WorldWideScience

Sample records for cellule traitant le

  1. Cellulitis

    Science.gov (United States)

    ... orbital septum into the orbit. What is orbital cellulitis? Orbital cellulitis is an infection or inflammation involving the ... in the signs and symptoms of preseptal and orbital cellulitis? It can be very difficult to distinguish between ...

  2. Programmation fonctionnelle : Le glaneur des cellules centralisé et ...

    African Journals Online (AJOL)

    Programmation fonctionnelle : Le glaneur des cellules centralisé et sa généralisation dans les environnements répartis. Différentes manières peuvent être utilisées pour assurer la récupération de l'espace mémoire dans les langages fonctionnels et mêmes dans les langages orientés objets. Depuis la naissance du premier ...

  3. Cibler les cellules sénescentes dans le cancer du pancréas | CRDI ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    causant les tumeurs) qui vise à interrompre l'expansion des cellules ayant un potentiel de malignité. Elle le fait en interrompant la prolifération des lésions précancéreuses et recrute le système immunitaire pour les éliminer. Si ces processus ...

  4. L'infection persistante de cellules nerveuses humaines par le poliovirus

    OpenAIRE

    Colbère-Garapin, Florence; Pelletier, Isabelle; Pavio, N.; Duncan, G

    1997-01-01

    L'infection persistante de cellules nerveuses humaines par le poliovirus Virologie. Volume 1, Numéro 3, 237-47, Mai - Juin 1997, Revues Résumé Summary Auteur(s) : F. Colbère-Garapin, I. Pelletier, N. Pavio, G. Duncan, Groupe de génétique virale, Unité de neurovirologie et régénération du système nerveux, Institut Pasteur, 25, rue du Dr-Roux, 75724 Paris Cedex 15. Résumé : La poliomyélite paralytique est une maladie en voie d'éradication, mais le poliovirus (PV), son agent étiologique, continu...

  5. Effet d'un choc hypotonique sur le volume cellulaire et sur la concentration intracellulaire de calcium des cellules branchiales de truite arc-en-ciel

    Directory of Open Access Journals (Sweden)

    LEGUEN I.

    1998-07-01

    Full Text Available La branchie étant un organe à structure complexe, il était impossible d'étudier l'effet d'un choc hypotonique sur les cellules branchiales in situ. Une culture primaire de branchie de truite a donc été mise au point et l'effet d'une dilution du milieu extracellulaire sur ces cellules en culture a été étudié. Les cellules branchiales en culture primaire forment un épithélium à confluence après 5 à 7 jours de culture. Ces cellules présentent les caractéristiques morphologiques des cellules respiratoires de la branchie. Les mesures du volume cellulaire, lors d'un choc hypotonique, sont effectuées sur des populations isolées de cellules respiratoires, à l'aide du système Coulter counter. Lors de la dilution aux 2/3 du milieu externe, les cellules gonflent pour atteindre un volume moyen de 130% en 5 minutes. Ensuite, les cellules régulent lentement leur volume. Après 30 minutes dans les conditions hypotoniques, le gonflement cellulaire ne représente plus que 110% du volume initial. Lors d'un choc hypotonique, nous avons mesuré, à l'aide d'une sonde fluorescente sensible au calcium (le Fura-2, une augmentation de la concentration intracellulaire de calcium des cellules respiratoires en culture primaire.

  6. Preseptal Cellulitis Or Orbital Cellulitis?

    Science.gov (United States)

    Lim, L T; Miller, D; Ah-Kee, E Y; Ferguson, A

    2015-06-29

    Preseptal cellulitis and orbital cellulitis can both present with increasing swelling, tenderness and redness around the eye, but their management differs. Preseptal cellulitis is more common and much less aggressive than orbital cellulitis. In contrast, orbital cellulitis is a medical emergency requiring urgent management. In this article, we provide a systematic approach to distinguish between preseptal cellulitis and orbital cellulitis at presentation, as the distinction between the two entities and the prompt recognition of orbital cellulitis can be potentially life-saving.

  7. Glycosphingolipides et fusion virus-cellule : données actuelles montrant lele des micro-domaines membranaires dans le cycle d’infection du VIH-1

    Directory of Open Access Journals (Sweden)

    Hammache Djilali

    2000-09-01

    Full Text Available Depuis plusieurs années, nous étudions les mécanismes moléculaires responsables de la fusion du virus de l’immunodéficience humaine (VIH avec la membrane plasmique des cellules cibles. Ces travaux ont permis de préciser lele essentiel joué par les micro-domaines de glycosphingolipides au cours de la fusion virus-cellule. En particulier, nous avons pu reconstituer un complexe de fusion fonctionnel faisant intervenir les différents partenaires moléculaires de la fusion : un micro-domaine de glycosphingolipide se présentant sous la forme d’un film monomoléculaire à l’interface eau-air, le récepteur CD4 et la glycoprotéine externe de l’enveloppe du virus, la gp120. La dynamique des interactions moléculaires dans ce complexe de fusion a pu être mesurée à l’aide d’un micro-tensiomètre. Ce système expérimental pourrait permettre d’évaluer l’activité d’inhibiteurs de fusion tels que des analogues synthétiques de glycosphingolipides.

  8. Periorbital cellulitis

    Science.gov (United States)

    ... and the eyeball itself. This infection is called orbital cellulitis . When to Contact a Medical Professional Call your ... Names Preseptal cellulitis ... SE, Hug D, Plummer LS, Stahl ED, Ariss MM, Lindquist TP. Orbital infections. In: Kliegman RM, Stanton BF, St Geme ...

  9. ORBITAL, CELLULITIS

    African Journals Online (AJOL)

    Aim: The purpose of this study was to assess the prevalence of paranasal sinusitis as a cause of orbital cellulitis and to identify the commonest sinus(es) involved in our setting. Methods: A retrospective review of the case notes of 47 patients with orbital cellulitis admitted into the ophthalmic ward of the University College ...

  10. [Orbital cellulitis].

    Science.gov (United States)

    Mouriaux, F; Rysanek, B; Babin, E; Cattoir, V

    2012-01-01

    Orbital cellulitis is uncommon in ophthalmologic practice. The majority of cases arise from direct spread of sinus infection or eyelid infection. Clinically, orbital cellulitis is divided into two forms: the preseptal form, anterior to the orbital septum, and the retroseptal form, posterior to the orbital septum. Management and prognosis differ widely between the two types. The retroseptal form or "true" orbital cellulitis is a severe disease with potentially disastrous consequences for vision and survival. Clinical examination and urgent CT scanning are indispensable for correct diagnosis, evaluation of severity, surgical planning and antibiotic selection. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  11. What Is Cellulitis?

    Science.gov (United States)

    ... cellulitis usually happens in children, especially young children. Orbital cellulitis affects the eye socket (called the orbit). This ... to swell, keeping the eye from moving properly. Orbital cellulitis is a serious condition. It often needs to ...

  12. Effet d'un choc hypotonique sur le volume cellulaire et sur la concentration intracellulaire de calcium des cellules branchiales de truite arc-en-ciel

    OpenAIRE

    LEGUEN I.; PRUNET P.

    1998-01-01

    La branchie étant un organe à structure complexe, il était impossible d'étudier l'effet d'un choc hypotonique sur les cellules branchiales in situ. Une culture primaire de branchie de truite a donc été mise au point et l'effet d'une dilution du milieu extracellulaire sur ces cellules en culture a été étudié. Les cellules branchiales en culture primaire forment un épithélium à confluence après 5 à 7 jours de culture. Ces cellules présentent les caractéristiques morphologiques des cellules resp...

  13. DNA repair proteins in cells of the human immune system; Le proteine della riparazione del DNA in cellule del sistema immunitario umano

    Energy Technology Data Exchange (ETDEWEB)

    Frasca, D.; Barattini, P.; Guidi, F.; Scarpaci, S. [ENEA, Sez. Tossicologia e Scienze Biomediche, Rome (Italy); Doria, G. [Rome Univ. Tor Vergata, Rome (Italy). Cattedra di Immunologia

    2001-02-01

    Human longevity depends on the efficiency of DNA repair mechanisms. In irradiated cells of the human immune system, the principal repair mechanism involves the DNA-Pk protein complex. [Italian] La durata della vita dipende dalla efficienza di meccanismi di riparazione del DNA. Nelle cellule del sistema immunitario umano danneggiate il principale meccanismo di riparazione coinvolge il complesso proteico DNA-PK.

  14. La tumeur hybride du reinÉtude comparative en tdm avec l’oncocytome et le carcinome a cellules chromophobes

    OpenAIRE

    Fioretti, Édith

    2012-01-01

    Objectif :L’objectif de notre étude était d’étudier et de comparer les caractéristiques en scanner des tumeurs hybrides, des oncocytomes et des carcinomes à cellules chromophobes (CCCh).Matériels et méthodes :Nous avons relu les scanners de 12 tumeurs hybrides, 57 CCCh et 48 oncocytomes. Les scanners comportaient les phases suivantes : sans injection, corticomédullaire, néphrographique et tardive. Les critères suivant ont été notés : taille et contours tumoraux, présence de calcifications, de...

  15. Aspects de la dynamique non linéaire d'un oscillateur cellulaire: étude expérimentale et théorique du rôle de l'échange sodium/calcium de la cellule B pancréatique

    OpenAIRE

    Gall, David

    1999-01-01

    Dans les conditions physiologiques normales, la glycémie est maintenue dans d'étroites limites. La sécrétion d'insuline par les cellules B pancréatiques joue un rôle majeur dans ce contrôle. En effet, l'insuline est la seule hormone capable d'empêcher une élévation excessive de la glycémie. La cellule B pancréatique constitue un exemple d'oscillateur cellulaire dont la dynamique non linéaire permet l'apparition d'une activité électrique "en salves" ("bursting"). Lors de la sécrétion, les cell...

  16. [Veins and cellulitis].

    Science.gov (United States)

    Vilain, R

    1985-01-01

    There is no relation between what French women call "cellulitis" and the venous problems of genetic origin. It may be that cellulitis is the name given to those extra kilos, to mild obesity, to fatty deposits on the thighs and buttocks (sub-trochanteric and crural steatomeries: "jodhpurs"); the point is that cellulitis is apparent, either immediately or on pinching the skin, as an orange-peel pitting. This problem exteriorises the lobular structure of the surface fat. This derives from excessively large lobules, cutaneous relaxation, or excessive pressure on the walls separating the lobules into compartments. Slimming reduces the large areas of deposit at the base of the buttocks. Musculation of the thighs can improve their appearance. More people think they have cellulitis than are really afflicted with it; this is just one of the many deceptions associated with it.

  17. Orbital cellulitis in children.

    Science.gov (United States)

    Nageswaran, Savithri; Woods, Charles R; Benjamin, Daniel K; Givner, Laurence B; Shetty, Avinash K

    2006-08-01

    To review the epidemiology and management of orbital cellulitis in children. The medical records of children orbital cellulitis and confirmed by computed tomography scan were reviewed. A literature search for additional studies for systematic review was also conducted. Forty-one children with orbital cellulitis were identified. The mean age was 7.5 years (range, 10 months to 16 years), and 30 (73%) were male (male:female ratio = 2.7). All cases of orbital cellulitis were associated with sinusitis; ethmoid sinusitis was present in 40 (98%) patients. Proptosis and/or ophthalmoplegia was documented in 30 (73%), and 34 (83%) had subperiosteal and/or orbital abscesses. Twenty-nine (71%) had surgical drainage and 12 (29%) received antibiotic therapy only. The mean duration of hospitalization was 5.8 days. The mean duration of antibiotic therapy was 21 days. Orbital cellulitis occurs throughout childhood and in similar frequency among younger and older children. It is twice as common among males as females. Selected cases of orbital cellulitis, including many with subperiosteal abscess, can be treated successfully without surgical drainage.

  18. Preseptal Cellulitis, Orbital Cellulitis, Orbital Abscess

    Directory of Open Access Journals (Sweden)

    Rana Altan Yaycıoğlu

    2012-12-01

    Full Text Available Patients with orbital infections present to our clinic usually with unilateral pain, hyperemia, and edema of the eyelids. The differentiation between preseptal and orbital cellulitis is utmost important in that the second requires hospitalization. Since in orbital cellulitis, the tissues posterior to the orbital septum are involved, signs such as conjunctival chemosis, limited eye movement, decreased vision, as well as afferent pupil defect secondary to optic nerve involvement may also be observed. Prompt intravenous antibiotic treatment should be started, and surgical drainage may be performed if patient shows failure to improve in 48 hours despite optimal management. Without treatment, the clinical course may progress to subperiosteal or orbital abscess, and even to cavernous sinus thrombosis. (Turk J Ophthalmol 2012; 42: Supplement 52-6

  19. Carcinome à cellules de Merkel: Une nouvelle observation | Inssaf ...

    African Journals Online (AJOL)

    Le carcinome à cellules de Merkel (CCM) est une tumeur neuroendocrine très rare, de localisation cutanée primitive et d'évolution très grave. Sur le plan clinique, il s'agit d'un nodule inflammatoire dermo-hypodermique dur, bien circonscrit, dont la taille moyenne est de 1 à 3 cm, localisé sur les membres ou le visage.

  20. Material influence on biocontamination level and adhering cell physiology Influence des matériaux sur le niveau de biocontamination et la physiologie des cellules adhérentes

    Directory of Open Access Journals (Sweden)

    Allion Audrey

    2013-11-01

    Full Text Available Dans la plupart des environnements, les microorganismes vivent préférentiellement au sein de biofilms. De nombreux facteurs influencent leur formation i.e. les nutriments, la température, le régime du fluide environnent, la microflore et les matériaux. Dans le mécanisme de biocontamination, décrit en quatre étapes successives, l'adhésion initiale est un élément clé de la bioadhésion et les matériaux un élément majeur pour son contrôle. L'acier inoxydable est très utilisé dans de nombreux secteurs d'activité pour sa bonne nettoyabilité et son excellente résistance à la corrosion. Pour se différencier, certains matériaux mettent en avant d'autres propriétés. Ainsi, la sélection du matériau le mieux adapté à un problème donné nécessite de connaitre son aptitude à la biocontamination ainsi que son impact sur la physiologie des microorganismes. Pour tous les matériaux testés, la mortalité des bactéries adhérentes est inférieure à 55 %. Les résultats obtenus ont montré qu'un matériau dit antimicrobien n'induit pas plus de cellules endommagées comparativement aux autres matériaux. In most environments, association with a surface in a structure known as a biofilm is the prevailing microbial lifestyle. Several factors may influence the biofilm formation e.g. nutrients, temperature, flow velocity, initial microflora and the nature of materials. Considering the biocontamination mechanism described in four steps, the initial adhesion is a key element in the biocontamination phenomenon and the substratum is of major concern in controlling bacterial adhesion. Stainless steel is well used in numerous markets because of its high cleanability and corrosion resistance properties. However, other materials are put forward by focusing on properties which differentiate them from those of stainless steel. Thereby, to select the material best suited to the problem, there should have data on their aptitude for

  1. Retinoblastoma associated orbital cellulitis

    Science.gov (United States)

    Mullaney, P.; Karcioglu, Z.; Huaman, A.; Al-Mesfer, S.

    1998-01-01

    AIM—Preseptal and orbital cellulitis are rare presenting features of intraocular retinoblastoma. The objectives of this study were to determine the frequency of retinoblastoma associated cellulitis, as well as to review its clinical and histopathological features.
METHODS—The medical records of 292 retinoblastoma patients in the King Khaled Eye Specialist Hospital in Riyadh, Saudi Arabia were reviewed. Those indicating a history of, or presenting with, cellulitis were retrieved and their clinical, radiological, and histopathological variables were assessed. Patients with definite extraocular tumour extension on clinical or radiological examination were excluded.
RESULTS—14 patients were found to have retinoblastoma associated cellulitis (4.8%); nine had bilateral and five had unilateral retinoblastoma. Conjunctival and blood cultures were performed in 10 cases and were negative. 10 children were treated with intravenous steroids, often in conjunction with antibiotics, resulting in a prompt decrease in inflammation. Three other children were treated with antibiotics alone and one received no treatment. Computed tomographic scanning depicted large intraocular tumours occupying between 80% and 100% of the globe in each case. In eight patients, periocular inflammation was radiologically interpreted as possible extraocular extension. In one patient serial computed tomographic scanning showed a reduction in intraocular calcification over time which occurred in the presence of cellulitis. 12 patients underwent enucleation and histopathological examination revealed large necrotic, poorly differentiated tumours associated with uveal involvement and early optic nerve invasion. Focal perilimbal destruction was seen in one patient, and in another peripapillary extrascleral extension was present. 12 patients are alive with a mean follow up of 56.4 months.
CONCLUSIONS—Radiological evaluation of scleral integrity may be hindered by periocular inflammatory

  2. Le géomarketing : introduction critique

    OpenAIRE

    Merenne-Schoumaker, Bernadette

    1989-01-01

    The article attempts to analyze the new field of investigation that is the geomarketing address the following issues: definitions, tools and methods, application areas, strengths and weaknesses L'article tente d'analyser le nouveau champ d'investigation que constitue le géomarketing en traitant des points suivants : définition, outils et méthodes, domaines d'application, forces et faiblesses.

  3. Understanding Pediatric Bacterial Preseptal and Orbital Cellulitis

    OpenAIRE

    Gonzalez, Mithra O.; Durairaj, Vikram D.

    2010-01-01

    Pediatric preseptal and orbital cellulitis are infectious disorders that result in periorbital inflammation. Preseptal cellulitis is often associated with breaches in the skin barrier whereas orbital cellulitis is commonly associated with paranasal sinusitis. Orbital cellulitis may be associated with subperiosteal abscess. It is important to distinguish between preseptal from orbital cellulitis. Clinical examination and diagnostic imaging are useful in determining appropriate management. Pati...

  4. Diagnostiek en behandeling van orbitale cellulitis

    NARCIS (Netherlands)

    van der Poel, N. A.; Van der Veer, E. G.; Ebbens, F. A.; de Win, M. M.; Kloos, R. J.; Mourits, M. P.

    2017-01-01

    Orbital cellulitis is a rare disease usually caused by sinusitis. Generally, the prognosis of both preseptal cellulitis and orbital cellulitis is favourable. Radiological distinction should be made between an orbital abscess and subperiosteal empyema. Theoretically, empyema is more accessible to

  5. Preseptal and orbital cellulitis

    Directory of Open Access Journals (Sweden)

    Emine Akçay

    2014-09-01

    Full Text Available Preseptal cellulitis (PC is defined as an inflammation of the eyelid and surrounding skin, whereas orbital cellulitis (OC is an inflammation of the posterior septum of the eyelid affecting the orbit and its contents. Periorbital tissues may become infected as a result of trauma (including insect bites or primary bacteremia. Orbital cellulitis generally occurs as a complication of sinusitis. The most commonly isolated organisms are Staphylococcus aureus, Streptococcus pneumoniae, S. epidermidis, Haempphilus influenzae, Moraxella catarrhalis and S. pyogenes. The method for the diagnosis of OS and PS is computed tomography. Using effective antibiotics is a mainstay for the treatment of PC and OC. There is an agreement that surgical drainage should be performed in cases of complete ophthalmoplegia or significant visual impairment or large abscesses formation. This infections are also at a greater risk of acute visual loss, cavernous sinus thrombosis, meningitis, cerebritis, endophthalmitis, and brain abscess in children. Early diagnosis and appropriate treatment are crucial to control the infection. Diagnosis, treatment, management and complications of PC and OC are summarized in this manuscript. J MicrobiolInfect Dis 2014; 4(3: 123-127

  6. Orbital Cellulitis of Odontogenic Origin.

    Science.gov (United States)

    Yan, William; Chakrabarti, Rahul; Choong, Jessica; Hardy, Thomas

    2015-01-01

    Odontogenic orbital cellulitis, although uncommon, has the potential to cause severe vision loss if unsuspected and untreated. Compared to non-odontogenic bacteriology, odontogenic orbital abscesses typically feature a heavy mixed growth with anaerobic organisms. We review the literature and discuss the case of a 26-year-old male who presented with anaerobic orbital cellulitis for treatment.

  7. Caractérisation de l'environnement nucléaire nécessaire à la réplication du virus adéno-associé dans les cellules infectées par le virus herpès simplex de type 1

    OpenAIRE

    Biollay, Coline

    2012-01-01

    Le virus adéno-associé (AAV) est un parvovirus humain qui se réplique seulement dans les cellules co-infectées par un virus auxiliaire, tel que l'adénovirus ou le virus de l'herpès simplex de type 1 (HSV-1). Nous avons entrepris une analyse protéomique de facteurs cellulaires et HSV-1 associés à la protéine Rep d’AAV et donc potentiellement recrutés dans les compartiments de réplication AAV (RC). Pour cela, nous avons développé une approche protéomique TAP/MS performante permettant de purifie...

  8. Understanding Pediatric Bacterial Preseptal and Orbital Cellulitis

    Science.gov (United States)

    Gonzalez, Mithra O.; Durairaj, Vikram D.

    2010-01-01

    Pediatric preseptal and orbital cellulitis are infectious disorders that result in periorbital inflammation. Preseptal cellulitis is often associated with breaches in the skin barrier whereas orbital cellulitis is commonly associated with paranasal sinusitis. Orbital cellulitis may be associated with subperiosteal abscess. It is important to distinguish between preseptal from orbital cellulitis. Clinical examination and diagnostic imaging are useful in determining appropriate management. Patients are usually treated with broad spectrum antibiotics and surgery when indicated. PMID:20616919

  9. The Hot Orbit: Orbital Cellulitis

    Science.gov (United States)

    Chaudhry, Imtiaz A.; Al-Rashed, Waleed; Arat, Yonca O.

    2012-01-01

    Orbital cellulitis is an uncommon condition previously associated with severe complications. If untreated, orbital cellulitis can be potentially sight and life threatening. It can affect both adults and children but has a greater tendency to occur in the pediatric age group. The infection most commonly originates from sinuses, eyelids or face, retained foreign bodies, or distant soources by hematogenous spread. It is characterized by eyelid edema, erythema, chemosis, proptosis, blurred vision, fever, headache, and double vision. A history of upper respiratory tract infection prior to the onset is very common especially in children. In the era prior to antibiotics, vision loss from orbital cellulitis was a dreaded complication. Currently, imaging studies for detection of orbital abcess, the use of antibiotics and early drainage have mitigated visual morbidity significantly. The purpose of this review is to describe current investigative strategies and management options in the treatment of orbital cellulitis, establish their effectiveness and possible complications due to late intervention. PMID:22346113

  10. Evaluation of Pediatric Patients with Orbital and Preseptal Cellulitis

    Directory of Open Access Journals (Sweden)

    Eren Cagan

    2015-06-01

    Conclusion: Preseptal cellulitis is more frequently observed than orbital cellulitis. The most important predisposing factor for orbital cellulitis is sinusitis. Patients with preseptal cellulitis suspected clinically may be diagnosed with orbital cellulitis radiologically. As a result radiological imaging of preseptal cellulitis patients should be considered. [Cukurova Med J 2015; 40(2.000: 267-274

  11. Assessment and management of orbital cellulitis.

    Science.gov (United States)

    Amin, Nikul; Syed, Irfan; Osborne, Sarah

    2016-04-01

    Orbital cellulitis is a medical emergency requiring multidisciplinary team involvement. Early diagnosis and intervention is imperative to avoid serious complications. This article provides an evidence-based approach to the assessment and management of patients with orbital cellulitis.

  12. Sporotrichosis Mimicking Cellulitis

    Directory of Open Access Journals (Sweden)

    Gul Karagoz

    2016-09-01

    Full Text Available Sporotrichosis is a cutaneous or systemic fungal infection caused by Sporothrix schenckii. The infection is characterized by nodular, pustular, or ulcerative lesions. Infection usually occurs after traumatic implantation of the fungus into the skin. We report a case presenting first cellulitis and later on as a non-healing ulcer which was diagnosed by punch biopsy as sporotrichosis and managed successfully with itraconazole. A 56-year-old woman admitted to our department with complaint acute onset of swelling of the right lower-extremity with erythema and warmth. The patient was diagnosed initially as celulitis and started on ampicillin-sulbactam. Diagnosis of sporotrichosis was made with histological examination skin biopsy and the patient was started on itraconazole. One month after commencement of antifungal treatment, the ulcer began to dry up and at 3 months the lesions had healed. This case shows that if a wound do not respond to antibiotics in cases with ulcer, some rare etiological agents should be considered. [Dis Mol Med 2016; 4(3.000: 34-36

  13. Distinguishing features of preseptal and orbital cellulitis.

    Science.gov (United States)

    Bethel, James

    2010-03-01

    The differential diagnosis between orbital cellulitis and preseptal cellulitis is important as is the need to differentiate between an allergic response or infectious cellulitis of the eye. This article will examine the case of a 15-month-old boy who was brought to an emergency department with an oedematous right eye. The research about diagnosis and treatment will be evaluated and orbital cellulitis will be explored in more detail including the symptoms and complications.

  14. Retinoblastoma presenting with orbital cellulitis.

    Science.gov (United States)

    Walinjkar, Jaydeep; Krishnakumar, S; Gopal, Lingam; Ramesh, Anita; Khetan, Vikas

    2013-06-01

    To study the effectiveness of pre-enucleation steroids in reducing inflammation in patients with retinoblastoma presenting as orbital cellulitis. Medical records of consecutive retinoblastoma patients presenting at a single tertiary eye care center during a period of 3 years were retrospectively reviewed. For those who presented with orbital cellulitis, clinical, radiological, and histopathological variables were assessed. The effect of pre-enucleation steroids was noted in this group of patients. Of 260 retinoblastoma cases reviewed, 14 had retinoblastoma-associated cellulitis (5.39%). Of these 14 patients, 4 received neoadjuvant chemotherapy and were excluded from the series. Of the remaining 10 cases (mean age at presentation, 14.2 months; mean follow-up, 16.4 months), 9 presented with orbital cellulitis and were included in the study. Radiological imaging depicted intraocular tumors occupying 80% to 100% of the globe in each case. All patients underwent enucleation. Five children received pre-enucleation systemic steroids (mean, 5.4 days), which resulted in a prompt decrease in inflammation. Postenucleation chemotherapy was administered in 4 (6 cycles) and external beam radiation therapy in 1 patient with high-risk histopathological characteristics. Advanced necrotic retinoblastoma with anterior segment involvement may present as orbital cellulitis. Pre-enucleation systemic steroids can aid in the surgical management of these tumors. Copyright © 2013 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

  15. [Cervicofacial cellulitis revealing cutaneous lymphomas].

    Science.gov (United States)

    Benbouzid, M A; Bencheikh, R; Benhammou, A; El Edghiri, H; Boulaich, M; Essakali, L; Kzadri, M

    2007-06-01

    The cervicofacial localization of cutaneous lymphomas is rare. These lymphomas usually present as a long-lasting and treatment-refractory papule or nodule. Lymphomas can also be revealed by cervicofacial cellulitis. We report 2 cases of cervicofacial cellulitis revealing a cutaneous lymphoma. The diagnosis was proved by multiple biopsies, performed because there was no clinical improvement in spite of an aggressive and adequate antibiotherapy. Our 2 patients were treated by radio and chemotherapy. Cutaneous lymphomas are lymphocytic proliferations stemming from cutaneous lymphoid tissue, without nodal, medullary, or visceral localization. Their clinical presentation is quite polymorphic, and cellulitis is one of the modes of revelation, especially forehead and neck localization. They have no portal of entry and are resistant to treatment. The diagnosis relies on histology, and biopsies must be performed if there is a suspicion of lymphoma. The treatment is radio and chemotherapy, and the evolution depends on the tumoral stage.

  16. Plasmablastic lymphoma mimicking orbital cellulitis

    Science.gov (United States)

    Merkx, Matthias A. W.; Weijs, Willem L. J.; Gerlach, Niek L.; Bergé, Stefaan J.

    2008-01-01

    Introduction Orbital cellulitis is an uncommon, potentially devastating condition that, when not promptly and adequately treated, can lead to serious sequelae. The presenting clinical signs are proptosis, swelling, ophthalmoplegia, pain and redness of the peri-orbital tissues. A number of cases have been reported in which these symptoms have been mistakenly interpreted as being secondary to an orbital infection whilst, in fact, other pathology was present. Discussion We add another case in which, on clinical grounds and after radiological assessment and laboratory tests, a working diagnosis of orbital cellulitis of the left eye was made. It was only after histopathological analysis of a soft tissue specimen from the maxillary sinus that a diagnosis of an AIDS-related plasmablastic lymphoma was made. The patient was referred to the department of haematology where chemotherapeutic treatment for the lymphoma and the HIV infection was started. This case report adds another differential diagnosis of orbital cellulitis to the existing literature. PMID:18597126

  17. Massivement en grève le CERN frole le big bang le débrayage des fonctionnaires et sous-traitants cristallise la crise

    CERN Multimedia

    Stampfli, B

    2002-01-01

    Around 1000 staff in total, demonstrated at CERN today, to protest against radical measures proposed by CERN management. CERN needs to find around 850 million CHF to supplement the budget of the LHC project.

  18. Plasmablastic lymphoma mimicking orbital cellulitis.

    NARCIS (Netherlands)

    Barkhuysen, R.; Merkx, M.A.W.; Weijs, W.L.J.; Gerlach, N.L.; Berge, S.J.

    2008-01-01

    INTRODUCTION: Orbital cellulitis is an uncommon, potentially devastating condition that, when not promptly and adequately treated, can lead to serious sequelae. The presenting clinical signs are proptosis, swelling, ophthalmoplegia, pain and redness of the peri-orbital tissues. A number of cases

  19. Microbiology of pediatric orbital cellulitis.

    Science.gov (United States)

    McKinley, Steven H; Yen, Michael T; Miller, Aaron M; Yen, Kimberly G

    2007-10-01

    To evaluate the microbiology of pediatric orbital cellulitis associated with sinusitis. Retrospective review of medical records of pediatric patients treated for orbital cellulitis. All pediatric patients treated for orbital cellulitis associated with sinusitis at Texas Children's Hospital between December 1, 2001 and September 30, 2005 were reviewed. Data collected included patient age, history, microbiology results, and surgical intervention. Thirty-eight cases were identified. Fifteen cases required medical management, whereas 23 patients received a combination of medical and surgical intervention. Three patients had multiple surgical procedures performed. Of the procedures performed, four were sinus irrigation, 12 were sinusotomy and drainage, nine were orbitotomy with drainage of abscess, and one was craniotomy with drainage of abscess. Surgical aspirate specimens yielded a higher positive culture result rate with 9/9 of orbital abscesses and 13/16 of sinus aspirates demonstrating a positive yield. Two of the 27 blood cultures had a positive yield. Staphylococcus species was the most common organism isolated. Methicillin-resistant S. aureus (MRSA) represented 73% of S. aureus isolates. Streptococcus species was the next most common pathogen. Three cultures yielded Haemophilus species with one being positive for H. influenzae. Organisms responsible for causing pediatric orbital cellulitis are evolving, with Staphylococcus followed by Streptococcus species being the most common pathogens. The occurrence of MRSA in pediatric orbital cellulitis is increasing, and empiric antimicrobial therapy should be directed against these organisms if they are prevalent in the community. Sinus and orbital abscess aspirates yielded the greatest number of positive cultures, though these invasive surgical procedures should be performed only when clinically indicated.

  20. Management of odontogenic orbital cellulitis.

    Science.gov (United States)

    DeCroos, F C; Liao, J C; Ramey, N A; Li, I

    2011-08-15

    This work describes a series of patients with odontogenic orbital cellulitis (OOC), focusing on rate of abscess formation, need for surgical intervention, and imaging findings helpful for rapid diagnosis. Review of a current case and 22 patients with OOC from the scientific literature demonstrated periapical lucency as the most commonly (36.4%) reported finding on facial and orbital computerized tomography (CT) scan. Orbital abscess occurred in 72.7% of cases, and tooth extraction and/or abscess drainage was required in 95.5% of cases reviewed for control of infection. The current case presented with periapical lucency on CT scan, developed orbital abscess despite broad spectrum antibiotic therapy, and required multiple surgical interventions for disease resolution. Though our patient regained excellent vision, OOC often can result in severe vision loss. Periapical lucency on CT can help identify this atypical origin of cellulitis that is strongly associated with abscess formation and need for surgical intervention.

  1. Abdominal wall cellulitis in the morbidly obese.

    Science.gov (United States)

    Thorsteinsdottir, Bjorg; Tleyjeh, Imad M; Baddour, Larry M

    2005-01-01

    Currently, almost two-thirds of the US population is either overweight or obese. In addition to non-infectious complications, obesity predisposes to infections, including lower extremity cellulitis. Although cases of abdominal wall cellulitis in the morbidly obese occur, to date there has been no formal address of this syndrome in the literature. We therefore reviewed our clinical experience of abdominal wall cellulitis complicating morbid obesity. A retrospective database search was performed to identify patients with both cellulitis and morbid obesity who were seen at the Mayo Clinic between January 1998 and August 2003. Clinical and microbiologic data were collected for these patients. Of the 260 cases of cellulitis identified, 24 (9.2%) had morbid obesity and abdominal wall cellulitis. The mean age of the 24 patients was 47 (range 22-70) y and over two-thirds of them were females. Their mean body mass index (BMI) was 62.3 (range 39.6-108.6). 17 (70.8%) had a remote history of abdominal surgery. 16 patients required 23 hospitalizations. Five patients developed cellulitis complications and 7 (29.1%) patients had recurrent bouts of cellulitis during the study period. Abdominal wall cellulitis is a unique infectious complication in patients with morbid obesity. Further study is needed to better define the pathogenesis of this illness to develop strategies in treatment and prevention.

  2. Lymphome B diffus à grandes cellules du sinus éthmoïdal | Lahiani ...

    African Journals Online (AJOL)

    Le lymphome diffus à grandes cellules est un lymphome malin non hodgkinien qui atteint rarement le sinus éthmoïdal. Le pronostic dépend du stade de découverte, de la rapidité du diagnostic et de la prise en charge thérapeutique. Patiente âgée de 64 ans a été admise pour exploration d'une céphalée récente associée à ...

