Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add more filters










Database
Language
Publication year range
1.
Rev Med Interne ; 29(3): 246-8, 2008 Mar.
Article in French | MEDLINE | ID: mdl-17980464

ABSTRACT

Human trichinellosis is a potentially severe parasitic disease occurring after ingestion of undercooked meat infected with Trichinella sp. larvae. We report the case of a patient who ate an undercooked bear meat hunted in Canada; he presented with the usual symptoms of trichinellosis (i.e, facial oedema, myalgias and fever) complicated with an asymptomatic myocarditis. Myocarditis is a rare, but potentially lethal complication of trichinellosis. Myocarditis should be screened systematically even when specific symptoms are missing; dosage of troponin serum is a simple and reliable mean for such screening.


Subject(s)
Myocarditis/etiology , Travel , Trichinellosis/complications , Troponin/blood , Albendazole/administration & dosage , Albendazole/therapeutic use , Animals , Anthelmintics/administration & dosage , Anthelmintics/therapeutic use , Anti-Inflammatory Agents/administration & dosage , Anti-Inflammatory Agents/therapeutic use , Blotting, Western , Drug Therapy, Combination , Electrocardiography , Enzyme-Linked Immunosorbent Assay , Glucocorticoids/administration & dosage , Glucocorticoids/therapeutic use , Humans , Male , Meat/adverse effects , Middle Aged , Myocarditis/diagnosis , Prednisolone/administration & dosage , Prednisolone/therapeutic use , Time Factors , Treatment Outcome , Trichinellosis/diagnosis , Trichinellosis/drug therapy , Trichinellosis/etiology , Ursidae
2.
Arch Mal Coeur Vaiss ; 99(1): 13-8, 2006 Jan.
Article in French | MEDLINE | ID: mdl-16479884

ABSTRACT

The aim of this retrospective study was to evaluate the immediate and long-term results of various treatments for patients with a primary lesion of intra-stent restenosis (ISR). The study included 214 patients (233 endoprostheses, site of a primary ISR), with an average age of 61+/-11 years. These patients had received one of the following treatments: balloon angioplasty alone (101 patients), implantation of a second endoprosthesis (32 patients), medical treatment (65 patients), or revascularisation surgery with aorto-coronary bypass (16 patients). After retrospective analysis of the initial data, clinical follow-up was studied for all patients, and severe cardiac events were recorded. The immediate treatment of the ISR with angioplasty or bypass had an initial success rate of 100%. At the end of follow up (26+/-1.8 months) for the series as a whole, 9 patients (4.1%) had died, 7 (3.2%) had suffered a myocardial infarction, and 22 (10.3%) had had to undergo a secondary revascularisation procedure. 111 (52%) patients had angiographic follow up. A second ISR was noted in 43 cases (39%). The type of treatment provided was not a predictive factor for the occurrence of a severe cardiac event. In conclusion, whatever treatment of ISR is used, the immediate result is satisfactory. The rate of severe cardiac events is acceptable and in 10.3% of cases necessitates a secondary revascularisation procedure within 2 years. The very promising recent development of new active endoprostheses could alter the management of coronary patients in the years to come.


Subject(s)
Blood Vessel Prosthesis , Coronary Restenosis/therapy , Stents , Angioplasty, Balloon , Coronary Artery Bypass , Female , Follow-Up Studies , Humans , Male , Middle Aged , Retrospective Studies , Treatment Outcome
SELECTION OF CITATIONS
SEARCH DETAIL
...