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Biomedical subjects

J Chandenier

Publications and source records attributed to J Chandenier.

At least 37 records · Page 2Linked to original sources
PubMed1991

[Comparative efficacy of chloroquine and amodiaquine (25 and 35 mg/kg) in school children infected with P. falciparum (Brazzaville, March 1990)].

The efficacy of 4 therapeutic schedules was compared in March and April 1990 in Brazzaville school children, aged between 6 and 8 years, with parasitaemia of at least 1,000 trophozoites of Plasmodium falciparum per mm3. It was possible to interpret 125 simplified in vivo tests. The results showed that the activity of amodiaquine is still relatively satisfactory. The activity of chloroquine was slightly lower with the schedule of 25 mg/kg but was good at 35 mg/kg. Although these results were obtained in children who were mostly asymptomatic, they show that the use of amino-4-quinolines is still justified, at least in the initial treatment of uncomplicated malaria in semi-immune congolese subjects.

Amodiaquine↗
PubMed1989

[African trypanosomiasis in children treated with eflornithine. A case].

We report the case of a 14-year old African girl presenting with late-stage African T. gambiense trypanosomiasis. She was treated with eflornithine, an ornithine decarboxylase inhibitor which is a key enzyme in the biosynthesis of polyamine. Polyamines are essential to the multiplication of trypanosomes. Two treatment courses were necessary to achieve an apparent cure after one year; however, a longer follow up will be required to confirm whether or not the cure is permanent. Determination of drug concentrations in plasma and cerebrospinal fluid was performed during the second treatment course. Side-effects were easily controlled.

Adolescent↗
PubMed1989

[Development of chloroquine resistance in Plasmodium falciparum in Gabon between 1984 and 1987-88 (in vivo evaluation in a school environment)].

Unknown in 1980, suspected in 1983 and scarcely present in 1984-85, Plasmodium falciparum resistance to chloroquine as studied in vivo in schoolchildren in Gabon, has strongly developed in 4 years time. In 1987-88, administration of 25 mg/kg of chloroquine leaves one strain out of four with a parasitic load greater than 10/1.000 red blood cells examined by thick drop technique. The present, unfortunately provisional attitude tends to maintain chloroquine at efficient doses for as long as the resistant strains are ethically and practically controllable. The dispersion without strict control of new and for the time being very efficient drugs might rapidly give rise to a polychemoresistance which would leave us without defence.

Animals↗
PubMed1989

[The efficacy and tolerance of ivermectin (Mectizan) prescribed for the patient with multiple filarial infections (Loa loa/Onchocerca and/or M. perstans)].

Administration of ivermectin (Mectizan) in Loa loa filariasis induces a significant decrease of microfilaria load within 3 to 15 days. The excellent tolerability of the drug in patients infested simultaneously by O. volvulus and Loa loa allows to use ivermectin in mass treatments in geographical areas where the same patients can be affected by several filariasis. There is almost no efficacy against Mansonella perstans. A second administration one month after the first one in Loa loa affected patients has not led to a complete disappearance of microfilaria; the tolerability has still been good. Efficacy on Ascaris lumbricoides appears to be excellent; further studies are necessary in the cases of trichuriasis, ancylostomiasis and strongyloidiasis.

Filariasis↗
PubMed1989

[Toxoplasmosis in pregnant women in Niamey (Niger)].

An investigation of antitoxoplasma antibodies was performed with ELISA among 218 pregnant women in Niamey (Niger). The overall prevalence is of 15.1%. Low prevalence rates are found like in most of the studies conducted in Sahelian Africa.

Adolescent↗
PubMed1989

[Practical problems posed by toxoplasmosis during pregnancy].

The occurrence of toxoplasmosis during pregnancy raises numerous problems. Determination of the time of the maternal infection is the first problem since we know that the frequency and gravity of fetal involvement vary according to the term of the pregnancy. Then, with information obtained from prenatal diagnostic tests (sonogram, amniocentesis, fetal blood sampling), it is important to recognize infected fetuses and advocate a management which goes beyond therapeutic abortion. Finally, the final problem is the follow-up of these children; in fact, after all these diagnostic and therapeutic measures, it is unfortunate that many children become lost to follow-up after the first year.

Female↗
PubMed1988

[The trypanosomes of birds of the family Estrildidae. I. Morphologic and systematic study].