  3. Risk factors of preseptal and orbital cellulitis.

    Science.gov (United States)

    Babar, Tariq Farooq; Zaman, Mir; Khan, Mohammad Naeem; Khan, Mohammad Daud

    2009-01-01

    To estimate the frequency and major risk factors of preseptal and orbital cellulitis. A cross-sectional analytical study. The Khyber Institute of Ophthalmic Medical Sciences, Hayatabad Medical Complex, Peshawar from July 2003 to December 2006. All consecutive patients between ages 6 and 40 years, admitted to the institute with the diagnosis of preseptal and orbital cellulitis were included in the study. The patients were divided into two groups. Group I included patients with ages 6-16 years and group II with ages 17-40 years. The clinical features, diagnosis and risk factors were entered on a specially-designed proforma. The risk factors included were trauma, insect bite, localized or systemic infection and postsurgical. Odd ratio and p-values were calculated for potential risk factors. The frequency of orbital cellulitis was 0.1% of total admission. Out of 26 patients, 42.30% patients were in group I and 57 in group II. In group I, insect bite was the most common risk factor identified in 40% of patients with preseptal cellulitis and trauma as a common cause in 50% with orbital cellulitis. In group II, trauma was the leading cause in 50% of patients with preseptal cellulitis and sinusitis as a common cause in 18.1% with those of orbital cellulitis. In both groups the p-values were found insignificant (p>0.5). Complications included cicatricial ectropion in 44.4% and orbital abscess in 41.1%. For preseptal cellulitis, insect bite was the most common cause in group I and trauma was the leading cause in group II. For orbital cellulitis, trauma was important cause in group I and sinusitis in group II.

  4. Management of preseptal and orbital cellulitis

    Science.gov (United States)

    Lee, Seongmu; Yen, Michael T.

    2010-01-01

    Orbital cellulitis describes an infection involving the soft tissues posterior to the orbital septum, including the fat and muscle within the bony orbit. This condition may be associated with severe sight and life-threatening complications. Despite significant advances in antimicrobial therapies and diagnostic technologies, the management of orbital cellulitis often remains challenging, and rapid diagnosis and prompt initiation of therapy are important in minimizing complications and optimizing outcomes. This review summarizes the distinctive characteristics of preseptal and orbital cellulitis, with a focus on anatomic considerations, predisposing conditions, approaches to evaluation, and management strategies. PMID:23960899

  5. Acute Myelogenous Leukemia Mimicking Fulminant Periorbital Cellulitis

    Directory of Open Access Journals (Sweden)

    Abbas Bagheri

    2013-01-01

    Full Text Available Purpose: To report a patient who was referred for orbital cellulitis but was finally diagnosed with acute leukemia. Case Report: A 17-year-old boy presented with fever, periorbital erythema and swelling mimicking periorbital cellulitis. He underwent empiric antibiotic therapy. Complete blood counts revealed leukocytosis with a predominance of immature blast cells. Bone marrow aspiration confirmed the diagnosis of acute myelogenous leukemia. Chemotherapy was initiated resulting in resolution of signs and symptoms. Conclusion: Acute leukemia may mimic periorbital cellulitis and must be considered in the differential diagnosis.

  6. Cellulitis

    Science.gov (United States)

    ... People, Places & Things That Help Feelings Q&A Movies & More Quizzes Kids' Dictionary of Medical Words En ... intravenous (say: in-truh-VEE-nus) line (a thin plastic tube that goes into a vein, also ...

  7. Cellulitis

    Science.gov (United States)

    ... as where you've had recent surgery, cuts, puncture wounds, an ulcer, athlete's foot or dermatitis. Certain types of insect or spider bites also can transmit the bacteria that start the infection. Bacteria can also enter through areas of dry, flaky skin or swollen skin. Several factors can ...

  8. Cellulitis

    Science.gov (United States)

    ... the lymph vessels ( lymphangitis ) Inflammation of the heart ( endocarditis ) Infection of the membranes covering the brain and ... Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, Updated Edition. 8th ed. Philadelphia, PA: Elsevier ...

  9. Cellulitis

    Science.gov (United States)

    ... Z Appointments Patient & Visitor Guide Billing & Insurance Patient Online Services Departments & Centers Meet the Staff Find a directory ... available for medical professionals. Get updates. . Provider Relations Online Services for Referring Physicians Video Center Publications Continuing Medical ...

  10. Necrotic intraocular retinoblastoma associated with orbital cellulitis.

    Science.gov (United States)

    Nalcı, Hilal; Gündüz, Kaan; Erden, Esra

    Orbital cellulitis associated with retinoblastoma is uncommon and is characterized by noninfectious inflammation of the periorbital structures. The underlying mechanism is thought to be necrosis of the intraocular tumor, leading to intraocular and periorbital inflammation. We report 2 retinoblastoma patients who presented with an orbital cellulitis-like picture and discuss clinical characteristics, histopathologic features, and treatment. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Presentation and management of pediatric orbital cellulitis.

    Science.gov (United States)

    Fanella, Sergio; Singer, Alex; Embree, Joanne

    2011-01-01

    Orbital cellulitis is a serious, vision-threatening infection. To review the epidemiology and clinical data of pediatric orbital cellulitis in Manitoba. A 12-year retrospective review was conducted of all children (younger than 18 years of age) with orbital cellulitis admitted to Manitoba's only tertiary pediatric centre. Admission rates for orbital cellulitis were compared over three distinct time periods, based on licensure and funding levels of the heptavalent pneumococcal conjugate vaccine (PCV7) in Manitoba. Thirty-eight patients with orbital cellulitis were identified. Of these, 11% were of Aboriginal ethnicity in contrast with 30% to 40% of children who were admitted for other respiratory illnesses. Subperiosteal abscesses occurred in 31.5%. Only eight patients (21%) required surgery. Follow-up imaging after presentation usually did not indicate a need for subsequent surgical drainage. The mean number of orbital cellulitis cases per 1000 admissions for the following periods - before PCV7 licensure, after licensure and before full provincial funding, and after licensure and full funding - were 0.39, 0.53 and 0.90, respectively. No significant difference was noted among any of the periods as PCV7 coverage increased. The rate of subperiosteal abscesses was lower than other reports. This may be due to the median age at presentation. In contrast to admissions for most other respiratory infections at the Winnipeg Children's Hospital (Winnipeg, Manitoba), Aboriginal ethnicity was uncommon. Surprisingly, rates of admissions for orbital cellulitis appeared to show an increasing trend with increasing access to PCV7 in Manitoba, although overall the number of cases was very small. Studies into the changing microbiology of orbital cellulitis and sinusitis are warranted.

  12. An unusual organism causing orbital cellulitis.

    Science.gov (United States)

    Schwartz, H; Baskin, M A; Ilkiw, A; LeBeau, L

    1979-01-01

    Bacterial orbital cellulitis is a feared complication of paranasal sinus infection. Staphylococcus and Streptococcus species are the commoner pathogens involved in these cases. However, anaerobic bacteria and unusual Gram-negative organisms should be suspected as well. We treated a case of bacterial orbital cellulitis due to foci of infected paranasal sinuses caused by Eikenella corrodens, a Gram-negative rod. The patient was managed with intensive antibiotic coverage and surgical intervention. Images PMID:389281

  13. Localisation humérale d'une tumeur à cellules géantes récidivantes ...

    African Journals Online (AJOL)

    Les auteurs rapportent un cas de localisation rare d'une tumeur à cellules géantes au niveau de la palette humérale du coude droit chez un militaire de 36 ans de sexe masculin, la radio standard montrait une image kystique ne soufflant pas la corticale. L'examen anatomo-pathologique a permis d' établir le diagnostic et le ...

  14. Cellulitis Due to Salmonella infantis.

    Directory of Open Access Journals (Sweden)

    Satish R Patil

    2013-01-01

    Full Text Available Bacteria of the genus Salmonella are highly adapted for the growth in both humans and animals and cause a wide spectrum of disease. The growth of Serotypes S. typhi and S. paratyphi is restricted to human hosts, in whom these organisms cause enteric (typhoid fever. The remaining Serotypes (non typhoidal Salmonella or NTS can colonize the gastrointestinal tracts of the broad range of animals, including mammals, reptiles, birds and insects. The usual clinical presentation of non-typhoidal salmonellae (NTS infection is self limited gastroenteritis; however bacteremia and focal extra intestinal infection may occur. However salmonella localization to the skin presenting as cutaneous ulceration is regarded as a rare event. Rates of morbidity and mortality associated with NTS are highest among the elderly, infants, and immunocompromised individuals, including those with hemoglobinopathies, HIV infection, or infections that cause blockade of the reticuloendothelial system. We isolated S.infantis in 50 years old man with left leg cellulitis. The serotype was confirmed at Central Research Institute, Kasauli.

  15. Paternité des articles et intérêts concurrents : une analyse des recommandations aux auteurs des journaux traitant de pratique pharmaceutique

    Science.gov (United States)

    Courbon, Ève; Tanguay, Cynthia; Lebel, Denis; Bussières, Jean-François

    2014-01-01

    RÉSUMÉ Contexte : La présence d’auteurs honorifiques et fantômes ainsi que les intérêts concurrents représentent des difficultés bien documentées, liées à la publication d’articles scientifiques. Il existe des lignes directrices encadrant la rédaction et la publication de manuscrits scientifiques, notamment celles de l’International Committee of Medical Journal Editors (ICMJE). Objectifs : L’objectif principal de cette étude descriptive et transversale visait à recenser les instructions portant sur la paternité des articles et les intérêts concurrents provenant des recommandations aux auteurs des journaux traitant de pratique pharmaceutique. L’objectif secondaire visait à déterminer des mesures correctrices pour une paternité des articles plus transparente. Méthode : La recherche a débuté par l’identification des journaux traitant de pratique pharmaceutique. La consultation des instructions aux auteurs des journaux a permis ensuite de recenser les recommandations destinées à éviter les problèmes de paternité des articles et d’intérêts concurrents. Finalement, les membres de l’équipe de recherche se sont consultés afin de définir des mesures correctrices possibles à l’intention des chercheurs. Résultats : Des 232 journaux traitant de pharmacie, 33 ont été définis comme traitant de pratique pharmaceutique. Un total de 24 (73 %) journaux mentionnaient suivre la politique de l’ICMJE, 14 (42 %) demandaient aux auteurs de remplir un formulaire de déclaration d’intérêts concurrents au moment de la soumission de l’article, 17 (52 %) présentaient une définition de la qualité d’auteur et 5 (15 %) demandaient de détailler les contributions de chaque auteur. Une grille de 40 critères a été élaborée pour définir l’attribution du statut d’auteur. Conclusion : Moins de la moitié des journaux demandait aux auteurs de transmettre un formulaire de déclaration des intérêts concurrents au moment de la

  16. Electrophysiologie des cellules productrices d’insuline : acquisitions récentes. [Electrophysiology of insulin-producing cells : recent acquisitions

    Directory of Open Access Journals (Sweden)

    Willy J. MALAISSE

    2017-07-01

    Full Text Available Le présent article de revue concerne des acquisitions récentes dans le domaine de l’electrophysiologie des cellules productrices d’insuline. D’abord, dans le cadre de la participation des canaux anioniques sensibles au volume cellulaire, en particulier l’anoctamine 1, au processus de stimulation de la sécrétion d’insuline par le glucose, les modifications de l’activité bioélectrique de cellules insulaires soumises à l’hexose provoquées par l’acide tannique sont exposées. Les modifications du potentiel de membrane provoquées par la carbamylcholine en présence d’une concentration physiologique de glucose sont ensuite prises en considération. Enfin, l’accent est mis sur les aspects bioélectriques de l’activation par le sucralose du récepteur au goût sucré TIR 3 présent dans les cellules productrices d’insuline. Les implications physiopathologiques d’une telle activation sont également évoquées.

  17. Orbital Cellulitis Following Uncomplicated Aqueous Shunt Surgery.

    Science.gov (United States)

    Beck, Daniel E R; El-Assal, Karim S L; Doherty, Mark D; Wride, Nicholas K

    2017-02-01

    To date, there have only been 5 reported cases of orbital cellulitis following implantation of an aqueous tube shunt for glaucoma. Previously reported cases have involved eyes with significant comorbidities and successful management has often required the removal of the device alongside systemic antibiotic therapy. We present a 53-year-old man with severe orbital cellulitis, 3 months after routine implantation of a Baerveldt tube shunt for primary open angle glaucoma. The patient was managed medically, with topical and systemic antibiotic therapy. The patient went on to make a full recovery with the tube in situ. We report that a more conservative approach (without tube removal) to be successful in a case where there is no evidence of tube exposure. It is important to appreciate that in some cases of orbital cellulitis without clear signs of intraocular involvement, a tube can be left in situ.

  18. Intracranial Infectious Aneurysm in Orbital Cellulitis.

    Science.gov (United States)

    Lee, Brian; Kim, Charles; Carrasco, Jacqueline

    2015-01-01

    Infectious intracranial aneurysm and cavernous sinus thrombosis are rare complications of orbital cellulitis. We report the case of a 46-year-old male presenting with sinusitis and orbital cellulitis complicated by the development of an orbital mass. Following orbitotomy with debulking, the patient underwent bony orbital decompression for increasing proptosis postoperatively. While his exam stabilized, the patient developed complete ptosis and extraocular motor palsy in the contralateral eye after undergoing bilateral sinus debridement. Imaging was notable for the presence of a pseudoaneurysm of the internal carotid artery, which was treated with a stent. This report demonstrates rare complications of orbital cellulitis. These patients should be monitored carefully with noninvasive imaging studies, such as cerebral angiography, for early detection of vascular abnormalities that can progress rapidly.

  19. Successful treatment of eosinophilic cellulitis with dapsone.

    Science.gov (United States)

    Coelho de Sousa, Virgínia; Laureano Oliveira, André; Cardoso, Jorge

    2016-07-15

    A 55-year-old woman presented with a 3-year history of recurrent episodes of pruritic cellulitis-like erythematous plaques, mostly located on the limbs. Simultaneously, fever, malaise and peripheral eosinophilia were noted. The clinical diagnosis of eosinophilic cellulitis (also known as Well's syndrome) was supported by the histopathological finding of typical "flame figures". Treatment with dapsone was initiated at a dose of 50 mg per day. After one year of follow-up the patient was relapse-free. Eosinophilic cellulitis is an uncommon, recurrent inflammatory skin disease. The management is often a challenge, due to the frequent need for long-term therapy. Dapsone is an effective and safe treatment option.

  20. Carcinome à cellule vitreuse du col de l'utérus: à propos d'un cas et revue de littérature

    Science.gov (United States)

    Hakimi, Ihssane; Zazi, Abdelghani; Chahdi, Hafsa; Guelzim, Khalid; Kouach, Jaouad; Babahabib, Myabdellah; Elhassani, Myehdi; Rahali, Driss Moussaoui; Dehayni, Mohammed

    2015-01-01

    Le carcinome à cellule vitreuse du col de l'utérus est un type de histologique rare de cancer du col de l'utérus qui survient à un âge plus jeune, et s'associe au risque élevé d’échec thérapeutique et le pronostic est plus mauvais en comparaison au type cellulaire squameux. La radiothérapie est associée au risque diminué de récidive. Le but de cette étude est de récapituler à travers d'une observation et une revue de littérature les données sur l'incidence, le comportement clinique et la survie globale de patients avec le carcinome à cellule vitreuse du col de l'utérus. PMID:26664556

  1. Bullous leukemia cutis mimicking facial cellulitis*

    Science.gov (United States)

    Caldato, Luciana de Sales; Britto, Juliana de Sousa; Niero-Melo, Ligia; Miot, Hélio Amante

    2016-01-01

    Bullous leukemia cutis is an uncommon clinical manifestation of cutaneous infiltration by leukemic cells, from B-cell chronic lymphocytic leukemia. We present the case of a 67-year-old, female, chronic lymphocytic leukemia patient. She was taking chlorambucil and developed facial edema with erythema and warmth, misjudged as facial cellulitis. Two days later, she developed bullous lesions in the arms, legs, neck and face. The histopathology of facial and bullous lesions confirmed leukemia cutis. All lesions disappeared following the administration of rituximab combined with cycles of fludarabine and cyclophosphamide. Although soft tissue infections are common complications in patients undergoing chemotherapy, leukemia cutis can also resemble cellulitis. PMID:27192532

  2. Sinonasal disease and orbital cellulitis in children.

    Science.gov (United States)

    Meara, Daniel J

    2012-08-01

    Sinonasal disease is common in the pediatric population because of anatomic, environmental, and physiologic factors. Once paranasal sinusitis develops, orbital cellulitis is a concerning sequela that can result in loss of visual acuity and even intracranial disease. Thus, a clear history and physical examination in conjunction with radiographic studies are critical to a correct diagnosis and timely institution of treatment that may include hospitalization, serial ophthalmologic examinations, intravenous antibiotics, and surgery. The serious nature of orbital cellulitis in children cannot be overestimated; but, if prompt and appropriate treatment is initiated, the prognosis is excellent and long-term sequelae should be limited. Copyright © 2012 Elsevier Inc. All rights reserved.

  3. Celulitis por citomegalovirus Cytomegalovirus cellulitis

    Directory of Open Access Journals (Sweden)

    A. Ruiz Lascano

    2002-12-01

    Full Text Available Las lesiones cutáneas por citomegalovirus (CMV son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritematoedematosa. La tratamos con antibióticos sin mejoría, por lo que realizamos un estudio histopatológico de piel que mostró cambios citopáticos compatibles con infección por CMV. Los cultivos bacteriológicos y micológicos fueron negativos. La inmunohistoquímica específica para CMV y el estudio de reacción en cadena de la polimerasa (PCR de la biopsia de piel fueron positivas, al igual que la antigenemia. El tratamiento con ganciclovir produjo la mejoría del cuadro clínico. En la literatura revisada no hemos encontrado la celulitis como manifestación de enfermedad cutánea por CMV.Cutaneous lesions in CMV infection are rare, often a late manifestation of systemic infection, and usually herald a fatal course. A 70 year-old woman received a kidney transplantation one month before consulting and immunosuppressive therapy that included cyclosporine A and methylprednisone. She complained of fever, local pain in her right leg, and an erythematous and swelling plaque. She was treated with intravenous antibiotics without improvement. A skin biopsy was performed and the tissue obtained was sent for bacterial and fungal cultures as well as for histological examination. Cultures were negative. The biopsy showed CMV cytopathic changes. Immunoperoxidase staining was positive for CMV and polymerase chain reaction (PCR testing revealed CMV DNA. She was treated with ganciclovir with resolution of the lesion. CMV cellulitis is a rare cutaneous manifestation

  4. Recurrent Cellulitis: How Can I Prevent It?

    Science.gov (United States)

    ... painful. Your skin may look pebbled, like an orange peel. Seek prompt medical attention at the first sign of a skin infection. Treatment is usually with antibiotics. Some people who frequently develop cellulitis may benefit from long-term antibiotic treatment to prevent recurrent ...

  5. carcinome a petites cellules du sinus piriforme

    African Journals Online (AJOL)

    Les auteurs rapportent un cas de localisation au sinus piriforme d'un carcinome à petites cellules. Ce type histologique a été souvent décrit dans la pathologie tumorale pulmonaire. Sa localisation au sinus piriforme étant exceptionnelle. Nous présentons dans ce document les aspects endoscopiques, radiologiques, ...

  6. ORBITAL CELLULITIS COMPLICATING SINUSITIS: A 15-YEAR ...

    African Journals Online (AJOL)

    Dr. NWaorgu

    Abstract. Background: Orbital cellulitis is an infection of the orbital soft tissues behind the orbital septum. Primary sinus infection is the most common cause of orbital cellulites. It is an ocular emergency that threatens not only vision but also life from complications such as meningitis, cavernous sinus thrombosis, and brain ...

  7. [Management of nasal orbital cellulitis in children].

    Science.gov (United States)

    Pan, Hongguang; Li, Lan; Zhong, Hui; Wu, Zebin; Zhang, Delun

    2015-01-01

    To analyze the clinical characteristics, diagnostic and treatment principle of orbital cellulitis in children, and to improve the experience of antibiotic treatment in orbital cellulites. Twenty children were admitted to Shenzhen Children's Hospital with the diagnosis of nasal orbital cellulitis between January 2009 and December 2013. The children were severe enough to warrant hospital admission. There were 13(65%) males and 7 (35%) females. The median age was 3.5 years (2 months to 7.2 years). The relationship between the serum C-reactive protein (CRP), white blood cell count and the hospitalization days were analyzed. The children were divided into 2 groups: Cefoperazone Sodium and Sulbactam Sodium for injection group and other antibiotic treatment group, the difference was compared. Statistical calculation was performed using SPSS 13.0 software. The serum CRP [(29.8 ± 22.0) mg/L] at the time of admission had a positive correlation with the time of hospitalization[ (6.3 ± 4.1) d, r = 0.46, P orbital cellulitis will be shorter and the orbital abscess can be prevented. Cefoperazone sulbactam and Sulbactam Sodium for injection is effective in treating pediatric orbital cellulitis.

  8. Computed tomography (CT) of orbital cellulitis

    Energy Technology Data Exchange (ETDEWEB)

    Nakashima, H.; Hara, K.; Okamura, R.; Watanabe, T.; Nagata, M. (Kumamoto Univ. (Japan). School of Medicine)

    1981-12-01

    Two cases of orbital cellulitis showed a tumor-like shadow in the orbit on CT examination. Abnormal shadows were also noticed in both cases in the frontal and ethmoid sinuses. Postoperatively, one case was diagnosed as pyocele of the frontal sinus, the other as sinusitis with subperitoneal hematoma. In these diagnoses, plane skull X-P, tomography and CT scanning were valuable.

  9. Role of oral corticosteroids in orbital cellulitis.

    Science.gov (United States)

    Pushker, Neelam; Tejwani, Lalit Kumar; Bajaj, Mandeep S; Khurana, Saurbhi; Velpandian, Thirumurthy; Chandra, Mahesh

    2013-07-01

    To evaluate the role of oral corticosteroids as an anti-inflammatory adjunct in the treatment of orbital cellulitis. Prospective, comparative, single-masked, interventional clinical study. setting: Tertiary eye care center (All India Institute of Medical Sciences). study population: Patients with acute onset (within 14 days) of orbital cellulitis with or without abscess. intervention: Patients were randomized into 2 groups in the ratio of 1:2. Both groups received initial intravenous antibiotics. In Group 2, oral steroids were added after an initial response to intravenous antibiotics. main outcome measures: Resolution of signs and symptoms, duration of intravenous antibiotics, length of hospital stay, and sequelae of disease (ptosis, proptosis, and movement restriction) were evaluated and compared between the 2 groups. A total of 21 patients (age range, 11-59 years) with orbital cellulitis were studied. There were 7 patients in Group 1, who received standard intravenous antibiotics, and 14 in Group 2, who received adjuvant steroids. Patients in Group 2 showed an earlier resolution of inflammation in terms of periorbital edema (P = .002 at day 7), conjunctival chemosis (P orbital cellulitis may hasten resolution of inflammation with a low risk of exacerbating infection. Copyright © 2013 Elsevier Inc. All rights reserved.

  10. Revetements antireflet-passivation a base de nitrure de silicium PECVD pour cellules solaires triple-jonction III-V/ Ge

    Science.gov (United States)

    Homier, Ram

    Dans le contexte environnemental actuel, le photovoltaïque bénéficie de l'augmentation des efforts de recherche dans le domaine des énergies renouvelables. Pour réduire le coût de la production d'électricité par conversion directe de l'énergie lumineuse en électricité, le photovoltaïque concentré est intéressant. Le principe est de concentrer une grande quantité d'énergie lumineuse sur des petites surfaces de cellules solaires multi-jonction à haute efficacité. Lors de la fabrication d'une cellule solaire, il est essentiel d'inclure une méthode pour réduire la réflexion de la lumière à la surface du dispositif. Le design d'un revêtement antireflet (ARC) pour cellules solaires multi-jonction présente des défis à cause de la large bande d'absorption et du besoin d'égaliser le courant produit par chaque sous-cellule. Le nitrure de silicium déposé par PECVD en utilisant des conditions standards est largement utilisé dans l'industrie des cellules solaires à base de silicium. Cependant, ce diélectrique présente de l'absorption dans la plage des courtes longueurs d'onde. Nous proposons l'utilisation du nitrure de silicium déposé par PECVD basse fréquence (LFSiN) optimisé pour avoir un haut indice de réfraction et une faible absorption optique pour l'ARC pour cellules solaires triple-jonction III-V/Ge. Ce matériau peut aussi servir de couche de passivation/encapsulation. Les simulations montrent que l'ARC double couche SiO2/LFSiN peut être très efficace pour réduire les pertes par réflexion dans la plage de longueurs d'onde de la sous-cellule limitante autant pour des cellules solaires triple-jonction limitées par la sous-cellule du haut que pour celles limitées par la sous-cellule du milieu. Nous démontrons aussi que la performance de la structure est robuste par rapport aux fluctuations des paramètres des couches PECVD (épaisseurs, indice de réfraction). Mots-clés : Photovoltaïque concentré (CPV), cellules solaires

  11. Un modèle à évènements pour étudier la flexibilité opérationnelle d ...

    African Journals Online (AJOL)

    Le problème est résolu en traitant l'ensemble des variables simultanément, selon une formulation de programmation mathématique non-linéaire en variables mixtes (MINLP). Mots-clés: ordonnancement, flexibilite opérationnelle, MINLP, convergence. An event-based model to study the operational flexibility of a flexible ...

  12. Pediatric orbital cellulitis in the Haemophilus influenzae vaccine era.

    Science.gov (United States)

    Sharma, Abhishek; Liu, Eugene S; Le, Tran D; Adatia, Feisal A; Buncic, J Raymond; Blaser, Susan; Richardson, Susan

    2015-06-01

    To evaluate the microbiology of pediatric orbital cellulitis in blood cultures and abscess drainage cultures following the introduction of the Haemophilus influenzae serotype b (Hib) vaccine. The medical records of all pediatrics patients (aged orbital imaging querying "orbital cellulitis," "periorbital cellulitis," "preseptal cellulitis," or "post-septal cellulitis" were retrospectively reviewed. The records, microbiology, and radiology of these patients were reviewed to assess the rates and complications of H. influenzae orbital cellulitis, including bacteremia and meningitis. A total of 149 patients were diagnosed with preseptal or orbital cellulitis, of whom 101 (mean age, 7.2 ± 4.0) had true orbital cellulitis. No patients grew H. influenzae from blood cultures. Of the 101 patients, 30 (29.7%) required surgical drainage and had abscess drainage fluid sent for microbiology. Of these, 18 (64.3%) had a positive culture: 4 (13.3%) grew H. influenzae from their abscess drainage fluid samples; 1 grew H. influenzae alone; and 3 had mixed growth that included H. influenzae. The patients positive for H. influenzae were significantly older and had significantly larger abscesses. Although there were no cases of H. influenzae bacteremia or meningitis in our cases of orbital cellulitis, abscess drainage fluid microbiology indicated that H. influenzae remains a cause of orbital cellulitis. H. influenzae abscess volume was significantly larger than other bacterial abscesses and was associated with abscesses of mixed bacterial growth in older children. Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.

  13. Tumeur à cellules de Sertoli-Leydig de l'ovaire: à propos d'un cas ...

    African Journals Online (AJOL)

    Les tumeurs à cellules de Sertoli et Leydig sont des tumeurs sécrétantes rares du mésenchyme et des cordons sexuels. Cependant elles constituent l'une des tumeurs le souvent responsables de syndrome de virilisation. La certitude diagnostique est histologique après la chirurgie et il n' y'a pas de signe échographie ...

  14. Evaluation of Pediatric Patients with Orbital and Preseptal Cellulitis

    OpenAIRE

    Eren Cagan; Ahmet Soysal; Mustafa Bakir

    2015-01-01

    Purpose: Cellulitis in the orbital region is a relatively frequently observed ocular disease. Differential diagnosis of preseptal and orbital cellulitis is clinically possible. However physical examination may be insufficient for some differential diagnoses. The majority of pediatric patients with orbital and preseptal cellulitis present with complications of sinusitis. If left untreated it may cause vision loss and life-threatening intracranial complications. In this study we investigated th...

  15. Computerized tomography in the diagnosis and treatment of orbital cellulitis

    Energy Technology Data Exchange (ETDEWEB)

    Hirsch, M.; Lifshitz, T.

    1988-05-01

    Acute sinusitis remains the major cause of orbital cellulitis in children, despite the extensive use of antibiotics. Staging of orbital cellulitis on the basis of clinical signs is difficult but is easily achieved by computerized tomography. The CT findings in a series of 9 children with orbital cellulitis in different stages are reported. The information obtained by CT contributes to the selection of an adequate surgical approach, if a therapeutic trial with antibiotics fails.

  16. Cellulitis and Bacteremia Caused by Bergeyella zoohelcum

    Directory of Open Access Journals (Sweden)

    Wei-Ru Lin

    2007-01-01

    Full Text Available Bergeyella zoohelcum is a rod-shaped, aerobic, Gram-negative, non-motile and non-saccharolytic bacterium. It is frequently isolated from the upper respiratory tract of dogs, cats and other mammals. Clinically, B. zoohelcum has been known to cause cellulitis, leg abscess, tenosynovitis, septicemia, pneumonia and meningitis, and is associated with animal bites. In addition, food-borne transmission was considered in a recent case report. We report a 73-year-old man with liver cirrhosis who had no history of dog bite but had dog exposure, who developed cellulitis of the left lower leg and B. zoohelcum was isolated from blood culture. This patient, without evidence of polymicrobial infection, was treated with cefazolin and gentamicin with a good outcome. B. zoohelcum is a zoonotic pathogen that may cause bacteremia in patients with underlying disease such as liver cirrhosis; it can be treated with a beta-lactam or quinolone.

  17. An eye for trouble: orbital cellulitis

    Science.gov (United States)

    Armstrong, P A R; Nichol, N M

    2006-01-01

    Patients with orbital cellulitis present to emergency departments occasionally. Symptoms usually develop rapidly, with patients being distressed by painful ocular movements and systemic upset. The case of a 24‐year‐old man who had a 1‐month gradual history of intermittent periorbital swelling after a flu‐like illness, and subsequently developed a large intracranial extradural abscess eroding through the temporal bone, ultimately requiring neurosurgical intervention is presented. Although orbital and periorbital swelling is common after acute sinusitis, cellulitis and intracranial abscess are rare but potentially life threatening and sight threatening. Accurate diagnosis is therefore of great importance. In this case, the patient presented with few clinical signs but relevant pathology. The importance of assessing ocular movement, which is a major clinical abnormality indicating orbital disorder and thus an aid to accurate diagnosis, should be highlighted. PMID:17130587

  18. Blindness resulting from orbital cellulitis following rhinoplasty.

    Science.gov (United States)

    Lee, Kyung Mook; Han, Sang Chul; Ho, Samuel Y M; Kim, Jeong Tae; Kim, Youn Hwan

    2013-05-01

    Ophthalmic complications occurring after non-ophthalmic surgery are rare. We present a case of orbital cellulitis in a 24-year-old woman, who had undergone augmentation rhinoplasty in combination with breast augmentation. Symptoms included pain, swelling, erythema and eventual loss of vision in the left eye. Intravenous administration of antibiotics did not halt the rapid progression of this infection. On the sixth postoperative day, the patient underwent left-orbital evisceration to prevent the spread of infection to other organ systems. Despite aggressive therapy, the sequela was permanent, unilateral blindness. Orbital cellulitis in aesthetic surgery is extremely rare. In patients undergoing rhinoplasties that may be prolonged due to other concomitant cosmetic procedures, aseptic preoperative preparation and careful monitoring for signs of orbital infection are recommended. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  19. [Neonatal cellulitis caused by group B Streptococcus].

    Science.gov (United States)

    Breinig, S; Roques-Gineste, M; Marcoux, M-O; Bloom, M-C

    2012-10-01

    Dermohypodermitis (cellulitis) in newborn infants and in infants aged up to 3 months is uncommon and often not typical. Because group B Streptococcus is known to induce rapid life-threatening complications, early diagnosis leading to emergency treatment is of utmost importance. We report on the case of a 14-day-old girl, initially admitted for viral bronchiolitis with suspected bacterial pulmonary infection, in the absence of any cutaneous injury. The disease actually was cellulitis of the face, caused by group B Streptococcus. The baby presented with a severe septic clinical condition. Early treatment with antibiotics (intravenous amoxicillin for 10 days) allowed a favorable course, with rapid control of the sepsis and regression of the submandibular tumefaction. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  20. Odontogenic infection causing orbital cellulitis in a pediatric patient.

    Science.gov (United States)

    de Assis-Costa, Marcelo Dias Moreira; Santos, George Soares; Maciel, Jucileia; Sonoda, Celso Koogi; de Melo, Willian Morais

    2013-01-01

    Odontogenic abscess can become an orbital cellulitis, causing potentially serious intracranial and orbital complications. The full clinical complications from odontogenic orbital cellulitis in a pediatric patient are rarely seen daily in hospital emergency departments. Thus, odontogenic orbital cellulitis still remains a rarity, resulting in a medical challenge. With this in mind, this study aimed to describe a case of periorbital and orbital cellulitis resulting from odontogenic origin in a 6-year-old patient who was successfully treated by performing intravenous antibiotic administration combined with surgical drainage.

  1. Régulation de l'immunité de l'hôte à médiation par cellules souches ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Ce projet utilisera des méthodes avancées de biologie moléculaire et de génétique appliquées à des cellules humaines et à des souris génétiquement modifiées pour examiner comment le système immunitaire humain se développe à partir des cellules souches hématopoïétiques et comment l'immunité de l'hôte est ...

