{"title":"Plus de trois heures d’attente pour la moitié des patients","authors":"Jean-Marie Manus","doi":"10.1016/S1773-035X(25)76390-X","DOIUrl":"10.1016/S1773-035X(25)76390-X","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 573","pages":"Page 9"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514409","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":"Varicelle et zona : des experts OMS de bon conseil","authors":"Jean-Marie Manus","doi":"10.1016/S1773-035X(25)76384-4","DOIUrl":"10.1016/S1773-035X(25)76384-4","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 573","pages":"Page 5"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514403","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":"Apnées du sommeil et maladie de Parkinson : la CPAP protectrice ?","authors":"Jean-Marie Manus","doi":"10.1016/S1773-035X(25)76392-3","DOIUrl":"10.1016/S1773-035X(25)76392-3","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 573","pages":"Page 10"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514128","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}
Diane Fournier , Jacques Sevestre , Pierre-Edouard Fournier , Sophie Edouard
{"title":"Les rickettsioses","authors":"Diane Fournier , Jacques Sevestre , Pierre-Edouard Fournier , Sophie Edouard","doi":"10.1016/S1773-035X(25)76406-0","DOIUrl":"10.1016/S1773-035X(25)76406-0","url":null,"abstract":"<div><h3>Résumé</h3><div>Les rickettsioses sont des infections zoonotiques causées par les bactéries des genres <em>Rickettsia</em> et <em>Orientia</em> et transmises par des arthropodes. Elles sont présentes dans le monde entier mais la distribution de chaque espèce est calquée sur celle de son réservoir et/ou vecteur. Les rickettsioses sont l’une des principales causes d’infections associées aux voyages. Elles peuvent être difficiles à diagnostiquer car la plupart des patients présentent des symptômes bénins, mais certaines, comme la fièvre boutonneuse méditerranéenne, présentent un tableau clinique caractéristique. En revanche, le typhus épidémique et la fièvre pourprée des montagnes Rocheuses sont associés à une mortalité importante.</div></div><div><h3>Abstract</h3><div>Rickettsioses are zoonotic infections caused by bacteria from the genera <em>Rickettsia</em> and <em>Orientia</em>, and transmitted by arthropods.They are present all over the world but the distribution of each species parallels that of its reservoir(s) and/or vector(s). Rickettsioses are one of the leading causes of travel-related infections.They may be difficult to diagnose because most patients have mild symptoms, but some, such as Mediterranean spotted fever, have a characteristic clinical presentation. However, epidemic typhus and Rocky Mountain spotted fever are associated with significant mortality.</div></div>","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 573","pages":"Pages 30-38"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514318","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}
Estelle Fleuriot , Audrey Wolf , Sébastien Le Burel , Laura Medina , Aurore Bousquet
{"title":"Défaillance multiviscérale chez une patiente HbS/C","authors":"Estelle Fleuriot , Audrey Wolf , Sébastien Le Burel , Laura Medina , Aurore Bousquet","doi":"10.1016/S1773-035X(25)76412-6","DOIUrl":"10.1016/S1773-035X(25)76412-6","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 573","pages":"Pages 77-78"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514320","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":"La TICM : une affaire de fer","authors":"Camille Bougeard , Stéphanie Mathis , Clémentine Chauvel , Pierre Lemaire , Valérie Bardet","doi":"10.1016/S1773-035X(25)76411-4","DOIUrl":"10.1016/S1773-035X(25)76411-4","url":null,"abstract":"<div><h3>Résumé</h3><div>Les carences martiales sont connues pour induire une anémie microcytaire fréquemment associée à une thrombocytose réactionnelle, légère à modérée. À l’inverse, les thrombopénies sont rarement observées dans ce contexte. Lors de l’association d’une thrombopénie à une carence martiale, une étiologie supplémentaire est souvent recherchée, un purpura thrombopénique immunologique (PTI) étant parfois évoqué à tort. Le cas suivant s’intéresse à une jeune femme de 16 ans présentant une thrombopénie induite par la carence martiale (TICM).