| Choc septique d'origine gynécologique à Fusobacterium necrophorum compliqué d'un syndrome de détresse respiratoire aigu : une variante du syndrome de Lemierre. | |
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MedLine Citation:
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PMID: 21464014 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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We report a case of a female patient of 47 years old who presents in a state of septic shock with acute insufficient respiratory complicated with syndrome of acute respiratory distress, together with a list of abdominal pain and polyarthralgia too. In her case of medical history, it is retained that she has had a intra-uterine device since 6 years without medical follow up. The initial thoraco-abdomino-pelvic scan shows a left ovarian vein thrombosis, as well as the opaqueness alveolus diffused interstitiel bilaterally and an aspect of ileitis. The IUD is taken off because of sudden occuring of purulent leucorrhoea. This results in a clinical and paraclinical improvement, whereas aminopenicillin was administered to the patient since 1 week. The microbiological blood test allows to put in evidence Fusobacterium necrophorum found in a blood culture and is sensitive to the amoxicilline-acide clavulanique and metronidazole. Isolation of this bacteria, classically found in Lemierre's syndrome, allowed to explain the multilfocalization of the symtoms and the list of pain. The whole concerns about a variant of Lemierre's syndrom: a state of septic shock secondary then caused by the anaerobic Gram negative bacilli, which is a commensal bacteria of the female genital tractus, complicated of septic emboli typical. |
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Authors:
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Sophie Huynh-Moynot; Diane Commandeur; Marc Danguy Des Deserts; Isabelle Drouillard; Patrick Leguen; Mehdi Ould-Ahmed |
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Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: Annales de biologie clinique Volume: 69 ISSN: 0003-3898 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-5 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2984690R Medline TA: Ann Biol Clin (Paris) Country: - |
Other Details:
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Languages: ENG Pagination: 202-207 Citation Subset: - |
Vernacular Title:
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Choc septique d'origine gynécologique à Fusobacterium necrophorum compliqué d'un syndrome de détresse respiratoire aigu : une variante du syndrome de Lemierre. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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