  2. Management of pediatric orbital cellulitis and abscess.

    Science.gov (United States)

    Bedwell, Joshua; Bauman, Nancy M

    2011-12-01

    Orbital cellulitis and abscess formation in pediatric patients usually arises as a complication of acute sinusitis and if untreated may cause visual loss or life-threatening intracranial complications. This review describes the current evaluation and management of this condition. Computed tomography with contrast remains the optimal imaging study for orbital inflammation. Orbital inflammation is still classified by Chandler's original description as preseptal or postseptal and nearly all cases of preseptal cellulitis are managed with oral antibiotics. Most cases of postseptal cellulitis are managed with intravenous antibiotics, although surgical therapy is required for some abscesses, particularly large ones. Patients under 9 years respond to medical management more frequently than older patients but recent studies confirm that even children over 9 with small or moderate-sized abscesses and normal vision deserve a medical trial before surgical intervention. Medial subperiosteal abscesses that fail medical therapy are usually drained endoscopically, whereas lateral or intraconal abscesses require an open procedure. Periorbital complications of sinusitis in pediatric patients often respond to medical therapy but may require surgical intervention to prevent serious complications. Continuous in-house evaluation of patients is necessary to observe for progression of symptoms and to optimize outcome.

  3. Carcinome à cellule vitreuse du col de l'utérus: à propos d'un cas et ...

    African Journals Online (AJOL)

    Le carcinome à cellule vitreuse du col de l'utérus est un type de histologique rare de cancer du col de l'utérus qui survient à un âge plus jeune, et s'associe au risque élevé d'échec thérapeutique et le pronostic est plus mauvais en comparaison au type cellulaire squameux. La radiothérapie est associée au risque diminué ...

  4. Etude Des Caractéristiques Structurelles Des Couches Minces De ZnO. Application à une Cellule Photovoltaïque.

    OpenAIRE

    MERABET, Yassamina

    2014-01-01

    De nos jours les cellules solaires à couches minces sont de plus en plus utilisées essentiellement à raison de leur faible coût. Durant ces dernières décennies les performances de ces cellules ont été nettement améliorées. Dans le présent travail, nous avons fait une étude analytique sur les paramètres (caractéristiques) structurels des couches minces d’Oxyde de Zinc (ZnO) réalisées par la pulvérisation cathodique. Nous avons simulé une cellule solaire à l’aide d’un logiciel (SCAPS1-D) afin d...

  5. Cellulitis in a Red Kandhari Bull : A Case Report

    Directory of Open Access Journals (Sweden)

    M M Pathan

    2012-06-01

    Full Text Available A case of cellulitis caused by mixed infection of Staphylococcus spp. and Corynebacterium spp in a Red Kandhari bull leading to death of animal was autopsied at the department. It is being a case of cellulitis in a Red Kandhari bull and placed on record. [Vet. World 2012; 5(3.000: 183-184

  6. Paranasal sinusitis in the aetiology of orbital cellulitis | Ubah ...

    African Journals Online (AJOL)

    Aim: The purpose of this study was to assess the prevalence of paranasal sinusitis as a cause of orbital cellulitis and to identify the commonest sinus(es) involved in our setting. Methods: A retrospective review of the case notes of 47 patients with orbital cellulitis admitted into the ophthalmic ward of the University College ...

  7. Facial cellulitis revealing choreo-acanthocytosis: A case report ...

    African Journals Online (AJOL)

    We report a 62 year-old-man with facial cellulitis revealing choreo-acanthocytosis (ChAc). He showed chorea that started 20 years ago. The orofacial dyskinisia with tongue and cheek biting resulted in facial cellulitis. The peripheral blood smear revealed acanthocytosis of 25%. The overall of chorea, orofacial dyskinetic ...

  8. Cellulitis in aged persons: a neglected infection in the literature ...

    African Journals Online (AJOL)

    Cellulitis is a frequent soft tissue and skin infection. The lower limbs are affected in 70 to 80% of cases. Cellulitis in aged persons is not yet well described in literature. A retrospective descriptive study conducted in the Internal Medicine Department of Sahloul hospital in Sousse in Tunisia. It included patients whose age was ...

  9. Bilateral Orbital Cellulitis: A Case Report and Management ...

    African Journals Online (AJOL)

    To report a case of bilateral orbital cellulitis in a conscious 11-year-old Nigerian girl and the management challenges. Bilateral orbital cellulitis secondary to rhinosinusitis is uncommon but has been reported in the literature in other countries where the diagnosis was made with the aid of necessary tools such as the ...

  10. Bilateral orbital cellulitis: A case report and management challenges ...

    African Journals Online (AJOL)

    To report a case of bilateral orbital cellulitis in a conscious 11-year-old Nigerian girl and the management challenges. Bilateral orbital cellulitis secondary to rhinosinusitis is uncommon but has been reported in the literature in other countries where the diagnosis was made with the aid of necessary tools such as the ...

  11. Orbital cellulitis demands early recognition, urgent admission and aggressive management.

    Science.gov (United States)

    Tole, D M; Anderton, L C; Hayward, J M

    1995-01-01

    Orbital cellulitis is an emergency. Confusion still exists between the diagnosis of this serious condition and that of preseptal cellulitis. Delay in treatment may cause blindness and progression to life-threatening sequelae such as brain abscess, meningitis or cavernous sinus thrombosis. We report a case in which, despite late referral, emergency surgical intervention was sight saving. Images Fig. 1 Fig. 2 PMID:7582417

  12. [Staphylococcus aureus methicillin-resistant community acquired neonatal orbital cellulitis].

    Science.gov (United States)

    Pérez, M Guadalupe; Castro, Graciela; Mansilla, Celeste; Kaldzielski, Carina; Salas, Gisela; Rosanova, María Teresa; Berberian, Griselda

    2013-04-01

    Orbital cellulitis typically occurs in older children, but it can occasionally affect infants and neonates. Staphylococcus aureus is the main pathogen isolated. Outcome depends on an adequate initial approach. We report three neonates with orbital cellulitis caused by community-associated MRSA.

  13. Chlamydial conjunctivitis presenting as pre septal cellulitis

    Directory of Open Access Journals (Sweden)

    Diaper Charles JM

    2007-03-01

    Full Text Available Abstract Chlamydia conjuctivitis results from infection by chlamydia trachomatis, the commonest treatable sexually transmitted infection in Europe. Its clinical manifestations involve the conjunctiva and the cornea. The inflammation under the upper eyelid may be sufficient to present as ptosis, however previously it has not been documented to cause a preseptal cellulitis. We present such a case. A 15-year-old girl was diagnosed with a left viral conjunctivitis. Five days later, she returned with marked oedema of the left upper and lower lids accompanied by erythema. The tarsal conjunctiva revealed follicles and large papillae and extra ocular movements revealed discomfort on elevation. A secondary diagnosis of bacterial pre septal cellulitis was made and the treatment was changed a broad spectrum oral antibiotic. On review at two days, the patient now complained of a large amount of purulent discharge in association with the marked pre septal swelling. As previous bacteriology and virology had been negative, the patient was re swabbed for chlamydia. This proved positive and her symptoms completely resolved following administration of Azithromycin. In this particular case recognition of the pathogen is important to alert the patient to the likelihood of unknown genital infestation. In all cases of positive culture, the patient should be counselled to attend a genitourinary clinic and to alert any sexual partners to the need to do likewise.

  14. Facial cellulitis revealing choreo-acanthocytosis: a case report.

    Science.gov (United States)

    Samia, Younes; Yosra, Cherif; Foued, Bellazreg; Mouna, Aissi; Olfa, Berriche; Jihed, Souissi; Hammadi, Braham; Mahbouba, Frih-Ayed; Amel, Letaief; Habib, Sfar Mohamed

    2014-01-01

    We report a 62 year-old-man with facial cellulitis revealing choreo-acanthocytosis (ChAc). He showed chorea that started 20 years ago. The orofacial dyskinisia with tongue and cheek biting resulted in facial cellulitis. The peripheral blood smear revealed acanthocytosis of 25%. The overall of chorea, orofacial dyskinetic disorder, peripheral neuropathy, disturbed behavior, acanthocytosis and the atrophy of caudate nuclei was suggestive of a diagnosis of ChAc. To our knowledge no similar cases of facial cellulitis revealing choreo-acanthocytosis (ChAc) were found in a review of the literature.

  15. Un incidentalome surrenalien inhabituel: le ganglioneurome | Attafi ...

    African Journals Online (AJOL)

    Le ganglioneurome est une tumeur neurogène bénigne, rare, qui se développe à partir des cellules ganglionnaires sympathiques. Elle se localise essentiellement dans la région rétropéritonéale. La localisation surrénalienne est rare. Nous rapportons un cas de ganglioneurome surrénalien chez une femme âgée de 42 ...

  16. Infective Endocarditis Presenting as Bilateral Orbital Cellulitis: An Unusual Case.

    Science.gov (United States)

    Asif, Talal; Hasan, Badar; Ukani, Rehman; Pauly, Rebecca R

    2017-06-14

    Orbital cellulitis is a severe and sight-threatening infection of orbital tissues posterior to the orbital septum. The most common causes of orbital cellulitis are rhinosinusitis, orbital trauma, and surgery. Infective endocarditis (IE) is a systemic infection that begins on cardiac valves and spreads by means of the bloodstream to peripheral organs. Septic emboli can spread to any organ including the eyes and can cause focal or diffuse ophthalmic infection. Ocular complications of IE classically include Roth's spots, subconjunctival hemorrhages, chorioretinitis, and endophthalmitis. IE as a cause of orbital cellulitis has been described by only one author in the literature. Here, we present a very rare case of bilateral orbital cellulitis caused by IE. Through this case, we aim to create awareness of the potential for serious ocular complications in IE and provide an overview of the management.

  17. Medical And Surgical Management Of Orbital Cellulitis In Children

    Directory of Open Access Journals (Sweden)

    Friling Ronit

    2014-12-01

    Full Text Available Objective: The purpose of this study was to identify features of orbital cellulitis that predict response to conservative treatment without surgical intervention and factors associated with a decision for surgery.

  18. Etude théorique des cellules solaires PV organiques: structure réseau interpénétré polymère conjugué-fullerène et cellules Graetzel

    OpenAIRE

    Zakaria, BOUZID

    2014-01-01

    Le photovoltaïque est aujourd'hui une technologie d'énergie renouvelable en plein essor. La croissance du marché a été comprise entre 15% et 20% durant la dernière décennie. Malgré le développement des matériaux et des méthodes de fabrication fortement soutenus par la croissance de l'industrie des semi-conducteurs, le coût des cellules solaires est resté élevé. Cependant, de nouveaux matériaux photovoltaïques ont été développés durant les dernières années, cela pourrait bien ouvri...

  19. Arcanobacterium hemolyticum orbital cellulitis: a rare but aggressive disease.

    Science.gov (United States)

    Ramey, Nicholas A; Burkat, Cat N

    2013-01-01

    The clinical presentation and course of orbital cellulitis in a young adult resulting from Arcanobacterium hemolyticum frontal sinusitis are presented in detail. This case illustrates the importance of a multidisciplinary approach for refractory and aggressive orbital cellulitis. A high level of suspicion for A. hemolyticum must be maintained in such cases, because it has proven to be a rare but aggressive, potentially occult, and life-threatening pathogen.

  20. Le cerveau au travail : Optimiser la Performance Humaine par la Neuroergonomie

    OpenAIRE

    Causse, Mickael

    2016-01-01

    Le volume considérable de recherches menées dans le domaine des neurosciences cognitives révèle la profonde volonté d’améliorer notre compréhension du comportement et de ses corrélats cérébraux. Cette révolution cognitive a encouragé la mise en œuvre d’études sur des questions sociétales importantes traitant de thèmes aussi variés que la santé, les troubles psychiatriques, la maturation neuronale, les apprentissages ou encore les maladies neurodégénératives. Aussi, et assez récemment, la néc...

  1. [Pediatric orbital cellulitis without sinusitis: report of four cases].

    Science.gov (United States)

    Promelle, V; Bennai, D; Drimbea, A; Milazzo, S; Bremond-Gignac, D

    2014-02-01

    Pediatric orbital cellulitis is most often caused by ethmoid sinusitis. We present a description of 4 atypical cases of orbital cellulitis without sinusitis. A 4-day-old girl presented with medical canthal swelling and preseptal cellulitis caused by bilateral congenital dacryocystoceles. The second patient was an 8-year-old boy seen for infectious conjunctivitis complicated by preseptal cellulitis without sinusitis. Conjunctival cultures revealed Neisseria gonorrheae. The next patient, a 5-month-old boy, presented with lid swelling, fever, proptosis and epiphora. It was caused by dacryocystitis extending into the ethmoid and complicated by a sub-periostal abscess with mass effect on the globe. The fourth patient was a 10-year-old boy referred for inflammatory eyelid edema and severe non-axial proptosis. Imaging revealed an orbital tumor; the diagnosis of rhabdomyosarcoma was confirmed by anatomopathology. Thorough etiologic work-up of orbital cellulitis in children will prevent missing a non-sinus-based cause such as lacrimal infections, conjunctivitis secondary to atypical pathogens, or even tumors. All patients should undergo a detailed clinical examination, orbital imaging and microbiological testing. Orbital cellulitis in children poses diagnostic and therapeutic difficulties due to the many possible etiologies. Aside from sinusitis, the most important etiologies to pursue are lacrimal system infections and tumors. When confronted with a non-specific clinical presentation, thorough etiologic work-up is essential, in view of the potential life-threatening, functional and social implications. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  2. La virothérapie oncolytique médiée par le virus de la myxomatose

    OpenAIRE

    Krygier, David; Gillet, Laurent; Marlier, Didier

    2013-01-01

    Le virus de la myxomatose est un poxvirus du genre Leporipoxvirus qui induit une pathologie spécifique, la myxomatose, chez le lapin européen (Oryctolagus cuniculus). Ce virus a la particularité d’être non pathogène pour les autres espèces de vertébrés y compris l’homme. Le virus de la myxomatose (MYXV) présente aussi, de manière inattendue, un tropisme pour les cellules cancéreuses humaines in vitro ainsi qu’un potentiel oncolytique in vivo. La tolérance de ces cellules au MYXV est intime...

  3. Quantification des cellules viables de P. phosphoreum dans les pavés de saumon cru par PCR temps reel

    DEFF Research Database (Denmark)

    Macé, Sabine; Mamlouk, Kelthoum; Chipchakova, Stoyka

    ’altération. Par conséquent, nous avons développé une méthode de PCR temps réel spécifique combinée avec une étape de traitement au PMA pour quantifier les cellules viable de P.phosphoreum dans le saumon cru conditionné sous atmosphère modifiée. Les amorces spécifiques ont été dessinées pour amplifier un fragment...

  4. Un automate cellulaire pour expérimenter les effets de la proximité dans le processus d’étalement urbain : le modèle Raumulus

    OpenAIRE

    Moreno, Diego; Badariotti, Dominique; Banos, Arnaud

    2012-01-01

    Dans cet article, nous développons un modèle de type automate cellulaire pour analyser lele de différents types de proximités sur le processus de croissance urbaine. Les simulations effectuées à partir de ce modèle montrent que la modification de trois variables (densité des zones bâties, distance euclidienne de chaque cellule au réseau routier et distance réseau de chaque cellule au centre urbain) suffisent à faire émerger des formes et des structures variées, typiques de certains modèles...

  5. Orbital Cellulitis Following Orbital Blow-out Fracture.

    Science.gov (United States)

    Byeon, Je Yeon; Choi, Hwan Jun

    2017-10-01

    Orbital cellulitis and abscess have been described in the literature as complication that usually occur secondary to infection in the maxillary, ethmoidal, and frontal sinuses. If left untreated, it can lead to blindness, cavernous sinus thrombosis, meningitis, or cerebral abscess. Orbital fractures are a common sequela of blunt orbital trauma, but are only rarely associated with orbital cellulitis. So, the authors present rare orbital cellulitis after orbital blow-out fracture. A 55-year-old Asian complains of severe orbital swelling and pain on the left side. These symptoms had started 2 days earlier and worsened within the 24 hours before hospital admission resulting in visual disturbances such as diplopia and photophobia. Contrast-enhanced computed tomography scan showed considerable soft tissue swelling and abscess formation on the left side. Patient was subjected to surgical drainage under general anesthesia in the operation room. In this case, the postoperative period was uneventful and the rapid improvement of symptoms was remarkable. In conclusion, the abscess of the orbit is a surgical emergency in patients whose impairment of vision or ocular symptoms cannot be controlled with medical therapy using antibiotics. In our case, orbital cellulitis can occur after blunt orbital trauma without predisposing sinusitis. Early and prompt diagnosis and surgical drainage before severe loss of visual acuity rescue or recover the vision in case of orbital cellulitis.

  6. Clinical Mimics: An Emergency Medicine-Focused Review of Cellulitis Mimics.

    Science.gov (United States)

    Blumberg, Garrett; Long, Brit; Koyfman, Alex

    2017-10-01

    Cellulitis is a common clinical condition with low rates of morbidity and mortality if treated appropriately. Mimics of cellulitis presenting with erythema, edema, warmth, and pain can be associated with grave morbidity and mortality if misdiagnosed. This review investigates the signs and symptoms of cellulitis, mimics of cellulitis, and an approach to the management of both cellulitis and its mimics. The current emergency medicine definition of cellulitis includes erythema, induration, warmth, and swelling. Given the common pathophysiologic pathways, cellulitis mimics often present in an analogous manner. These conditions include septic bursitis, septic joint, deep vein thrombosis, phlegmasia cerulea dolens, necrotizing fasciitis, flexor tenosynovitis, fight bite (closed fist injury), orbital cellulitis, toxic shock syndrome, erysipelas, abscess, felon, paronychia, and gouty arthritis. Many of these diseases have high morbidity and mortality if missed by the emergency physician. Differentiating these mimics from cellulitis can be difficult in the fast-paced emergency setting. A combination of history, physical examination, and focused diagnostic assessment may assist in correctly identifying the underlying etiology. For many of the high mortality cellulitis mimics, surgical intervention is necessary. Cellulitis and its mimics present similarly due to the same physiologic responses to skin and soft tissue infections. A combination of history, physical examination, and diagnostic assessment will help the emergency physician differentiate cellulitis from mimics. Surgical intervention is frequently needed for high morbidity and mortality mimics. Published by Elsevier Inc.

  7. Orbital cellulitis complicated by central retinal artery occlusion.

    Science.gov (United States)

    Proctor, Charles M; Magrath, George N; de Castro, Luis E Fernández; Johnson, John H; Teed, Ronald G

    2013-01-01

    The authors present a case of a 16-year-old boy who sought treatment in Storm Eye Institute for orbital cellulitis complicated by central retinal artery occlusion. He was examined for severe signs of orbital cellulitis, including decreased vision and an afferent pupillary defect. Intravenous antibiotics failed to provide timely improvement, and the patient was surgically managed with endoscopic orbital decompression. An ocular examination under anesthesia revealed retinal ischemia in the affected eye, and fluorescein angiography confirmed the diagnosis of central retinal artery occlusion. The patient's vision improved slightly following resolution of the infection. Central retinal artery occlusion is a rare complication of orbital cellulitis in adults and has yet to be reported in the pediatric population.

  8. Orbital cellulitis: review of 23 cases from Saudi Arabia.

    Science.gov (United States)

    Hodges, E; Tabbara, K F

    1989-01-01

    We studied a total of 23 patients with orbital cellulitis and/or orbital abscess over a period of four years in Saudi Arabia. The study showed a high rate of abscess formation (12/23) and surgical intervention (17/23). Twelve out of 23 patients were 18 or more years of age. Furthermore, 12 of 23 (52%) patients had blind eyes on admission and remained blind after treatment, and one patient died of cavernous sinus thrombosis. Only 7/23 (30%) had a predisposing cause of primary sinus disease. This study of orbital cellulitis in a developing country presents a variation in disease pattern from previous reports and suggests that delay in the initiation of antibiotic therapy may lead to serious complications which may be life threatening. The course and outcome of orbital cellulitis may vary, depending on the predisposing factor, time of onset, associated systemic disease, or delay in initiation of treatment. PMID:2706211

  9. Posterior orbital cellulitis: case report and literature review.

    Science.gov (United States)

    Allan, K; Atkinson, H; Agada, F

    2013-11-01

    It is rare for isolated sphenoid sinusitis to cause orbital cellulitis. We present a rare case of posterior orbital cellulitis, so caused, together with a review of the relevant literature. A 29-year-old woman presented with a 6-week history of progressive, unilateral, retro-orbital and periorbital right eye pain. On examination, the only finding was reduced visual acuity in the right eye. A computed tomography scan demonstrated right frontal and sphenoid sinus opacification. Sphenoidotomy and frontal sinus trephination were subsequently performed, following failure to respond to intravenous antibiotics. After surgery, the patient's vision returned to normal. Isolated sphenoid sinusitis is rare but can cause significant visual disturbance and permanent loss of vision. Vague symptoms unsupported by clinical signs at presentation are a feature of posterior orbital cellulitis. The presented case highlights the problem, and the need for a high index of clinical suspicion even in the absence of firm clinical signs, in order to prevent permanent visual loss.

  10. Anaerobic orbital cellulitis: a clinical and experimental study.

    Science.gov (United States)

    Jedrzynski, M S; Bullock, J D; McGuire, T W; Elder, B L; Bullock, J D

    1991-01-01

    In this article we have reviewed the clinical and bacteriologic aspects of anaerobic orbital cellulitis and have presented six patients to illustrate these points. Physicians who treat patients with orbital cellulitis should have a high index of suspicion for possible instances involving anaerobes, so that appropriate management can be started early. To investigate this problem further, we created an animal model of anaerobic orbital cellulitis. This model may be useful in future studies of the pathogenesis and treatment of this serious and often devastating disease. Images FIGURE 1 FIGURE 2 FIGURE 3 FIGURE 4 FIGURE 5 FIGURE 6 FIGURE 7 FIGURE 8 FIGURE 9 FIGURE 10 FIGURE 11 FIGURE 12 FIGURE 13 FIGURE 14 FIGURE 15 FIGURE 16 FIGURE 17 FIGURE 18 FIGURE 19 PMID:1808813

  11. Effects of lymphatic drainage on cellulitis assessed by magnetic resonance

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Patricia Froes; Martins, Nara Mendes; Martins, Flavia Mendes; Monteiro, Rosimary Araujo; Mendonca, Karla Morganna Pereira Pinto de [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil). Centro de Ciencias da Saude

    2008-12-15

    The aim of this study was to assess the use of magnetic resonance as a new method for evaluating the manual lymphatic drainage technique in treating cellulitis. Cellulitis is one of the main esthetic problems that lead women toward seeking guidance and specific treatments. There are various therapeutic approaches, owing to the multifactorial nature of its pathogen, although the effectiveness of most of these has not been definitively proven, given that the assessment methods used are mostly subjective or do not provide enough information on subcutaneous tissue. The introduction of magnetic resonance as a means of assessing a lymphatic drainage technique in cellulitis treatment makes the evaluation more accurate, since it enables a detailed study of subcutaneous architecture. (author)

  12. Orbital cellulitis with subperiosteal abscess: demographics and management outcomes.

    Science.gov (United States)

    Dewan, Mohit A; Meyer, Dale R; Wladis, Edward J

    2011-01-01

    Infectious orbital cellulitis represents a serious threat to vision and, if untreated, poses significant morbidity risk. In this study, the authors attempt to further characterize the features of orbital cellulitis with subperiosteal abscess (SPA) and determine outcomes based on the type of surgical intervention employed. Data were obtained by retrospective chart review of all inpatient admissions for orbital inflammation/cellulitis from Sept 2005 to April 2010. Charts were reviewed for demographic information, radiographic and clinic evidence of orbital cellulitis, presence of SPA (defined by radiographic criteria), interventions taken (surgical and nonsurgical), presence of concurrent sinusitis, types of microbes present, and duration of hospital admission. Statistical analysis was performed using chi-square tests. A total of 97 patients were admitted with a diagnosis of orbital inflammation/cellulitis, of whom 49 patients had clinical and/or radiographic evidence of orbital cellulitis. Twenty-four patients had radiographic evidence of SPA. All patients with SPA had concurrent sinusitis, and 16 patients underwent initial surgical intervention. Nine patients had external transcaruncular/transcutaneous SPA drainage only, 6 had combined SPA and sinus drainage, and one had sinus drainage alone. Of those that underwent SPA-only drainage, 5 had SPA reaccumulation, while no reaccumulation occurred with combined SPA and sinus drainage. No reaccumulation occurred if the SPA was less than 2 cm in its greatest diameter. In this study, for those abscesses larger than 2 cm, combined sinus and SPA drainage was associated with improved treatment outcome, demonstrated by absence of abscess reaccumulation and shorter hospital stay. SPA-only drainage was more frequently associated with SPA reaccumulation.

  13. Acute Sickle Cell Orbitopathy Masquerading as Orbital Cellulitis.

    Science.gov (United States)

    Stewart, Christopher M; Sipkova, Zuzana; Hildebrand, Goran D; Norris, Jonathan H

    2018-01-01

    Sickle cell orbitopathy is a rare manifestation of a sickle cell crisis and can closely mimic orbital cellulitis, both clinically and radiologically. We present a case where a child presented with what was thought to be orbital cellulitis and was treated accordingly. Subtle radiologic features of sickle cell orbitopathy were initially overlooked, resulting in an incorrect diagnosis and a treatment delay for the patient. Correctly treated most cases resolve with no adverse affects, highlighting how important it is to consider acute sickle cell orbitopathy in the differential diagnosis of acute periorbital swelling in children with sickle disease.

  14. [Study on computed tomography features of nasal septum cellule and its clinical significance].

    Science.gov (United States)

    Huang, Dingqiang; Li, Wanrong; Gao, Liming; Xu, Guanqiang; Ou, Xiaoyi; Tang, Guangcai

    2008-03-01

    To investigate the features of nasal septum cellule in computed tomographic (CT) images and its clinical significance. CT scans data of nasal septum in 173 patients were randomly obtained from January 2001 to June 2005. Prevalence and clinical features were summarized in the data of 19 patients with nasal septum cellule retrospectively. (1) Nineteen cases with nasal septum cellule were found in 173 patients. (2) All nasal septum cellule of 19 cases located in perpendicular plate of the ethmoid bone, in which 8 cases located in upper part of nasal septum and 11 located in middle. (3) There were totally seven patients with nasal diseases related to nasal septum cellule, in which 3 cases with inflammation, 2 cases with bone fracture, 1 case with cholesterol granuloma, 1 case with mucocele. Nasal septum cellule is an anatomic variation of nasal septum bone, and its features can provide further understanding of some diseases related to nasal septum cellule.

  15. Cancer bronchique à petites cellules et grossesse: à propos d'un cas avec revue de la literature

    Science.gov (United States)

    Safini, Fatima; Jjouhadi, Hassan; Chehal, Asmaa; Mernissi, Farida; Wilfried, Akpoo; Bouchbika, Zineb; Taleb, Amina; Benchakroun, Nadia; Tawfiq, Nezha; Sahraoui, Souha; Benider, Abdellatif

    2016-01-01

    Le cancer broncho-pulmonaire (CBP) de la femme enceinte est une entité rare, d’évolution péjorative. Cette situation devient de plus en plus fréquente, du fait de l'augmentation du tabagisme chez la femme. La transmission tumorale trans-placentaire avec atteinte fœtale est décrite surtout chez les femmes non traitées. Le traitement est multidisciplinaire et n'est pas bien codifié. Nous rapportons le cas d'une patiente de 23 ans chez qui le diagnostic d'un carcinome bronchique à petites cellules a été fait au cours de sa grossesse. Elle avait bénéficié d'une chimiothérapie pendant la grossesse, bien tolérée. L’évaluation radiologique a objectivé une stabilisation du processus pulmonaire. Le traitement a été complété par une association radio-chimiothérapie concomitante après l'accouchement. PMID:27279957

  16. Odontogenic orbital cellulitis causing blindness: A case report ...

    African Journals Online (AJOL)

    Blindness secondary to odontogenic orbital cellulitis is a rarity. We report a case of a 38-year-old man who presented with facial swelling and orbital pain. Examination revealed right orbital purulent discharge, nil light perception in the right eye and the presence of a grossly carious ipsilateral maxillary molar. Investigations ...

  17. Eosinophilic cellulitis - A case study and management with griseofulvin

    Directory of Open Access Journals (Sweden)

    Sharma P

    1995-01-01

    Full Text Available A 47 year old hypertensive and diabetic male patient suffering from eosinophilic cellulitis (Wells syndrome is being reported. The patient responded very well to oral griseofulvin at the time of first presentation and subsequent three recurrences in a period of three years.

  18. Current Trends in Treatment Outcomes of Orbital Cellulitis in a ...

    African Journals Online (AJOL)

    predisposing factors obtained from history, clinical, laboratory,. Current Trends in Treatment Outcomes of Orbital. Cellulitis in a Tertiary Hospital in Southern Nigeria. Odarosa M Uhumwangho, Dumebi H Kayoma. Department of Ophthalmology, University of Benin Teaching Hospital, P.M.B. 1111, Benin, Edo State, Nigeria.

  19. Vulva cellulitis and abscess with extension to anterior abdominal wall

    African Journals Online (AJOL)

    Background: Abscesses occur commonly in our environment. However abscesses of the vulva in children are not often seen but they do occur periodically, and there is a paucity of data on its prevalence in our environment. Aim: To present a case of vulva cellulitis and abscess with extension to anterior abdominal wall ...

  20. Orbital Cellulitis: Clinical Course and Management Challenges. The ...

    African Journals Online (AJOL)

    Background: Orbital cellulitis is a devastating acute infection of orbital soft tissues located posterior to the orbital septum. It is both vision and life-threatening. It is an ocular emergency which most often present in childhood. Objective: This article reviewed cases presenting during the study period with the view of examining ...

  1. Odontogenic Orbital Cellulitis Causing Blindness: A Case Report

    African Journals Online (AJOL)

    Blindness secondary to odontogenic orbital cellulitis is a rarity. We report a case of a 38-year-old man who presented with facial swelling and orbital pain. Examination revealed right orbital purulent discharge, nil light perception in the right eye and the presence of a grossly carious ipsilateral maxillary molar. Investigations ...

  2. Orbital cellulitis complicating sinusitis: a 15-year review | Nwaorgu ...

    African Journals Online (AJOL)

    Background: Orbital cellulitis is an infection of the orbital soft tissues behind the orbital septum. Primary sinus infection is the most common cause of orbital cellulites. It is an ocular emergency that threatens not only vision but also life from complications such as meningitis, cavernous sinus thrombosis, and brain abscess.

  3. Orbital cellulitis following silicone-sponge scleral buckles

    Directory of Open Access Journals (Sweden)

    Nemet AY

    2013-10-01

    Full Text Available Arie Y Nemet, Joseph R Ferencz, Ori Segal, Amit Meshi Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel Background: Acute or chronic infection of the scleral explant is rare. We report seven cases of scleral explant infections that caused orbital cellulitis. Materials and methods: This was a retrospective chart review of oculoplastics at oculoplastics and vitreo-retinal units in a secondary referral hospital. All subjects had orbital cellulitis secondary to scleral buckle in the range of January 1990 to March 2010. Demographics, imaging studies, and pathology specimens were reviewed. Results: A total of 841 silicone-sponge scleral buckle implants for rhegmatogenous retinal detachment were performed. Forty were extracted (4.75%; annual rate of 1.9 cases. Seven (0.83% had orbital cellulitis. The mean time from implantation to presentation was 5.7 years. There was bacterial growth in all specimens, with Staphylococcus aureus in four. Conclusions: Patients who are operated on with silicone-sponge scleral buckling for rhegmatogenous retinal detachment sometimes require removal of the implant because of infection. However, the infection rate is low. Patients should be followed in the long term for possible complications. Keywords: scleral explant infection, scleral buckle, orbital cellulitis, rhegmatogenous retinal detachment

  4. Cellulitis: current insights into pathophysiology and clinical management

    NARCIS (Netherlands)

    Cranendonk, D. R.; Lavrijsen, A. P. M.; Prins, J. M.; Wiersinga, W. J.

    2017-01-01

    Cellulitis is a bacterial skin and soft tissue infection which occurs when the physical skin barrier, the immune system and/or the circulatory system are impaired. Diabetes, obesity and old age are associated with defects in all of these areas and as a result are major predisposing factors for

  5. Clinical Approach in Orbital Cellulitis Cases: Case Series

    Directory of Open Access Journals (Sweden)

    Altan Atakan Özcan

    2012-07-01

    Full Text Available Pur po se: To evaluate the etiological factors, diagnosis, follow-up and treatment procedures in cases of orbital cellulitis. Ma te ri al and Met hod: A retrospective review was performed on medical records of patients with orbital cellulitis treated between 2009 and 2011 in our clinic. The patients were studied for age, ophthalmologic examination features, laboratory and radiology results, treatment modalities and the response to these treatments. Re sults: Eleven patients (7 male, 4 female having an average age of 9.7 years (6 months-25 years participated in the study. All patients had eyelid oedema, hyperemia and ocular pain; with chemosis in 3, gaze restriction in 6, relative afferent pupillary defect and proptosis in 4 cases. Orbital cellulitis was observed to occur secondary to paranasal sinusitis in 10 patients (90.9% and 1 patient had only history of superior respiratory tract infection. Sinus infection was localized in ethmoid and maxillary sinuses in all except one case. Laboratory tests showed leukocytosis in 8 patients. Surgical drainage was performed in 7 of 8 patients with abscess formation observed with radiological imaging. The remainder of the patients were followed with sole medical treatment. All patients recovered without any vision loss or life-threatening complication. Dis cus si on: Orbital cellulitis cases must be followed with radiologic imaging for any complication that may occur and patients with abscess should be evaluated for surgical drainage besides antimicrobial treatment.(Turk J Ophthalmol 2012; 42: 284-7

  6. Le lymphomes non hodgkinien primitif de la thyroïde: à propos de ...

    African Journals Online (AJOL)

    Le diagnostic histopathologique avec l'immunomarquage après chirurgie a conclu dans tous les cas à un lymphome malin non hodgkinien : 3 patientes avec un lymphome de type MALT, et les 4 autres avec un LMNH à grandes cellules de phénotype B. Une thyroïdite chronique lymphocytaire d'Hashimoto coexistante avec ...

