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Acute Q fever revealed by an anti-phospholipid syndrome: A case report. 由抗磷脂综合征引发的急性 Q 热：病例报告
La Revue de medecine interne Pub Date : 2024-07-01 Epub Date: 2024-05-17 DOI: 10.1016/j.revmed.2024.05.006
K Balasoupramanien, J-B Roseau, N Cazes, C Surcouf, E Le Dault
{"title":"Acute Q fever revealed by an anti-phospholipid syndrome: A case report.","authors":"K Balasoupramanien, J-B Roseau, N Cazes, C Surcouf, E Le Dault","doi":"10.1016/j.revmed.2024.05.006","DOIUrl":"10.1016/j.revmed.2024.05.006","url":null,"abstract":"<p><strong>Introduction: </strong>Q fever is a zoonosis caused by Coxiella burnetii. Acute infection is mainly asymptomatic. In other cases it mainly causes a flu-like illness, a pneumonia, or an hepatitis. We present an atypical case of an acute Q fever revealed by a massive pleural effusion.</p><p><strong>Case report: </strong>We report the case of a 43-year-old man referred to our hospital for an acute respiratory distress. Further analyses showed an exudative eosinophilic pleural effusion, associated with a pulmonary embolism and a deep femoral vein thrombosis. Aetiologic explorations revealed an acute Q fever (IgM and IgG against C. burnetii phase II antigens) associated with anti-phospholipids. The outcome was favorable with vitamin K antagonists, doxycycline, and hydroxychloroquine, till the negativation of the anti-phospholipid antibodies.</p><p><strong>Discussion and conclusion: </strong>During acute C. burnetii infections, anti-phospholipid antibodies are highly prevalent but thrombotic complications are rare. The 2023 ACR/EULAR APS criteria restricts the diagnosis of APS, as in our case of acute severe infection. In front of an atypical pneumonia and/or thrombotic events, screening of C. burnetii and anti-phospholipid antibodies could be useful. Given its low level of evidence, prolongated treatment by doxycycline, hydroxychloroquine ± anticoagulant for C. burnetii's associated anti-phospholipid syndrome is discussed, but succeeded in our case.</p>","PeriodicalId":94122,"journal":{"name":"La Revue de medecine interne","volume":" ","pages":"444-446"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140961338","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
[Portrait of Claire Le Jeunne, professor and former head of the internal medicine department at Hôpital Cochin, Paris]. [巴黎科钦医院内科教授和前主任克莱尔-勒让纳的肖像]。
La Revue de medecine interne Pub Date : 2024-05-01 DOI: 10.1016/j.revmed.2024.05.004
G. Martin de Frémont, K. Chevalier, A. Roeser
{"title":"[Portrait of Claire Le Jeunne, professor and former head of the internal medicine department at Hôpital Cochin, Paris].","authors":"G. Martin de Frémont, K. Chevalier, A. Roeser","doi":"10.1016/j.revmed.2024.05.004","DOIUrl":"https://doi.org/10.1016/j.revmed.2024.05.004","url":null,"abstract":"","PeriodicalId":94122,"journal":{"name":"La Revue de medecine interne","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141026080","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
[Among patients with metabolic dysfunction associated steatohepatitis (MASH), is resmetirom 80 or 100mg superior to placebo in reversing MASH and/or fibrosis on liver biopsy, and is it safe?] [在代谢功能障碍相关性脂肪性肝炎（MASH）患者中，瑞美替罗 80 毫克或 100 毫克在逆转 MASH 和/或肝活检纤维化方面是否优于安慰剂？］
La Revue de medecine interne Pub Date : 2024-05-01 DOI: 10.1016/j.revmed.2024.05.007
L. Lanthier, D. Grbic, Marc-Émile Plourde, M. Cauchon
