Biomedical subjects
Publications and source records attributed to L Jemni.
We report a case of renal and perinephretic abscesses due to Torulopsis glabrata, in a diabetic women. Fungal obstruction of upper urinary tract was associated. One must maintain a high suspicion for fungal infection when suppurative renal process occurs in a diabetic patient, especially when obstruction and absence of bacteria are noted.
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A series of 10 cases of chronic calcifying pancreatitis from central Tunisia are reported. The mean age at presentation was 23 years and the male to female ratio was 1.5. The main clinical manifestations of the disease were abdominal pain (eight cases), weight loss (four cases), and diarrhea (three cases). Diabetes was recorded in four cases. The etiological investigations yielded negative results in all the patients. It is concluded that central Tunisia should be added to the regions where juvenile chronic calcifying pancreatitis of the "tropical type" may be observed.
11 cases (7 primary and 4 secondary) of pyogenic psoas abscesses are reported. In all cases Staphylococcus aureus was isolated on blood culture or pus drained under ultra-sonographic control. US is very useful for diagnosis and the follow up of psoas pyogenic abscesses. Percutaneous aspiration and drainage of psoas abscesses under ultrasonographic control combined to antibiotherapy is an effective therapeutic procedure. Our experience suggests that antibiotherapy alone is an effective therapy of presuppurative pyogenic psoas abscesses and even in collected and non complicated primary psoas abscesses.
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Prostatic abscess in an acute inflammatory condition in which clinical diagnosis is not always easy. Ultrasound is of considerable help in diagnosis of this prostatic pathology. We report two cases. The first patient was treated by trans-rectal drainage. The second was treated with success by percutaneous drainage. The clinical, diagnostic and therapeutic aspects of this rare pathology are discussed.
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We report 3 cases of Clostridium perfringens bacteremia with uterine gas gangrene. Clinical presentation included severe infectious syndrome, hemoglobinemia and hemoglobinuria, jaundice, uterine tenderness and hypertension. All 3 cases were first seen with installed renal failure. Diagnosis and modalities of therapy were reviewed. Clostridium perfringens bacteremia with uterine gas gangrene still occur in developing countries.
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Household members of surgical cases of hydatidosis were screened for the disease in two high-risk districts in Central Tunisia. Seventy-four index cases were identified from the 1980-1984 surgical records of Sousse University Hospital. Household members over five years of age were tested by ELISA, and if positive by counterelectrophoresis (CEP) for detection of band 5. Positive subjects underwent a chest X-ray and echotomography (ECT). Eight of the 355 household members (2.2%) living in four different houses were serologically positive. All eight had a normal chest X-ray; a hepatic cyst was detected in seven of them. Five of the seven subjects in whom a cyst was diagnosed lived in two neighbouring houses (19 household members from the same family). Among these 19 subjects, six had been previously operated on for hydatidosis (cumulative rate: 11/19). The comparisons of these results with results obtained through community-based screening in the same area suggest that households members of patients are not at particularly high risk of hydatidosis.
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Emphysematous pyelonephritis is a severe infection of the Kidney observed mainly in diabetic patients. The disease is characterized by the production of intra-renal and occasionally perirenal gas. Because of the high mortality associated with this fulminant septic infection, it is imperative to establish a prompt diagnosis and start an appropriate therapy early in the course of the disease. We report a case of emphysematous pyelonephritis diagnosed by sonography: sonographic features consist of multiple high amplitude echoes within the renal parenchyma, renal sinus and perirenal space associated with distal shadows containing low level echoes. We discuss the value of the radiologic imaging methods.