  7. Mécanismes de relocalisation de la Glucose-regulated protein 78 à la surface des cellules du cancer de l’ovaire

    OpenAIRE

    Meynier, Sonia

    2016-01-01

    Afin de mieux comprendre les mécanismes cellulaires impliqués dans le développement du cancer de l’ovaire, nous nous sommes intéressés à la protéine GRP78. Dans les cellules cancéreuses, la GRP78 du RE est relocalisée à la surface cellulaire et participe au développement tumoral. Afin d’apporter des informations sur les mécanismes de transport de la GRP78 du RE à la membrane plasmique, nous avons investigué lele d’un potentiel partenaire : la protéine Par-4. Nous confirmons l’implication d...

  8. Orbital cellulitis in a neonate of the tooth bud origin : A case report

    Directory of Open Access Journals (Sweden)

    Poonam Lavaju

    2014-01-01

    Full Text Available Orbital cellulitis is a serious, yet uncommon infection in neonates. It can result in significant sight and life threatening complications. Most commonly, it occurs secondarily as the result of a spread of infection from the sinuses. Orbital cellulitis, secondary to dental infection is rare. We hereby report a case of orbital cellulitis secondary to dental infection in a 15-day-old neonate without any systemic features.

  9. Orbital cellulitis in a neonate of the tooth bud origin: a case report.

    Science.gov (United States)

    Lavaju, Poonam; Badhu, Badri Prasad; Khanal, Basudha; Shrestha, Bhuwan Govinda

    2014-07-01

    Orbital cellulitis is a serious, yet uncommon infection in neonates. It can result in significant sight and life threatening complications. Most commonly, it occurs secondarily as the result of a spread of infection from the sinuses. Orbital cellulitis, secondary to dental infection is rare. We hereby report a case of orbital cellulitis secondary to dental infection in a 15-day-old neonate without any systemic features.

  10. Mouillage de surfaces hétérogènes : cellule de Hele-Shaw imparfaite

    Science.gov (United States)

    Paterson, Agnès.

    We study the influence of the surface wettability defects on the behavior of a liquid front advancing in a thin Hele-Shaw cell. Defects are made by spraying ink or by deposition of a photosensitive resin on a glass surface, giving a well-characterized system with controlled defects. We have done an experimental and theoretical study of the interface motion past a single defect. The main result is the existence of a pinning transition: the contact line cannot move over defects that are too large and an air bubble remains trapped on the defect. Smaller defects do hold the contact line for a while, but they are eventually wetted by the advancing liquid. We determine the critical defect size for this transition and calculate the equilibrium shapes of the interface in a two-dimensional geometry. We also investigate the motion of an interface moving over multiple defects. We analyze the relation between the statistical properties of the wetting front as function of the geometrical properties of the defect distribution and gravity effects. Nous avons étudié l'influence des défauts de mouillabilité sur la morphologie d'un front de mouillage avançant dans une cellule mince, dite cellule de Hele-Shaw. Nous avons mis au point la réalisation des cellules minces, la fabrication de défauts et leur caractérisation ainsi qu'un dispositif optique nous permettant de visualiser les déformations successives du front de mouillage. Nous avons étudié expérimentalement et théoriquement l'interaction entre l'interface et un défaut de mouillabilité isolé. Nous avons mis en évidence la transition entre un régime de "décrochage" et de "piégeage": si le défaut est suffisamment fort, la ligne de contact reste accrochée sur le défaut et le front liquide ne peut progresser qu'en laissant une bulle d'air sur le défaut, une partie de la surface solide restant alors non mouillée. Sur un défaut faible, en revanche, la ligne de contact ne fait que se déformer momentan

  11. Orbital cellulitis in Scotland: current incidence, aetiology, management and outcomes.

    Science.gov (United States)

    Murphy, C; Livingstone, I; Foot, B; Murgatroyd, H; MacEwen, C J

    2014-11-01

    Orbital cellulitis is a potentially blinding and life-threatening condition. There are little published data on the incidence of orbital cellulitis and little is known about the differences between children and adults affected. The purpose of this study was to identify the incidence, aetiology, management and outcome of orbital cellulitis in children and adults in Scotland. This study was a 1-year prospective observational study using the Scottish Ophthalmic Surveillance Unit reporting system among Scottish ophthalmologists. The response rate from ophthalmologists was 66.4%. There were 15 children and 5 adults reported giving an incidence of 1.6 per 100 000 and 0.1 per 100 000 in children and adults, respectively. 47% of children had a preceding upper respiratory tract infection with 87% having radiological evidence of sinus disease. Within the adult group, there was preceding immunosuppression and trauma. Streptococcus (66%) and Haemophilus (46%) species were the most commonly isolated pathogens in children. Respiratory pathogens were less predictable in adults. All patients were treated with intravenous antibiotics. All children with orbital and subperiosteal abscesses had surgery; one adult with orbital abscess did not have surgery. There were two cases of series morbidity: one intracranial spread of infection and one evisceration. The incidence of orbital cellulitis is higher in children than in adults. In children, it commonly follows upper respiratory infection and sinus disease; however, in adults, preceding illness and trauma are more common. Respiratory pathogens are common in affected children. Intravenous antibiotics and surgical treatment of abscesses remain the preferred management. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  12. Management of cellulitis in a pediatric emergency department.

    Science.gov (United States)

    Khangura, Simi; Wallace, Jonathan; Kissoon, Niranjan; Kodeeswaran, Tanuja

    2007-11-01

    (1) To determine antibiotic choices, route of administration, and outcomes of children treated as outpatients with noncomplicated, nonfacial cellulitis at a tertiary care center. (2) To determine the number of visits and time spent in the emergency department (ED) for treatment. A descriptive case-control study. A tertiary care pediatric ED at an academic medical center. Medical records of all otherwise healthy children (aged 1-16 yrs) presenting with noncomplicated, nonfacial cellulitis over a 3-year period (January 1, 2001-December 31, 2003) were reviewed. Data extracted included the following: demographics; clinical presentation; laboratory and microbiology results; management, including choice, dose, and route of antibiotic(s); treatment failures; and time spent in the ED. None. Two hundred sixty-nine patients met the inclusion criteria, and their charts were selected for review. The oral antibiotic most often prescribed was cephalexin (N = 105). Treatment failure occurred in 10 (8.9%) of the cases. The intravenous antibiotic most often prescribed was cefazolin (N = 124; 39 received cefazolin alone, and 85 received cefazolin and probenecid). The cefazolin-only group had 12 (31%) treatment failures, whereas the cefazolin and probenecid group had 7 (8.1%) treatment failures. More time in the ED (521 +/- 287 minutes) and more visits (3.4 +/- 2.8) were seen in the intravenous group as compared with the oral group (time in ED, 164 +/- 139 minutes; visits, 1.4 +/- 1). Noncomplicated, nonfacial cellulitis is most commonly treated using first-generation cephalosporins. Treatment with oral antibiotics was effective and required fewer visits and less time in the ED compared with intravenous treatment. Twice-daily cefazolin and probenecid was associated with less treatment failures and admissions than cefazolin alone and may represent a reasonable alternative for children with nonfacial cellulitis requiring intravenous antibiotics.

  13. Diagnosis, management and treatment of orbital and periorbital cellulitis in children.

    Science.gov (United States)

    Rashed, Fatima; Cannon, Anna; Heaton, Paul Anthony; Paul, Siba Prosad

    2016-04-01

    Children with red swollen eyes frequently present to emergency departments. Some patients will have orbital cellulitis, a condition that requires immediate diagnosis and treatment. Orbital cellulitis can be confused with the less severe, but more frequently encountered, periorbital cellulitis, which requires less aggressive management. Delayed recognition of the signs and symptoms of orbital cellulitis can lead to serious complications such as blindness, meningitis and cerebral abscess. This article describes the clinical features, epidemiology and outcomes of the condition, and discusses management and treatment. It also includes a case study.

  14. [Endoscopic treatment of orbital cellulitis in pediatric patients: transethmoidal approach].

    Science.gov (United States)

    Cavaliere, M; Volino, F; Parente, G; Troisi, S; Iemma, M

    2013-07-01

    Orbital cellulitis is a septic process of the soft tissues behind the orbital septum and is the most frequent cause of the monolateral exophthalmos in pediatrics. Approximately 90% of the orbital cellulitis in pediatrics are associated to acute ethmoiditis. From the 01.01.2001 to 31.12.2010 we treated 36 patients, less than 18 years-old affected by Chandler stage II, III, or IV orbital cellulitis. The inflammation was resolved medically in 6 patients. In the 30 cases that showed no improvement in 48-72 h, an endoscopic drainage of the pus was performed by the transethmoidal route. In children, an adenoidectomy should be included, in order to eliminate eventual infections of this lymphatic organ. Endoscopic treatment has resulted in rapid resolution of disease without any complications. In addition, postoperative discomfort is minimal, with a rapid return to daily activities. Copyright © 2012 Sociedad Española de Oftalmología. Published by Elsevier Espana. All rights reserved.

  15. Intraocular malignant melanoma of the choroid presenting as orbital cellulitis.

    Science.gov (United States)

    Nair, Akshay Gopinathan; Kaliki, Swathi; Ali, Mohammed Javed; Naik, Milind N; Vemuganti, Geeta K

    2014-06-01

    We report a case of choroidal melanoma with features suggestive of orbital cellulitis. A 24-year-old Asian Indian male presented with a 20-day history of sudden loss of vision in the right eye. Edematous eyelids with complete mechanical ptosis, complete ophthalmoplegia, gross proptosis accompanied by massive chemosis, and prolapse of the inferior forniceal conjunctiva were noted. He denied perception of light in the right eye. The left eye was unremarkable. B-scan ultrasonography of the right eye showed a large dome-shaped mass filling the posterior segment suggestive of choroidal melanoma. Computed tomography confirmed those findings and showed no extraocular tumor extension. The patient was conservatively treated with systemic steroids following which the inflammation subsided. He underwent enucleation of the right eye and a diagnosis of spindle A cell choroidal melanoma was confirmed by histopathological examination. Although rare, orbital cellulitis is one of the presenting features of choroidal melanoma. Uveal melanoma-associated orbital cellulitis can be well controlled with systemic steroids, does not always indicate extraocular tumor extension, and can occur in spindle A cell melanomas.

  16. Predicting the need for surgical intervention in pediatric orbital cellulitis.

    Science.gov (United States)

    Smith, Jesse M; Bratton, Emily M; DeWitt, Peter; Davies, Brett W; Hink, Eric M; Durairaj, Vikram D

    2014-08-01

    To investigate the predictive value of the complete ophthalmic examination at first presentation in foreseeing the need for surgery in patients with pediatric orbital cellulitis. Retrospective observational case series. We reviewed 136 cases of radiographically confirmed orbital cellulitis between 2004 and 2012 at Children's Hospital Colorado. The presenting ophthalmic examinations, imaging results, medical and surgical interventions, and clinical complications were recorded. The main outcome measures were ophthalmic examinations on presentation, medical or surgical interventions, and complications. The median age was 6.5 years. Of the patients, 56 (41%) underwent surgical intervention, and 80 patients (59%) were managed medically. Patients requiring surgery had higher rates of extraocular motility (EOM) restriction (78.6% vs 38.8% Porbital cellulitis, the likelihood of surgical intervention can be estimated accurately based on the ophthalmic examination on initial presentation to the hospital. Risk factors for surgery include age older than 9 years, proptosis, EOM restriction, and elevated IOP. These factors may be used to identify patients at high risk for failure of medical management early in the clinical course. Copyright © 2014 Elsevier Inc. All rights reserved.

  17. A Typical Presentation of Orbital Pseudotumor Mimicking Orbital Cellulitis

    Directory of Open Access Journals (Sweden)

    J. Ayatollahi

    2013-10-01

    Full Text Available Introduction: Orbital pseudotumor, also known as idiopathic orbital inflammatory syndrome (IOIS, is a benign, non- infective inflammatory condition of the orbit without identifiable local or systemic causes. The disease may mimics a variety of pathologic conditions. We pre-sent a case of pseudotumor observed in a patient admitted under the name of orbital celluli-ties. Case Report: A 26-year-old woman reffered to our hospital with the history of left ocular pain and headache 2 days before her visit.. Ophthalmological examination of the patient was normal except for the redness and lid edema, mild chemosis and conjunctival injection. Gen-eral assessment was normal but a low grade fever was observed. She was hospitalized as an orbital cellulitis patient. She was treated with intravenous antibiotics. On the third day , sud-denly diplopia, proptosis in her left eye and ocular pain in her right side appeared. MRI re-vealed bilateral enlargement of extraocular muscles. Diagnosis of orbital pseudotumor was made and the patient was treated with oral steroid.She responded promptly to the treatment. Antibiotics were discontinued and steroid was tapered in one month period under close fol-low up. Conclusion: The clinical features of orbital pseudotumor vary widely . Orbital pseudotumor and orbital cellulitis can occasionally demonstrate overlapping features.. Despite complete physical examination and appropriate imaging, sometimes correct diagnosis of the disease would be difficult (Sci J Hamadan Univ Med Sci 2013; 20 (3:256-259

  18. Periorbital cellulitis in children: Analysis of outcome of intravenous antibiotic therapy.

    Science.gov (United States)

    Gonçalves, Rita; Menezes, Carlos; Machado, Rute; Ribeiro, Isabel; Lemos, José A

    2016-08-01

    Periorbital cellulitis is a relatively common ocular disease in the pediatric population. Early diagnosis of this disease with a prompt intervention is critical to avoid vision and life-threatening complications. In the last years, medical therapy has been expanding for the treatment of orbital cellulitis, instead of the standard surgical approach. The purpose of this study was to describe the outcome of treatment with intravenous antibiotic of periorbital cellulitis in children. A retrospective review of all children admitted with periorbital cellulitis in our hospital between January 2002 and July 2013 was conducted. Cases were divided in two subgroups, pre-septal and post-septal infection. The demographics, clinical findings, treatment and outcomes were analyzed. In total 110 children were included, 93 with pre-septal and 17 with post-septal cellulitis. The mean age was 3.5 years in children with pre-septal cellulitis and 5.5 years in those with post-septal cellulitis (p = 0.149). For both subgroups the most common predisposing factor was sinusitis. Intravenous antibiotic therapy was successful in all except one patient with an orbital abscess who required surgical intervention. In our study complete recovery was achieve in all (except for one) children with periorbital cellulitis treated with intravenous antibiotics only.

  19. Current trends in treatment outcomes of orbital cellulitis in a tertiary ...

    African Journals Online (AJOL)

    Background: Orbital cellulitis refers to the inflammation or infection of the soft tissues of the orbit located behind the orbital septum. Aim: To determine the current trends in the outcomes following the management of orbital cellulitis in a tertiary hospital in Southern Nigeria. Patients and Methods: A retrospective review of ...

  20. Management of bilateral orbital cellulitis in a 41-year-old man ...

    African Journals Online (AJOL)

    Orbital cellulitis is the infl ammation of the tissues of the eye behind the orbital septum. The disease is mainly caused by either bacteria or fungal organisms. Orbital cellulitis is an emergency condition that requires prompt hospitalization and appropriate antibiotic cover without which there will be visual loss and even death!

  1. Preseptal and orbital cellulitis: 15-year experience with sulbactam ampicillin treatment.

    Science.gov (United States)

    Devrim, Ilker; Kanra, Güler; Kara, Ateş; Cengiz, A Bülent; Orhan, Mehmet; Ceyhan, Mehmet; Seçmeer, Gülten

    2008-01-01

    The infection of the orbita and ocular tissues can result in severe local and systemic complications. We aimed to determine the predisposing factors for preseptal and orbital cellulitis, the clinical and routine laboratory differences between orbital and preseptal cellulitis, and the change in the spectrum of the pathogens and the antibiotics used in the last 10 years. One hundred thirty-nine patients, hospitalized in Hacettepe University Faculty of Medicine Children's Hospital between 1 January 1990 and 31 December 2003 with diagnosis ofperiorbital or orbital cellulitis, were reviewed retrospectively. Ten of the patients (7%) had orbital and 129 (93%) had preseptal cellulitis. The male/female ratio was 1.7:1. The average age (mean+/-standard deviation) was 5.7+/-4 years. The seasonal distribution was most marked in spring and fall periods. When compared with preseptal cellulitis, the mean blood cell count, erythrocyte sedimentation rate and C-reactive protein levels were significantly higher in patients with orbital cellulitis. Staphylococcus aureus was isolated in 13 (41.9% of total microbiologically confirmed cases), coagulase-negative staphylococcus in 8 (25.8%), and H. influenza type b in 2 patients (6%). Thirty out of 77 clinical sample cultures (39%) were positive. In clinical studies, etiological agents of orbital and preseptal cellulitis could be identified in only 20-30% of cases, so in clinical practice treatment is usually empiric. We observed that sulbactam-ampicillin was a safe and effective choice of treatment in orbital and preseptal cellulitis in our cases.

  2. Antimicrobial resistance of bacterial strains isolated from avian cellulitis

    Directory of Open Access Journals (Sweden)

    MM Santos

    2014-03-01

    Full Text Available Avian cellulitis is an inflammatory process in the subcutaneous tissue, mainly located in the abdomen and thighs. This problem is commonly observed in poultry at slaughter and it is considered one of the major causes of condemnation of carcasses in Brazil. The aim of this study was to perform the microbial isolation of lesions of avian cellulitis from a processing plant located in the State of Goiás in order to analyze antimicrobial resistance by antibiogram test and to detect resistance genes by polymerase chain reaction. A total of 25 samples of avian cellulitis lesions were analyzed, from which 30 bacterial strains were isolated. There were eleven (44% strains of Escherichia coli, nine (36% strains of Staphylococcus epidermidis, seven (28% strains of Proteus mirabilis and three (12% strains of Manheimiahaemolytica. The antibiogram test showed that all strains were resistant to at least one antimicrobial. The gene of antimicrobial resistance tetB was detected in E. coli, S. epidermidis and P. mirabilis strains, and was the most frequently observed gene. The gene of antimicrobial resistance Sul1 was detected in all bacterial species, while tetA was found in E. coli and S. epidermidis strains, SHV in E. coli strains, S. epidermidis and P. mirabilis,and cat1 in one P. mirabilis strain. The results suggest a potential public health hazard due to the ability of these microorganisms to transmit antimicrobial resistancegenes to other microorganisms present in the intestinal tract of humans and animals, which may affect clinical-medical usage of these drugs.

  3. Clinical and microbiologic features of dacryocystitis-related orbital cellulitis.

    Science.gov (United States)

    Wladis, Edward J; Shinder, Roman; LeFebvre, Daniel R; Sokol, Jason A; Boyce, Michelle

    2016-10-01

    Dacryocystitis-related orbital cellulitis is a relatively rare condition, and large case series of this clinical entity have been reported. This study was undertaken to identify a larger cohort of patients with this ailment, with the intent of defining its clinical and microbiologic features. Case logs from four institutions were reviewed to identify patients that suffered from dacryocystitis-related orbital cellulitis. A retrospective chart review was then performed to identify clinical features, management strategies, microbiologic features, and outcomes. A dedicated statistical software package was utilized to identify correlations between these variables. 13 patients (7 females, 6 males; mean age = 57.2 years, range = 7-89 years) were identified. One patient carried a diagnosis of immunosuppressive disease. All patients underwent emergent surgical drainage and received intravenous antibiotics. Primary acquired nasolacrimal duct obstruction was found to be the underlying etiology in nine cases (69.2%), whereas four patients suffered from specific causes of their obstructions. An average of 1.07 organisms/patient (standard deviation = 0.49 organisms/patient) were recovered from microbiologic cultures, and Gram-positive bacteria represented the majority of cultured organisms. All patients experienced either stable or improved vision upon discharge. The relationships between a specific etiology and the possibility of vision loss or the number of organisms cultured, between the number of organisms cultured and vision loss, and immunosuppression and vision loss or the number of organisms cultured were all not statistically significant (p > 0.05). Dacryocystitis-related orbital cellulitis most commonly occurs in adult patients who do not carry immunosuppressive diagnoses and suffer from primary obstructions. Multiple microbiologic species may cause this problem, although Gram-positive organisms are most common. With appropriate management, stable or improved vision

  4. A predictive model for diagnosis of lower extremity cellulitis: A cross-sectional study.

    Science.gov (United States)

    Raff, Adam B; Weng, Qing Yu; Cohen, Jeffrey M; Gunasekera, Nicole; Okhovat, Jean-Phillip; Vedak, Priyanka; Joyce, Cara; Kroshinsky, Daniela; Mostaghimi, Arash

    2017-04-01

    Cellulitis has many clinical mimickers (pseudocellulitis), which leads to frequent misdiagnosis. To create a model for predicting the likelihood of lower extremity cellulitis. A cross-sectional review was performed of all patients admitted with a diagnosis of lower extremity cellulitis through the emergency department at a large hospital between 2010 and 2012. Patients discharged with diagnosis of cellulitis were categorized as having cellulitis, while those given an alternative diagnosis were considered to have pseudocellulitis. Bivariate associations between predictor variables and final diagnosis were assessed to develop a 4-variable model. In total, 79 (30.5%) of 259 patients were misdiagnosed with lower extremity cellulitis. Of the variables associated with true cellulitis, the 4 in the final model were asymmetry (unilateral involvement), leukocytosis (white blood cell count ≥10,000/uL), tachycardia (heart rate ≥90 bpm), and age ≥70 years. We converted these variables into a points system to create the ALT-70 cellulitis score as follows: Asymmetry (3 points), Leukocytosis (1 point), Tachycardia (1 point), and age ≥70 (2 points). With this score, 0-2 points indicate ≥83.3% likelihood of pseudocellulitis, and ≥5 points indicate ≥82.2% likelihood of true cellulitis. Prospective validation of this model is needed before widespread clinical use. Asymmetry, leukocytosis, tachycardia, and age ≥70 are predictive of lower extremity cellulitis. This model might facilitate more accurate diagnosis and improve patient care. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  5. Periorbital and orbital cellulitis: a 10-year review of hospitalized children.

    Science.gov (United States)

    Georgakopoulos, Constantine D; Eliopoulou, Maria I; Stasinos, Stavros; Exarchou, Artemis; Pharmakakis, Nikolaos; Varvarigou, Anastasia

    2010-01-01

    Periorbital cellulitis is often difficult to distinguish from orbital cellulitis, which is a potentially lethal infection involving the contents of the orbit. A delay in diagnosis and appropriate treatment may result in serious complications. We studied the predisposing factors, microbiologic data, clinical features, complications, and treatment of periorbital and orbital cellulitis in childhood. Eighty-three medical records of patients (mean age 3.7 ± 3.1 years) admitted to the Department of Pediatrics with a diagnosis of periorbital or orbital cellulitis during the 10-year period January 1997 to December 2007 were retrospectively studied. In this series, periorbital cellulitis occurred more frequently (83%) than orbital cellulitis (17%). Of the children with periorbital cellulitis, 85% were younger than 5 years of age, while 62% of the children with orbital cellulitis were older than 5 years of age. The most common predisposing factors in periorbital cellulitis were upper respiratory infection (68%) and trauma to the eyelids (20%), while sinusitis was more frequently associated with orbital cellulitis (79%). Blood and skin cultures were usually negative. The most common isolated pathogens were Staphylococcus aureus, Streptococcus pneumoniae, and Staphylococcus epidermidis. Forty-five of the 83 children were treated with intravenous ceftriaxone + clindamycin (mean duration 8.6 ± 5.5 days). Intravenous antibiotics alone was an effective management in most of the patients, but a small proportion (6%) required surgical intervention. Upper respiratory infection and sinusitis are the most important predisposing factors for periocular infection. Streptococcus species are the predominant causative agents. Both diseases can usually be successfully treated with intravenous antibiotics, but some patients may require surgery to control extensive infection.

  6. The role of {sup 99m}Tc-labelled stannous colloid white blood cells scanning in the evaluation of and differentiation between cellulitis and osteomyelitis

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, V.; Chu, J.M.G. [Liverpool Health Services, Liverpool, NSW (Australia). Department of Nuclear Medicine

    1998-03-01

    Full text: Sequential {sup 99m}Tc-MDP and {sup 67}Ga-citrate scanning have been extensively used in the evaluation of infection. {sup 99m}Tc-labelled stannous colloid white blood cell (Tc-WBC) is not widely reported. A prospective study was undertaken in 92 patients to assess Tc-WBC and Tc-MDP scanning in this clinical application. Labelling efficiency (LE) was calculated with a mean {+-} SD of 94 {+-} 4.8 %. Patients (6) who were treated with gentamycin had an LE {+-} SD of 70 {+-} 9%. Twenty six patients treated as osteomyelitis had congruent abnormalities on Tc-WBC and Tc-MDP scans. Twenty one patients treated as cellulitis had abnormalities demonstrated on Tc-WBC but not on Tc-MDP scans. Tc-WBC appeared to define areas of inflammation of bone and soft-tissue in the hands or feet more distinctly than Tc-MDP. Fourteen patients had progress Tc-WBC scans 4-6 weeks following antibiotic treatment. Changes in scan appearances seemed to mirror the clinical course of the patients. Tc-WBC and Tc-MDP scans were useful complementary studies in the diagnosis, evaluation and assessment of treatment in patients with cellulitis and osteomyelitis.

  7. Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis

    Directory of Open Access Journals (Sweden)

    Margaret L. Pfeiffer

    2016-01-01

    Full Text Available We present a case of a 50-year-old woman with acute dacryocystitis that was complicated by posterior rupture of the lacrimal sac causing an orbital cellulitis with subsequent visual acuity of no light perception. Upon presentation, she was immediately started on broad-spectrum antibiotics and underwent surgical incision and drainage of the lacrimal sac abscess but never regained vision. There are 4 cases in the literature of permanent severe vision loss from acute dacryocystitis. Prompt diagnosis and close monitoring of acute dacryocystitis are therefore essential to prevent extension into the orbit and possible optic nerve compromise.

  8. Superior ophthalmic vein thrombosis developed after orbital cellulitis.

    Science.gov (United States)

    Cumurcu, Tongabay; Demirel, Soner; Keser, Sinem; Bulut, Taner; Cavdar, Mufide; Doğan, Metin; Saraç, Kaya

    2013-03-01

    A 65-year-old female patient presented with eye pain, swelling and blurred vision in the left eye. Routine biochemistry and microbiological analyzes were conducted. Orbital tomography (CT), magnetic resonance imaging (MRI) findings, and cerebral angiography were performed. Orbital cellulitis due to a complication of ethmoidal sinusitis was diagnosed with thrombosis of the SOV in the patient. Systemic broad-spectrum antibiotic and anticoagulant therapy was started on the patient. The patient's symptoms were recorded at the end of two weeks of the treatment.

  9. Facial Cellulitis Arising from Dens Evaginatus: A Case Report

    Directory of Open Access Journals (Sweden)

    Chun-Ming Chen

    2005-07-01

    Full Text Available Dens evaginatus is a developmental anomaly that produces a tubercle on the occlusal surface of a tooth. It is found most frequently in the mandibular premolars. The occlusal tubercle easily causes occlusal interferences. Attrition or fracture of the tubercle can lead to pulpitis, pulp necrosis, periapical pathosis, and periapical infection. This case report illustrates the treatment of facial cellulitis arising from dens evaginatus with open apex. Calcium hydroxide was used for the apexification procedure. One year after canal obturation, radiography revealed no apical pathosis and the apical seal was evident.

  10. Orbital Cellulitis: A Rare Presentation of Metastatic Bronchial Carcinoma

    Directory of Open Access Journals (Sweden)

    Rohit Kumar

    2011-01-01

    Full Text Available Objective. We report a rare and unusual case of bronchial carcinoma presenting with symptoms of complications of sinonasal disease. Case Report. A 66-year-old lady was referred with a 1-week history of progressive ocular pain, chemosis, and visual disturbance. Computed tomography of the paranasal sinuses revealed frontal and ethmoidal sinus opacification with orbital involvement consistent with a diagnosis of orbital cellulitis secondary to sinusitis. Surgical exploration revealed that the sinuses and right orbit were filled with soft tissue and subsequent histopathological examination of the biopsies indicating metastases from an adenosquamous bronchial carcinoma. Further imaging revealed a large, asymptomatic, bronchial primary with deposits in the brain and liver. The advanced presentation of the disease limited treatment to best supportive care. Conclusion. Orbital cellulitis and sinonasal malignancies have a similar pattern of clinical presentation, posing a potential diagnostic pitfall. There are only two previously reported cases of metastatic lung carcinoma in the frontal sinus with 15 cases of sinonasal tract involvement reported overall. There are no reported cases of adenosquamous carcinoma in the sinonasal tract.

  11. Medical And Surgical Management Of Orbital Cellulitis In Children.

    Science.gov (United States)

    Friling, Ronit; Garty, Ben-Zion; Kornreich, Liora; Scheurman, Oded; Hasanreisoglu, Murat; Taler, Irit; Amir, Jacob; Livni, Gilat; Snir, Moshe

    2014-01-01

    The purpose of this study was to identify features of orbital cellulitis that predict response to conservative treatment without surgical intervention and factors associated with a decision for surgery. The medical files of patients diagnosed with orbital cellulitis at a tertiary medical center in central Israel between 1995 and 2010 were reviewed for clinical data, diagnosis, complications, and type of treatment. Comparison was made between patients treated with antibiotics and patients treated with antibiotics and surgery. Fifty-one patients (35 male) with a mean age of 6.1 years were identified. Main clinical signs included fever (mean 38.5°C), proptosis (82.3%), extraocular motility restriction (74.5%), and ocular pain (41.1%). Forty-one patients were successfully treated with antibiotics and 10 required endoscopic sinus surgery. On between-group comparison, the surgery group had severe eye pain (p = 0.009), severe proptosis (P = 0.02), longer intravenous antibiotic treatment (13.2 vs. 9.2 days, p = 0.04), and several imaging findings. Additional factors associated with surgical intervention included older children, subperiorbital abscess, larger dimension of the abscess (mean 15 mm), involvement of frontal sinuses and findings of intraorbital air bubbles. There was no visual deterioration in either group and no late sequelae. Factors associated with surgery included age older than 9 years, severe ocular pain, severe proptosis, and subperiorbital large abscess. These may be used for early identification of patients at risk of failure of only medical management.

  12. Preseptal and orbital cellulitis: a 10-year review of hospitalized patients.

    Science.gov (United States)

    Liu, I-Ting; Kao, Shu-Ching; Wang, An-Guor; Tsai, Chieh-Chih; Liang, Chih-Kai; Hsu, Wen-Ming

    2006-09-01

    Preseptal and orbital cellulitis range in severity from minor to potentially severe complications. The purpose of this study is to describe the clinical features of patients with preseptal or orbital cellulitis in one medical center in Taiwan, and to assess the effectiveness of treatments and the complications. Patients admitted between 1996 and 2005 to Taipei Veterans General Hospital under the diagnosis of preseptal or orbital cellulitis were retrospectively reviewed. The demographics, administrative history, past history, clinical presentations, treatments, and complications were analyzed. In total, 94 patients fulfilling the diagnostic criteria for preseptal or orbital cellulitis were identified (67 had preseptal cellulitis, 27 had orbital cellulitis). While paranasal sinus disease was the most common predisposing cause in orbital cases, skin lesions in children and dacryocystitis in adults were the most common in preseptal cases. Microbiologic investigations showed variable results, but the most common pathogen isolated was Staphylococcus aureus. Cultures from eye swabs and local abscesses gave the highest positive yield. Blood cultures were taken in some patients, but the positive rate was extremely low. Treatments included intravenous antibiotics alone, or intravenous antibiotics combined with surgical drainage. Only one case had permanent ocular motility impairment after removal of the orbital foreign body. Despite the past history of potential morbidity and even mortality from orbital cellulitis, early diagnosis and prompt treatment with proper antibiotics and/or surgical intervention can achieve a good prognosis.

  13. Estimating the health care costs associated with recurrent cellulitis managed in the outpatient setting.

    Science.gov (United States)

    St John, Jessica; Strazzula, Lauren; Vedak, Priyanka; Kroshinsky, Daniela

    2018-02-07

    Recurrent cellulitis is diagnosed in 22% to 49% of all cellulitis cases, but little is known about the costs associated with these cases. To characterize patients with recurrent cellulitis in the outpatient setting and estimate the associated costs. A retrospective chart review was conducted for adult patients who presented to the outpatient facilities at our institution from January 1, 2007, to December 31, 2011, with recurrent cellulitis. Data provided by the Centers for Medicare and Medicaid Services were used. A total of 157 patients were identified; 56% were male, with a mean age of 62.7 years. The mean number of episodes of cellulitis per patient was 3. Antibiotics were prescribed for all patients with a diagnosis of recurrent cellulitis, with 93% treated with oral antibiotics and 17.6% treated with intravenous antibiotics. A total of 1081 laboratory and 175 radiologic imaging tests were ordered. The minimum average cost per cellulitis episode was $586.91; the average cost per visit was $292.50. Retrospective study; use of a single, large academic institution; and utilization of cost estimates that may not adequately reflect the variation of costs across closed-system sites or geographic regions. There was no accounting for the nonfinancial or opportunity costs associated with hospitalization, such as lost days of employment or child care and any long-term morbidities, among others. Recurrent cellulitis in the outpatient setting costs about $586.91 per episode. Although there is no criterion standard for diagnosis or treatment of cellulitis, our analysis demonstrates the need for more evidence-based management to achieve better outcomes and reduce the significant health care costs. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  14. Molecular Characterization of Staphylococcus aureus Isolates From Children With Periorbital or Orbital Cellulitis.

