Biomedical subjects

M H Tatibouet

Publications and source records attributed to M H Tatibouet.

4 recordsLinked to original sources

PubMed1983

[Peritonitis encapsulans].

Encapsulating peritonitis is characterized by the formation of a membrane which encases all or part of the abdominal viscera. It is a fibrous perivisceritis. It may answer to many different causes. Tuberculosis, though often considered, is only infrequently ascertained. Other etiologies are: trauma, colitis, jejuno-ileitis, appendicitis, etc. The clinical presentation is a subocclusive syndrome with, in some instances, a fixed abdominal mass giving a paradoxically resonant percussion note. Roentgenograms show gastroduodenal displacement, signs of stenosis, and agglutinated small bowel loops. The best procedure is excision of the membrane with complete decortication. Subsequently, the main risk is recurrence of bowel obstruction.

Abscess↗

PubMed1982

[Cutaneous lesions in human African trypanosomiasis].

We report the case histories of 12 patients infected by Trypanosoma gambiense seen between 1967 and 1979. The course of the disease follows two stages, with the lymphatic and hematologic stage preceding invasion of the central nervous system. The following cutaneous lesions were recorded: 5 patients had trypanomas or chancres which are inflammatory nodules on uncovered areas; 5 patients showed trypanosomal skin rashes with erythematous, infiltrated, transient and recurring trypanids; 5 patients had soft transient edema, affecting mainly the face; 3 patients experienced pruritus, which was usually mild and limited to small areas; 3 patients had cutaneous lesions induced by melarsoprol. Thus dermatologic features are common in human African trypanosomiasis; they were found in 75% of the patients in our department.

Adult↗

PubMed1982

[Congestive heart failure due to chronic alcoholism (author's transl)].

In rare instances, chronic alcoholism leads to the congestive heart failure which is characteristic of alcoholic beriberi with edema. The affected patients is usually a young man with longstanding alcoholic intoxication and often with neurologic features. Onset is often sudden, with dyspnea on exertion, orthopnea, and palpitations. The clinical sings of cardiac failure are unequivocal. Roentgenography shows cardiomegaly mainly due to enlargement of the right cavities and of the pulmonary artery. ECG shows sinus tachycardia and abnormal repolarisation in the precordium. The cardiac output and the cardiac index are increased, as well as the coronary output. Pyruvic acid levels exceed 15 mg/l, the provoked hyperpyruvicemia test is abnormal, thiamine levels are low, and the tryptophane test is normal. The course is variable. Cardiac beriberi progresses by exacerbation and remissions. Prognosis is poor, with a risk of sudden death. However, with adequate treatment combining rest, a low sodium diet, alcohol withdrawal, diuretics, and vitamin B1 (IV) recovery occurs. Our two observations clearly fit this description.

Beriberi↗

PubMed1982

[Professional future after myocardial infarction (author's transl)].

After a first myocardial infarction, the professional future of 86 patients is studied. 80 men and 6 women are included in the study. The mean age is 50.68 years. Manual workers prevail among affected patients, regardless of their age or of the site of the infarct. 78% of patients under 60 years resumed work, during the first threa months in more than half the cases, without any readjustments. The mean age of patients who resumed work is 47.6 years. Work was more often completely discontinued among office clerks and business managers than among other professions. Difficulties in finding readjusted jobs are greater for manual workers, especially if they belong to a small firm or if they are over 50. From a psychological and professional point of view, rehabilitation should be included in the management of myocardial infarction, even if it's impact on long-term mortality remains unknown.

Adult↗