{"title":"[Among patients with metabolic dysfunction associated steatohepatitis (MASH), is resmetirom 80 or 100mg superior to placebo in reversing MASH and/or fibrosis on liver biopsy, and is it safe?]","authors":"L. Lanthier, D. Grbic, Marc-Émile Plourde, M. Cauchon","doi":"10.1016/j.revmed.2024.05.007","DOIUrl":"https://doi.org/10.1016/j.revmed.2024.05.007","url":null,"abstract":"","PeriodicalId":94122,"journal":{"name":"La Revue de medecine interne","volume":"49 S3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024355","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
[Atypical alveolar echinococcosis with systemic involvement in a patient treated with dupilumab]. [一名接受杜匹单抗治疗的患者患上全身受累的非典型肺泡棘球蚴病]。
La Revue de medecine interne Pub Date : 2024-05-01 DOI: 10.1016/j.revmed.2024.04.002
L. Jacquel, B. Hoellinger, G. Marzolf, A. Stab, A. Guffroy
{"title":"[Atypical alveolar echinococcosis with systemic involvement in a patient treated with dupilumab].","authors":"L. Jacquel, B. Hoellinger, G. Marzolf, A. Stab, A. Guffroy","doi":"10.1016/j.revmed.2024.04.002","DOIUrl":"https://doi.org/10.1016/j.revmed.2024.04.002","url":null,"abstract":"","PeriodicalId":94122,"journal":{"name":"La Revue de medecine interne","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032988","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
[Autologous peripheral stem cell transplantation in systemic sclerosis: An important step forward, but we must temper our enthusiasm!] 自体外周干细胞移植治疗系统性硬化症:向前迈出了重要一步，但我们必须缓和我们的热情!］
La Revue de medecine interne Pub Date : 2023-12-05 DOI: 10.1016/j.revmed.2023.11.010
L Mouthon
{"title":"[Autologous peripheral stem cell transplantation in systemic sclerosis: An important step forward, but we must temper our enthusiasm!]","authors":"L Mouthon","doi":"10.1016/j.revmed.2023.11.010","DOIUrl":"https://doi.org/10.1016/j.revmed.2023.11.010","url":null,"abstract":"<p><p>Three prospective randomized studies have demonstrated the efficacy of autologous hematopoietic stem cell (HSC) transplantation in systemic sclerosis (SSc) on survival. These results encourage us to offer this therapy to patients who have a rapidly progressive disease and who have early symptoms but no advanced visceral involvement. HSC autograft can thus be discussed in patients with diffuse cutaneous SSc with a duration of the disease since the first visceral manifestations (cutaneous, cardiac, digestive, pulmonary, or renal) excluding Raynaud's phenomenon of less than 5 years. However, the indications for HSC autograft in SSc validated at European level and in the national diagnostic and care protocol (PNDS) are broader and some of these indications are debatable, in particular in patients with worsening diffuse interstitial lung disease. These indications are discussed in a reasoned way, taking into account the level of evidence and the toxicity of the HSC autograft.</p>","PeriodicalId":94122,"journal":{"name":"La Revue de medecine interne","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500560","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
La symptomatologie digestive chez les patients infectés au COVID-19 COVID-19感染患者的消化症状学
La Revue de medecine interne Pub Date : 2023-06-01 DOI: 10.1016/j.revmed.2023.04.190
W. Sellami, L. Chtourou, N. Baccouche, N. Khlif, M. Bahloul, N. Tahri, M. Bouaziz
{"title":"La symptomatologie digestive chez les patients infectés au COVID-19","authors":"W. Sellami, L. Chtourou, N. Baccouche, N. Khlif, M. Bahloul, N. Tahri, M. Bouaziz","doi":"10.1016/j.revmed.2023.04.190","DOIUrl":"https://doi.org/10.1016/j.revmed.2023.04.190","url":null,"abstract":"","PeriodicalId":94122,"journal":{"name":"La Revue de medecine interne","volume":"5 1","pages":"A228 - A228"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81354612","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: 1