    Science.gov (United States)

    Foster, Catherine E; Yarotsky, Elizabeth; Mason, Edward O; Kaplan, Sheldon L; Hulten, Kristina G

    2017-06-01

    Periorbital and orbital cellulitis cause significant pediatric morbidity. Here, we define the clinical features of and characterize isolates from children with periorbital or orbital cellulitis caused by Staphylococcus aureus at Texas Children's Hospital in Houston. Patients were identified from a prospective S aureus study database from January 2002 to July 2015. Demographic and clinical data were collected retrospectively. Isolates were genotyped by pulsed-field gel electrophoresis, and Panton-Valentine leukocidin (lukSF-PV [pvl]) genes were detected by quantitative polymerase chain reaction. Data were analyzed with the Fisher exact or Wilcoxon rank-sum test. Eighty-five patients with periorbital (n = 58) or orbital (n = 27) cellulitis were identified. We found 57 (67%) methicillin-resistant S aureus (MRSA) isolates, 72 (85%) pvl-positive (pvl+) isolates, and 66 (78%) USA300 isolates. No differences in clinical characteristics were found when we compared MRSA to methicillin-susceptible (MSSA) infections or USA300 to non-USA300 infections. Patients with orbital cellulitis were hospitalized a median of 12 days (range, 2-28 days) and received antibiotics for 21 days (range, 10-32 days). Twelve (44%) patients with orbital cellulitis received steroids. Steroid treatment did not affect the length of hospitalization or duration of antibiotic treatment. Six (7%) patients with orbital cellulitis were bacteremic. Patients with periorbital cellulitis were hospitalized for a median of 3 days (range, 0-17 days) and received antibiotics for 11 days (range, 7-32 days). According to computed tomography (CT), 19 (70%) patients with orbital cellulitis and 11 (41%) with periorbital cellulitis had sinusitis. The majority of periorbital and orbital S aureus infections at Texas Children's Hospital were caused by MRSA, and no change was observed over time. Empirical antibiotic treatment should include coverage for MRSA. PVL might be an important virulence factor in these presentations

  15. Cibler les cellules sénescentes dans le cancer du pancréas | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Profiling eIF2a-Dependent Translation in Synaptic Plasticity and Memory. This project will provide evidence to help direct treatment strategies in patients with memory deficits and reduce the symptoms associated with Alzheimer's disease. View moreProfiling eIF2a-Dependent Translation in Synaptic Plasticity and Memory ...

  16. Les besoins en isoleucine, valine et leucine chez le porcelet entre 7 et 15 kg

    DEFF Research Database (Denmark)

    Assadi Soumeh, Elham; van Milgen, Jaap; Sloth, Niels Morten

    2015-01-01

    croissance s’ils sont fournis en deçà du besoin. Des études de métaanalyse révèlent que peu de données de type dose‐réponse sont disponibles chez le porcelet pour l’Ile, notamment avec des aliments exempts de cellules de sang, et la Val (van Milgen et al., 2012, 2013). Par ailleurs, une revue de la...

  17. Chemical Cellulitis due to Peanut Oil Administration. A Case Report

    Directory of Open Access Journals (Sweden)

    Julio César Turiño Muro

    2014-03-01

    Full Text Available Chemical cellulitis is the reaction of the integuments in response to the administration of toxic substances, leading to an acute inflammatory reaction that develops into an abscess or necrosis. This disease is not frequently treated in the Department of Orthopedics and Traumatology of the Joaquin Albarrán Clinical-Surgical Hospital. We present the case of a patient who attended our institution because of increased volume in both upper limbs at the biceps and triceps areas, and marked skin necrosis accompanied by lesions of axillary adenopathy, one as an abscess. Antibiotics were prescribed prior to the completion of cultures, antibiogram and dressing under anesthesia, at present the lesions are in the healing phase.

  18. [Primary cutaneous Nocardia brasiliensis cellulitis in immunocompetent child].

    Science.gov (United States)

    Shachor-Meyouhas, Yael; Ravid, Sarit; Suhair, Hanna; Kassis, Imad

    2012-08-01

    Primary cutaneous nocardiosis is an infrequent infection among children, generally affecting immunocompromised hosts. It is caused by Gram positive bacteria, partially alcohol and acid resistant which are saprophytes of the soil, water and organic matter. In most cases the causal agent enters through inhalation, and hematogenous dissemination may occur mainly among the immune compromised patients. Direct cutaneous inoculation is less frequent, especially among children. We report an 8-year old female who lives in an urban house with a small garden, who presented with an ulcer on her right shin accompanied by surrounding cellulitis, pain, swelling and fever. The patient's medical history was unremarkable, with no exposure to animals or travelling, except for rafting on the Jordan River the previous week. Culture from the ulcer grew Nocardia brasiliensis, and she recovered after 8 weeks of therapy with trimethoprim-sulphamethoxazole.

  19. Orbital Cellulitis with Endogenous Panophthalmitis Caused by Methicillin-Sensitive Staphylococcus aureus in Pregnancy.

    Science.gov (United States)

    Aulakh, Simranjeet; Gopinathan Nair, Akshay; Gandhi, Rahul; H Palkar, Amit; G Trivedi, Mihir; A Potdar, Nayana; A Shinde, Chhaya

    2017-05-24

    Orbital cellulitis along with panophthalmitis is uncommon. The causes are usually trauma-related or endogenous. The prognosis in terms of globe salvage is very poor, with most cases usually requiring enucleation or evisceration of the affected eye. Immunosuppression in some form is usually present, which accounts for the aggressive course of the infection. In this communication, we report on a case in a 25-year-old female, who in the second trimester of pregnancy had developed orbital cellulitis and panophthalmitis caused by methicillin-sensitive Staphylococcus aureus (MSSA), with the primary source of infection being cellulitis on her forearm following intravenous therapy for severe anemia. Despite intensive intravenous and topical antibiotics, she required an evisceration of the eye. However, the pregnancy continued uneventfully with the delivery of a full-term, healthy infant. Bacteremia, although rare in pregnancy, can cause endogenous panophthalmitis and orbital cellulitis, especially in a background of immunosuppresssion.

  20. A complicated case of orbital cellulitis: When the fog doesn't clear.

    Science.gov (United States)

    Raj, Christolyn; Lim-Joon, Troy

    2014-12-15

    Orbital cellulitis is a potential sight-threatening infection of the ocular adnexal structures posterior to the orbital septum. Acute bacterial sinusitis remains the most common cause of orbital cellulitis in the paediatric age group. Simultaneous intracranial and orbital complications from orbital cellulitis are rare. We describe a case of orbital cellulitis, which proceeded to sub-periosteal abscess formation and intracranial abscess within days of the initial presentation. The specific features of this case including the rapid progression of the orbital inflammation, failure of improvement over 48 h despite maximal medical treatment and incorrect initial reporting of computed tomography imaging all contributed to the complications seen in this case. © 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

  1. Orbital cellulitis complicating isolated unilateral sphenoidal sinusitis: importance of the CT scan.

    Science.gov (United States)

    Roberts, C; Nylander, A E; Jayaramachandran, S

    1989-01-01

    A case of orbital cellulitis complicating the rare isolated unilateral sphenoidal sinusitis is reported, stressing the importance of a CT scan where plain x-rays fail to show any abnormality. Images PMID:2804035

  2. Clinical application of visual evoked potential in orbital cellulitis of infants

    Directory of Open Access Journals (Sweden)

    Xiao-Juan Jing

    2014-07-01

    Full Text Available AIM: To explore the visual evoked potential in infantile orbital cellulitis' clinical applications by monitoring the visual evoked potential changes in infantile orbital cellulitis before, during and after treatment.METHODS: Twenty-three cases of CT diagnosed single orbital cellulitis were examined by the visual evoked potentials. The affected eyes as observation group, and healthy eyes as control group. Comparative observation of visual evoked potential changes in amplitude and incubation period before, during and after the treatment. RESULTS: Compared with the control group, the observation group's visual evoked potential changes included reduced amplitude, extended incubation period. With the treatment progress, the observation group had gradual increase in amplitude, gradual reduction in incubation period. CONCLUSION: In infantile orbital cellulitis, the use of visual evoked potentials is a simple, feasible and effective method to monitoring the visual function during the treatment.

  3. Preseptal and Orbital Cellulitis: A 10-Year Review of Hospitalized Patients

    Directory of Open Access Journals (Sweden)

    I-Ting Liu

    2006-09-01

    Conclusion: Despite the past history of potential morbidity and even mortality from orbital cellulitis, early diagnosis and prompt treatment with proper antibiotics and/or surgical intervention can achieve a good prognosis.

  4. [Orbital and periorbital cellulitis in childhood. A review of 116 cases].

    Science.gov (United States)

    Gómez Campdera, J A; Navarro Gómez, M L; García-Mon Marañes, F; Aranguez Moreno, G; Casanova Morcillo, A

    1996-01-01

    Orbital and periorbital cellulitis, which can result from a spectrum of disorders that are commonly encountered in pediatric practice, usually develops as a complication of paranasal sinus infection, and also can result from dental infection, trauma to the eyelids or external ocular infection. The clinical features, microbiological data and treatment of 97 children with periorbital cellulitis and 19 children with orbital cellulitis, admitted to our hospital from January 1983 through December 1993, are reported here. Twenty-three percent of the children (27 cases) had positive cultures, 7 cases with orbital cellulitis developed neurological or ophthalmological complications. Antibiotic therapy alone was effective in 97 patients, but a significant proportion required paranasal sinus or orbital surgery (16%).

  5. A rare case of Enterococcus faecalis-induced orbital cellulitis and myositis

    Directory of Open Access Journals (Sweden)

    Piyush Kohli

    2016-01-01

    Full Text Available Orbital cellulitis is an infection of soft tissue behind the orbital septum. Common pathogens isolated include Staphylococcus aureus, Staphylococcus epidermidis, and Streptococcus pneumoniae. It is a straightforward diagnosis and usually responds to empirical treatment without any sequela. We report a case of orbital cellulitis caused by Enterococcus faecalis, which was complicated by myositis of levator palpebrae superioris. To the best of our knowledge, only one case report exists dating way back to 1986.

  6. A rare case of Enterococcus faecalis-induced orbital cellulitis and myositis.

    Science.gov (United States)

    Kohli, Piyush; Ichhpujani, Parul; Bansal, Rakesh Kumar; Kumar, Suresh

    2016-08-01

    Orbital cellulitis is an infection of soft tissue behind the orbital septum. Common pathogens isolated include Staphylococcus aureus, Staphylococcus epidermidis, and Streptococcus pneumoniae. It is a straightforward diagnosis and usually responds to empirical treatment without any sequela. We report a case of orbital cellulitis caused by Enterococcus faecalis, which was complicated by myositis of levator palpebrae superioris. To the best of our knowledge, only one case report exists dating way back to 1986.

  7. Solitary extramedullary plasmacytoma of the maxillary antrum and orbit presenting as acute bacterial orbital cellulitis.

    Science.gov (United States)

    Kelly, S. P.; Lloyd, I. C.; Anderson, H.; Joyce, P. W.; Pace-Balzan, A.

    1991-01-01

    Orbital involvement by plasma cell tumours is rare. Orbital tumours do not generally present as an acute orbital inflammatory disease in adults, though tumours such as rhabdomyosarcoma may cause clinical signs similar to an acute orbital cellulitis in children. We describe a patient with bacterial orbital cellulitis and sinusitis who was found to have an extra-medullary plasmacytoma of the maxillary antrum and orbit and coexisting testicular seminoma. Images PMID:1854702

  8. Concurrent Endophthalmitis and Orbital Cellulitis From Metastatic Klebsiella pneumonia Liver Abscess.

    Science.gov (United States)

    Davies, Brett W; Fante, Robert G

    2016-01-01

    A 70-year-old Korean female with a history of Klebsiella pneumonia liver abscess was presented to the authors' service with signs of endophthalmitis and orbital cellulitis. Vitreous biopsy confirmed K. pneumonia as the causative organism. With prolonged intravenous antibiotics and steroids, orbital symptoms resolved, but visual acuity remained at light perception. This is the first case in the literature to report on endophthalmitis and orbital cellulitis from K. pneumonia liver abscess.

  9. A rare case of Enterococcus faecalis-induced orbital cellulitis and myositis

    OpenAIRE

    Piyush Kohli; Parul Ichhpujani; Rakesh Kumar Bansal; Suresh Kumar

    2016-01-01

    Orbital cellulitis is an infection of soft tissue behind the orbital septum. Common pathogens isolated include Staphylococcus aureus, Staphylococcus epidermidis, and Streptococcus pneumoniae. It is a straightforward diagnosis and usually responds to empirical treatment without any sequela. We report a case of orbital cellulitis caused by Enterococcus faecalis, which was complicated by myositis of levator palpebrae superioris. To the best of our knowledge, only one case report exists dating wa...

  10. Peg-Interferon Alfa 2-b Related Cellulitis in a 40 Years Man

    Directory of Open Access Journals (Sweden)

    Shahnaaz Sali

    2016-01-01

    Full Text Available Background: Pegylated interferon and ribavirin are currently one of the accepted treatment for chronic Hepatitis C. Dermatologic complications of interferon have been reported, but to date a few cases of bacterial cellulitis; a rare and severe complication, have been published. Cellulitis is a common infectious process affecting the skin and subcutaneous tissues which results in significant morbidity and holds considerable healthcare costs.Cases Report: Herein, we report a case of chronic hepatitis C genotype 1a who was on medication since 8 weeks prior to developing leg cellulitis, an uncommon pegylated interferon injection site. Considering no other possible risk factors were found to be in favor of bacterial cellulitis, our case is unique in its kind. Some reports reveal necrotizing vasculitis as basis for cutaneous lesions, which could be due to the high concentrations of drug at the injection site, a toxic effect of the diluents, or an immunological reaction.Conclusion: According to the latter mechanism patients could develop bacterial cellulitis in their different organs. Conclusively, we propose the hypothesis of a possible association between cellulitis to occur at any site as the complication of pegylated interferon Alfa 2b and would highlight the role of a careful skin examination that could be an asset in preventing local skin infections.

  11. Prediction of Instability for Miscible Displacements in a Hele-Shaw Cell Prévision de l'instabilité pour des déplacements miscibles dans une cellule Hele-Shaw

    Directory of Open Access Journals (Sweden)

    Coskuner G.

    2006-11-01

    Full Text Available A universal dimensionless scaling group and its critical value at the onset of instability for a miscible displacement in a Hele-Shaw cell is derived. The derivation is based on a variational technique and it is capable of considering, for the first time, the effect of the length of a Hele-Shaw cell on the criterion for the onset of instability. The theory is verified by comparing it with forty-four Hele-Shaw cell experiments. On calcule un groupe universel sans dimension de mise à l'échelle et sa valeur critique au départ de l'instabilité dans un déplacement miscible dans une cellule Hele-Shaw. Ce calcul est basé sur une technique variationnelle et permet, pour la première fois, de prendre en compte l'effet de la longueur d'une cellule Hele-Shaw sur le critère d'apparition d'instabilité. La théorie est vérifiée en la comparant avec des expériences réalisées avec quarante-quatre cellules Hele-Shaw.

  12. [Orbital and periorbital cellulitis in children. Epidemiological, clinical, therapeutic aspects and course].

    Science.gov (United States)

    Daoudi, A; Ajdakar, S; Rada, N; Draiss, G; Hajji, I; Bouskraoui, M

    2016-09-01

    Orbital cellulitis in children is a rare but potentially serious condition. The goal of this study is to analyze the epidemiological, clinical, therapeutic aspects and typical course of orbital and periorbital cellulitis in children, so as to propose a clinical management protocol adapted to our context. During the retrospective study period (2008-2014), 28 cases were hospitalized in the pediatric department at the Mohammed VI university medical center in Marrakech. Eighty-five percent of the cases were diagnosed as preseptal cellulitis, and 15% as retroseptal cellulitis. The age of the patients ranged from 6 months to 14 years with a mean age of 3 years. We report a female predominance with a prevalence of 58%. In our study, the most common cause is extension of infection from sinusitis. Clinically, fever was present in 19 patients (68%), eyelid edema was universal, proptosis and chemosis were noted in 2 cases, and ptosis in one patient. Bacteriological testing identified micro-organisms in 6 cases. Orbital computed tomography performed in 57% of the cases showed preseptal cellulitis in 12 cases, orbital cellulitis in one case, a subperiosteal abscess in 2 cases, and orbital abscess in one case. Medical treatment was based on amoxicillin-clavulanic acid or the combination of ceftriaxone, metronidazole±aminoglycoside. However, surgical drainage was necessary in 1 case. The outcome of all cases was favorable. Orbital cellulitis in children is usually preseptal, and amoxicillin-clavulanic acid is considered to be the standard empiric treatment. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  13. Orbital Cellulitis and Subperiosteal Abscess: A 5-year Outcomes Analysis.

    Science.gov (United States)

    Erickson, Benjamin P; Lee, Wendy W

    2015-06-01

    Orbital cellulitis and subperiosteal abscess (SPA) are historically associated with poor outcomes. We seek to characterize current associations with abscess formation, surgical failure and vision loss. All cases of orbital cellulitis presenting to an affiliated hospital between April 2008 and 2013 were critically reviewed. Thirty patients met inclusion criteria. Average age was 28.7 ± 24.4. The male to female ratio was 2:1. Abscesses were identified in 56.7% of patients. Adults were less likely than children to present with abscesses (28.6% vs. 81.3%, p = 0.008). Of the other factors analyzed, only antibiotic use before admission (70.5% vs. 23.1%, p = 0.03) and maximum restriction (-2.5 ± 1.2 vs. -0.9 ± 0.7, p = 0.008) were associated with SPA. Temperature at presentation (37.9 ± 0.9 vs. 37.1 ± 0.4, p = 0.04), relative proptosis (5.8 ± 3.3 mm vs. 2.1 ± 1.1, p = 0.002) and abscess volume (4.3 ± 1.3 mm(3) vs. 0.7 ± 0.5 mm(3), p = 0.0004) were associated with progression to surgery. Reoperation was required in 26.7% of patients. Of these, two-thirds had combined superior/medial abscesses that re-accumulated after isolated endonasal surgery. Two of the 3 patients with profound vision loss had a dental etiology. Only young age, prior antibiotics and degree of restriction predicted the presence of an abscess. Re-accumulation was more common than anticipated, and drainage of superior/medial abscesses by endoscopic surgery alone had the strongest association with surgical failure. Patients with odontogenic abscesses must be treated with particular caution.

  14. Orbital Cellulitis in a Psoriatic Patient Treated With Adalimumab.

    Science.gov (United States)

    Katana, Vienna G; Carpenter, Robert J; Trafeli, John P; Kwan, Julia M

    2017-03-01

    Psoriatic patients on tumor necrosis factor alpha inhibitors (TNFi) may be at increased risk for upper respiratory tract infections, including chronic rhino-sinusitis (CRS). Rarely, CRS can progress to orbital cellulitis (OC), an emergent ophthalmic complication wherein respiratory flora from paranasal sinus disease intrude the retro-orbital space. Single case report. We report the first case, to our knowledge, of an invasive sinusitis that rapidly evolved into OC in a patient receiving adalimumab treatment for plaque psoriasis and psoriatic arthritis. After TNFi withdrawal and appropriate medical and surgical intervention, the patient fully recovered. However, on resumption of TNFi therapy, symptoms of recalcitrant CRS returned. More investigation is needed to explore how TNFi might predispose to chronic, refractory rhino-sinusitis and subsequent progression to OC. Military physicians and other medical providers should be aware of this proposed new disease entity and the potential for rapidly evolving and invasive infections in immunocompromised patients. Screening and monitoring for chronic infectious disease, such as CRS before initiating and during TNFi therapy is warranted. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

  15. Outcome of treated orbital cellulitis in a tertiary eye care center in the middle East.

    Science.gov (United States)

    Chaudhry, Imtiaz A; Shamsi, Farrukh A; Elzaridi, Elsanusi; Al-Rashed, Waleed; Al-Amri, Abdulrahman; Al-Anezi, Fahad; Arat, Yonca O; Holck, David E

    2007-02-01

    To describe risk factors predisposing patients to orbital cellulitis and potential complications in patients treated at a tertiary eye care referral center in the Middle East. Noncomparative, interventional, retrospective case series. Patients diagnosed with orbital cellulitis. A 15-year clinical review of patients with a diagnosis of orbital cellulitis referred to King Khaled Eye Specialist Hospital, an accredited (Joint Council on Accreditation of Healthcare Organizations, Washington, DC) tertiary care center in Riyadh, Saudi Arabia, was performed. Only those patients who had clinical signs and symptoms or radiologic evidence suggestive of orbital cellulitis were included in the study. Patient demographics, factors predisposing to orbital cellulitis, and resulting complications. A total of 218 patients (136 male, 82 female) fulfilling the diagnostic criteria for orbital cellulitis were identified. The average age of these patients was 25.7 years (range, 1 month-85 years). On imaging studies, there was evidence of inflammatory or infective changes to orbital structures; orbital abscesses were identified in 116 patients (53%). Sinus disease was the most common predisposing cause in 86 patients (39.4%), followed by trauma in 43 patients (19.7%). All patients received systemic antibiotic treatment before the identification of any responsible organisms. Of the 116 patients with orbital abscess, 101 patients (87%) required drainage. The results of cultures in patients in whom an orbital abscess was drained were positive for 91 patients (90%). The most common microorganisms isolated from the drained abscesses were Staphylococci and Streptococci species. Blood cultures were positive in only 4 patients from whom blood was drawn for cultures. Visual acuity improved in 34 eyes (16.1%) and worsened in 13 eyes (6.2%), including 9 (4.3%) eyes that sustained complete loss of vision, which was attributed to the delay in correct diagnosis and timely intervention (average 28 days

  16. Characteristics of patients treated for orbital cellulitis: An analysis of inpatient data.

    Science.gov (United States)

    Marchiano, Emily; Raikundalia, Milap D; Carniol, Eric T; Echanique, Kristen A; Kalyoussef, Evelyne; Baredes, Soly; Eloy, Jean Anderson

    2016-03-01

    Orbital cellulitis represents a spectrum of diseases, some of which may progress to potentially serious complications. The authors used the Nationwide Inpatient Sample (NIS) database to analyze the epidemiologic features of pediatric and adult patients admitted for the treatment of orbital cellulitis and to examine associations with surgical management. The NIS was queried for patients admitted for treatment of orbital cellulitis from 2002 to 2010. Patient demographics, length of stay, hospital charges, and concomitant diagnoses were analyzed. There were 14,149 cases of orbital cellulitis identified with 1,717 (12.1%) having undergone surgical management. Surgical patients were older (29.6 ± 23.4) and more commonly male (62.0%) (P = 0.004 and orbital cellulitis from a national perspective. Patients 10 to 19 years of age were most likely to undergo surgical management. Acute and chronic sinusitis, acute osteomyelitis, exophthalmos, diplopia, and conjunctival edema were concomitant diagnoses associated with significantly increased odds ratio of surgical intervention. 2C. Laryngoscope, 126:554-559, 2016. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

  17. A suspected dental cellulitis leading to diagnosis of both herpes zoster ophthalmicus and HIV

    Directory of Open Access Journals (Sweden)

    Grace E. Parkins, BDS, FDS.RCPS (Glas., FWACS, FGCS

    2015-03-01

    Full Text Available Herpes zoster ophthalmicus and HIV are serious health problems. We report a case of a 37-year-old woman who presented to the Korle-Bu Teaching Hospital with dyspnea and facial cellulitis, and a diagnosis 5 days prior of dental cellulitis made at a district hospital. Investigations revealed that the facial cellulitis was secondary to herpes zoster infection involving the ophthalmic division of the left trigeminal nerve. The patient responded well to oral acyclovir but developed postherpetic neuralgia. During the course of treatment, she was also diagnosed to be HIV-1 positive and was referred for further management. This case represents a unique report in which the patient presented to the hospital with symptoms of cellulitis suggestive of underlying dental infection but was later diagnosed with both herpes zoster ophthalmicus and an underlying HIV infection. Atypical presentations of herpes zoster can occur in HIV/AIDS. Signs of herpes zoster infection with cellulitis should alert the clinician that the patient may have a possible underlying immunosuppressive disease. The population must be educated regarding the importance of early presentation and careful compliance with treatment as well as regular follow-ups.

  18. Combined conservative treatment and lymphatic venous anastomosis for severe lower limb lymphedema with recurrent cellulitis.

    Science.gov (United States)

    Mihara, Makoto; Hara, Hisako; Tsubaki, Hiromi; Suzuki, Takiko; Yamada, Naomi; Kawahara, Mari; Murai, Noriyuki

    2015-08-01

    Lymphedema may be treated either conservatively or surgically. Although conservative therapy is the first-line treatment, some patients are refractory to it and repeat severe cellulitis. We usually perform lymphaticovenous anastomosis (LVA) for lymphedema patients, and LVA can reduce the frequency of cellulitis. A 67-year-old woman who had undergone a radical hysterectomy, pelvic lymphadenectomy, and postoperative radiotherapy for cervical cancer at the age 50 years. She developed lymphedema in both legs, and high-pressure compression stockings caused lymphorrhea in the groin and thigh, resulting in recurrent episodes of cellulitis. Lymphoscintigraphy revealed dilation of the lymphatic vessels in both legs. Results of an indocyanine green test revealed dermal backflow throughout the lower body. After wearing low-pressure stocking, we performed LVA to reduce cellulitis. After confirming the result of LVA, the patients started wearing high-pressure stocking. The patient underwent a subsequent LVA, 3 months after the first, to further improve edema. The lymphorrhea resolved, and cellulitis did not recur. The combination of surgical treatment and conservative treatment is important for severe lymphedema treatment. Although conservative treatment is usually said to be the first-line treatment, LVA can antecede in cases refractory to conservative treatment. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. Cells for the examination of irradiated plutonium fuel elements - two years operation - may 1961/may 1963 (1963); Cellules pour examen d'elements combustibles au plutonium irradies - deux ans d'exploitation - mai 1961/mai 1963 (1963)

    Energy Technology Data Exchange (ETDEWEB)

    Valentin, A. [Commissariat a l' Energie Atomique, Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires

    1963-07-01

    Within the framework of the 'Rapsodie' fast reactor program, prototype plutonium fuel elements are irradiated and then examined in an {alpha} {beta} {gamma} laboratory at Saclay. This laboratory consists of five in line cells and a lead enclosure microscope. Each cell contains an {alpha} sealed removable box 4 ft 3 in. high, 4 ft 11 in. wide and 5 ft 1 in. deep, fitted with one or two magnetic transmission indirect manipulators. The boxes are contained in an {beta} {gamma} shielded enclosure whose front face is constructed of cast iron panels 21-2/3 in. thick. Nitrogen circulating in a closed loop forms the atmosphere of the boxes. This laboratory is essentially intended for metallurgical research. The functions of the various cells are as follows: transferring and packing, cutting, density measurement and cathodic etching, storage and metallography. Work on radioactive materials began in April 1961. Operational incidents have always been of a material nature only. (author) [French] Dans le cadre du projet de reacteur rapide Rapsodie, des elements combustibles prototypes au plutonium sont, apres irradiation, examines a Saclay dans un laboratoire {alpha} {beta} {gamma}. Celui-ci comprend cinq cellules en ligne et une enceinte en plomb contenant un microscope telecommande. Chaque cellule est constituee d'un caisson etanche (1, 3 m x 1, 5 m x 1, 56m) equipee d'un ou deux manipulateurs indirects a transmissions magnetiques. Les caissons sont places, dans une enceinte {beta} {gamma} dont la face avant est formee de blocs en fonte ayant 55 cm d'epaisseur. L'atmosphere des caissons est de l'azote, circulant en circuit ferme. Ce laboratoire est destine essentiellement a des recherches metallurgiques. Les fonctions des differentes cellules sont: conditionnement et transferts, tronconnage, mesure de densite et polissage ionique, stockage, metallographie. Le travail sur materiaux radioactifs a commence en avril 1961. Les incidents d

  20. Sous le bocage, le parcellaire…

    OpenAIRE

    Watteaux, Magali

    2006-01-01

    Depuis Marc Bloch, le bocage fait partie de la « trilogie paysagère » traditionnelle française et, en dépit de son caractère récent, est considéré comme le cadre incontournable des travaux portant sur l’histoire des paysages de l’ouest de la France. Les derniers résultats de l’archéogéographie et de l’archéologie préventive modifient cette schématisation. En distinguant entre forme en plan et modelé, et entre les différentes échelles en jeu, les archéogéographes ont dissocié le raisonnement s...

  1. Le Sanskrit

    CERN Document Server

    Balbir, Nalini

    2013-01-01

    Cet ouvrage est destiné à tous ceux qui souhaitent se mettre ou se remettre à l'étude du sanskrit et ne peuvent y consacrer que quelques minutes par jour. En suivant le principe de la méthode quotidienne Assimil, vous acquerrez progressivement le vocabulaire et la grammaire de base qui sont nécessaires à la lecture des textes de la littérature sanskrite classique. Vous trouverez dans cette méthode une approche vivante de la langue et de la culture sanskrite classique à travers des textes d'abord adaptés pour le débutant puis authentiques. En quelques mois, vous manierez la langue sans efforts ni hésitation, de manière très naturelle. Les enregistrements reprennent l'intégralité des textes en sanskrit des leçons et des exercices de traduction du livre. Ils sont interprétés, à un rythme progressif, par des locuteurs natifs professionnels.

  2. Case report of the family transmission ofStreptococcus pyogenesorbital cellulitis.

    Science.gov (United States)

    Doyon, Christelle; Goodyear, Émilie

    2017-06-01

    This is a case report of an unusual case of the family transmission of Streptococcus pyogenes infection in three siblings. One brother contracted the infection which resulted in orbital cellulitis of two of his siblings, in the absence of anatomical or immunological predisposing factors. A young boy contracted an uncomplicated S pyogenes upper respiratory tract infection. The twin brother closely followed by the older sister both developed a S pyogenes orbital cellulitis a couple of days later. To our knowledge, this is the first case ever reported of family transmission of orbital cellulitis. This highlights the importance of early diagnosis and treatment of S pyogenes , and the role of throat cultures as means of diagnosis even in the absence of symptoms or signs of pharyngitis.

  3. Klebsiella pneumoniae orbital cellulitis with extensive vascular occlusions in a patient with type 2 diabetes.

    Science.gov (United States)

    Yang, Sae Jeong; Park, Soo Yeon; Lee, Yun Jeong; Kim, Hee Young; Seo, Ji A; Kim, Sin Gon; Choi, Dong Seop

    2010-03-01

    A 39-year-old woman visited the emergency room complaining of right eye pain and swelling over the preceding three days. The ophthalmologist's examination revealed orbital cellulitis and diabetic retinopathy in the right eye, although the patient had no prior diagnosis of diabetes. It was therefore suspected that she had diabetes and orbital cellulitis, and she was started on multiple antibiotic therapies initially. She then underwent computed tomography scans of the orbit and neck and magnetic resonance imaging of the brain. These studies showed an aggravated orbital cellulitis with abscess formation, associated with venous thrombophlebitis, thrombosis of the internal carotid artery, and mucosal thickening of maxillary sinus with multiple paranasal abscesses. Three days later, initial blood culture grew Klebsiella pneumoniae. She recovered after incision and drainage and antibiotic therapy for 37 days.

  4. A case of odontogenic orbital cellulitis causing blindness by severe tension orbit.

    Science.gov (United States)

    Park, Chang Hyun; Jee, Dong Hyun; La, Tae Yoon

    2013-02-01

    We report a very rare case of odontogenic orbital cellulitis causing blindness by severe tension orbit. A 41-yr old male patient had visited the hospital due to severe periorbital swelling and nasal stuffiness while he was treated for a periodontal abscess. He was diagnosed with odontogenic sinusitis and orbital cellulitis, and treated with antibiotics. The symptoms were aggravated and emergency sinus drainage was performed. On the next day, a sudden decrease in vision occurred with findings of ischemic optic neuropathy and central retinal artery occlusion. Deformation of the eyeball posterior pole into a cone shape was found from the orbital CT. A high-dose steroid was administered immediately resulting in improvements of periorbital swelling, but the patient's vision had not recovered. Odontogenic orbital cellulitis is relatively rare, but can cause blindness via rapidly progressing tension orbit. Therefore even the simplest of dental problems requires careful attention.

  5. The experience of intramuscular benzathine penicillin for prophylaxis of recurrent cellulitis: A cohort study.

    Science.gov (United States)

    Chen, Hsien-Meng; Li, Yu-Lin; Liu, Yuag-Meng; Liu, Chun-Eng; Cheng, Yu-Ren; Chen, Chang-Hua; Hii, Ing-Moi; Chang, Chih-Yen

    2017-10-01

    Recurrent cellulitis is an important clinical issue but the optimal strategy for prophylaxis is not determined. Intramuscular benzathine penicillin at a 4-week interval had been adopted in our hospital and the study was conducted to evaluate the efficacy. From January 1, 2009 to May 31, 2013, all patients aged ≥ 18 year, with a history of recurrent cellulitis and having received at least three shots of intramuscular benzathine penicillin for prophylaxis were retrospectively recruited for analysis. Two treatment periods (prophylaxis period and nonprophylaxis period) were defined. The effects of benzathine penicillin prophylaxis and patient characteristics on the incidence rate of recurrent cellulitis were analyzed using Poisson regression model. A total of 72 patients were enrolled, including 26 (36.1%) men. The most common underlying conditions were past surgery at the proximal side of the affected limb (38, 52.8%), malignancy (31, 43.1%), and diabetes mellitus (24, 33.3%). The incidence rate of recurrent cellulitis in the prophylaxis period was 0.73 episode/patient-year, significantly lower than that of 1.25 episodes/patient-year in the nonprophylaxis period (p < 0.001). Tinea pedis was a significant factor associated with increasing incidence of recurrent cellulitis in our cohort. Intramuscular benzathine penicillin at a 4-week interval may be an effective prophylactic strategy to reduce the incidence of cellulitis. Further studies are necessary to determine the factors associated with failure of prophylaxis as well as optimal individualized dosage and dosing interval of the prophylactic agent. Copyright © 2015. Published by Elsevier B.V.

  6. Group a streptococcal cellulitis in the early puerperium

    Directory of Open Access Journals (Sweden)

    Nikolić Branka

    2011-01-01

    Full Text Available Introduction. Infectious diseases caused by Streptococcus pyogenes, a member of the group A Streptococci (GAS are among the most common life threatening ones. Patients with GAS infections have a poor survival rate. Cellulitis is a severe invasive GAS infection and the most common clinical presentation of the disease associated with more deaths than it can be seen in other GAS infections. According to the literature data, most cases of GAS toxic shock syndrome are developed in the puerperium. However, there are two main problems with GAS infection in early puerperium and this case report is aimed at reminding on them. The first problem is an absence of awareness that it can be postpartal invasive GAS infection before the microbiology laboratory confirms it, and the second one is that we have little knowledge about GAS infection, in general. Case report. A 32- year-old healthy woman, gravida 1, para 1, was hospitalized three days after vaginal delivery with a 38-hour history of fever, pain in the left leg (under the knee, and head injury after short period of conscious lost. Clinical picture of GAS infection was cellulites. Group A Streptoccocus pyogenes was isolated in vaginal culture. Rapid antibiotic and supportive treatment stopped development of streptococcal toxic shock syndrome (STSS and potential multiorganic failure. Signs and symptoms of the infection lasted 25 days, and complete recovery of the patient almost 50 days. Conclusion. In all women in childbed with a history of fever early after delivery, vaginal and cervical culture specimens should be taken as soon as possible. Early recognition of GAS infection in early puerperium and prompt initiation of antimicrobial drug and supportive therapy can prevent development of STSS and lethal outcome.

