ABSTRACT
In January 2016, a large-scale outbreak of acute gastroenteritis was reported among French armed forces deployed in the Central African Republic. Challenging investigations, conducted from France, made it possible to identify a norovirus genogroup II in both stool and food samples, confirming a norovirus foodborne disease outbreak. Infected food handler management is discussed.
Subject(s)
Caliciviridae Infections/virology , Foodborne Diseases/virology , Gastroenteritis/virology , Norovirus/isolation & purification , Adult , Caliciviridae Infections/epidemiology , Central African Republic/epidemiology , Disease Outbreaks , Feces/virology , Female , Foodborne Diseases/epidemiology , Gastroenteritis/epidemiology , Genotype , Humans , Male , Military Facilities , Military Personnel/statistics & numerical data , Norovirus/genetics , RNA, Viral/genetics , Workforce , Young AdultSubject(s)
Anticonvulsants/adverse effects , Carbamazepine/analogs & derivatives , Carbamazepine/adverse effects , Neurotoxicity Syndromes/etiology , Adult , Antimalarials/adverse effects , Chloroquine/adverse effects , Confusion/chemically induced , Epilepsy/chemically induced , Epilepsy/drug therapy , Female , Humans , Hyponatremia/chemically induced , Oxcarbazepine , Proguanil/adverse effectsABSTRACT
A 55-year-old woman presented first episode of paraplegia at D6 level with a marked improvement of neurological signs, but relapse occurred five months later. Hashimoto's thyroiditis with euthyroidism was found. Long-term 9 months treatment with oral corticosteroids was applied. Also she was able to walk with help. Two years after the second palsy she developed a new paraplegia at D6 level with a severe residual deficit five months later in spite of oral corticosteroids. Thyroid antibodies remained positive. Devic's disease without optica neuritis associated with thyroiditis or spinal cord localisation of Hashimoto's encephalopathy was discussed.