Vascularite rétinienne et hémorragie intravitréenne après la vaccination contre la Covid-19 : à propos d’une observation Covid-19疫苗接种后视网膜血管炎和玻璃内出血:关于观察
La Revue de medecine interne Pub Date : 2023-06-01 DOI: 10.1016/j.revmed.2023.04.189
Y. Bouattour, M. Snoussi, S. Mekki, F. Frikha, M. Sameh, Z. Bahloul
{"title":"Vascularite rétinienne et hémorragie intravitréenne après la vaccination contre la Covid-19 : à propos d’une observation","authors":"Y. Bouattour, M. Snoussi, S. Mekki, F. Frikha, M. Sameh, Z. Bahloul","doi":"10.1016/j.revmed.2023.04.189","DOIUrl":"https://doi.org/10.1016/j.revmed.2023.04.189","url":null,"abstract":"","PeriodicalId":94122,"journal":{"name":"La Revue de medecine interne","volume":"17 1","pages":"A228 - A228"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87861101","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: 1
Morphée à la suite d’une vaccination anti-COVID-19 morphee在接种了抗covid -19疫苗后
La Revue de medecine interne Pub Date : 2023-06-01 DOI: 10.1016/j.revmed.2023.04.163
M. Teamotuaitau, E. Desvaux, N. Ratti, N. Aslanbekova, S. Palat, G. Gondran, H. Bezanahary, É. Liozon, K. Ly, A. Fauchais, S. Parreau
{"title":"Morphée à la suite d’une vaccination anti-COVID-19","authors":"M. Teamotuaitau, E. Desvaux, N. Ratti, N. Aslanbekova, S. Palat, G. Gondran, H. Bezanahary, É. Liozon, K. Ly, A. Fauchais, S. Parreau","doi":"10.1016/j.revmed.2023.04.163","DOIUrl":"https://doi.org/10.1016/j.revmed.2023.04.163","url":null,"abstract":"","PeriodicalId":94122,"journal":{"name":"La Revue de medecine interne","volume":"25 1","pages":"A215 - A215"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88353028","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
Une myopathie nécrosante auto-immune à anti-SRP induite par une infection Covid-19 Covid-19感染引起的自身免疫性抗srp坏死性肌病
La Revue de medecine interne Pub Date : 2023-06-01 DOI: 10.1016/j.revmed.2023.04.255
W. Helali, M. Essouri, W. Ben Elhaj, I. Oueslati, A. Dorgham, K. Touati, N. Khammassi
{"title":"Une myopathie nécrosante auto-immune à anti-SRP induite par une infection Covid-19","authors":"W. Helali, M. Essouri, W. Ben Elhaj, I. Oueslati, A. Dorgham, K. Touati, N. Khammassi","doi":"10.1016/j.revmed.2023.04.255","DOIUrl":"https://doi.org/10.1016/j.revmed.2023.04.255","url":null,"abstract":"","PeriodicalId":94122,"journal":{"name":"La Revue de medecine interne","volume":"10 1","pages":"A260 - A260"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83855256","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
L’antibiothérapie à large spectre est associée à une atteinte hépatique chez les patients infectés au COVID-19 广谱抗生素治疗与COVID-19感染患者的肝脏损伤有关
La Revue de medecine interne Pub Date : 2023-06-01 DOI: 10.1016/j.revmed.2023.04.191
W. Sellami, L. Chtourou, N. Baccouche, N. Khlif, M. Bahloul, N. Tahri, M. Bouaziz
{"title":"L’antibiothérapie à large spectre est associée à une atteinte hépatique chez les patients infectés au COVID-19","authors":"W. Sellami, L. Chtourou, N. Baccouche, N. Khlif, M. Bahloul, N. Tahri, M. Bouaziz","doi":"10.1016/j.revmed.2023.04.191","DOIUrl":"https://doi.org/10.1016/j.revmed.2023.04.191","url":null,"abstract":"","PeriodicalId":94122,"journal":{"name":"La Revue de medecine interne","volume":"59 1","pages":"A228 - A229"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81286553","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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