  7. Orbital cellulitis and intraconal abscess formation after strabismus surgery in an adult patient.

    Science.gov (United States)

    Strul, Sasha; McCracken, Michael S; Cunin, Kathryn

    2014-02-01

    We report a 60-year-old woman who presented with orbital cellulitis, restricted ocular motility, proptosis, and visual acuity of counting fingers in her left eye 3 days after strabismus surgery. Although she initially responded well to antibiotic and anti-inflammatory therapy, visual acuity in the left eye again decreased on postoperative day 5. Radiographic imaging revealed an intraconal orbital abscess, and she underwent left lateral orbitotomy with abscess drainage, with continued antibiotics and a tapering dose of steroids. To our knowledge, this is the first case of orbital cellulitis and intraconal abscess after strabismus surgery in an adult. Published by Mosby, Inc.

  8. Le vieillard et le chevalier

    Directory of Open Access Journals (Sweden)

    Mélanie JECKER

    2008-04-01

    Full Text Available Éléments introductifs Ces réflexions initiales n’auront pas pour point de départ le rappel du problème posé par la présence de vieillards toujours plus nombreux au sein de nos sociétés contemporaines. Je ne nie pas l’importance ni l’intérêt du phénomène relativement récent du vieillissement de la population en Occident, mais ce constat ne fut pas à l’origine de mon travail. Ce qui a porté ma curiosité vers le thème des âges de la vie n’est pas mon propre présent mais l’attrait et même, oserai...

  9. The experience of intramuscular benzathine penicillin for prophylaxis of recurrent cellulitis: A cohort study

    Directory of Open Access Journals (Sweden)

    Hsien-Meng Chen

    2017-10-01

    Conclusion: Intramuscular benzathine penicillin at a 4-week interval may be an effective prophylactic strategy to reduce the incidence of cellulitis. Further studies are necessary to determine the factors associated with failure of prophylaxis as well as optimal individualized dosage and dosing interval of the prophylactic agent.

  10. Cancer bronchique à petites cellules et grossesse: à propos d'un ...

    African Journals Online (AJOL)

    Cancer bronchique à petites cellules et grossesse: à propos d'un cas avec revue de la literature. Fatima Safini, Hassan Jjouhadi, Asmaa Chehal, Farida Mernissi, Akpoo Wilfried, Zineb Bouchbika, Amina Taleb, Nadia Benchakroun, Nezha Tawfiq, Souha Sahraoui, Abdellatif Benider ...

  11. Carcinome a petites cellules du sinus piriforme : a propos d'une ...

    African Journals Online (AJOL)

    Les auteurs rapportent un cas de localisation au sinus piriforme d'un carcinome à petites cellules. Ce type histologique a été souvent décrit dans la pathologie tumorale pulmonaire. Sa localisation au sinus piriforme étant exceptionnelle. Nous présentons dans ce document les aspects endoscopiques, radiologiques, ...

  12. Community-associated methicillin-resistant Staphylococcus aureus causing orbital cellulitis in Australian children.

    Science.gov (United States)

    Vaska, Vikram L; Grimwood, Keith; Gole, Glen A; Nimmo, Graeme R; Paterson, David L; Nissen, Michael D

    2011-11-01

    Community-associated methicillin-resistant Staphylococcus aureus has only emerged recently as a cause of serious ocular infections in several different countries. At a tertiary pediatric hospital in Brisbane, Australia, community-associated methicillin-resistant S. aureus orbital cellulitis was first noted in 2009. Since then, it has caused 4 of 9 such infections.

  13. Fungal Orbital Cellulitis: Presenting Features, Management and Outcomes at a Referral Center.

    Science.gov (United States)

    Farooq, Asim V; Patel, Rakesh M; Lin, Amy Y; Setabutr, Pete; Sartori, Juliana; Aakalu, Vinay K

    2015-06-01

    To report a series of patients with fungal orbital cellulitis who underwent exenteration surgery and describe presenting features, management and outcomes at a referral center. Retrospective case series. From November 2011 to March 2014, four patients underwent orbital exenteration for fungal orbital cellulitis at the University of Illinois. Three patients had mucormycosis and one had aspergillosis. All patients were treated with intravenous antifungals and underwent orbital exenteration. Two patients were successfully treated with supplemental intra-orbital catheter delivery of amphotericin B. Presenting visual acuity in the affected eye ranged from 20/25 to no light perception. Some level of ophthalmoplegia was present in three patients. Significantly elevated intraocular pressure was found in two patients. All patients with mucormycosis were found to have uncontrolled diabetes mellitus. One patient had a history of myelodysplastic syndrome, chronic hepatitis C infection, polysubstance abuse and Crohn's disease. Another patient had a history of alcoholic liver cirrhosis, Crohn's disease treated with systemic immunosuppression and renal cell carcinoma. The patient with aspergillosis had myelodysplastic syndrome and portal hypertension, and the initial presentation resembled giant cell arteritis. Two of four patients died during their hospitalization. Fungal orbital cellulitis has a high mortality rate despite aggressive antifungal treatment and orbital exenteration performed soon after the diagnosis is confirmed. Patients often have a history of immunosuppression and the onset may be insidious. There must be a high rate of suspicion for fungal orbital cellulitis given the appropriate signs and medical history in order to avoid treatment delay.

  14. Pediatric nasal orbital cellulitis in Shenzhen (South China): Etiology, management, and outcomes.

    Science.gov (United States)

    Hongguang, Pan; Lan, Li; Zebin, Wu; Guowei, Chen

    2016-08-01

    The study aimed to investigate the clinical characteristics, diagnosis, and treatment of orbital cellulitis in children in Shenzhen, China, and to improve the experience of antibiotic therapy for the treatment of orbital cellulites. This retrospective study reviewed data from 20 children admitted to Shenzhen Children's Hospital between January 2009 and December 2013, with a diagnosis of nasal orbital cellulitis, severe enough to warrant hospitalization. Thirteen subjects (65%) were male and 7 (35%) were female. The median age was 3.5 years (2 months-7.2 years). The relationship between serum C-reactive protein (CRP), white blood cell count, and length of hospitalization were analyzed. The patients were categorized into 2 groups according to treatment: Those treated with a combination of cefoperazone plus sulbactam sodium vs. those treated with other antibiotic treatment regimens. Levels of serum CRP (29.8 ± 22.0 mg/L) at the time of admission were positively correlated with length of hospitalization (6.3 ± 4.1 days, r = 0.46, P orbital cellulitis and potentially prevent the formation of orbital abscesses. Clinical factors that were significantly related to patient recovery included improved clinical signs and normalization of blood CRP levels. Our results also indicate that combined cefoperazone and sulbactam sodium is effective and should be recommended for the treatment of pediatric orbital cellulitis. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  15. Case report of the family transmission of Streptococcus pyogenes orbital cellulitis

    Directory of Open Access Journals (Sweden)

    Christelle Doyon, MD

    2017-06-01

    Conclusions and importance: To our knowledge, this is the first case ever reported of family transmission of orbital cellulitis. This highlights the importance of early diagnosis and treatment of S pyogenes, and the role of throat cultures as means of diagnosis even in the absence of symptoms or signs of pharyngitis.

  16. A rare case of orbital granulomatous inflammation from explosive hydraulic oil masquerading as orbital cellulitis.

    Science.gov (United States)

    Cheema, Marvi; Roelofs, Kelsey; Jivraj, Imran; West, Robert; Rasmussen, Steve; Chan, Audrey

    2017-10-20

    The differential diagnosis for acute orbital inflammation is broad. We report a case of granulomatous orbital inflammation due to high-pressure oil injury to the orbit presenting as an atypical orbital cellulitis. Here we review the presentation and treatment of orbital inflammation from oil.

  17. Paediatric orbital cellulitis and the relationship to underlying sinonasal anatomy on computed tomography.

    Science.gov (United States)

    Crosbie, R A; Clement, W A; Kubba, H

    2017-08-01

    To assess if there is an association between sinonasal anatomical variants and the risk of developing orbital cellulitis and associated complications, in children. A retrospective case-control series was conducted, examining computed tomography confirmed sinonasal anatomical variants of septal deviation and concha bullosa in children who presented with periorbital cellulitis who went on to develop orbital cellulitis and abscesses. Thirty children had a Chandler score of 2 or greater on computed tomography. Mean age was seven years and there was relatively equal sex distribution. There was no association between presence of concha bullosa and side of disease (odds ratio = 1), and no statistically significant difference between septal deviation and ipsilateral orbital infection (p = 0.125). There was no statistical correlation between any sinonasal bony or cartilaginous anatomical variants on computed tomography and orbital complications of acute rhinosinusitis in our paediatric cohort. The findings do not support the theory that these anatomical variants predispose to orbital cellulitis occurring in these children, nor complications thereof.

  18. Panophthalmitis with orbital cellulitis following glaucoma drainage implant surgery in a pediatric patient.

    Science.gov (United States)

    Esporcatte, Bruno L B; Teixeira, Luiz Fernando; Rolim-de-Moura, Christiane

    2016-04-01

    Here we report a case of childhood glaucoma refractory to angle and trabeculectomy surgery. The patient was treated with an Ahmed™ drainage implant that was subsequently complicated by rapid-onset panophthalmitis and orbital cellulitis. Intravenous and intravitreal antibiotic therapy was initiated and the drainage tube was removed. The infectious process resolved within 3 weeks; however, phthisis bulbi developed subsequently.

  19. Current trends in treatment outcomes of orbital cellulitis in a tertiary hospital in Southern Nigeria

    Directory of Open Access Journals (Sweden)

    Odarosa M Uhumwangho

    2016-01-01

    Full Text Available Background: Orbital cellulitis refers to the inflammation or infection of the soft tissues of the orbit located behind the orbital septum. Aim: To determine the current trends in the outcomes following the management of orbital cellulitis in a tertiary hospital in Southern Nigeria. Patients and Methods: A retrospective review of medical records of patients with orbital cellulitis from January 2008 to December 2014 was conducted. The age, sex, duration of symptoms, predisposing factors, clinical findings, laboratory/radiological investigations, treatment provided, complications, and follow-up were recorded. Results were analyzed with SPSS Version 21 program. Results: Forty-two patients were seen made of 17 (40.5% males and 25 (59.5% females with a mean age of 18.2 ± 18.7 years of which children 6/18 at presentation, 38 (82.6% and at discharge, 39 (84.8%. The mean duration of presenting complaints was 15.5 ± 31.6 days. Patients who presented early were less likely to develop complications, P = 0.003. The most common complication was exposure keratopathy in 8 (44.4% eyes. The only surgical intervention performed was incision and drainage of abscess in 3 (7.1% eyes. No patient came for follow-up. Conclusion: Prompt institution of effective antibiotics and management of complications that may arise improves prognosis of orbital cellulitis.

  20. Primary extranodal Natural Killer/ T-cell lymphoma of the ethmoid sinus masquerading as orbital cellulitis

    Directory of Open Access Journals (Sweden)

    Ivana Mahovne

    2009-08-01

    Full Text Available This report presents a case of an exceptionallyrare primary Natural Killer/T cell (NK/T lymphomaof the right paranasal frontal and ethmoidsinuses in a patient treated previously for rightside chronic sinusitis. It highlighted the importanceof adequate tissue biopsy and patohistologicalexamination in patients with chronic sinusitisor orbital cellulitis that fail to respond totraditional management.

  1. Variation in Care and Clinical Outcomes in Children Hospitalized With Orbital Cellulitis.

    Science.gov (United States)

    Markham, Jessica L; Hall, Matthew; Bettenhausen, Jessica L; Myers, Angela L; Puls, Henry T; McCulloh, Russell J

    2018-01-01

    To describe variation in the care of children hospitalized with orbital cellulitis and to determine associations with length of stay (LOS), emergency department (ED) revisits, and hospital readmissions. By using the Pediatric Health Information System, we performed a multicenter, retrospective study of children aged 2 months to 18 years with a primary International Classification of Diseases, Ninth Revision, Clinical Modification discharge diagnosis code for orbital cellulitis from 2007 to 2014. We assessed hospital-level variation in the use of diagnostic tests, corticosteroids, and antibiotics individually and in aggregate for association with outcomes (LOS, ED revisits, readmissions) after risk-adjusting for important clinical and demographic factors. A total of 1828 children met inclusion criteria. Complete blood cell counts (median [interquartile range]: 81.8% [66.7-89.6]), C-reactive protein levels (57.1% [22.2-84.0]), blood cultures (57.9% [48.9-63.6]), and computed tomography imaging (74.7% [66.7-81.0]) were the most frequently performed diagnostic tests, with significant variation observed across hospitals (all P orbital cellulitis experience wide variation in clinical management. Increased hospital-level usage is associated with increased LOS. Our findings highlight a critical need to identify treatment strategies that optimize resource use and outcomes for children hospitalized with orbital cellulitis. Copyright © 2018 by the American Academy of Pediatrics.

  2. Orbital cellulitis and corneal ulcer due to Cedecea: First reported case and review of the literature.

    Science.gov (United States)

    Clark, Jeremy D; Fernandez de Castro, Juan P; Compton, Chris; Lee, Harold; Nunery, William

    2016-06-01

    Cedecea is a gram-negative bacterium from the family Enterobacteriaceae, rarely associated with human infection. We report the first case of an orbital cellulitis and corneal ulcer due to Cedecea in a patient who sustained a motor vehicle accident and was then found to have a retained wooden orbital foreign body.

  3. The management of cellulitis and erysipelas at an academic emergency department: current practice versus the literature

    Directory of Open Access Journals (Sweden)

    Jeffrey W. Martin

    2017-09-01

    Full Text Available Cellulitis and erysipelas are common presentations to emergency departments and family physicians. Evidence-based guidelines for appropriate management of these infections exist in Canada, but inconsistent practices persist. Our objective was to determine the level of adherence to current evidence and guidelines by emergency physicians at the two hospitals in Kingston, Ontario, Canada. We identified all of the electronic medical records of patients who were seen at Kingston General Hospital or Hotel Dieu Hospital between January 1, 2015 and June 30, 2015 and given a diagnosis of cellulitis or erysipelas. We randomly selected 182 charts and conducted a retrospective chart review, manually collecting data for patient demographics, medical history, and medical management. Oral cephalexin alone was given to 44% of our sample, and it was the most common form of therapy for uncomplicated cellulitis. 36% of patients given any antibiotics at all received at least one dose of parenteral antibiotics, despite only 6.7% of these patients showing systemic signs of illness. 88% of those receiving parenteral antibiotics received ceftriaxone, a broad-spectrum, third generation cephalosporin. We found wide variation in antibiotic selection and route of administration for patients presenting to the emergency department with cellulitis or erysipelas. Overuse of antibiotics is common, and we believe the use of parenteral antibiotics may have been unnecessary for some patients in our sample. Emergency physicians should align their management plans more closely with the current guidelines to improve practice and reduce unnecessary administration of broad-spectrum parenteral antibiotics.

  4. Risk factors of cellulitis treatment failure with once-daily intravenous cefazolin plus oral probenecid.

    Science.gov (United States)

    Bader, Mazen S; Twells, Laurie; Hawboldt, John

    2011-12-01

    Once-daily intravenous cefazolin with probenecid is used commonly to treat cellulitis. The primary objective of this study was to determine the risk factors of treatment failure with this regimen. This was a retrospective cohort study of adult outpatients with cellulitis who were initially treated with once-daily intravenous cefazolin plus probenecid. Treatment failure is defined as inadequate improvement that necessitates either hospital admission or a change in antibiotic therapy to a different intravenous regimen. A stepwise logistic regression analysis was performed to determine the risk factors for regimen failure. From January 2003 to December 2008, 159 patients with cellulitis were initially treated with once daily intravenous cefazolin plus probenecid. Thirty-five (22%) patients had treatment failure. The treatment for 53% (9/17) of the patients with a history of chronic venous disease (CVD) failed, whereas the treatment for 18% (26/142) of patients without CVD failed (P = 0.001). Multivariate analysis identified the presence of CVD as the only risk factor associated with treatment failure (odds ratio 4.4, 95% confidence interval 1.5-13; P = .007). Patients with cellulitis and CVD who are being treated with once-daily intravenous cefazolin plus probenecid should be monitored closely for treatment failure.

  5. Panophthalmitis with orbital cellulitis following glaucoma drainage implant surgery in a pediatric patient

    Directory of Open Access Journals (Sweden)

    Bruno L. B. Esporcatte

    2016-04-01

    Full Text Available ABSTRACT Here we report a case of childhood glaucoma refractory to angle and trabeculectomy surgery. The patient was treated with an Ahmed™ drainage implant that was subsequently complicated by rapid-onset panophthalmitis and orbital cellulitis. Intravenous and intravitreal antibiotic therapy was initiated and the drainage tube was removed. The infectious process resolved within 3 weeks; however, phthisis bulbi developed subsequently.

  6. Current Trends in Treatment Outcomes of Orbital Cellulitis in a Tertiary Hospital in Southern Nigeria

    Science.gov (United States)

    Uhumwangho, Odarosa M; Kayoma, Dumebi H

    2016-01-01

    Background: Orbital cellulitis refers to the inflammation or infection of the soft tissues of the orbit located behind the orbital septum. Aim: To determine the current trends in the outcomes following the management of orbital cellulitis in a tertiary hospital in Southern Nigeria. Patients and Methods: A retrospective review of medical records of patients with orbital cellulitis from January 2008 to December 2014 was conducted. The age, sex, duration of symptoms, predisposing factors, clinical findings, laboratory/radiological investigations, treatment provided, complications, and follow-up were recorded. Results were analyzed with SPSS Version 21 program. Results: Forty-two patients were seen made of 17 (40.5%) males and 25 (59.5%) females with a mean age of 18.2 ± 18.7 years of which children Orbital cellulitis was a unilateral occurrence in 38 (90.5%) patients. Trauma and sinusitis were the common predisposing causes in 20 (47.6%) and 6 (14.3%) patients, respectively. The most common complaint was eye swelling 36 (52.9%). Most patients had visual acuities of >6/18 at presentation, 38 (82.6%) and at discharge, 39 (84.8%). The mean duration of presenting complaints was 15.5 ± 31.6 days. Patients who presented early were less likely to develop complications, P = 0.003. The most common complication was exposure keratopathy in 8 (44.4%) eyes. The only surgical intervention performed was incision and drainage of abscess in 3 (7.1%) eyes. No patient came for follow-up. Conclusion: Prompt institution of effective antibiotics and management of complications that may arise improves prognosis of orbital cellulitis. PMID:27843275

  7. Orbital cellulitis: clinical course and management challenges. the Lagos State University Teaching Hospital experience.

    Science.gov (United States)

    Balogun, Bolanle G; Balogun, Modupe M; Adekoya, Bola J

    2012-01-01

    Orbital cellulitis is a devastating acute infection of orbital soft tissues located posterior to the orbital septum. It is both vision and life-threatening. It is an ocular emergency which most often present in childhood. This article reviewed cases presenting during the study period with the view of examining the pattern of presentation, clinical course and management challenges. A retrospective study was conducted on patients presenting with orbital cellulitis between January 2008 and June 2011. Socio-demographic data, entry and discharge visual acuity, presenting complaints, predisposing factors, duration of complaints, admission period and complications were extracted from clinical records and analyzed. Seventeen (17) patients presented with orbital cellulitis constituting 6.2% of ocular emergency admissions during the study period. Twelve (70.6%) were males. Thirteen (76.5%) were children. The major predisposing factors were upper respiratory tract infections, and facial and globe injuries in five (22.7%) cases respectively. Only five (29.4%), presented within three days of disease onset. Average duration of admission was 10.6 days. Complications during the course of disease were category 4 and 5 blindness in five (23.5%), orbital abscess four (23.5%), cavernous sinus thrombosis two (11.8%), contralateral preseptal cellulitis two (11.8%) and exposure keratopathy in one (5.9%). Orbital cellulitis has remained a disease with high ocular morbidity. The major management challenges were poor financial status of patients precluding necessary diagnostic laboratory and imaging studies. Early recognition, diagnosis and treatment are crucial to the preservation of vision and reduced occurrence of complications. The importance of record keeping is also highlighted.

  8. Current Trends in Treatment Outcomes of Orbital Cellulitis in a Tertiary Hospital in Southern Nigeria.

    Science.gov (United States)

    Uhumwangho, Odarosa M; Kayoma, Dumebi H

    2016-01-01

    Orbital cellulitis refers to the inflammation or infection of the soft tissues of the orbit located behind the orbital septum. To determine the current trends in the outcomes following the management of orbital cellulitis in a tertiary hospital in Southern Nigeria. A retrospective review of medical records of patients with orbital cellulitis from January 2008 to December 2014 was conducted. The age, sex, duration of symptoms, predisposing factors, clinical findings, laboratory/radiological investigations, treatment provided, complications, and follow-up were recorded. Results were analyzed with SPSS Version 21 program. Forty-two patients were seen made of 17 (40.5%) males and 25 (59.5%) females with a mean age of 18.2 ± 18.7 years of which children Orbital cellulitis was a unilateral occurrence in 38 (90.5%) patients. Trauma and sinusitis were the common predisposing causes in 20 (47.6%) and 6 (14.3%) patients, respectively. The most common complaint was eye swelling 36 (52.9%). Most patients had visual acuities of >6/18 at presentation, 38 (82.6%) and at discharge, 39 (84.8%). The mean duration of presenting complaints was 15.5 ± 31.6 days. Patients who presented early were less likely to develop complications, P = 0.003. The most common complication was exposure keratopathy in 8 (44.4%) eyes. The only surgical intervention performed was incision and drainage of abscess in 3 (7.1%) eyes. No patient came for follow-up. Prompt institution of effective antibiotics and management of complications that may arise improves prognosis of orbital cellulitis.

  9. Le cinéma identitaire franco-ontarien : un cas de figure de la fatigue culturelle

    Directory of Open Access Journals (Sweden)

    Serge Miville

    2013-05-01

    Full Text Available Les études sur le cinéma franco-ontarien sont peu nombreuses ; outre les articles parus dans la revue Liaison et au tour d’horizon de la cinématographie francophone hors Québec que propose Jean-Claude Jaubert dans le collectif Toutes les photos finissent-elles par se ressembler ? (1999, les chercheurs se sont peu intéressés à ce chantier. En effet, un seul texte savant est paru sous la plume de Lucie Hotte, qui propose une lecture comparée du recueil Le Dernier des Franco-Ontariens de Pierre Albert et du film éponyme de Jean Marc Larivière et Marie Cadieux. Pourtant, le cinéma professionnel existe en Ontario français depuis plus de quarante ans. Les productions cinématographiques sont variées et relativement nombreuses. Afin de pallier l’absence d’analyse savante, ce texte analyse quatre œuvres documentaires du septième art traitant de la problématique identitaire franco-ontarienne, soit une par décennie depuis les années soixante-dix. Les films retenus sont J’ai besoin d’un nom de Paul Lapointe (1978, Deux voix, comme en écho de Claudette Jaiko (1987, Le Dernier des Franco-Ontariens de Jean Marc Larivière (1996 et Pis nous autres dans tout ça ? d’Andréanne Germain (2007.

  10. Nine years’ review on preseptal and orbital cellulitis and emergence of community–acquired methicillin-resistant Staphylococus aureus in a tertiary hospital in India

    Science.gov (United States)

    Pandian, Datta G; Babu, Ramesh K; Chaitra, A; Anjali, A; Rao, Vasudev A; Srinivasan, Renuka

    2011-01-01

    Context: Preseptal cellulitis is the commonest orbital disease which frequently needs to be differentiated from orbital cellulitis. Prompt diagnosis and treatment with appropriate antibiotics can prevent vision loss and life-threatening complications of orbital cellulitis. Aims: To describe the clinical profile of cases with preseptal and orbital cellulitis admitted to a tertiary care hospital during a period of nine years. The causative organisms and the clinical outcome were analyzed. Settings and Design: Retrospective descriptive case study done in a tertiary care hospital in South India. Material and Methods: The in-patient records of patients with preseptal and orbital cellulitis were reviewed from 1998 to 2006. The factors reviewed included ocular findings aiding in the distinction of the two clinical conditions, the duration of symptoms, the duration of hospital stay, microbiological culture report of pus or wound swab, blood culture, drugs used for treatment, the response to therapy and complications. Statistical Analysis Used: Descriptive analysis. Results: One hundred and ten cases, 77 patients with preseptal cellulitis and 33 patients with orbital cellulitis were reviewed. Five percent of children and 21% of adults presented with cutaneous anthrax contributing to preseptal cellulitis. Thirty-nine percent cases with orbital cellulitis were caused by methicillin-resistant Staphylococcus aureus (MRSA). Conclusions: This study has helped in identifying organisms which cause orbital infections, especially community-acquired MRSA. It indicates the need for modifying our empirical antimicrobial therapy, especially in orbital cellulitis. PMID:22011486

  11. Nine years' review on preseptal and orbital cellulitis and emergence of community-acquired methicillin-resistant Staphylococus aureus in a tertiary hospital in India.

    Science.gov (United States)

    Pandian, Datta G; Babu, Ramesh K; Chaitra, A; Anjali, A; Rao, Vasudev A; Srinivasan, Renuka

    2011-01-01

    Preseptal cellulitis is the commonest orbital disease which frequently needs to be differentiated from orbital cellulitis. Prompt diagnosis and treatment with appropriate antibiotics can prevent vision loss and life-threatening complications of orbital cellulitis. To describe the clinical profile of cases with preseptal and orbital cellulitis admitted to a tertiary care hospital during a period of nine years. The causative organisms and the clinical outcome were analyzed. Retrospective descriptive case study done in a tertiary care hospital in South India. The in-patient records of patients with preseptal and orbital cellulitis were reviewed from 1998 to 2006. The factors reviewed included ocular findings aiding in the distinction of the two clinical conditions, the duration of symptoms, the duration of hospital stay, microbiological culture report of pus or wound swab, blood culture, drugs used for treatment, the response to therapy and complications. Descriptive analysis. One hundred and ten cases, 77 patients with preseptal cellulitis and 33 patients with orbital cellulitis were reviewed. Five percent of children and 21% of adults presented with cutaneous anthrax contributing to preseptal cellulitis. Thirty-nine percent cases with orbital cellulitis were caused by methicillin-resistant Staphylococcus aureus (MRSA). This study has helped in identifying organisms which cause orbital infections, especially community-acquired MRSA. It indicates the need for modifying our empirical antimicrobial therapy, especially in orbital cellulitis.

  12. Nine years′ review on preseptal and orbital cellulitis and emergence of community-acquired methicillin-resistant Staphylococus aureus in a tertiary hospital in India

    Directory of Open Access Journals (Sweden)

    Datta G Pandian

    2011-01-01

    Full Text Available Context: Preseptal cellulitis is the commonest orbital disease which frequently needs to be differentiated from orbital cellulitis. Prompt diagnosis and treatment with appropriate antibiotics can prevent vision loss and life-threatening complications of orbital cellulitis. Aims: To describe the clinical profile of cases with preseptal and orbital cellulitis admitted to a tertiary care hospital during a period of nine years. The causative organisms and the clinical outcome were analyzed. Settings and Design : Retrospective descriptive case study done in a tertiary care hospital in South India. Material and Methods: The in-patient records of patients with preseptal and orbital cellulitis were reviewed from 1998 to 2006. The factors reviewed included ocular findings aiding in the distinction of the two clinical conditions, the duration of symptoms, the duration of hospital stay, microbiological culture report of pus or wound swab, blood culture, drugs used for treatment, the response to therapy and complications. Statistical Analysis Used: Descriptive analysis. Results: One hundred and ten cases, 77 patients with preseptal cellulitis and 33 patients with orbital cellulitis were reviewed. Five percent of children and 21% of adults presented with cutaneous anthrax contributing to preseptal cellulitis. Thirty-nine percent cases with orbital cellulitis were caused by methicillin-resistant Staphylococcus aureus (MRSA. Conclusions: This study has helped in identifying organisms which cause orbital infections, especially community-acquired MRSA. It indicates the need for modifying our empirical antimicrobial therapy, especially in orbital cellulitis.

  13. Atypical presentations of orbital cellulitis caused by methicillin-resistant Staphylococcus aureus.

    Science.gov (United States)

    Mathias, Marc T; Horsley, Michael B; Mawn, Louise A; Laquis, Stephen J; Cahill, Kenneth V; Foster, Jill; Amato, Malena M; Durairaj, Vikram D

    2012-06-01

    To evaluate the epidemiologic and clinical features of orbital cellulitis caused by methicillin-resistant Staphylococcus aureus (MRSA). Multicenter, retrospective case series. Fifteen patients with culture-positive MRSA orbital cellulitis. All recent cases of orbital cellulitis at several hospitals and surgical centers were reviewed, and cases with culture-positive MRSA from aspirates were identified. The data collected and analyzed retrospectively included patient demographics, medical history, presenting sign, imaging results, surgical procedure performed, surgical culture results, visual acuity at presentation and last follow-up, and duration of antibiotics. Presenting sign, radiographic evidence of paranasal sinus disease, radiographic evidence of multiple orbital abscesses, presence or absence of antecedent upper respiratory infection, and final visual acuity. Fifteen cases were identified. The mean patient age was 31.9 years (standard deviation, 24.2 years). Lid swelling was the presenting sign in 14 of 15 patients. No patients had a preceding upper respiratory infection, and only 1 patient had antecedent eyelid trauma. Only 3 of 15 patients had documented adjacent paranasal sinus disease on imaging. Lacrimal gland abscess or dacryoadenitis was the presenting finding in 5 of 15 patients. Multiple orbital abscesses were identified in 4 of 15 patients by computed tomography or magnetic resonance imaging. Fourteen of 15 cases required surgical intervention. Four of 15 cases had loss of visual acuity to light perception or worse. All 4 of these cases had a delay in referral for surgical intervention. In these 15 patients with MRSA orbital cellulitis, the typical clinical setting of orbital cellulitis was absent; chiefly, there was no identified antecedent upper respiratory illness, nor was there a preceding traumatic injury. Lid swelling in the absence of recent upper respiratory illness, lacrimal gland focus, multiple orbital abscesses, and lack of adjacent

  14. MR Imaging of Orbital Inflammatory Syndrome, Orbital Cellulitis, and Orbital Lymphoid Lesions: The Role of Diffusion-Weighted Imaging

    Science.gov (United States)

    Kapur, R.; Sepahdari, A.R.; Mafee, M.F.; Putterman, A.M.; Aakalu, V.; Wendel, L.J.A.; Setabutr, P.

    2013-01-01

    BACKGROUND AND PURPOSE Orbital inflammatory syndrome (OIS) has clinical features that overlap with orbital lymphoid lesions and orbital cellulitis. Prompt diagnosis is needed in all 3 conditions because the management of each one differs greatly. CT and MR imaging, though useful, do not always distinguish among these conditions. The aim of this study was to identify the role of diffusion-weighted imaging (DWI) in differentiating these 3 diagnoses. MATERIALS AND METHODS A retrospective analysis of orbital MR imaging was conducted. T1- and T2-weighted and postcontrast images were analyzed. Region-of-interest analysis was performed by using measurements in areas of abnormality seen on conventional MR imaging sequences and measurements of the ipsilateral thalamus for each patient. The DWI signal intensity of the lesion was expressed as a percentage of average thalamic intensity in each patient. Similarly, lesion apparent diffusion coefficients (ADCs) and lesion-thalamus ADC ratios were calculated. Statistical significance was determined by the Kruskal-Wallis test, and post hoc pairwise comparisons, by the Mann-Whitney U test for DWI-intensity ratio, ADC, and ADC ratio. RESULTS A significant difference was noted in DWI intensities, ADC, and ADC ratio between OIS, orbital lymphoid lesions, and orbital cellulitis (P cellulitis. Lymphoid lesions showed lower ADC than OIS and cellulitis. A trend was seen toward lower ADC in OIS than in cellulitis (P = .17). CONCLUSIONS DWI may help differentiate OIS from lymphoid lesions and cellulitis and may allow more rapid management. PMID:18842758

  15. Our experience using primary oral antibiotics in the management of orbital cellulitis in a tertiary referral centre.

    Science.gov (United States)

    Cannon, P S; Mc Keag, D; Radford, R; Ataullah, S; Leatherbarrow, B

    2009-03-01

    Orbital cellulitis is conventionally managed by intravenous (i.v.) antibiotic therapy, followed by oral antibiotics once the infection shows signs of significant improvement. We report 4 years of experience using primary oral ciprofloxacin and clindamycin in cases of orbital cellulitis. Oral ciprofloxacin and clindamycin have a similar bioavailability to the i.v. preparations and provide an appropriate spectrum of antibiotic cover for the pathogens responsible for orbital cellulitis. A retrospective review was performed that identified all patients with orbital cellulitis and treated with primary oral antibiotic therapy admitted to the Manchester Royal Eye Hospital between March 2003 and March 2007. Age, stage of disease, surgical intervention, hospital duration, and complications were obtained. A comparison was made with patients admitted to our unit with orbital cellulitis and treated with primary i.v. antibiotics between March 2000 and March 2003. Nineteen patients were included in the review for the period March 2003 to March 2007, which comprised of 7 children and 12 adults. Five patients required surgical intervention. All patients responded to the oral regimen, 18 patients had no change to their oral antibiotic therapy. Mean hospital stay was 4.4 days. There were no complications. Empirical oral ciprofloxacin and clindamycin combination may be as safe and effective as i.v. therapy in the management of orbital cellulitis. Oral treatment can offer the advantages of rapid delivery of the first antibiotic dose, fewer interruptions in treatment, and simplified delivery of medication particularly in children.

