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Biomedical subjects

N Janin

Publications and source records attributed to N Janin.

39 records · Page 3Linked to original sources

[Retroperitoneal actinobacteriosis caused by Haemophilus actinomycetemcomitans].

A 15 years old boy was admitted to the hospital for high fever, and a four month history of abdominal pain and weight loss. Clinical examination showed painful swelling of the left lumbar region. A retro peritoneal mass was revealed by tomodensitometry. There was a marked biological inflammatory syndrome without bacteriological evidence of infectious disease. Final diagnosis was performed by surgery showing a big abscess. Bacteriological culture of pus was positive for a Haemophilus actinomycetemcomitans.

Abscess↗

[Critical study of the interpretation and use of laboratory biochemical examinations in a hospital milieu].

The criticism of interpretation of routine biochemical examinations by four clinical units (motor rehabilitation, cardiology, gastro-enterology, diabetes) was in relation to four criteria: result in agreement with the clinical observation but not providing new information, result in disagreement with the clinical observation and judged too low, result in disagreement with the clinical observation and judged too high. The comparison of judgements with regard to various analysis permits one to discuss applications of a method of objective assessment of the dialogue between the laboratory and the clinical units.

Cardiology↗

[Community-acquired cutaneous infections: causal role of some bacteria and sensitivity to antibiotics].

OBJECTIVE: Identify the bacteria responsible for cutaneous infections observed in private practice and test their sensitivity to currently used antibiotics. PATIENTS AND METHODS: The patients were examined by dermatologists. A bacteriological sample was taken and sent to a central laboratory for identification of the germ and antibiograms were performed and the minimal inhibiting concentrations (MIC) determined. RESULTS: Folliculitis, impetigo and furuncles were the three most frequent primary infections. Four hundred and forty-three patients were included and 442 samples were placed in culture. Cultures were positive in 265 cases (a single bacterial strain in 231 cases). Staphylococcus aureus was isolated in 208 cases, streptococci in 11 and enterobacteria in 3; occasionally several germs were present. Eight strains of staphylococci were meti-R (4 p. 100). All the strains were sensitive to pristinamycin and mupirocin and 90 p. 100 were sensitive to fusidic acid. CONCLUSION: The occurrence and diffusion of resistant strains is a daily concern in hospitals. In general practice, although care must be taken, the problem rarely occurs and the antibiotics used remain effective.

Adolescent↗