</div></div><div><h3>Abstract</h3><div>Iron deficiencies are known to induce mild to moderate reactive thrombocytosis. At contrary, thrombocytopenias are rare. When thrombocytopenia is associated with iron deficiency, an additional etiology is often sought, and immune thrombocytopenia is sometimes misdiagnosed. The following case focuses on a 16-year-old young woman presenting with iron deficiency-induced thrombocytopenia (IDIT).</div></div>","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 573","pages":"Pages 72-76"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514319","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":"La tularémie : une zoonose réémergente due à la bactérie Francisella tularensis","authors":"M.a.x. Maurin","doi":"10.1016/S1773-035X(25)76409-6","DOIUrl":"10.1016/S1773-035X(25)76409-6","url":null,"abstract":"<div><h3>Résumé</h3><div>La tularémie est une zoonose causée par <em>Francisella tularensis</em>, bactérie hautement virulente et agent potentiel de la menace biologique. Ce pathogène possède un réservoir animal sauvage étendu et environnemental. Les tiques Ixodidae, et les moustiques dans certains pays, servent de vecteurs. Les infections humaines surviennent lors d’un contact direct avec des animaux infectés, de la consommation d’aliments ou d’eau contaminés, d’une inoculation par arthropodes, de l’inhalation d’un aérosol ou d’un contact avec un environnement contaminés. L’incubation est généralement courte et les symptômes initiaux évoquent un syndrome pseudogrippal. La maladie peut évoluer vers six formes cliniques classiques, régionales (ulcéro-ganglionnaire, ganglionnaire, oculo-ganglionnaire et oropharyngée) ou systémiques (pulmonaire et typhoïdique). De nombreuses complications régionales ou systémiques peuvent survenir. Le diagnostic clinique est souvent tardif en raison de la rareté de la maladie et de la nature non spécifique des symptômes. Le diagnostic spécifique repose sur la sérologie et la détection de <em>F. tularensis</em> par culture ou PCR. Les antibiotiques efficaces sont la gentamicine, la doxycycline et les fluoroquinolones, parfois associés à la chirurgie. Aucun vaccin n’est disponible actuellement mais des mesures prophylactiques individuelles sont recommandées en cas d’exposition professionnelle ou récréative.</div></div><div><h3>Abstract</h3><div>Tularemia is a zoonosis caused by <em>Francisella tularensis</em>, a highly virulent bacterium and a potential biological threat agent. This pathogen has a broad wild animal and environmental reservoir. Ixodidae ticks and mosquitoes in some countries serve as vectors. Human infections occur through direct contact with infected animals, consumption of contaminated food or water, inoculation by arthropods, inhalation of an aerosol, or contact with contaminated environments. The incubation period is generally short, and the initial symptoms resemble a flu-like syndrome. The disease can progress to six classic clinical forms: regional (ulceroglandular, glandular, oculoglandular, and oropharyngeal) or systemic (pulmonary and typhoidal). Numerous regional or systemic complications can occur. Clinical diagnosis is often delayed due to the rarity of the disease and the non-specific nature of the symptoms. Specific diagnosis relies on serology and the detection of <em>F. tularensis</em> by culture or PCR. Effective antibiotics include gentamicin, doxycycline, and fluoroquinolones, sometimes in conjunction with surgery. No vaccine is currently available, but individual prophylactic measures are recommended in cases of occupational or recreational exposure.</div></div>","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 573","pages":"Pages 60-68"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514324","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":"Région Europe de ľOMS : record de cas de rougeole depuis plus de 25 ans !","authors":"Jean-Marie Manus","doi":"10.1016/S1773-035X(25)76389-3","DOIUrl":"10.1016/S1773-035X(25)76389-3","url":null,"abstract":"","PeriodicalId":74728,"journal":{"name":"Revue francophone des laboratoires : RFL","volume":"2025 573","pages":"Pages 8-9"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514408","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}