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[Multifocal tuberculosis despite immunocompetence]. [多灶性结核病，尽管免疫能力]。
Revue medicale de Liege Pub Date : 2023-03-01
Coline Bézy, Séverine Noirhomme, Pierre Montigny, Pierre Abouhamad, Francois Jouret, Benoît Georges
{"title":"[Multifocal tuberculosis despite immunocompetence].","authors":"Coline Bézy,&nbsp;Séverine Noirhomme,&nbsp;Pierre Montigny,&nbsp;Pierre Abouhamad,&nbsp;Francois Jouret,&nbsp;Benoît Georges","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tuberculosis is one of the deadliest infectious disease. Its annual incidence was 10 million cases in 2019. We report the case of a 40 years old immunocompetent patient presenting with two large subcutaneous masses in his back. The diagnosis work-up will reveal multifocal tuberculosis with pulmmonary, vertebral, muscular and lymph node lesions. This case is unusual due to its presentation in an immunocompetent patient. Several laboratories have conducted experiments to isolate characteristics of the host that would allow the infection to spread despite the absence of an immunosuppressive medical condition. We also analyze the role of the PET scanner in the initial assessment and its interest in the monitoring of extra-pulmonary disease under anti-tuberculosis treatment. Multifocal tuberculosis cases are no longer the preserve of the immunocompromised and can be found in our industrialized countries. We must enonciate this diagnosis in front of unusual presentations. The delay in consultation, but also the delay of treatment, allows more widespread infections.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 3","pages":"165-172"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9491921","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}
引用次数: 0
[Hamstring muscle injury in football players - Part I : epidemiology, risk factors, injury mechanisms and treatment]. [足球运动员腿筋肌肉损伤-第一部分：流行病学，危险因素，损伤机制和治疗]。
Revue medicale de Liege Pub Date : 2023-03-01
François Delvaux, Jean-Louis Croisier, Christopher Carling, Emmanuel Orhant, Jean-François Kaux
{"title":"[Hamstring muscle injury in football players - Part I : epidemiology, risk factors, injury mechanisms and treatment].","authors":"François Delvaux, Jean-Louis Croisier, Christopher Carling, Emmanuel Orhant, Jean-François Kaux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Due to its high frequency and recurrence rate, hamstring injury represents an important issue in football currently. The mechanisms of injury and the main modifiable and non-modifiable risk factors are now well documented and should allow the implementation of effective preventive strategies. In the treatment of the injured player, the physician will have to rely on a close collaboration with a quality sports physiotherapist and implement a series of key elements allowing an optimal return to the soccer field, which means at the same level of performance compared to the pre-injury period and with a minimal risk of recurrence. This article discusses these different elements in the form of a narrative review of the literature.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 3","pages":"160-164"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9488991","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}
引用次数: 0
[Syndemics and non infectious diseases]. [传染病和非传染性疾病]。
Revue medicale de Liege Pub Date : 2023-02-01
Philippe Coucke
{"title":"[Syndemics and non infectious diseases].","authors":"Philippe Coucke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The concept of \"syndemics\" is getting more and more popularity in scientific journals, especially since the end of the first decade of the current century. It relates to the dynamic interaction of synchronous or sequential diseases (whether communicable or not, also including mental diseases), with social and environmental factors, resulting at the end in a worse global outcome. A first article in the same Journal (1) was devoted to infectious diseases, especially COVID-19 and HIV infections. In this second article, we highlight the fact that the concept is also applicable on diseases which are not transmitted by infectious pathogens. The importance of considering action within the field of social determinants of care will be illustrated by a limited selection of examples.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 2","pages":"85-88"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315497","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}
引用次数: 0
[Advances in pulmonary hypertension diagnosis and risk stratification]. 肺动脉高压诊断及危险分层研究进展。
Revue medicale de Liege Pub Date : 2023-02-01
Quentin Maloir, Hélène Petitjean, Gilles Parzibut, Thierry Weber, Cedric Davidsen, Elena Dulgheru, Patrizio Lancellotti, Renaud Louis, Julien Guiot, Marc Humbert
