Biomedical subjects

M-L Chambonnière

Publications and source records attributed to M-L Chambonnière.

3 recordsLinked to original sources

PubMed2006

[Giant aneurysm of the right coronary artery].

INTRODUCTION: Giant coronary aneurysms are rare and often confused with cardiac tumours. OBSERVATION: We report a new case of this type of aneurysm occurring on the right coronary artery revealed by a cardiac congestion. COMMENTS: These aneurysms can be due to inflammatory diseases or dysplasia. But in these pseudotumoral forms, atherosclerosis is the main aetiology. The diagnosis and treatment require surgery and histological examination.

Coronary Aneurysm↗

PubMed2004

[Multiple actinomycosis brain abscesses].

BACKGROUND: Actinomycosis is a subacute or chronic bacterial infection, which can affect immunocompetent or immunodeficient subjects. It most often occurs in cervico-facial or thoracic-abdominal locations. Central nervous system infection is rare but of severe prognosis. CASE REPORT: A 56 year-old woman with no history of immunodepression was admitted with unexplained fever, inappropriate behaviour, and spatial and temporal disorientation. The progressive worsening of the neurological signs let to coma and mechanical ventilation was required. Brain imaging showed multilocation cerebral abscesses. Stereotaxial biopsy permitted diagnosis of actinomycosis. Patient's outcome was favourable following appropriate dual antibiotherapy without surgical exeresis. DISCUSSION: When lacking bacteriologic identification, diagnosis of cerebral actinomycosis is performed by pathologic findings. Dual antibiotherapy allows full recover, even in the case of multilocation cerebral abscesses.

Actinomyces↗

PubMed2004

[Diagnosis and treatment of a benign tracheal tumour: a schwannoma].

INTRODUCTION: Schwannomas are extremely rare benign tumours in the tracheo-bronchial tree. CASE REPORT: A rigid bronchoscopy was performed in a fifty-six-year-old woman with clinical features of atypical asthma. It permitted total resection and histological examination of a tracheal tumour. It was identified as a benign schwannoma. CONCLUSION: Using this case report as an illustration, and an analysis of the world literature, the clinical, investigative, histological and therapeutic aspects of tracheo-bronchial schwannoma are discussed. Dyspnoea seems to be the most frequent initial symptom. Investigations, including flexible bronchoscopy, failed to reach a diagnosis. In the past, thoracic surgery was the gold standard treatment, but nowadays, rigid bronchoscopy would be the first choice technique for endo-tracheal or endo-bronchial tumours allowing both histological analysis and complete resection.

Bronchoscopy↗