Twenty two birds belonging to the species Estrilda melpoda and E. astrild were studied. Nine birds were found infected by Trypanosomes. They belong to four different species: one is identified as Trypanosoma everetti, the other three are new species (T. chabaudi, T. davidmolyneuxi and T. gentilinii). Several mixed infections were found. Each species appears to be monomorphic in the circulating blood; it is suggested that the polymorphism of several Trypanosomes described in the literature is due to polyparasitic infections rather than to a true polymorphism.

Animals↗
PubMed1988

[Trypanosomes of Estrildidae birds. II. Biological studies].

Studies on the biology of 4 Trypanosomes of Estrildidae birds described in a previous paper (Chandenier et al., 1988) are related. In Culicoides nubeculosus, the complete development is achieved in 7 days. After a phase of intense multiplication of amastigotes in the gut, infective trypomastigotes appear. In cultures, infective stages are obtained in 13 days. Transmission to clean birds was attempted: in two out of 8 attempts, a satisfactory level of parasitaemia is obtained. Surprisingly Trypanosomes infecting the new birds are unable to develop further in cultures or in Culicoides. The most likely hypothesis is the lack of a factor allowing the Trypanosomes to mature.

Animals↗
PubMed1988

IgE-dependent killing of Brugia malayi microfilariae by human platelets and its modulation by T cell products.

Platelets isolated from patients infected with filariasis were cytotoxic for microfilariae in vitro. Moreover, platelets from normal donors acquired killing properties in the presence of serum from infected individuals. The humoral factor involved in this cytotoxic process was shown to be IgE. This IgE-dependent cytotoxicity of platelets was strongly inhibited by antigen-stimulated T lymphocyte supernatants from filarial patients.

Animals↗
PubMed1988

Filariasis in Gabon: human infections with Microfilaria rodhaini.

In examining skin snips from 1,830 Gabonese 32 were found to have microfilariae indistinguishable from Microfilaria rodhaini. The microfilaria is 300.2 microns long and 2.2 microns wide. Specific clinical signs were not identified, as the same person often was infected by other filaria.

Adult↗
PubMed1987

[Value of cytapheresis in the treatment of loaiasis with high blood microfilaria levels. Results in 7 cases].

Seven patients infected with the filarial worm Loa loa received a treatment by cytapheresis in an attempt to lower the microfilaraemia. Microfilarial levels of between 6,000 and 38,500 ml, before extraction, were reduced, according to the case, by between 47 and 97% (mean 76%). The diethylcarbamazine chemotherapy which followed in 6 of 7 patients showed no sign of any of the serious side-effects which often occur in these type of cases. Due to its practicality and the fact that it is well tolerated, both clinically and biologically, cytapheresis would seem to represent the best method for initially treating loaiasis with high microfilaremia.

Adult↗
PubMed1987

[Malaria in Gabon. 2. Evaluation of the qualitative and quantitative prevalence of parasites in the total school and preschool population of the country].

The distribution of carriers of hematozoa in the pre-school and school age group in Gabon has been established with the help of systematic enquiry. The plasmodial indexes vary between 11 and 32% in the savanna zones of the south-east, they rise to 64.9% in the forest regions of the north of the country, and in the urban zones (Libreville, Franceville, Lambarene) 6 to 18% of the school children are gametocyte carriers. In Libreville, amongst the febrile children seen in pediatric consultation, the prevalence reached 30%. Boys and girls are equally affected. The most important prevalence is observed in the group of children from 5 to 10 years of age. P. falciparum is found in 96.4% of the cases, P. malariae in 5.3% and P. ovale in 2.4%. The study of the parasitic load revealed that 56% of the positive subjects had less than 10,000 asexual forms/mm3, 44% more than 10,000 hematozoa/mm3. These results are similar to those of the neighbouring countries of equatorial Africa.

Carrier State↗
PubMed1986

[Malaria in Gabon. I. Study of 500 children with fever in Libreville].

Among 500 febrile children who came for medical examination in the Pediatric Department at the Hôpital Général de Libreville, 29.2% were infected by malaria. P. falciparum was the most common (96.7%), P. malariae and P. ovale were sparsely present. Rarely detected in people consulting for fever, shivering and headache were the two symptoms directly related to paludism. There is a direct correlation between the size of the spleen and the rate of infestation. Screening among babies from 3 to 6 months' old, shows 13% already infected. The top of malaria incidence lies between 2 and 3 years of age (42% were infected).

Age Factors↗