[A case of bisalbuminemia in a patient with digestive adenocarcinoma]. / Un cas de bisalbuminémie chez une patiente avec adénocarcinome digestif.

UNLABELLED: Bisalbuminemia whether hereditary or acquired, is a rare electrophoretic abnormality of albumin, characterized by a duplication of the albumin fraction on the electrophoretic trace of the serum proteins. This duplication reflects the presence in the same individual normal plasma albumin and a modified albumin. OBSERVATION: This is a patient of 62 years hospitalized at the Internal Medicine Department of HMIMV for liver metastases of gastrointestinal adenocarcinoma and including serum protein electrophoresis (EP) performed on capillary (Capillarys society Sebia) reveals bisalbuminemia. The family investigation has ruled that inheritance of acquired bisalbuminemia to retain appearance. COMMENT: Bisalbuminemia acquired outside treatment with high doses of beta-lactam antibiotics, chronic pancreatitis with pseudocyst rupture or fixing a monoclonal immunoglobulin on albumin in the myeloma subjects is an exceptional event. The pathophysiologic mechanism in the reported cases remains unexplained as is also the case of acquired bisalbuminemias associated with other pathological contexts (Alzheimer's disease nephrotic syndrome). CONCLUSION: To the best of our knowledge, the bisalbuminemia in the gastrointestinal adenocarcinoma liver metastases has not been reported to date, hence the importance of the reported cases.

[Bacteriological study of the strains isolated from ocular infections]. / Étude bactériologique des souches isolées à partir d'infections oculaires.

Isolation of bacteria involved in eye infections and their susceptibility pattern to various antibiotics in vitro eye were studied. Different ocular samples were obtained from 354 patients hospitalized in ophthalmology unit. The samples were inoculated directly onto appropriate culture media. Biochemical tests have been performed and microorganisms were identified according to standard procedure. The in vitro susceptibility of pathogens to antibiotics has been studied as recommended by the CA-SFM; 129 bacteria were isolated with a prevalence rate of 36.4%. The conjunctival swabs were predominant in 70.5% (n=91). In conjunctivitis and keratitis, the main causal agent was coagulase-negative staphylococci followed by alpha hemolytic streptococci. Bacteria from contact lenses were represented mostly by Enterobacteriaceae (50%). In uveitis and cellulite, different bacteria were isolated. The pathogens studied were susceptible to most antibiotics tested except Staphylococcus aureus that showed resistance to penicillin G, Pseudomonas sp expressed an average sensitivity to piperacillin and ticarcillin. The alpha hemolytic streptococci showed very low sensitivity to ciprofloxacin. In conclusion many species could be responsible for eye infections. They were sensitive to most antibiotics tested exceptions.