A single dose of ciprofloxacin reduces the duration of diarrhea among service members deployed in Africa.

OBJECTIVES: To assess the effectiveness of the adjunction of a one-gram single dose of ciprofloxacin to a symptomatic treatment for the early treatment of uncomplicated diarrhea during military operations of the French service members in Africa. PATIENTS AND METHODS: This phase IV, multicentric, randomized, open-label, controlled trial was conducted in Chad, Mali, and in Central African Republic. A total of 267 French service members having at least one loose stool in the previous 24 hours were enrolled from May 2015 to June 2016. Participants were randomized to receive ciprofloxacin 1 g and a symptomatic treatment (racecadotril 100 mg three times a day and ad libidum oral rehydration solution) or a symptomatic treatment alone. The primary outcome was the duration of the diarrhea. Secondary outcomes were evaluated at the 72-hour endpoint and included recovery status, number of loose stools, frequency and duration of associated symptoms and safety of treatments. RESULTS: Among 267 participants, 242 completed the trial. Participants receiving ciprofloxacin and a symptomatic treatment (n = 124) were significantly more likely to be cured at the endpoint than those who only received a symptomatic treatment (118): 94.4 % versus 74.6 % (OR = 5.7; 95 %CI: [2.4-13.6]; p < 10-3). The antibiotic therapy reduced the average diarrhea duration by 30 % (p = 10-4). Fever at inclusion was associated with a longer episode (HR = 0.61; 95 %CI: [0.41-0.89]; p = 0.012). No adverse event of medications was reported. CONCLUSION: A single dose of ciprofloxacin was effective and safe in treating uncomplicated diarrhea among service members in Africa.

Pediatric bacterial meningitis in French Guiana.

OBJECTIVE: Controlling vaccine-preventable infectious diseases is a public health priority in French Guiana but there is currently no epidemiological data on pediatric bacterial meningitis in this overseas department. Our aim was to describe data related to pediatric bacterial meningitis in French Guiana and compare it with that of metropolitan France. METHODS: We conducted a multicenter retrospective study from 2000 to 2010 to describe the clinical picture, biological data, epidemiology, and outcome of pediatric bacterial meningitis case patients in French Guiana. RESULTS: The median age of bacterial meningitis patients was 6months [0-15] and the sex ratio 1.06. We observed a total of 60 bacterial meningitis case patients. Most presented with pneumococcal meningitis (24 patients; 40%); 11 with Haemophilus influenzae type b meningitis (23%), five with group B streptococcal meningitis (8.5%), and five others (8.5%) with staphylococcal meningitis (three patients presented with coagulase-negative staphylococci and two with Staphylococcus aureus). Only one patient presented with group B meningococcal meningitis, an 18-month-old infant. We recorded 14 deaths (overall case fatality: 23%); eight were due to Streptococcus pneumoniae (case fatality: 33%). The overall sequelae rate was 28%. It was 32% for patients presenting with pneumococcal meningitis. We observed that 38% of children who had never been vaccinated were infected by a vaccine-preventable bacterium. We observed many differences in the distribution of the bacteria and in the patients' prognosis when comparing the French Guiana data with that of metropolitan France. CONCLUSION: Improving vaccination coverage would decrease the incidence of H. influenzae meningitis.

Ultrastructural study of sex inversion in a protogynous hermaphrodite, Epinephelus microdon (Teleostei, Serranidae).

Sex inversion of Epinephelus microdon, a protogynous hermaphrodite was studied using light and electron microscopic criteria. The sex changes takes place within ex-ovarian lamellae in which, in addition to spermatogonia, numerous primordial germ cells (PGCs) were detected. These undifferentiated and bipotential early germ cells are involved, as well as spermatogonia, in the building up of the testis.

[A study on the tegument and sensory receptors of the scolex of a tetraphyllidean cestode plerocercoid, by transmission and scanning electron microscopy (author's transl)]. / Etude du tégument et des récepteurs sensoriels du scolex d'un pléroceroïde de cestode Tetraphyllidea à l'aide de la microscopie électronique.

The ultrastructure of bothridia and the myzorhynchus of a tetraphyllidean cestode plerocercoid is described. Two types of microtriches occur on the tegument of these organs. On the bothridium, the microtriches are lanceolated whereas on the mizorhynchus, they are filamentous. Uniciliated sensory receptors, which consist of a basal bulb contaning one or two electron-dense collars, are observed especially on the bothridia and myzorhynchus. A papilla is also described on the tegument. According to the present study, it is suggested that the rostellum of cyclophyllidean cestodes and the myzorhynchus of the tetraphyllideans are homologous. Moreover, the role in the attachment and sensory perception of the myzorhynchus is revealed.