{"title":"Quelle discipline et place, pour les humanités médicales.","authors":"Christian Delorenzo","doi":"10.53738/REVMED.2025.21.934.47923","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.934.47923","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 934","pages":"1808"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[New vaccines in Switzerland : 2025 update].","authors":"Audrey Lanyan, Cathy Voide","doi":"10.53738/REVMED.2025.21.934.47744","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.934.47744","url":null,"abstract":"<p><p>From its inception at the end of the 17th century to its large-scale implementation, no other medical innovation than vaccination has prevented as many deaths and controlled or eradicated as many infectious diseases. The Swiss vaccination framework is regularly updated in line with scientific advances and drug marketing authorizations. The aim of this article is to report on the changes that have marked the Swiss vaccination plan over the last two years.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 934","pages":"1770-1775"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[From the microscopic to the macroscopic : the diagnostic power of images in infectious diseases].","authors":"Stéphanie D'incau, Milo Moraz","doi":"10.53738/REVMED.2025.21.934.47831","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.934.47831","url":null,"abstract":"<p><p>An image is often worth a thousand words in the field of infectious diseases. Whether it is a cutaneous lesion of a syphilitic gumma, a brainstem abscess on CT-scan, or a stained culture, it can quickly guide the diagnosis. It is also the foundation of the \"clinical sense\". Here, we report five emblematic cases in which the combination of clinical, radiological, and microbiological images allowed the formulation of the most probable diagnosis and its management plan at a glance. These observations illustrate the importance of clinical experience in improving diagnostic accuracy and accelerating therapeutic decisions.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 934","pages":"1788-1792"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vanessa Stornelli, Kathlyn Schreiter-Milcent, Jens Greiser, Frank Imkamp, Stéphane Emonet
{"title":"[Macrolide-resistant Mycoplasma pneumoniae pneumonia in Switzerland and other countries].","authors":"Vanessa Stornelli, Kathlyn Schreiter-Milcent, Jens Greiser, Frank Imkamp, Stéphane Emonet","doi":"10.53738/REVMED.2025.21.934.47749","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.934.47749","url":null,"abstract":"<p><p>Lower respiratory tract infections caused by Mycoplasma pneumoniae are most often characterized by mild, self-limiting symptoms, including fever, cough, and shortness of breath. They mainly affect schoolaged children and young adults, in whom this germ is the third leading cause of community-acquired bacterial pneumonia. Infection with a macrolide-resistant strain of Mycoplasma pneumoniae (MR-MP) presents with a similar clinical picture; however, the duration of fever, cough, and hospitalization tends to be prolonged. The prolonged duration of symptoms is not associated with an increased risk of complications, but it often leads to a delay in the initiation of appropriate treatment. In Switzerland, doxycycline is currently considered the first-line treatment for MR-MP infection in adults.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 934","pages":"1793-1798"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Santé et maladie comme relation au monde.","authors":"Michèle Gennart","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 934","pages":"1806-1807"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Médecine : une vocation à bout de souffle.","authors":"Stéphane Emonet, Gaud Catho","doi":"10.53738/REVMED.2025.21.934.47920","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.934.47920","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 934","pages":"1767-1768"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Contagious patient in ambulatory care : precautions and measures for exposed contacts].","authors":"Giorgia Caruana, Delphine Berthod, Gaud Catho","doi":"10.53738/REVMED.2025.21.934.47766","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.934.47766","url":null,"abstract":"<p><p>This article provides practical recommendations for the management of infectious diseases in outpatient medical practice, based on modes of transmission and a syndromic approach to identify high-risk situations, implement appropriate additional measures (such as masks, hygiene, and protective equipment), and organize patients' flow. Once an infectious diagnosis is established, some communicable diseases require individual interventions (such as isolation or secondary prophylaxis) or measures for close contacts (such as antibiotic prophylaxis or postexposure vaccination), to be implemented in coordination with public health authorities. This article is intended for general practitioners and offers a summary of the key individual and collective measures recommended for the most common communicable diseases.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 934","pages":"1776-1781"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Thoracentesis in the setting of thrombocytopenia : current guidelines].","authors":"Celia Mach, Pauline Darbellay Farhoumand","doi":"10.53738/REVMED.2025.21.934.47738","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.934.47738","url":null,"abstract":"<p><p>Thoracentesis, even in patients with significant thrombocytopenia, carries a very low risk of major bleeding when performed under ultrasound guidance. Based on observational studies, current guidelines challenge the need for routine coagulation testing or prophylactic platelet transfusion. Low-quality and mainly indirect evidence suggests the safety of a platelet threshold above 20 × 109/l. Avoiding thoracentesis based solely on laboratory values may delay diagnosis, prompt more invasive procedures, and increase complication risk. Clinical decision-making should be guided by an individualized risk-benefit assessment rather than fixed laboratory thresholds.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 934","pages":"1801-1802"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}