  16. Mycobacterium avium-intracellulare cellulitis occurring with septic arthritis after joint injection: a case report

    Directory of Open Access Journals (Sweden)

    Murdoch David M

    2007-02-01

    Full Text Available Abstract Background Cellulitis caused by Mycobacterium avium-intracellulare has rarely been described. Mycobacterium avium-intracellulare is a rare cause of septic arthritis after intra-articular injection, though the causative role of injection is difficult to ascertain in such cases. Case presentation A 57-year-old with rheumatoid arthritis treated with prednisone and azathioprine developed bilateral painful degenerative shoulder arthritis. After corticosteroid injections into both acromioclavicular joints, he developed bilateral cellulitis centered over the injection sites. Skin biopsy showed non-caseating granulomas, and culture grew Mycobacterium avium-intracellulare. Joint aspiration also revealed Mycobacterium avium-intracellulare infection. Conclusion Although rare, skin and joint infections caused by Mycobacterium avium-intracellulare should be considered in any immunocompromised host, particularly after intra-articular injection. Stains for acid-fast bacilli may be negative in pathologic samples even in the presence of infection; cultures of tissue specimens should always be obtained.

  17. Facing the Danger Zone: The Use of Ultrasound to Distinguish Cellulitis from Abscess in Facial Infections

    Directory of Open Access Journals (Sweden)

    Dywanda L. Lewis

    2014-01-01

    Full Text Available Physical exam alone is often insufficient to determine whether or not cellulitis is accompanied by an abscess. Bedside ultrasound can be a valuable tool in ruling out suspected abscess by allowing direct visualization of a fluid collection. The proximity of the infection to adjacent structures can also be determined, thus aiding clinical decision making. Patients with cellulitis near the eye and nose are of particular concern due to the adjacent facial structures and the anatomy of the venous drainage. Accurately determining the presence or absence of an associated abscess in these patients is a crucial step in treatment planning. The purpose of this report is to (1 emphasize the benefits of bedside ultrasound when used in conjunction with the physical exam to rule out abscess; (2 demonstrate the utility of bedside ultrasound in planning a treatment strategy for soft tissue infection; (3 depict an instance where ultrasound detected an abscess when computed tomography (CT scan did not.

  18. Tuberculous cellulitis in a patient with chronic kidney disease and polymyalgia rheumatica.

    Science.gov (United States)

    Daido-Horiuchi, Yuka; Kikuchi, Yuichi; Kobayashi, Shinichi; Fujii, Tatsuya; Oshima, Satoshi; Kondo, Toshiro

    2012-01-01

    An 89-year-old man with advanced renal failure, polymyalgia rheumatica and a past history of tuberculosis was admitted with a high fever. Erythema and swelling appeared in the femoral region. Since the cellulitis failed to respond to antibiotic therapy, a skin biopsy was performed. The specimen showed the presence of epithelioid cell granuloma and panniculitis. Acid-fast organisms were found on Ziehl-Neelsen staining. A polymerase chain reaction test of tuberculosis was positive. Although a diagnosis of miliary tuberculosis was suggested, examinations of a bone marrow biopsy and fundoscopy revealed normal results. The patient's symptoms improved following treatment with isoniazid, rifampicin and ethambutol. This case represents an unusual presentation of tuberculous cellulitis in an immunocompromised patient.

  19. Orbital Perivenous Abscess Complicating the Diagnosis and Management of Orbital Cellulitis.

    Science.gov (United States)

    Verma, Rohan; Lee, Bradford W; Alameddine, Ramzi M; Ko, Audrey C; Khanna, Paritosh C; Kikkawa, Don O; Korn, Bobby S

    An 11-year-old female presented with orbital cellulitis, bacterial sinusitis, enlarged left superior ophthalmic vein, dural venous sinuses, and internal jugular vein. The patient underwent endoscopic sinus surgery and was started on intravenous antibiotics and anticoagulation with limited improvement in orbital signs and symptoms. A magnetic resonance imaging/magnetic resonance venography of the orbits and brain revealed a dilated left superior ophthalmic vein with absence of flow but no clearly discernible orbital abscess. Intravenous corticosteroids resulted in dramatic improvement of pain, hypoglobus, proptosis, and extraocular motility, all of which rapidly recurred on discontinuation. Serial imaging revealed progression of what eventually manifested as a well-defined, rim-enhancing peri-superior ophthalmic vein abscess, which was incised and drained with prompt resolution of orbital cellulitis and complete visual recovery.

  20. Choroidal malignant melanoma with no extraocular extension presenting as orbital cellulitis.

    Science.gov (United States)

    Nalcaci, Serhad; Palamar, Melis; Yaman, Banu; Akalin, Taner; Mentes, Jale

    2016-10-01

    This report describes a patient with choroidal malignant melanoma presenting as orbital cellulitis without extraocular tumor extension. It is an interventional case report with histopathologic correlation. A 68-year-old male presented with a 3-day history of painful hyperemia and swelling in the right eye. The examination showed edematous eyelids, mechanical ptosis and chemosis with conjunctival injection. B-scan ultrasonography showed a mass with medium level echogenicity that filled the vitreous cavity. Magnetic resonance imaging showed a solid choroidal mass with hemorrhagic and inflammatory changes with no obvious extraocular extension. Due to these suggestive findings of choroidal melanoma the right eye was enucleated. A spindle cell choroidal melanoma including intense pigmentation and necrosis was confirmed by histopathological examination. Although rare; choroidal melanoma may present as orbital cellulitis, particularly when the tumor is necrotic.

  1. Comparison of characteristic CT findings of lymphedema, cellulitis, and generalized edema in lower leg swelling.

    Science.gov (United States)

    Shin, Sung Ui; Lee, Whal; Park, Eun-Ah; Shin, Cheong-Il; Chung, Jin Wook; Park, Jae Hyung

    2013-12-01

    To determine the different computed tomography (CT) findings of lymphedema, cellulitis, and generalized edema in the lower leg. CT images of 44 patients with confirmed lymphedema (n = 19), cellulitis (n = 11), or generalized edema (n = 14) were retrospectively reviewed. The following characteristics were evaluated: extent of edema, laterality, skin thickening, honeycombing, taller than wide appearance, muscle edema, conglomeration of septum of fat lobule, fluid collection, fascial enhancement, inguinal lymph node (LN) enlargement, medullary fat obliteration of inguinal LN, trunk subcutaneous edema, and bone marrow edema. Fisher's exact test with Bonferroni correction was used for multiple comparisons. Honeycombing and taller than wide appearance of fat lobules were more common in lymphedema (P edema of the trunk were more common in generalized edema (P edema and bone marrow edema were specific findings of generalized edema.

  2. The air forces on a systematic series of biplane and triplane cellule models

    Science.gov (United States)

    Munk, Max M

    1927-01-01

    The air forces on a systematic series of biplane and triplane cellule models are the subject of this report. The test consist in the determination of the lift, drag, and moment of each individual airfoil in each cellule, mostly with the same wing section. The magnitude of the gap and of the stagger is systematically varied; not, however, the decalage, which is zero throughout the tests. Certain check tests with a second wing section make the tests more complete and conclusions more convincing. The results give evidence that the present army and navy specifications for the relative lifts of biplanes are good. They furnish material for improving such specifications for the relative lifts of triplanes. A larger number of factors can now be prescribed to take care of different cases.

  3. Dental Infection Presenting with Ipsilateral Parapharyngeal Abscess and Contralateral Orbital Cellulitis – A Case Report

    Science.gov (United States)

    Embong, Zunaina; Ismail, Shatriah; Thanaraj, Asokumaran; Hussein, Adil

    2007-01-01

    A 43 year-old man presented with pain on the right tooth for three days duration. Computed tomography showed left orbital cellulitis and right parapharyngeal abscess. There was also evidence suggestive of a dental abscess over right upper alveolar region. Magnetic resonance imaging revealed left superior ophthalmic vein thrombosis. Emergency drainage of the right parapharyngeal abscess was performed. Right maxillary molar extraction revealed periapical abscess. Left eye proptosis markedly reduced after initiating heparin. PMID:22993494

  4. A Woman with Unilateral Rash and Fever: Cellulitis in the Setting of Lymphedema

    Directory of Open Access Journals (Sweden)

    Melissa Joseph

    2015-01-01

    Full Text Available Cellulitis in the setting of lymphedema is an uncommon but clinically important presentation to the emergency department. Stagnant lymph is an ideal medium for bacterial growth and progression can be rapid due to decreased ability to fight infection in the affected area. Infections are commonly caused by gram-positive cocci, though blood cultures are often negative. Treatment should be aimed at rapid initiation of antibiotics targeting these species. There may be a role for antibiotic prophylaxis in recurrent cases.

  5. Insufficiency fractures of the distal tibia misdiagnosed as cellulitis in three patients with rheumatoid arthritis

    Energy Technology Data Exchange (ETDEWEB)

    Straaton, K.V.; Lopez-Mendez, A.; Alarcon, G.S. (Univ. of Alabama, Birmingham (USA))

    1991-07-01

    We describe 3 patients with rheumatoid arthritis who presented with diffuse pain, swelling, and erythema of the distal aspect of the lower extremity, suggestive of either cellulitis or thrombophlebitis, but were found to have insufficiency fractures of the distal tibia. The value of technetium-99m diphosphonate bone scintigraphy in the early recognition of these fractures and a possible explanation for the associated inflammatory symptoms are discussed.

  6. Value of needle aspiration in bacteriologic diagnosis of cellulitis in adults.

    OpenAIRE

    Newell, P M; Norden, C W

    1988-01-01

    We prospectively studied 30 adult patients with cellulitis, including many who were hospitalized with significant underlying medical problems. Needle aspiration of both central and leading edge areas of their lesions was performed in an attempt to establish a bacteriologic diagnosis. Potential pathogens were isolated by this technique in only 10% of the patients. Neither site of aspiration was clearly superior in terms of culture yield. Because aspirate Gram stains and cultures so rarely prov...

  7. [Orbital cellulitis complicated by subperiosteal abscess due to Streptococcus pyogenes infection].

    Science.gov (United States)

    Ruíz Carrillo, José Daniel; Vázquez Guerrero, Edwin; Mercado Uribe, Mónica Cecilia

    Orbital cellulitis is an infectious disease that is very common in pediatric patients, in which severe complications may develop. Etiological agents related to this disease are Haemophilus influenzae B, Staphylococcus aureus, Streptococcus pneumoniae and Moraxella catarrhalis, which correspond to 95% of cases. Moreover, Streptococcus beta hemolytic and anaerobic microorganisms may also be present corresponding to < 5% of the cases. We present an uncommon case of cellulitis complicated by sub-periosteal abscess caused by Streptococcus pyogenes (Group A beta hemolytic streptococcus). A 9-year-old male patient with a history of deficit disorder and hyperactivity since 5 years of age. His current condition started with erythema in the external edge of the right eye, increase in peri-orbicular volume with limitation of eyelid opening, progression to proptosis, pain with eye movements and conjunctival purulent discharge. Image studies reported subperiosteal abscess and preseptal right with extraocular cellulitis. The patient started with empirical antibiotic treatment, surgical drainage and culture of purulent material from which Streptococcus pyogenes was isolated. Due to the implementation of vaccination schemes against H. influenza and S. pneumoniae since the 90s, the cases by these pathogens have decreased, causing new bacteria to take place as the cause of the infection. The importance of considering S. pyogenes as an etiology of orbital cellulitis is the rapid progression to abscess formation, and the few cases described in the literature. Copyright © 2017 Hospital Infantil de México Federico Gómez. Publicado por Masson Doyma México S.A. All rights reserved.

  8. Caractérisation d'une cellule photovoltaïque organique ITO/PEDOT ...

    African Journals Online (AJOL)

    L'analyse des paramètres qui entrent en jeu dans la détermination de l'efficacité photovoltaïque et l'étude de l'effet de la couche encapsulante d'alumine nous permettent d'entre voir que dans les techniques de fabrication des cellules organiques sur substrat souples à base de PCBM et du P3HT ; un dépôt à la tournette en ...

  9. Mental disorder as a risk factor for dog bites and post-bite cellulitis.

    Science.gov (United States)

    Yeh, Chun-Chieh; Liao, Chien-Chang; Muo, Chih-Hsin; Chang, Shih-Ni; Hsieh, Chi-Hsun; Chen, Fei-Na; Lane, Hsien-Yuan; Sung, Fung-Chang

    2012-11-01

    Patients with mental disorders are at an increased risk for sustaining traumatic injury. No study has evaluated the association between mental disorders and the injury of dog bite. We conducted case-control studies to investigate whether people with mental disorders are at elevated risks of dog bite and post-bite cellulitis. Using insurance data of 2000-2007, we compared 4660 patients with dog bites and 18,640 controls without the events for the association with mental disorders and other covariates. Amongst those with dog bites, a nested case-control study was performed to compare 286 patients with post-bite cellulites and rest of 4374 patients for factors associated with the infection. Young children, the older adults, and people with low socioeconomic status were at an elevated risk of sustaining the dog bite. In separate logistic regression models adjusting for socio-demographic variables, the results showed that patients with concomitant psychotic and non-psychotic mental disorders were associated with increased risks of dog bites (adjusted odds ratio [OR]=1.51, 95% confidence interval [CI]: 1.32-1.74) and of post-bite cellulitis (OR=2.13, 95% CI 1.46-3.10). Individuals with mental disorders are likely at an elevated risk for serious dog bites and post-bite cellulitis. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

  10. Longitudinal discharge trends and outcomes after hospitalization for mouth cellulitis and Ludwig angina.

    Science.gov (United States)

    Allareddy, Veerasathpurush; Rampa, Sankeerth; Nalliah, Romesh P; Allareddy, Veerajalandhar

    2014-11-01

    Objective is to provide longitudinal discharge trends and hospitalization outcomes in patients hospitalized because of mouth cellulitis or Ludwig angina. Nationwide Inpatient Sample for years 2004 to 2010 was used. All hospitalizations with primary diagnosis of cellulitis or Ludwig angina were selected. Discharge trends were examined. A total of 29,228 hospitalizations occurred as a result of mouth cellulitis/Ludwig angina; 55% of all hospitalizations were male patients; 68% were aged 21 to 60 years. Non-whites comprised close to 40%. The uninsured comprised 22.3%. Ninety-nine patients died in hospitals. The total hospitalization charges across the entire United States over the study period was $772.57 million. Factors associated with increased hospitalization charges included, age, co-morbid burden, insurance status, race, teaching status of hospital, and geographic location. Uninsured non-whites, those with high co-morbid burden, and those aged 21 to 60 years tended to be hospitalized consistently over the study period. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. European ST80 community-associated methicillin-resistant Staphylococcus aureus orbital cellulitis in a neonate

    Directory of Open Access Journals (Sweden)

    Tsironi Evangelia E

    2012-05-01

    Full Text Available Abstract Background Methicillin-resistant Staphylococcus aureus is a serious cause of morbidity and mortality in hospital environment, but also, lately, in the community. This case report is, to our knowledge, the first detailed description of a community-associated methicillin-resistant S. aureus ST80 orbital cellulitis in a previously healthy neonate. Possible predisposing factors of microbial acquisition and treatment selection are also discussed. Case presentation A 28-day-old Caucasian boy was referred to our hospital with the diagnosis of right orbital cellulitis. His symptoms included right eye proptosis, periocular edema and redness. Empirical therapy of intravenous daptomycin, rifampin and ceftriaxone was initiated. The culture of pus yielded a methicillin-resistant S. aureus isolate and the molecular analysis revealed that it was a Panton-Valentine leukocidine-positive ST80 strain. The combination antimicrobial therapy was continued for 42days and the infection was successfully controlled. Conclusions Clinicians should be aware that young infants, even without any predisposing condition, are susceptible to orbital cellulitis caused by community-associated methicillin-resistant S. aureus. Prompt initiation of the appropriate empirical therapy, according to the local epidemiology, should successfully address the infection, preventing ocular and systemic complications.

  12. Clinical profile and outcomes of management of orbital cellulitis in Upper Egypt.

    Science.gov (United States)

    Elshafei, Ahmed Mohamed Kamal; Sayed, Mohamed Farouk; Abdallah, Raafat Mohyeldeen Abdelrahman

    2017-12-01

    The purpose of this paper is to study the etiology, clinical findings, and outcomes of management of cases of orbital cellulitis treated in Minia University Hospital in Upper Egypt over the period of 6 years from July 2009 to July 2015. One-hundred two patients diagnosed to have orbital cellulitis were admitted to the hospital and treated on inpatient basis from July 2009 to July 2015. All patients were subjected to full ophthalmological examination, systemic evaluation, and ear, nose, and throat (ENT) consultation. Axial and coronal CT scan and orbital echography were done for all patients. All patients received medical treatments, and 20 patients needed surgical intervention. The source of infection was paranasal sinusitis in 66 patients, trauma in 14 cases, panophthalmitis in 6 patients, and dental infection in 2 cases, and no definite source was detected in 14 cases. Subperiosteal abscess (SPA) developed in 16 patients. The final best corrected visual acuity improved in 58% of the cases, decreased in 4%, and remained unchanged in 38% of cases. No intracranial complication was recorded. Good presenting visual acuity and appropriate medical treatment together with early surgical intervention in cases of SPA are important factors to achieve favorable outcomes in orbital cellulitis. All cases with SPA had paranasal sinusitis, and contrary to previous studies, superior SPA location was the most common followed by the medial location.

  13. Management of orbital cellulitis and subperiosteal orbital abscess in pediatric patients: A ten-year review.

    Science.gov (United States)

    Sciarretta, Vittorio; Demattè, Marco; Farneti, Paolo; Fornaciari, Martina; Corsini, Ilaria; Piccin, Ottavio; Saggese, Domenico; Fernandez, Ignacio Javier

    2017-05-01

    Pediatric periorbital cellulitis represents a common disease complicating a nasal infection. A ten-year retrospective review of fifty-seven children admitted to our institution with the diagnosis of periorbital cellulitis as a complication of sinus infections was carried out. The age varied from one month to eleven years (mean 3.9 years). Thirty-five were males (62%), while twenty-two were females (38%). Nine out of fifty-seven (15.8%) presented exophthalmos associated with eyelid erythema and edema, while the rest suffered mainly from eyelid erythema and edema. Twenty-two patients complaining of exophthalmos or not responding to medical therapy within 48 h were assessed with a computed tomography scan (38.6%). A subperiosteal orbital abscess was detected in nine cases and these patients underwent surgical drainage (15,8%). Recurrence of orbital infection occurred in three cases (5.3%). Medical management is the main treatment for both preseptal and postseptal orbital cellulitis. Nevertheless, there is no universally accepted guideline for the treatment of subperiosteal abscesses and each case should be treated accordingly. Urgent surgical drainage should be considered in cases not responding to adequate medical management, or those cases presenting visual deterioration. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Odontogenic orbital cellulitis associated with cavernous sinus thrombosis and pulmonary embolism: a case report.

    Science.gov (United States)

    Allegrini, D; Reposi, S; Nocerino, E; Pece, A

    2017-06-20

    This case illustrates the importance of prompt assessment and treatment of orbital cellulitis. In fact the ocular signs and symptoms may be associated with systemic complications which should be investigated and identified as soon as possible to avoid a poor prognosis. A 46-year-old white woman presented to our emergency room with proptosis, ophthalmoplegia, and conjunctival chemosis of her left eye. An ophthalmologist, having diagnosed orbital cellulitis in her left eye, suspected a cavernous sinus thrombosis. Hematochemical and radiological examinations confirmed the cavernous sinus thrombosis and also showed septic pulmonary embolism. A blood culture indicated Streptococcus constellatus, which is a member of the Peptostreptococcus family, a saprophyte of the oral mucosa that can be pathogenic in immunocompromised persons. The odontogenic origin was then confirmed by dental radiography which showed a maxillary abscess. Her eye signs regressed after antibiotic and anticoagulant therapy. This complex case shows the importance of a multidisciplinary approach for the management of orbital cellulitis, for the prompt diagnosis and treatment of eye injuries and possible complications, so as to avoid serious and permanent sequelae.

  15. Orbital Cellulitis Presenting as a First Sign of Incomplete Kawasaki Disease

    Directory of Open Access Journals (Sweden)

    Eren Çerman

    2013-12-01

    Full Text Available A 6-year-old boy was referred to our hospital with orbital cellulitis. He had a history of 7 days of fever despite antibiotherapy. At first, he only had pharyngitis and conjunctivitis, but then an orbital mass evolved which restricted the movement of his right eye and there was also periorbital inflammation resembling orbital cellulitis. Examination at presentation revealed conjunctivitis with secretion, periocular inflammation and edema, right-preauricular lymphadenopathy and restriction of upgaze in the right eye. Laboratory findings included a white blood cell count of 19,000 cells per mm3, with 81.5% neutrophils, 15.0% lymphocytes, 1.2% monocytes and 0.4% basophils. The erythrocyte sedimentation rate was 52 mm/h and the C-reactive protein level was 46.3 mg/dl. Magnetic resonance imaging confirmed orbital cellulitis and pansinusitis. Vancomycin (60 mg/kg/day and meropenem (100 mg/kg/day were administered, but desquamation on his fingertips and a rash appeared on the tenth day. A pediatric consultation resulted in a diagnosis of incomplete Kawasaki disease (KD. After administration of aspirin, the orbital inflammation regressed in 3 days. No coronary artery lesions were detected on the first echocardiography, but these did appear 6 weeks later. This confirmed the KD diagnosis.

  16. Successful endoscopic management with Mitomycin C application for sinusitis with orbital cellulitis

    Directory of Open Access Journals (Sweden)

    Anil S Harugop

    2013-01-01

    Full Text Available Background: Sinusitis with orbital complication is a potentially fatal disease that has been known since the days of Hippocrates. Primary sinus infection is the most common cause of orbital cellulitis. It is an emergency that threatens not only vision but also life from complications such as meningitis, cavernous sinus thrombosis, and brain abscess. Surgical intervention is mandatory whenever antibiotic treatment fails. There are two surgical options for the drainage, an external approach via a Lynch incision and an intranasal endoscopic procedure. Materials and Methods: Five patients with orbital cellulitis secondary to acute on chronic rhinosinusitis were included in the study from the period of 2010 - 2011. All five patients did not respond to medical management and hence underwent endoscopic sinus surgery with treatment of orbital pathology. At the end of the surgical procedure Mitomycin C in a concentration of 0.4mg/ml was applied with a cottonoid for a period of 4 minutes to prevent chance of adhesion formation. Results: In this series 3 females and 2 male patient with orbital cellulitis secondary to acute on chronic rhinosinusitis underwent endoscopic sinus surgery with treatment of orbital pathology. All 5 patients showed subjective and objective improvement within one week of endoscopic management. Conclusion: Though antibiotics have altered the course of sinusitis, its grave complications still persist in our environment. The excellent results and the absence of any major complications of endoscopic sinus surgery and drainage of abscess with application of Mitomycin C can be recommended as the preferred surgical technique.

  17. Le savant et le politique

    Directory of Open Access Journals (Sweden)

    Philippe Corcuff

    2011-07-01

    Full Text Available L’article s’efforce de reproblématiser de manière équilibrée la question épistémologique du rapport entre le savant et le politique, en trois étapes. Tout d’abord, il revient sur les complications weberiennes concernant « la neutralité axiologique », en ce qu’elles sont éloignées du neutralisme unilatéral défendu par Nathalie Heinich. Ensuite, il va puiser dans des ressources philosophiques chez Maurice Merleau-Ponty et dans des ressources sociologiques chez Norbert Elias afin de traiter de manière nuancée les relations distanciation/engagement dans la perspective d’une distanciation compréhensive. Enfin, il termine par quatre propositions épistémologiques synthétiques valorisant une autonomie de l’activité scientifique émancipée du scientisme.The scientist and the politicsThis article attempts to problematize in a balanced way the epistemological question of the relationship between the scientist and the politics in three steps. At first, it will discuss the weberian complications regarding “axiological neutrality” in its remoteness to the unilateral neutralism defended by Nathalie Heinich. Then, it will seek within Maurice Merleau-Ponty’s philosophical resources and Norbert Elias’ sociological resources in order to treat with nuance the distanciation/engagement relationship from a comprehensive distancing perspective. At last, it will end with four synthetic epistemological proposals valuing autonomous scientific activity, emancipated from scientism.El intelectual y el políticoEl articulo hace hincapié en la necesidad de plantear de manera equilibrada el tema epistemológico de la relación entre el intelectual y el político. Puede efectuarse en tres etapas. En primer lugar el autor subraya la preocupación weberiana por la « neutralidad axiológica » en la medida en que es opuesta a la neutralidad unilateral de Nathalie Heinich. Seguidamente se apoya en los recursos filosóficos de Merleau

  18. 1910 - Le mouchoir

    NARCIS (Netherlands)

    Winkler, M.F.

    2015-01-01

    Une histoire littéraire buissonnière. Ainsi pourrait-on qualifier le parcours original auquel nous convie cet ouvrage, qui propose une lecture insolente et insolite de cinquante années de littérature – de 1900 à 1950 – par le prisme des objets. Objets de tous les jours comme le tabac, le vélo ou le

  19. C-Reactive Protein As a Marker for Initiating Steroid Treatment in Children With Orbital Cellulitis.

    Science.gov (United States)

    Davies, Brett W; Smith, Jesse M; Hink, Eric M; Durairaj, Vikram D

    2015-01-01

    To determine both the benefit of systemic steroids in pediatric patients with orbital cellulitis and to assess the usefulness of C-reactive protein (CRP) levels as a marker for starting steroids. Prospective, comparative interventional study. Pediatric patients aged 1 to 18 years admitted to a tertiary care children's hospital with a diagnosis of orbital cellulitis from October 2012 to March 2014 were included in the study. All patients were treated with intravenous antibiotics, and patients with subperiosteal abscess who met previously published criteria for surgical decompression underwent combined transorbital drainage and/or endoscopic sinus surgery. CRP was measured daily as a biomarker of inflammation, and when below 4 mg/dl, patients were started on oral prednisone 1 mg/kg per day for 7 days. Patients whose families did not consent to steroid treatment served as the control group. Patients were followed after discharge until symptoms resolved and all medications were discontinued. Thirty-one children were diagnosed with orbital cellulitis during the study period. Of these 31 children, 24 received oral steroids (77%) and 7 did not (23%). There were 19 males and 5 females in the steroid group with an average age of 8.1 years, and 6 males and 1 female in the nonsteroid group with an average age of 7.1 years (p = 0.618). Thirteen patients (54%) in the steroid group and 2 patients (29%) in the nonsteroid group underwent sinus surgery with or without orbitotomy (p = 0.394). The average CRP at the onset of steroid treatment was 2.8 mg/dl (range: 0.5-4). Patients who received oral steroids were admitted for an average of 3.96 days. In comparison, patients who did not receive steroids were admitted for an average of 7.17 days (p orbital cellulitis. Futhermore, this is the first study to suggest a standardized starting point (CRP ≤ 4 mg/dl) and dosing schedule (oral prednisone 1 mg/kg for 7 days) for children with orbital cellulitis. Patients who received

  20. Le satrape de Bactriane et son gouverneur. Documents araméens du ive s. avant notre ère provenant de Bactriane. Conférences données au Collège de France 14 et 21 mai 2003. Paris, de Boccard, 2004, 62 p.

    OpenAIRE

    Boucharlat, Rémy

    2007-01-01

    L’A. livre une étude préliminaire déjà fouillée d’une extraordinaire série de documents sur cuir traitant de la Bactriane à la fin de l’époque achéménide. Selon les marchands, ces documents issus d’une même archive proviendraient de cette région d’Afghanistan. Une partie de ces lettres sont des brouillons que le satrape de Bactriane a dû expédier à un subordonné dans une ville de la province au sujet de l’administration de propriétés. D’autres lettres sont des correspondances entre des hauts ...

  1. Le budget total du CERN restera plus ou moins constant

    CERN Multimedia

    Van der Boon, J E

    2002-01-01

    The Director of Administration at CERN has written to the paper following an article titled "Licenciements chez les sous-traitants du CERN" : dismissals amongst CERN sub-contractors. As the CERN budget will remain constant and a greater part will be devoted to building the LHC, changes will be made to staffing balances (0.5 page)

  2. Le vieillard et le chevalier

    Directory of Open Access Journals (Sweden)

    Mélanie JECKER

    2010-05-01

    Full Text Available La fin du Moyen Âge fascine. Deux facteurs principaux expliquent l’attraction qu’exerce cette période : elle apparaît d’une part comme un moment historique riche car double, phase de transition entre le Moyen Âge et la Renaissance, où se mêlent des cadres de représentation anciens et nouveaux. L’insinuation d’une pensée humaniste balbutiante s’y traduirait notamment par l’émergence de la notion d’individu, qui constitue l’un des objets de ce travail. Il faut invoquer, d’autre part, l’image macabre d’un bas Moyen Âge hanté par l’idée de la maladie et de la mort depuis l’épidémie de peste noire de 1348, obsédé par la brièveté de la vie humaine. Ces deux facettes de « l’automne du Moyen Âge » tel que l’évoque avec poésie Joan Huizinga sont-elles autre chose qu’une plaisante image d’Epinal? Cette étude cherche précisément à déterminer le degré de validité de ces deux topiques, à travers l’analyse de la représentation des âges de la vie dans un corpus bien défini, celui de la biographie chevaleresque castillane du XVe siècle. L’intérêt porté à l’individu, la conscience de la singularité impliquent en effet celle du caractère mouvant de la personne, or quel thème mieux que celui des âges permet de confirmer ou d’infirmer l’hypothèse du surgissement d’une nouvelle manière de concevoir l’homme, proprement « renaissante », en ce siècle de transition , La nature même du corpus retenu – des récits biographiques – suggère en effet une mutation dans l’appréhension de la personne, une attention prêtée à sa progressive transformation. L’étude de la représentation de la vieillesse, en particulier, révèle non seulement à quel point était alors réelle cette prétendue obsession de la déchéance physique et de la mortalité, mais aussi dans quelle mesure étaient soulignés et valorisés les changements individuels parallèles à l

  3. Réactivation d'hépatite virale B chez un patient traité pour lymphome non hodgkinien B diffus à grandes cellules par rituximab: à propos d'un cas

    Science.gov (United States)

    Houssou, Bienvenu; Massi, Romaric Mahutondji; Camara, Marième; Mifdal, Hassan; Nourichafi, Nadia; Zafad, Saadia; Oukkache, Bouchra

    2015-01-01

    La réactivation du virus de l'hépatite B est secondaire à une diminution de l'immunité de l'hôte et peut être suivie d'une poussée d'hépatite aigue potentiellement mortelle. Nous rapportons le cas d'un patient D.H, 47 ans, sexe masculin, AgHBs négatif, jamais transfusé, jamais vacciné contre l'hépatite B qui avait présenté en mars 2013 un LNH B diffus à grandes cellules stade IV par moelle. Traité par 8 cures R-CHOP, il était en rémission complète clinique et paraclinique. Neuf mois après, il fait une rechute de son lymphome classé stade III, associée à une hépatite virale B en réplication virale (18.000 copies/mL): réactivation virale B chez porteur occulte traité avec entécavir 0.5mg par jour pendant 6 mois, l'ADN du VHB était indétectable en fin de traitement. Il avait reçu deux cures de DHAP puis deux cures R-DHAP avec une rémission complète. Lors du recueil des cellules souches en vue de l'autogreffe, l'AgHBs est à nouveau positif. Il a été greffé le 12/01/2015 et continue son traitement antiviral pour 6 mois encore. PMID:26664523

  4. le des cellules immunitaires et effet des cannabinoïdes dans la physiopathologie des maladies à prions

    OpenAIRE

    Cordier-Dirikoc, Sevda

    2008-01-01

    The key event in prion diseases is the conversion of the cellular prion protein (PrPc) into a pathological and proteolysis-resistant isoform, named PrPres. PrPres is responsible for both neuropathogenesis and transmissibility of the disease. The search for molecules able to inhibit its formation in the brain is potentially a therapeutic strategy. Cannabidiol, a non psycho-active component of Cannabis Sativa, inhibits PrPres formation in vitro and in vivo and significantly prolongs the surviva...

  5. Sous type rare du cancer de prostate: Le carcinome sarcomatoide

    Directory of Open Access Journals (Sweden)

    A. Qarro

    2014-03-01

    Full Text Available Le carcinome sarcomatoide (CS est une tumeur rare (<0,1% des cancers primitifs de la prostate. Elle a une double composante épithéliale correspondant à un adénocarcinome très peu différencié, et mésenchymateuse faite de cellules fusiformes. Ceci à des taux variables. Cliniquement, elle se traduit par des troubles urinaires du bas appareil avec un PSA normal. Macroscopiquement, c’est une tumeur de couleur gris blanc à rose avec zones d’hémorragie. Le diagnostic est histologique avec à l’immunohistochimie: les CS sont uniformément positifs à la vimentine et souvent positifs à la cytokératine et l’antigène membranaire épithélial. Le traitement est essentiellement chirurgical qui peut aller de la simple résection de la prostate jusqu’à l’exentération pelvienne associée ou non à la chimiothérapie ou à la radiothérapie. Le pronostic est très mauvais avec 20% de risque de décès la première année qui suit le diagnostic. Nous rapportons une observation d’un patient de 90 ans chez qui on a découvert fortuitement un carcinome sarcomatoide après résection endoscopique de la prostate et qui est décédé deux mois après des suites de sa maladie. A travers cette observation nous discutons les aspects diagnostiques, thérapeutiques et pronostiques de cette tumeur exceptionnelle.

