[Secondary psoas actinomycosis: a complication of an intra-uterine contraceptive device]. / Actinomycose secondaire du psoas : une complication du dispositif intra-utérin.

Genital-pelvic actinomycosis is an uncommon disease which often arises on women with long term use of intrauterine device. Its diagnostic remains difficult. Even if different clinical locations has been reported, location to the psoas muscle is exceptional. We report such a case, diagnosed on a 53 years old woman. Both a tumoral and a severe infectious syndrome appeared three months after an intra-uterine device removal. The septic syndrome led to a laparotomic approach. Unusual clinical presentation, delay between device removal and septic syndrome and lack of genital infection explain the issues to reach the final diagnosis.

Effects of curing sodium nitrite additive and natural meat fat on growth control of Listeria monocytogenes by the bacteriocin-producing Lactobacillus curvatus strain CWBI-B28.

In realistic model meat systems, the separate and combined effects of fat content and sodium nitrite on the antilisterial activity of the bacteriocin of Lactobacillus curvatus CWBI-B28 were studied. In laboratory fermentations where Listeria monocytogenes was co-cultured at 4 degrees C with bacteriocin-producing CWBI-B28 in lean pork meat (fat content: 13%) without added nitrite, a strong antilisterial effect was observed after one week. The effect was maintained for an additional week, after which a slight and very gradual rebound was observed. Both added nitrite (20 ppm) and a high-fat content (43%) were found to antagonise this antilisterial effect, the Listeria cfu count reached after six weeks being 200 times as high in high-fat meat with added nitrite than in lean meat without nitrite. This antagonism could not be attributed to slower growth of the bacteriocin-producing strain, since CWBI-B28 grew optimally in fat-rich meat with 20 ppm sodium nitrite. Bacteriocin activity was also measured in the samples. The observed activity levels are discussed in relation to the degree of antilisterial protection conferred.

[Spontaneous splenic rupture in the first trimester of pregnancy: report of a case and review of the literature]. / Rupture spontanee de la rate au 1er trimestre de la grossesse: a propos d'un cas et revue de la litterature.

The authors return a case of spontaneous rupture of the spleen occured at the first quater of pregnancy. It is a rare accident during pregnancy that often entails the maternal death. Its exact reasons are difficult to determine. Among the reasons of the hemoperitoines at the firt quarter it is necessary to know how to think about the rupture of the spleen. Its diagnosis is unsuspected. The hold in charge surgical fast in our case permitted the pursuit of pregnancy.

Rupture spontanee de la rate au 1er trimestre de la grossesse : a propos d'un cas et revue de la litterature

Les auteurs rapportent un cas de rupture spontanee de la rate au premier trimestre de la grossesse. C'est un accident rare au cours de la grossesse qui entraine le deces maternel. Ses causes exactes sont difficiles a determiner. Son diagnostic est insoupconne. La prise en charge chirurgicale rapide dans notre cas a permis la poursuite de la grossesse. Parmi les causes des hemoperitoines au premier trimestre il faut savoir penser a la rupture de la rate

[A study in the Ivory Coast (1985-1987) of the efficacy and tolerance of ivermectin (Mectizan) in human onchocerciasis. III. The tolerance and efficacy of a single oral dose of 150 mcg/kg in children]. / Etude en Cote-d'Ivoire (1985-1987) de l'efficacité de la tolérance de l'ivermectine (Mectizan) dans l'onchocercose humaine. III. Tolérance et efficacité d'une dose unique orale de 150 mcg/kg chez les enfants.

One hundred and three male and female children of 6 to 14 years old with onchocerciasis, having or not ocular involvement and a mean skin microfilariae level of 36.1 mf/mg, received, in October 1986, a single oral dose of 150 mcg/kg ivermectin and controlled at day 4, 3 months, 6 months and 12 months post treatment. After the last control they were retreated with the same dose. The skin microfilariae count fell down to 94% of the initial level at day 4 and to 99% at 3 months. At 6 months the microfilariae count was 2% of the initial level and 5% at 12 months. The percentage of patients having microfilariae in the anterior chamber of the eye which was 33% before treatment fell down to 6% at 12 months. The percentage of patients having microfilariae in the cornea was 39% before treatment and 18% at 12 months. In the cornea and anterior chamber there was a very reduced number of microfilariae still present. 65% of the children had lesions of keratitis before treatment and 34% two months later. Adverse effects (fever, headache, pruritus, oedemas, myalgias, arthralgias) occurred in 64% of children after the first treatment and 50% after the second. They were of weak or moderate intensity and receded rapidly after administration of aspirin and/or anti-histaminic. The administration of ivermectin is an efficient and well tolerated drug in children above 5 years old.