{"title":"[Advances in pulmonary hypertension diagnosis and risk stratification].","authors":"Quentin Maloir,&nbsp;Hélène Petitjean,&nbsp;Gilles Parzibut,&nbsp;Thierry Weber,&nbsp;Cedric Davidsen,&nbsp;Elena Dulgheru,&nbsp;Patrizio Lancellotti,&nbsp;Renaud Louis,&nbsp;Julien Guiot,&nbsp;Marc Humbert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulmonary hypertension (PH) is a common clinical condition linked to chronic cardiopulmonary illnesses. It must be distinguished from pulmonary arterial hypertension (PAH), a rare disease characterized by a specific involvement of the pulmonary arterial bed. An early diagnosis and accurate classification by a multidisciplinary team are necessary for a multimodal and individualized therapy approach. This article aims to provide a summary of the most recent ESC/ERS recommendations published in 2022.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 2","pages":"99-106"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9300244","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}
引用次数: 0
[Delayed graft function : an ongoing clinical challenge]. 延迟移植物功能:一个持续的临床挑战。
Revue medicale de Liege Pub Date : 2023-02-01
Pauline Erpicum, Tiago Pinto Coelho, Catherine Bonvoisin, Antoine Bouquegneau, Stéphanie Grosch, Margaux Navez, Morgan Vandermeulen, Yves Beguin, Olivier Detry, François Jouret, Laurent Weekers
{"title":"[Delayed graft function : an ongoing clinical challenge].","authors":"Pauline Erpicum,&nbsp;Tiago Pinto Coelho,&nbsp;Catherine Bonvoisin,&nbsp;Antoine Bouquegneau,&nbsp;Stéphanie Grosch,&nbsp;Margaux Navez,&nbsp;Morgan Vandermeulen,&nbsp;Yves Beguin,&nbsp;Olivier Detry,&nbsp;François Jouret,&nbsp;Laurent Weekers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Delayed Graft Function (DGF) is defined as the need for dialysis during the first week after transplantation. DGF is frequent and mostly derived from the ischemia/reperfusion cascade to which the graft is subjected throughout the transplantation process. A graft biopsy is recommended after 7 days of DGF to exclude an episode of acute rejection. Note that DGF per se is associated with an increased risk of acute graft rejection, as well as with a shorter long-term graft survival. Several strategies are being studied to mitigate the ischaemic damage, thereby improving graft quality. Among these, cellular therapy using mesenchymal stromal cells (MSC) is promising, in particular via the administration of MSC in the machine perfusion during the preservation of the graft. We will discuss here the different definitions of DGF and the main predictive factors of DGF, as well as the impact on the graft outcomes. The current strategies to prevent DGF will be briefly reviewed.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 2","pages":"107-113"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9300242","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}
引用次数: 0
[Shaving of popliteal artery secondary to a knee arthroscopy]. 膝关节镜后腘动脉刮除术。
Revue medicale de Liege Pub Date : 2023-02-01
Andrew Falck, Yann De Bast, Liesbeth Lootens, Alexandre Hublet
{"title":"[Shaving of popliteal artery secondary to a knee arthroscopy].","authors":"Andrew Falck,&nbsp;Yann De Bast,&nbsp;Liesbeth Lootens,&nbsp;Alexandre Hublet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Popliteal artery lesions are rare complications of knee surgery and may have significant sequelae depending on the length of time it takes to diagnose this type of vascular injury. We present two case reports of popliteal artery following meniscus resection by shaving.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 2","pages":"70-73"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9300243","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}
引用次数: 0
[Integrating new migraine treatments into clinical practice. Part 2 : preventive treatment]. 将新的偏头痛治疗方法融入临床实践。第2部分:预防性治疗]。
Revue medicale de Liege Pub Date : 2023-02-01
Arnaud Fumal, Gregory Timmermans
{"title":"[Integrating new migraine treatments into clinical practice. Part 2 : preventive treatment].","authors":"Arnaud Fumal,&nbsp;Gregory Timmermans","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Migraine is the most common neurological disorder and can be very debilitating. While traditional (and older) oral preventive treatments have helped numerous patients to date, their therapeutic efficacy is often low, and adverse event profiles are troublesome. However, the coupled progress of biochemistry and molecular biology as well as the application of advanced drug design methods have led to a therapeutic renewal with, in particular, the advent of monoclonal antibodies blocking CGRP («Calcitonin Gene- Related-Peptide») transmission. We provide an overview of the preventive pharmacologic options with both older oral treatments and new ones such as botulinum toxin and the newly marketed CGRP monoclonal antibodies. The latter seem particularly interesting because they have an effectiveness at least equivalent to most oral treatments with much better tolerance and compliance. Unfortunately, their very high cost confines them to a fourth line of therapy in Belgium, a disappointment for both specialists in migraine therapy and patients who suffer from frequent migraine crisis. We finally propose a rational (and Belgian) pharmacological approach of migraine preventive treatment.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 2","pages":"89-98"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315495","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}
