[Eulogy of Marc Bolgert (1904-1991)].
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Biomedical subjects
Publications and source records attributed to R Bastin.
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The diagnosis of the chronic, human brucellosis is frequently difficult and usually needs experimental methods. This paper describes a lymphocyte stimulation test with a Brucella antigen and the results of this test concerning 45 brucellic or not brucellic patients. It is concluded that this test is interesting, especially for the chronic and sero-negative Brucellosis diagnosis.
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Three cases of endocarditis due to Neisseria mucosa are reported. The pathogenic role of these commensal microorganisms is reviewed. A survey of the literature found a dozen cases of endocarditis due to commensal Neisseria before the antibiotic era, and fourteen more since then (not including our three observations). Some of distinctive features can be delineated from the study of cases seen during the second period. Patients mean age is fairly low (34 years), incidence of cutaneous manifestations is high, and vascular complications (mainly embolism) are common (52, 1% of the cases). Overall prognosis is good and the recovery rate (82 %) is similar to that seen in non-D Streptococcus endocarditis.
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10 patients with septicaemia caused by enterobacteriaceae were successfully treated with cefotaxime. 9 patients had previously received unsuccessful antimicrobial therapy. The pathogen was resistant in vitro to other antibiotics. Cefotaxime was administered alone or in combination with an aminoglycoside. No severe side-effects were noted.
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