[Role of clinical thoracoscopy in the diagnosis and treatment of pleuropulmonary cancer]. / Place de la thoracoscopie médicale dans le diagnostic et le traitement du cancer pleuropulmonaire.

Pleuro-pulmonary cancer has a place of choice in medical thoracoscopy. From the diagnostic point of view, this technique, performed under local anesthesia leads to the diagnosis of neoplastic effusion in most cases in the shortest possible time. It improves therapeutic efficacy and especially demonstrates as resectable tumours which could have been declared inoperable. For pleurodesis, pleural talc insufflation under thoracoscopy seems to be the best available technique. Complications are rare with a well-trained operator, as long as he keeps in mind the contraindications of this technique which should be taught to future pneumologists.

[Pneumococcal spondylodiscitis. A case report]. / Spondylodiscite à pneumocoque. A propos d'un cas.

We report on a case of a 66 years-old patient suffering weight loss and lumbar pain, localized at L2-L3. A spondylodiscitis was revealed by CT and MRI; intervertebral disc puncture was positive for Pneumococcus Pneumoniae. The clinical evolution was good with the anti-bacterial treatment, while the patient developed a synostosis L2-L3. Incidence, bacteriology, imaging and therapy of spondylodicitis are discussed.