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Article
Characteristics and outcome of varicella-zoster virus central nervous system infections in adults
We conducted an observational retrospective study of all adults hospitalized for documented varicella-zoster virus (VZV) meningitis or encephalitis during years 2000–2015 in one referral centre. Thirty-six pat...
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Article
Determinants and consequences of positive valve culture when cardiac surgery is performed during the acute phase of infective endocarditis
The optimal timing of cardiac surgery in infective endocarditis (IE) remains debated: Early surgery decreases the risk of embolism, and heart failure, but is associated with an increased rate of positive valve...
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Article
Infections bronchopulmonaires chez le patient cirrhotique
La cirrhose et la consommation excessive d’alcool s’accompagnent de modifications de l’immunité acquise et innée, qui prédisposent au développement de pneumonies graves, le plus souvent bactériennes, mais auss...
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Article
Choc septique : mécanismes du décès
Malgré une diminution de la mortalité précoce, le sepsis est aujourd’hui encore responsable d’une mortalité élevée, liée à des séquelles immunologiques, cognitives et neuromusculaires. De nombreux travaux de r...
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Article
Mupirocin/chlorexidine to prevent methicillin-resistant Staphylococcus aureus infections: post hoc analysis of a placebo-controlled, randomized trial using mupirocin/chlorhexidine and polymyxin/tobramycin for the prevention of acquired infections in intubated patients
The reduction in acquired infections (AI) due to methicillin-resistant Staphylococcus aureus (MRSA) with the mupirocin/chlorhexidine (M/C) decontamination regimen has not been well studied in intubated patients....
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Article
Dysfonction immunitaire induite par la ventilation mécanique
La ventilation mécanique (VM), même si elle fait partie de l’arsenal thérapeutique indispensable en réanimation, va induire ou aggraver des lésions pulmonaires. Les cellules du parenchyme pulmonaire ainsi que ...
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Article
Human herpes virus co-infection is associated with mortality in HIV-negative patients with Pneumocystis jirovecii pneumonia
The purpose of this investigation was to characterize the management and prognosis of severe Pneumocystis jirovecii pneumonia (PJP) in human immunodeficiency virus (HIV)-negative patients. An observational cohort...
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Article
Distinctive features between community-acquired pneumonia (CAP) due to Chlamydophila psittaci and CAP due to Legionella pneumophila admitted to the intensive care unit (ICU)
The spectrum of community-acquired pneumonia (CAP) due to Chlamydophila psittaci ranges from mild, self-limited CAP, to acute respiratory failure. We performed a retrospective study of 13 consecutive patients wit...
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Article
Impact of routine multiple site decontamination in intubated patients on ICU-acquired infections
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Article
Respiratory Manifestations of Leptospirosis: A Retrospective Study
We retrospectively reviewed 34 consecutive patients with serologically confirmed leptospirosis admitted during years 1992–2002. Nine patients (26.5%) had respiratory symptoms on admission including cough (n = 4),...
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Article
Severe pneumonia due to Legionella pneumophila: prognostic factors, impact of delayed appropriate antimicrobial therapy
Objective. To compare the outcome of patients with severe Legionella pneumonia (LP) according to the presence or absence of prognostic factors currently reported in the literature and delays in i...
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Article
Effects of epinephrine compared to dobutamine-norepinephrine on gastric perfusion in septic shock
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Article
Procalcitonin: a valuable indicator of infection in a medical ICU?
Objective: To assess the use of procalcitonin (PCT) for the diagnosis of infection in a medical ICU.
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Article
Trial of dexamethasone treatment for severe bacterial meningitis in adults
Objective: To evaluate the clinical benefit of early adjunctive dexamethasone therapy for severe bacterial meningitis in adults. Design: Multicenter, double-blind, randomized trial initi...
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Article
Acute respiratory failure caused by secondary alveolar proteinosis in a patient with acute myeloid leukemia: a case report
Pulmonary alveolar proteinosis (PAP) is a rare cause of chronic respiratory failure due to progressive alveolar accumulation of a periodic acid-schiff (PAS) positive proteinaceous material. In some cases, the ...
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Article
Effects of epinephrine on right ventricular function in patients with severe septic shock and right ventricular failure: a preliminary descriptive study
Objective: To recognize patients with unresponsive septic shock and right ventricular (RV) failure and to evaluate the effects of epinephrine on RV performance in these patients. Design:
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Article
Pasteurella stomatis infection following a dog bite
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Article
Acute nondilated anuric obstructive nephropathy on echography: Difficult diagnosis in the intensive care unit
Renal echography (RE) is a well recognized, accurate, non-invasive imaging procedure for detecting urinary tract (UT) obstruction in Intensive Care Unit (ICU) patients: a dilated collecting system is usually p...
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Chapter
Heart Failure in Septic Shock
Sepsis and septic shock represent increasingly serious clinical problems in the practice of a wide variety of specialities: internal medicine, surgery, obstetrics and pediatrics. This is essentially due to the...