{"title":"[St. Anthony's fire: a history of ergotism].","authors":"Jean-Noël Fabiani-Salmon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 6","pages":"692-691"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431689","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}
Stanley Soussan, Vincent Portet Sulla, Marie Lachatre, Christelle Vauloup-Fellous, Olivier Picone
{"title":"[Vaccination for pregnant women].","authors":"Stanley Soussan, Vincent Portet Sulla, Marie Lachatre, Christelle Vauloup-Fellous, Olivier Picone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A vaccine is a preparation capable of inducing a specific and lasting immune response in the vaccinated patient to protect him in the event of exposure to the pathogen, against infection or to mitigate its consequences. Vaccination during pregnancy has a dual objective: to protect the vaccinated pregnant woman from potentially more severe infections due to pregnancy (flu, Covid-19) and to protect the newborn from birth from potentially serious infections during his first months (whooping cough, respiratory syncytial virus [RSV]). Currently four vaccines are recommended for all pregnant women (anti-flu vaccine, anti-whooping cough vaccine, anti-Sars-Cov-2 vaccine and anti-RSV vaccination). Only live vaccines are contraindicated.On a global and individual scale, vaccination is one of the most effective tools to defend against the infectious world, but the emergence of mistrust of vaccines and variable acceptability of vaccination during pregnancy could threaten its effectiveness.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 6","pages":"640-643"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431844","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}
Alexandra Benachi, Alexandra Letourneau, Julien Saada
{"title":"[In utero treatment of congenital diaphragmatic hernia].","authors":"Alexandra Benachi, Alexandra Letourneau, Julien Saada","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Congenital diaphragmatic hernia is a rare malformation with a prevalence of approximately 1 in 3,000 births. Pulmonary development during fetal life is variably impaired, and newborns typically present pulmonary hypoplasia, often associated with pulmonary hypertension. In France, in 2008, the creation of the Rare Diseases Reference Center (CRMR) for Congenital Diaphragmatic Hernia, affiliated with the Rare Disease Network FIMATHO (Program for Rare Abdominothoracic Diseases), enabled the establishment of a territorial network ensuring relatively homogeneous expertise across the country. After more than 10 years of evaluation and two international randomized trials, in utero surgery by fetal tracheal occlusion has become one of the therapeutic options for fetuses with severe and moderate forms of congenital diaphragmatic hernia.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 6","pages":"646-649"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431901","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":"[Toxoplasmosis and pregnancy].","authors":"Laurent Mandelbrot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Congenital toxoplasmosis has become rare in France. Primary prevention is based on hygiene and dietary measures. Serological screening is mandatory in France. When maternal infection occurs in pregnancy, prophylactic treatment (spiramycin for first trimester; pyrimethamine and sulfonamide for second or third-trimester infections) reduces the risk of placental transmission. Prenatal diagnosis is performed by amniocentesis. In case of congenital toxoplasmosis, prompt treatment with pyrimethamine and sulphonamide reduces the risks of brain or eye damage; long-term follow-up of the child is required.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 6","pages":"617-621"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431681","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":"[Measuring the health status of the population].","authors":"Antoine Flahault, Alexis Schnitzler, Jacob Louis","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 6","pages":"685-691"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431753","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":"[In utero treatment of twin-to-twin transfusion syndrome].","authors":"Alexandre Vivanti, Maëlig Abgral, Lucie Caffin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twin-to-twin transfusion syndrome (TTTS) is a serious complication of monochorionic twin pregnancies in which an imbalance in blood flow between the twins is caused by vascular anastomoses in the placenta. TTTS affects 10 to 15% of these monochorionic pregnancies and can lead to high perinatal mortality if left untreated. The Quintero classification, introduced in 1999, helps stratify the severity of TTTS into five stages, thereby facilitating clinical decision-making. Laser photocoagulation of placental anastomoses, a technique developped in the 2000s, has become the standard of care for severe stages, with significantly improved survival rates. Although this procedure is minimally invasive for the mother, it is not without risks to the pregnancy. Other strategies include amniodrainage to relieve maternal symptoms, expectant management in early stages, and sometimes selective termination of pregnancy. Twins often require intensive neonatal care and multidisciplinary follow-up to manage long-term complications. This complex syndrome requires management in specialized centers with expertise in fetal medicine.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 6","pages":"664-667"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430982","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}
Jean-Marie Jouannic, Timothée de Saint Denis, Sabine Irtan, Eléonore Blondiaux, Lucie Guilbaud
{"title":"[In utero treatment of spina bifida].","authors":"Jean-Marie Jouannic, Timothée de Saint Denis, Sabine Irtan, Eléonore Blondiaux, Lucie Guilbaud","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dysraphisms are characterized by an anomalie of the vertebrae and spinal cord. Only the prevalence of open dysraphisms is known, which in France is around 5 per 10,000 pregnancies. The prenatal diagnosis rate for open dysraphisms exceeds 95% in France, with a high rate of termination of pregnancy, close to 90%. Open dysraphisms (myelomeningocele and myeloschisis) represent the most severe forms and are associated with lower limb paralysis (the severity of which depends on the level of the defect), urinary sphincter incontinence (neurogenic bladder), and fecal incontinence, making a request for pregnancy termination admissible. However, the possibility of performing fetal repair surgery, which has been available in France since 2014, must now be included in prenatal prognostic information. While this surgery does not eliminate disabilities, its goal is to \"protect\" the fetal brain by stopping the leakage of cerebrospinal fluid, thus helping to correct/limit type II Chiari malformation. This, in turn, helps reduce secondary ventriculomegaly, decreases the need for postnatal ventriculoperitoneal shunting, and ultimately improves motor function.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 6","pages":"653-658"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431620","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":"[Ecobiology, \"One Health\", \"Global Health\": A new medical anthropology?]","authors":"Philippe Charlier, Corinne Dechelette","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 6","pages":"604-606"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431797","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}