[Rheumatoid arthritis with benign monoclonal gammopathy (apropos of 1 case)].
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Biomedical subjects
Publications and source records attributed to A Boujnah.
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50 strains of viridans streptococci isolated from human material are identified by biochemical tests (bile esculin, Cl Na 6,5%, acid production from lactose, mannitol, sorbitol, inulin, arginine, esculin and starch hydrolysis; production of levan and dextran in sucrose media) Streptococcus salivarius and Streptococcus mitis are predominant species. Susceptibility to antibiotics was studied: 70% of viridans streptococci were susceptible to all antibiotics tested, high level resistance to aminoglycoside was not present. The only resistance observed were to tetracycline, macrolides and related drugs.
197 strains of enterococcus and group D Streptococcus were isolated from human material at Charles Nicolle Hospital (Tunis) and identified by biochemical tests: 174, Enterococcus faecalis, 6 Enterococcus faecium, 2 Enterococcus durans and 15 Streptococcus bovis. The sensitivity to antibiotics was studied: all Enterococcus faecium were resistant at least to one antibiotic, 15% of Enterococcus faecalis were sensitive for all antibiotics tested the other species were frequently sensitive. High level resistance to aminoglycosides were frequent in Enterococcus faecalis 40%: among these strains high level resistance to gentamicin accounts for 12% and 18 frequently associated with resistance to kanamycin and streptomycin, this situation present therapeutic problems in case of severe infection.
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A new case of IgM myeloma in a 47-year-old man is reported. Multiple myeloma was diagnosed by serum electrophoresis and immunoelectrophoresis, marrow plasmocytosis and typical skeletal changes by X - Ray the synthesis of the M - component was demonstrated in the plasma cells of the bone marrow by direct immunofluorescence study. A review of literature was done and relation between macroglobulinemia of Waldenström and IgM myeloma was discussed.
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