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E Roullet

Publications and source records attributed to E Roullet.

95 records · Page 6Linked to original sources

[Acute neutropenia in adult severe bacterial infections. Six cases (author's transl)].

A transient neutropenia (duration : less than 48 hours) occurred in 6 patients with severe bacterial infections. The bone marrow myeloïd cellularity was high or normal; a maturation arrest of the myeloïd cells - at a variable stage - was present in each case, as well as circulating granulocyte precursors. Other causes of neutropenia were excluded. A general survey of the literature is made and the mechanisms of this bacterial neutropenia are considered : bone marrow failure seems mostly improbable ; the few previously reported cases, the experimental bacterial neutropenias, the peculiar, transient, evolution we observed, all favor a peripheral mechanism ; the bacterial infection seems to act by; two ways : in septicemia (especially during septic shock) by enhancing leucocyte margination along vascular walls ; in large septic foci (mostly pulmonary) by an important destruction of polymorphonuclear neutrophils. Such bacterial infections share a bad prognosis but the neutropenia itself needs no specific treatment.

Acute Disease↗

[Late neurosyphilis: a current disease].

We report 7 cases of neurosyphilis observed over a 13-month period in a Parisian University Hospital. Four patients had meningo-encephalitis and 3 had arteritis with meningitis. Serology for the human immuno-deficiency virus was negative in all cases. The problems raised by the interpretation of serological data are discussed and the criteria of progressive neurosyphilis are underlined.

Adult↗