th week, the maternal blood (S.M.), the amniotic fluid (L.A.) and the cord blood (S.C.) were studied. The same fluids from a normal pregnancy and the blood from a normal woman of the same age were also studied. Alpha 1 antitrypsin (A1AT) was assayed: it was similar in the subject and the controls. When the phenotype of the A1AT was examined it was found to be ML in S.C., MM in S.M. and L.A. (suggesting a maternal origin of the A1AT of the L.A.). This distribution of the fraction of A1AT was similar for S.M. and L.A. (a new finding) but different for the S.C. (was the latter a result of the anencephaly?).

Amniotic Fluid↗

["M" alpha-1-antitrypsin at term of pregnancy in an African population: concentration and microheterogeneity].

For 19 multipars in Ivory Coast alpha-1-antitrypsin (A1AT) has been determined in mother's serum as well as in the cord serum and the amniotic fluid. In all cases the type of A1AT was MM. In 15 cases the pregnancies were normal and full term while four were premature (28th week). The A1AT levels obtained were found to be similar to the literature values and thereby do not seem to be influenced by the ethnic origin. Crossed electroimmunodiffusion analyses demonstrate a distribution of the different fractions of A1AT which is characteristic for each of the above groups of samples analysed. The similarity of the fractions in mother's serum and amniotic fluid indicate a maternal origin for A1AT of the latter. The cord blood shows a very characteristic increase in the peak M6. In the author's experience, they have only noticed such a peak in the blood of patients with primary liver cancer of the phenotype MM.

Amniotic Fluid↗