[Meningoencephalitis in a primary cytomegalovirus infection. Localization to the brain stem with bilateral subclinical optic neuritis]. / Méningo-encéphalite lors d'une primo-infection due au cytomégalovirus. Localisation au tronc cérébral avec névrite optique infraclinique bilatérale.

A female adult without previous medical or surgical pathology nor specific treatment developed meningoencephalitis localised to the brainstem associated with bilateral subclinical optic neuritis. Serology showed that the disease was related to primary infection with cytomegalovirus. The patient spontaneously recovered.

[Emboligenic abscess of the aortic ring disclosing gonococcal endocarditis. Value of echocardiography]. / Abcès emboligène de l'anneau aortique révélateur d'une endocardite à gonocoques. Intérêt de l'échocardiographie.

Echocardiography has become a valuable diagnostic modality in bacterial endocarditis and of even more importance in following the subsequent course of the infection while on medical therapy. It can play an extremely important role in certain clinical circumstances, even before blood culture results are available or hemodynamic or auscultatory abnormalities appear. Nevertheless, in spite of this usefulness, the limitations of echocardiography should be recognized. The examination lacks absolute specificity and sensitivity which could result in inaccurate or delayed information in diagnosing a lesion or in recognizing local or regional complications. These advantages and limitations are well illustrated in an unusual case due to Neisseria gonorrhoeae, a causative agent whose incidence may increase over the years to come.