引用次数: 0
Pauline ERPICUM, lauréate du Prix de la Fondation Docteurs Désiré et Maurice Jaumain 2022, pour ses travaux sur la problématique du retard de fonction du greffon après transplantation rénale. Pauline ERPICUM，博士基金会desire和Maurice Jaumain 2022奖得主，因其在肾脏移植后移植功能延迟问题上的工作。
Revue medicale de Liege Pub Date : 2023-02-01
Jacques Boniver
{"title":"Pauline ERPICUM, lauréate du Prix de la Fondation Docteurs Désiré et Maurice Jaumain 2022, pour ses travaux sur la problématique du retard de fonction du greffon après transplantation rénale.","authors":"Jacques Boniver","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 2","pages":"61-62"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10835641","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}
引用次数: 0
[Experiences of frontline caregivers in the midst of a health crisis : a participatory study in the Liege region]. [一线护理人员在健康危机中的经验:列日地区的一项参与性研究]。
Revue medicale de Liege Pub Date : 2023-02-01
Marie Bayot, Jean-François Roger, Gaëlle Lechanteur, Anne-Laure Lenoir
{"title":"[Experiences of frontline caregivers in the midst of a health crisis : a participatory study in the Liege region].","authors":"Marie Bayot,&nbsp;Jean-François Roger,&nbsp;Gaëlle Lechanteur,&nbsp;Anne-Laure Lenoir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this two-stage research was to document the stressors and resources experienced by front-line professional groups at the heart of the health crisis due to COVID-19, as well as to bring out of a multidisciplinary reflection, a series of priority proposals for strengthening the care system. Our results highlighted great interprofessional similarities in terms of negative and positive experiences (e.g., feeling of powerlessness, support among colleagues), as well as professional specificities (e.g., the painful feeling of being «alone at the front» among nurses). Although the stress, fatigue and/or lassitude factors cited by the participants were more numerous than the protective factors, several participants experienced an opportunity for personal and professional development. Overall, this research found that all front-line professionals have a role to play in improving and building resilience in the system, and that this role could be most effective if played in a context of increased multidisciplinary coordination and communication.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 2","pages":"65-69"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315496","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}
引用次数: 0
[Dapagliflozin in DELIVER : confirmation of the benefit with SGLT2 inhibitors in heart failure with preserved ejection fraction]. [达格列净在DELIVER中的应用:确认SGLT2抑制剂对保留射血分数的心力衰竭的益处]。
Revue medicale de Liege Pub Date : 2023-02-01
André Scheen, Patrizio Lancellotti
{"title":"[Dapagliflozin in DELIVER : confirmation of the benefit with SGLT2 inhibitors in heart failure with preserved ejection fraction].","authors":"André Scheen,&nbsp;Patrizio Lancellotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gliflozins (sodium-glucose cotransporter type 2 inhibitors or SGLT2is) first demonstrated a reduction in hospitalisation for heart failure (hHF) in patients with type 2 diabetes (T2DM) at high cardiovascular risk. Then, a reduction in hHF (also combined with cardiovascular mortality) was reported in patients with heart failure, independently of the presence of T2DM. These placebo-controlled trials first concerned patients with heart failure and reduced left ventricular ejection fraction (LVEF) in DAPA-HF with dapagliflozin and EMPEROR-Reduced with empagliflozin. Afterwards, the benefit was observed in patients with preserved LVEF in EMPEROR-Preserved with empagliflozin, yet some doubt persisted in patients with LVEF > 60 %. The DELIVER study recently confirmed a significant reduction in the composite outcome hHF plus cardiovascular mortality (- 27 %) and in hHF (- 21 %) in patients (with or without T2DM) with heart failure and mildly reduced or preserved LVEF treated with dapagliflozin compared with placebo. The protection was noticed whatever the level of LVEF. These results reinforce the place of SGLT2is in international guidelines for the prevention or treatment of heart failure independently of the level of LVEF. SGLT2is represent the first pharmacological class that has proven its efficacy in patients with heart failure and preserved LVEF.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 2","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315499","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}
引用次数: 0
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