  6. PCR offers no advantage over culture for microbiologic diagnosis in cellulitis.

    Science.gov (United States)

    Johnson, K E; Kiyatkin, D E; An, A T; Riedel, S; Melendez, J; Zenilman, J M

    2012-10-01

    Most cases of cellulitis are traditionally attributed to β-hemolytic Streptococcus and Staphylococcus species, although in most cases, no organism is identified. Development of PCR using the conserved bacterial 16 S rRNA DNA permits identification of bacteria independent of conventional culture approaches and prior use of antibiotics. We used PCR-based techniques to identify cellulitis etiology using aspirate samples from affected skin. Saline was infiltrated and aspirated at the site of greatest erythema or at the cellulitic border. Samples were tested for 16 S rRNA DNA, and organism-specific probes used to identify bacteria commonly seen in skin infections. Aspirates from 32 patients were studied, and 16 S rRNA DNA was detected in nine of these patient samples (28.1%). Bacterial species were identified by PCR methods in six of these nine samples (66.6%), with S. aureus and methicillin-resistant S. aureus (MRSA) identified in four and two, respectively, of these samples. Of the patients with positive aspirate bacterial cultures (3/9, 33.3%), S. aureus and coagulase-negative Staphylococcus (CoNS) were present on cultures of two of the three (both 66.6%) positive samples. Only in one of the three positive bacterial cultures did the PCR method detect the same organism as was detected by culture. Among patients with positive provider-collected clinical cultures, MRSA was the predominant organism (11/18, 61.1%) and when present, it was found as the sole organism. Where S. aureus or Streptococcus species were detected by molecular methods, clinical cultures yielded a positive result as well. PCR-based techniques do not appear to be more sensitive than aspirate cultures for the detection of pathogens in cellulitis.

  7. [Orbital complication of acute sinusitis : Orbital cellulitis in a 10-year-old child].

    Science.gov (United States)

    Bajor, A; Lang, C P; Bültmann, E; Framme, C; Hufendiek, K

    2017-04-01

    Bacterial orbital cellulitis is a life-threatening infection of the postseptal orbital tissue. It can occur in the context of sinusitis, particularly in children and adolescents. Ocular complications include exposure keratopathy, increased intraocular pressure, occlusion of the central retinal artery or vein and optic neuropathy. Rarely, a subperiosteal abscess can occur, and osteomyelitis can lead to spread of the infection to the cerebrum. A rapid diagnosis and targeted therapy are essential for saving the eye as well as the life of the patient.

  8. Clinical implications of microbial biofilms in chronic rhinosinusitis and orbital cellulitis.

    Science.gov (United States)

    Nayak, Niranjan; Satpathy, Gita; Prasad, Sujata; Thakar, Alok; Chandra, Mahesh; Nag, T C

    2016-09-21

    Discovery of sessile mode of microbial existence (Biofilm state) focussed much interest, during the recent years, on the study of biofilms in many recurring and chronic infections. However, the exact role of microbial biofilms in chronic rhinosinusitis and orbital cellulitis were not elucidated earlier. The purpose of the present study was to look for the adherent property and biofilm producing ability of the clinical isolates in chronic rhinosinusitis and orbital cellulitis, and to look for the effects of antimicrobial agents on these biofilms by colorimetric assay and ultrastructural analysis. Organisms were isolated and identified from various clinical samples in patients with chronic sinusitis and orbital cellulitis. Antimicrobial sensitivity testing was carried out by the standard protocol. Biofilms were developed; quantified and antimicrobial drug perfusion through the biofilm model was evaluated by the earlier devised procedure. Electronmicroscopic study of the biofilm was performed by the recommended technique. Of the total of 70 clinical samples processed, 48 i.e. 68.5 % grew bacteria and 13 i.e.(18.6 %) fungi. Staphylococcus aureus (20), S epidermidis (16) and Pseudomonas aeruginosa (6) accounted for the majority of the bacterial isolates. Aspergillus flavus (8), however was the commonest amongst the fungi. A total of 40 bacteria and 8 fungi could be tested for biofilm production. Eighteen (45 %) of the 40 bacterial isolates and 4(50 %) out of the 8 A flavus isolates were found to be biofilm producers. In vitro adherence testing revealed that majority i.e. 16 (88.8 %) of the 18 biofilm positive bacteria were adherent to artificial surfaces. Antimicrobial drug perfusion through the biofilm model was poor. Antimicrobial treatment was totally ineffective against strong biofilm producers, whose electron microscopic picture was quite similar to that observed for biofilm producers without any antimicrobial pre-treatment. Filamentous fungi, like bacteria

  9. Serratia marcescens Bullous Cellulitis in a Splenectomized Patient: A Case Report and Review of the Literature.

    Science.gov (United States)

    Fournier, John B; Dabiri, Ganary; Thomas, Vinod; Skowron, Gail; Carson, Polly; Falanga, Vincent

    2016-06-01

    Serratia marcescens is a Gram-negative bacillus belonging to the Enterobacteriaceae family. Cutaneous infection with Serratia is rare, and usually occurs in immunocompromised individuals. Primary cutaneous infections are uncommon, but they are typically severe and are associated with significant morbidity and mortality. The pathogenetic factors leading to S. marcescens infection are not fully understood, but contributing virulence factors include proteases, secreted exotoxins, and the formation of biofilm. We report a case of cellulitis occurring in a splenectomized patient, which led to multiple wound debridements and a transmetatarsal amputation. This dramatic case led us to review the published literature on soft tissue infections caused by S. marcescens. © The Author(s) 2016.

  10. Poor Dental Hygiene in Pregnancy Leading to Submandibular Cellulitis and Intrauterine Fetal Demise: Case Report and Literature Review

    Science.gov (United States)

    Mukherjee, Soma; Sharma, Surbhi; Maru, Laxmi

    2013-01-01

    Ludwig's angina is an infectious process involving submandibular, sublingual, and submental spaces that can rapidly progress to hemodynamic instability and airway obstruction. A 38-year-old unbooked multipara of low socioeconomic status with a poor oral and dental hygiene presented with bilateral submandibular cellulitis and intrauterine fetal demise. She delivered vaginally, and subsequently drainage was done for cellulitis. The report highlights the importance of dental hygiene during pregnancy, lest life-threatening complications like Ludwig's angina occur, complicating the course of pregnancy. PMID:23930173

  11. [A study on the relationship between postmortem interval and the changes of DNA content in the kidney cellule of rat].

    Science.gov (United States)

    Liu, L; Peng, D B; Liu, Y; Deng, W N; Liu, Y L; Li, J J

    2001-05-01

    To study changes of DNA content in the kidney cellule of rats and relationship with the postmortem interval. This experiment chose seven parameter of cell nuclear, including the area and integral optical density, determined the changes of DNA content in the kidney cellule of 15 rats at different intervals between 0 and 48 h postmortem with auto-TV-image system. The degradation rate of DNA in nuclear has a certainty relationship to early PMI(in 48 h) of rat, and get binomial regress equation. Determining the quantity of DNA in nuclear should be an objective and exact way to estimate the PMI.

  12. Poor dental hygiene in pregnancy leading to submandibular cellulitis and intrauterine fetal demise: Case report and literature review

    Directory of Open Access Journals (Sweden)

    Soma Mukherjee

    2013-01-01

    Full Text Available Ludwig′s angina is an infectious process involving submandibular, sublingual, and submental spaces that can rapidly progress to hemodynamic instability and airway obstruction. A 38-year-old unbooked multipara of low socioeconomic status with a poor oral and dental hygiene presented with bilateral submandibular cellulitis and intrauterine fetal demise. She delivered vaginally, and subsequently drainage was done for cellulitis. The report highlights the importance of dental hygiene during pregnancy, lest life-threatening complications like Ludwig′s angina occur, complicating the course of pregnancy.

  13. Le Valais bilingue

    Directory of Open Access Journals (Sweden)

    Mathieu Petite

    2010-09-01

    Full Text Available Le Valais est l’un des trois cantons bilingues de la Suisse. 63 % de sa population parle le français dans la partie ouest du canton et 28 % l’allemand dans sa partie est. Ce « plurilinguisme de juxtaposition » (pour reprendre le terme d’André-Louis Sanguin dans sa Géographie politique de la Suisse soulève des questions politiques et sociales qu’ambitionne de traiter l’ouvrage des linguistes Iwar Werlen, Verena Tunger et Ursula Frei. Le constat auquel aboutit cette recherche sur le bilinguism...

  14. CD56 negative extranodal NK/T-cell lymphoma of the orbit mimicking orbital cellulitis.

    Science.gov (United States)

    Pine, Ryan R; Clark, Jeremy D; Sokol, Jason A

    2013-02-01

    To report a case of Extranodal NK/T-cell lymphoma of the orbit mimicking orbital cellulitis. A 52-year-old healthy male presented to our institution after 3 months of treatment for sinusitis with antibiotics and steroids. The patient was transferred due to the presence of an "orbital abscess" on CT with orbital signs that not responding to antibiotics. Clinical examination was significant for decreased vision in the affected orbit of 20/50, a trace RAPD OS, elevated IOP of 30 OS, proptosis and grossly decreased motility with diplopia, periorbital edema and chemosis. Dilated funded exam was unremarkable. CT imaging demonstrated a left sided pan-sinusitis, a medial "orbital process" with proptosis and erosion of the cribiform plate. The patient was taken for an emergent orbital exploration for histopathologic diagnosis. Intraorbital and sinus biopsy was consistent with extranodal NK/T-cell lymphoma, with extension into the skull base and left orbital space. The patient was started on radiation therapy followed by chemotherapy. The authors demonstrate how the acute presentation of an aggressive extranodal NK/T-cell lymphoma can present in a similar fashion as orbital cellulitis. Additionally, the case highlights that a unilateral pansinusitis with involvement of the skull base and orbit is likely due an aggressive malignant process in an immune competent patient.

  15. Extranodal natural killer/T-cell lymphoma presenting as orbital cellulitis

    Directory of Open Access Journals (Sweden)

    Zuhaimy, Hanis

    2017-02-01

    Full Text Available Objective: To report an aggressive case of extranodal natural killer lymphoma (NKTCL of the ethmoid sinus presenting as orbital cellulitisMethod: Case reportResults: A 56-year-old male presented with right eye redness, reduced vision, and periorbital swelling for 5 weeks duration associated with a two-month history of blocked nose. The visual acuity of the right eye was 6/18. The eye was proptosed with periorbital oedema and conjunctival chemosis. The pupil was mid-dilated but there was no relative afferent pupillary defect. The fundus was normal. The extraocular movements were restricted in all directions of gaze. Nasal endoscopy revealed pansinusitis that corresponded with CT scan orbit and paranasal sinuses findings. Despite treatment, he showed no clinical improvement. Ethmoidal sinus biopsies performed revealed extranodal NKTCL. Further imaging showed involvement of the right orbital contents and its adnexa with intracranial extension into the right cavernous sinus and meninges over right temporal fossa. The patient underwent chemotherapy. However he succumbed to his illness two months after the diagnosis.Conclusion: Extranodal NKTCL is a great mimicker. This case demonstrated how an acute initial presentation of extranodal NKTCL can present as orbital cellulitis with pansinusitis.

  16. Extranodal natural killer/T-cell lymphoma presenting as orbital cellulitis.

    Science.gov (United States)

    Zuhaimy, Hanis; Aziz, Hayati Abdul; Vasudevan, Suresh; Hui Hui, Siah

    2017-01-01

    Objective: To report an aggressive case of extranodal natural killer/T-cell lymphoma (NKTCL) of the ethmoid sinus presenting as orbital cellulitis Method: Case report Results: A 56-year-old male presented with right eye redness, reduced vision, and periorbital swelling for 5 weeks duration associated with a two-month history of blocked nose. The visual acuity of the right eye was 6/18. The eye was proptosed with periorbital oedema and conjunctival chemosis. The pupil was mid-dilated but there was no relative afferent pupillary defect. The fundus was normal. The extraocular movements were restricted in all directions of gaze. Nasal endoscopy revealed pansinusitis that corresponded with CT scan orbit and paranasal sinuses findings. Despite treatment, he showed no clinical improvement. Ethmoidal sinus biopsies performed revealed extranodal NKTCL. Further imaging showed involvement of the right orbital contents and its adnexa with intracranial extension into the right cavernous sinus and meninges over right temporal fossa. The patient underwent chemotherapy. However he succumbed to his illness two months after the diagnosis. Conclusion: Extranodal NKTCL is a great mimicker. This case demonstrated how an acute initial presentation of extranodal NKTCL can present as orbital cellulitis with pansinusitis.

  17. Sinonasal Melioidosis in a Returned Traveller Presenting with Nasal Cellulitis and Sinusitis

    Directory of Open Access Journals (Sweden)

    Rebecca Sin Mei Lim

    2013-01-01

    Full Text Available We illustrate a case involving a 51-year-old man who presented to a tertiary hospital with sepsis secondary to an abscess of the nasal vestibule and pustular eruptions of the nasal mucosa. Associated cellulitis extended across the face to the eye, and mucosal thickening of the sinuses was seen on computed tomography. The patient underwent incision and drainage and endoscopic sinus surgery. Blood cultures and swabs were positive for a gram-negative bacillus, Burkholderia pseudomallei. He had multiple risk factors including travel to an endemic area. The patient received extended antibiotic therapy in keeping with published national guidelines. Melioidosis is caused by Burkholderia pseudomallei, found in the soil in Northern Australia and Asia. It is transmitted via cutaneous or inhaled routes, leading to pneumonia, skin or soft tissue abscesses, and genitourinary infections. Risk factors include diabetes, chronic lung disease, and alcohol abuse. It can exist as a latent, active, or reactivated infection. A high mortality rate has been identified in patients with sepsis. Melioidosis is endemic in tropical Northern Australia and northeastern Thailand where it is the most common cause of severe community-acquired sepsis. There is one other report of melioidosis in the literature involving orbital cellulitis and sinusitis.

  18. A pilot cross-sectional study of patients presenting with cellulitis to emergency departments.

    LENUS (Irish Health Repository)

    Quirke, M

    2014-11-01

    To characterise the Emergency Department (ED) prevalence of cellulitis, factors predicting oral antibiotic therapy and the utility of the Clinical Resource Efficiency Support Team (CREST) guideline in predicting patient management in the ED setting, a prospective, cross-sectional study of consecutive adult patients presenting to 3 Irish EDs was performed. The overall prevalence of cellulitis was 12 per 1,000 ED visits. Of 59 patients enrolled, 45.8% were discharged. Predictors of treatment with oral antibiotics were: CREST, Class 1 allocation (odds ratio (OR) 6.81, 95% Cl =1.5-30.1, p=0.012), patient self-referral (OR= 6.2, 95% Cl 1.9- 20.0, p=0.03) and symptom duration longer than 48 hours (OR 1.2, 95% Cl = 1.0-1.5,p=0.049). In conflict with guideline recommendation, 43% of patients in CREST Class 1 received IV therapy. Treatment with oral antibiotics was predicted by CREST Class 1 allocation, self-referral, symptom duration of more than 48 hours and absence of pre-EO antibiotic therapy.

  19. Combination of cyclosporin A and prednisolone for juvenile cellulitis concurrent with hindlimb paresis in 3 English cocker spaniel puppies.

    Science.gov (United States)

    Park, Chul; Yoo, Jong-Hyun; Kim, Ha-Jung; Kang, Byeong-Teck; Park, Hee-Myung

    2010-11-01

    Three 7-week-old, English cocker spaniel littermates were diagnosed as having juvenile cellulitis with concurrent neurologic signs based on history, histopathology, and therapeutic response. The puppies were treated with cyclosporin A and prednisolone. Skin lesions and hindlimb paresis improved following treatment.

  20. Campylobacter fetus Bacteremia Revealed by Cellulitis without Gastrointestinal Symptoms in the Context of Acquired Hypogammaglobulinemia: A Report of Three Cases

    Directory of Open Access Journals (Sweden)

    Souleymane Brah

    2011-01-01

    Full Text Available Campylobacter fetus bacteremia is rare and occurs mainly in patients with immunosuppression. This infection, which often involves secondary localizations has already been reported in some primary humoral immune deficiencies. We describe three cases of severe infection due to C. fetus with cellulitis at presentation, but without any gastrointestinal symptoms, occurring in patients with acquired hypogammaglobulinemia.

  1. Le CRDI en Colombie

    International Development Research Centre (IDRC) Digital Library (Canada)

    les populations locales font confiance aux institutions une fois le conflit armé terminé. □ les jeunes peuvent mieux faire face à la pauvreté et au racisme. Soutien accordé par le CRDI depuis 1973. 260 activités de recherche. 39 millions CAD. Des travaux subventionnés par le CRDI ont aidé une fondation à intégrer Internet.

  2. Step-by-step iconographic description of a prolonged but still favourable course of orbital cellulitis in a child with acute rhinosinusitis: an iconographic case study.

    Science.gov (United States)

    Torretta, Sara; Marchisio, Paola; Gaffuri, Michele; Capaccio, Pasquale; Esposito, Susanna; Pignataro, Lorenzo

    2014-03-04

    Orbital cellulitis is an infrequent complication of acute ethmoiditis possibly leading to life- or visual-threatening complications. Despite its natural history is well known, its clinical evolution may widely vary among patients, and even in the most favourable cases long-term sequelae may persist. We here provide a step-by-step iconographic description of a periorbital and orbital cellulitis occurring in a child with ipsilateral acute rhinosinusitis. Our report shows that an unusual long-term evolution of periorbital and orbital cellulitis is possible also in apparently favourable cases.

  3. 8. Le TGV et le canal

    OpenAIRE

    Fortier, Agnès

    2013-01-01

    7. Le TGV près du Creusot Une double rame du tgv Sud-Est se dirige vers Paris. Elle vient de franchir le viaduc du canal du Centre qui longe l’un de ses réservoirs d’alimentation, l’étang de Longpendu, visible sur la droite. Elle croise la voie « plm » dont on note le discret ballast en avant de l’étang. Plusieurs lignes à très haute tension partent d’un important équipement de répartition tout proche. L’une d’elles sert notamment à l’alimentation du tgv. La photographie est prise d’un des ra...

  4. Le Bon, Gustave

    DEFF Research Database (Denmark)

    Borch, Christian

    2017-01-01

    Gustave Le Bon (1841–1931) was a French physician and crowd psychologist who published extensively on themes such as crowds, war, race, revolution, socialism, and war. His work on crowd psychology in particular was highly influential, including beyond scholarly circles. Le Bon argued that crowds...

  5. Orbital cellulitis

    Science.gov (United States)

    ... helps prevent this infection. The bacteria Staphylococcus aureus , Streptococcus pneumoniae , and beta-hemolytic streptococci may also cause ... at the base of the brain) Hearing loss Septicemia or blood infection Meningitis Optic nerve damage and ...

  6. Cemento-ossifying Fibroma Of Paranasal Sinus Presenting Acutely As Orbital Cellulitis.

    Science.gov (United States)

    Khanna, Maneesh; Buddhavarapu, Shanker Rao; Hussain, Sheik Akbar; Amir, Emran

    2009-01-01

    Fibro-osseous lesions of the face and paranasal sinuses are relatively uncommon. These lesions have overlapping clinical, radiologic and pathologic features causing difficulty in diagnosis. Neoplastic fibro-osseous paranasal sinus lesions can be benign or malignant. The benign fibro-osseous lesions described are: ossifying fibroma (and its histologic variants) and fibrous dysplasia. The variants of ossifying fibroma differ in the nature of calcified material (i.e. cementum versus bone), in the location of the lesion (oral versus paranasal sinus or orbital), other morphologic variations (presence of psammomatoid concretions) and biologic behavior (aggressive versus stable). Presence of cementum or bone classifies the lesion as cementifying fibroma or ossifying fibroma respectively while lesions with mixture of both cementum and bone are called cemento-ossifying fibroma. We describe a case of a young adult male with cemento-ossifying fibroma of paranasal sinus presenting acutely as left orbital cellulitis with proptosis.

  7. Delayed resolution of eyelid swelling in preseptal cellulitis in a child: beware of causing occlusion amblyopia

    Science.gov (United States)

    Upendran, Muralidharan R; McLoone, Eibhlin

    2013-01-01

    A 7-month-old child presented with a 6-day history of right eyelid swelling and redness. She was being treated with chloramphenicol ointment and oral flucloxacillin by the general practitioner. Clinical examination revealed features of preseptal cellulitis. There was no evidence of orbital involvement and the child was generally well otherwise. Her oral antibiotics were changed and she was adviced to attend for a review in 2 days time. However, the child did not return for a review. Three weeks later following resolution of the eyelid swelling, the child represented with a divergent squint in the right eye. Clinical and orthoptic investigations suggested occlusion amblyopia. The child is currently receiving patching treatment for the amblyopia and is awaiting surgery for squint eye. PMID:23476010

  8. Central retinal artery occlusion secondary to orbital cellulitis and abscess following dacryocystitis.

    Science.gov (United States)

    Coşkun, Mesut; Ilhan, Özgür; Keskin, Uğurcan; Ayintap, Emre; Tuzcu, Esra; Semiz, Hilal; Öksüz, Hüseyin

    2011-01-01

    To report a case of dacryocystitis that progressed to orbital abscess resulting in the rare complication of central retinal artery occlusion. A patient without any other known health problems presented with dacryocystitis complicated by orbital cellulitis, orbital abscess, and finally central retinal artery occlusion despite medical treatment. After 48 hours of medical treatment, there was no recovery, and there was loss of light perception; because of this, surgery indication was determined. Fundus fluorescein angiogram demonstrated findings of central retinal artery occlusion. There was no recovery of light perception after surgical intervention. We report a case of orbital abscess following dacryocystitis in a healthy middle-aged woman resulting in the rare complication of central retinal artery occlusion. To our knowledge, this is the first report of central retinal artery occlusion secondary to orbital abscess following dacryocystitis.

  9. The acute orbit: Differentiation of orbital cellulitis from subperiosteal abscess by computerized tomography

    Energy Technology Data Exchange (ETDEWEB)

    Handler, L.C.; Davey, I.C. (Groote Schuur Hospital, Cape Town (South Africa). Dept. of Neuroradiology Cape Town Univ. (South Africa)); Hill, J.C.; Lauryssen, C. (Groote Schuur Hospital, Cape Town (South Africa). Dept. of Ophthalmology Cape Town Univ. (South Africa))

    1991-02-01

    A series of 65 patients suffering from acute inflammatory disease of the orbit was studied by CT. Ethmoiditis was the cause in the vast majority; trauma and dental extraction played a lesser role in causation. Orbital cellulitis was diagnosed in 17 and subperiosteal abscess in the remaining 48. It was not possible to differentiate 33 pus-containing abscesses from the six with inflammatory masses (phlegmons). The satisfactory response to aggressive medical treatment in those patients with inflammatory masses that were not drained justifies a more conservative approach; surgical drainage being reserved for those with a deterioration in proptosis, ocular movements or vision. Six abscesses arose de novo, of which some were in the orbital fat rather than the subperiosteal space. (orig.).

  10. Coexistence of cellulitis and primary peritonitis in a pediatric patient with nephrotic syndrome: A case report

    Directory of Open Access Journals (Sweden)

    Luisa Lagos

    2017-05-01

    Full Text Available Nephrotic syndrome is a chronic disease that increases the risk of skin, respiratory and urinary tract infection, while also increasing the chance for other diseases, like peritonitis and meningitis. A four year old patient with a history of nephrotic syndrome was admitted to emergency room (ER with the following symptoms: abdominal pain, fever, diarrhea and vomiting, associated to abdominal wall erythema, abdominal distension and peritoneal signs. In order to make a differential diagnosis of the infection, peritoneal fluid was extracted and, according to the characteristics found, treatment with broad-spectrum antibiotics was started. Cases in which different infections like pneumonia, abdominal wall peritonitis and cellulitis occur simultaneously have been reported rarely. Early diagnosis and dismissal of other causes of acute abdominal pain, as well as early introduction of antibiotics are fundamental in the treatment of these kind of infections.

  11. Le peuple Rimbaud

    OpenAIRE

    Bertrand, Jean-Pierre,

    2016-01-01

    Le « peuple Rimbaud » et non le peuple « de » Rimbaud ou, pire, le peuple « chez » Rimbaud. C’est pour éviter une approche purement sémantique ou thématique que j’ai préféré ce titre qui annonce en effet une tentative de saisir la manière dont Rimbaud s’approprie, en poésie – en vers et/ou en prose – le sens commun du mot « peuple ». Le peuple Rimbaud désignerait, dans cette perspective, la construction qui se propose dans l’œuvre du poète de ce concept « holiste », comme disent les concepteu...

  12. KONARKA ANNONCE LA TOUTE PREMIÈRE DÉMONSTRATION DE FABRICATION DE CELLULES SOLAIRES PAR IMPRESSION À JET D'ENCRE

    National Research Council Canada - National Science Library

    2008-01-01

    ... de polymère sur des surfaces importantes. La démonstration de Konarka confirme que les technologies d'impression permettent de traiter les cellules solaires organiques moyennant des pertes minimales ou nulles par rapport...

  13. True abscess formation is rare in bacterial orbital cellulitis; consequences for treatment.

    Science.gov (United States)

    Van der Veer, Eline G; van der Poel, Nicolien A; de Win, Maartje M L; Kloos, Roel J; Saeed, Peerooz; Mourits, Maarten P

    Pre- or retroseptal bacterial orbital cellulitis (pOC/rOC) is not an uncommon orbital disease. Treatment consists of antibiotics with or without surgical drainage. Several questions regarding course, complications and outcome of treatment are unanswered and the indication for surgery is not well defined. The aim of this study is to: 1. describe the outcome of orbital cellulitis (OC) in a large cohort, 2. assess the significance of Chandler's classification, 3. assess the incidence of abscess formation in OC, and 4. redefine criteria for surgery. Retrospective case series of patients with OC seen between 1-1-2007 and 1-1-2014 in a tertiary referral center. Sixty-eight patients presented with (presumed) bacterial pOC. Two out of these 68 developed rOC. All 68 patients had a full recovery. Forty-eight patients presented with rOC. Four out of 48 (8%) had intracranial extension of the infection at the time of admission. No admitted patient developed distant seeding. Only four (8%) patients with rOC had a true orbital abscess. In the other 92% we found a diffuse orbital inflammation or a subperiosteal empyema. Forty-four (92%) patients with rOC had a full recovery. 1. The prognosis of both pOC and rOC nowadays is generally favorable. 2. Chandler's classification is of little use. 3. True abscess formation in OC is rare. 4. The indication for surgical intervention must be based on the clinical presentation and the assessment of true orbital abscess formation. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. STIMULATION PAR LES CYTOKININES DE L’ACCUMULATION ALCALOÏDIQUE DANS DES SUSPENSIONS CELLULAIRES: IMPLICATION DE L’ETHYLENE COMME SECOND MESSAGER ?

    Directory of Open Access Journals (Sweden)

    A YAHIA

    1999-12-01

    Full Text Available Dans ce travail, nous avons cherché à savoir si l’éthylène pouvait être impliquée lors de la stimulation de la production alcaloïdique par les cytokinines dans les suspensions cellulaires de Catharanthus roseus. La stratégie expérimentale a été double: 1 modifier les teneurs en éthylène endogène en traitant les cellules par différents agonistes ou antagonistes de la voie de biosynthèse de l’éthylène, 2 soumettre les cellules à des apports exogène d’éthylène.      Les résultats obtenus montrent que les inhibiteurs de l’éthylène AVG, Co+2  bloquent partiellement la stimulation alcaloïdique dans les cellules traitées par les cytokinines alors que le précurseur de l’éthylène ACC n’a pas d’effet sur la production alcaloïdique dans les cellules non traitées par les cytokinines. En revanche, lorsque l’éthylène est apporté de manière exogène (traitement par l’éthephon, la production alcaloïdique est multipliée par quatre.

  15. Contribution to the radiological study of the eosinophilic granuloma of the mandible (Unifocal granuloma due to Langherans' cell histiocytosis); Contributo allo studio radiologico del granuloma eosinofilo della mandibola (granuloma unifocale da istiocitosi delle cellule di Lagherhans)

    Energy Technology Data Exchange (ETDEWEB)

    Chigi, Gino; Pastremoli, Alessandro; Pisi, Paolo; Pastremoli, Alfredo [Bologna Univ., Bologna (Italy). Dipartimento di scienze odontomastologiche; Bianchi, Giuseppe [Istituti Ortopedici Rizzoli, Bologna (Italy)

    2005-04-01

    non completamente risolto per talune condizioni patologiche, nelle quali i dati obiettivi ed anamnestici sono relativamente uniformi e il quadro radiologico privo di qualsiasi caratteristica. Materiale e metodi: Il materiale � costituito da sei casi di istiocitosi delle cellule di Langherans della mandibola osservati nell'arco di un decennio. Lo studio � basato sulla valutazione della documentazione radiologica tradizionale. Le radiografie sono state eseguite in proiezione latero-laterale-obliqua che, come noto, libera quasi completamente la porzione orizzontale della mandibola dalla sovrapposizione delle immagini di altre strutture ossee. Risultati: I risultati delle indagini radiologiche sono riportati nella tabella I. Si tratta di reticoloendoteliopatie capaci di dar luogo ad un processo granulomatoso costituito da polinucleati eosinofili, plasmacellule e linfociti e, fondamentalmente, da grandi cellule istiocitarie mononucleate dotate di attivit� granulopessica e fagocitaria, spiccatamente proliferanti nel tessuto osseo, identificabili con le cellule di Langherhans della pelle, delle mucose, degli spazi periodontali, del midollo osseo. Il tessuto granulomatoso che ne deriva si infiltra tra gli elementi costitutivi dell'organo colpito ed estendendosi comprime, atrofizza e tende a distruggere il tessuto, sostituendosi ad esso. Le alterazioni determinate dal granuloma isiocitario di Langherhans prevalgono nettamente nel sistema scheletrico e si verificano, in ordine di frequenza, nel cranio, nelle ossa lunghe dell'estremit�, nel piede, nelle coste e nella colonna vertebrale. L'interessamento della mucosa orale � eccezionale. Conclusioni: Nel granuloma istiocitario unifocale di Langherhans della mandibola l'indagine radiologica � indispensabile per l'approccio allo studio della tumefazione premandibolare fermo restando che la diagnosi di natura si basa esclusivamente sulla biopsia. Oltre all'esame radiologico digitale o

  16. Lele des chefs traditionnels au Ghana : un modèle inspirant ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    8 févr. 2011 ... Avec ses partenaires du Sud, avec aussi le soutien du Centre de recherches pour le développement international ( CRDI ), organisme canadien, Ray a étudié lele des chefs traditionnels au Ghana dans la lutte contre le VIH et le sida. Les collectivités politiques antérieures au colonialisme sont une ...

  17. Le dernier Wittgenstein et le dernier Husserl sur le langage

    Directory of Open Access Journals (Sweden)

    Paul Ricoeur

    2014-07-01

    Full Text Available This article presents an edited version of lectures given by Paul Ricœur at Johns Hopkins University in April 1966. Ricœur offers a comparative analysis of Wittgenstein’s and Husserl’s late works, taking the problem of language as the common ground of investigation for these two central figures of phenomenology and analytic philosophy. Ricœur develops his study in two parts. The first part considers Husserl’s approach to language after the Logical Investigations and concentrates on Formal and Transcendental Logic; leaving a transcendental reflection on language behind it re-examines a phenomenological conception, according to which the sphere of logic is not separable from that of experience. The main focus of the second part is Wittgenstein’s later philosophy as it moved on from the conception of an isomorphic relation between language and the world, as set out in the picture theory in the Tractatus Logico-Philosophicus, to the more pragmatic notion of a language-game in the Philosophical Investigations. In order to get beyond the irrevocable differences between the two philosophies and the unresolved theoretical issues on both sides, Ricœur suggests turning to a semiological paradigm based on the Saussurean distinction between “language” and “speaking.” Keyword: Analytic Philosophy, Husserl, Phenomenology, Semiology, Wittgenstein.  Résumé Cet article est une version éditée de conférences données par Paul Ricœur à la Johns Hopkins University en avril 1966. Ricœur propose une analyse comparée des dernières œuvres de Wittgenstein et Husserl, avec le problème du langage comme sol commun d’investigations pour ces deux figures centrales de la phénoménologie et la philosophie analytique. Cette analyse de Ricœur se joue à travers deux parties. La première partie revient sur l'approche du langage chez Husserl depuis Recherches logiques avec une attention particulière aux développements de Logique formelle et

  18. Sous le soleil exactement.

    Directory of Open Access Journals (Sweden)

    Jérôme Chenal

    2009-09-01

    Full Text Available © Benoît Vollmer, sans titre, Nouakchott, 2007. Le travail scientifique a toujours entretenu un rapport étroit avec l’image. Dans le domaine de la médecine, l’imagerie passe aujourd’hui pour être indispensable à la plupart des interventions sur les corps ; les scanners, irm et autres procédés montrent une utilisation possible de l’image dans le monde des sciences exactes. La police scientifique que popularisent Ncis ou Les Experts , qu’ils soient de Miami, de Manhattan ...

  19. Early Differential Diagnosis of Rhino-Orbito-Cerebral Mucormycosis and Bacterial Orbital Cellulitis: Based on Computed Tomography Findings

    Science.gov (United States)

    Son, Jun Hyuk; Lim, Hyung Bin; Lee, Soo Hyun; Yang, Jae Wook; Lee, Sung Bok

    2016-01-01

    Purpose To identify significant clinical and radiological findings that distinguish rhino-orbito-cerebral mucormycosis (ROCM) from bacterial orbital cellulitis (BOC). Methods This study was retrospective, multicenter, case-control study that enrolled 34 cases; 14 cases were diagnosed with ROCM and 20 cases were diagnosed with BOC at three different tertiary hospitals between 2005 and 2013. The medical records of all 34 cases were reviewed. The initial clinical manifestations (eyelid swelling, ptosis, extraocular muscle [EOM] limitation, conjunctival injection, and chemosis) and computed tomography (CT) findings (sinus mucosal thickening, full opacification, and air-fluid level) of both diseases were compared. Results Patients with diabetes mellitus (DM) and hypertension (HTN) showed higher incidence rates of ROCM than BOC (DM: p orbital cellulitis presents with EOM limitation without swollen eyelids or thickening of the sinus mucosa on a CT scan. PMID:27501044

  20. Orbital cellulitis caused by community-associated methicillin-resistant Staphylococcus aureus in a previously healthy neonate.

    Science.gov (United States)

    Lei, Tzu-Hui; Huang, Yhu-Chering; Chu, Yen-Chang; Lee, Chien-Yu; Lien, Reyin

    2013-04-01

    A 30-day-old, previously healthy, near-term neonate presented with fever and swelling of the left eye. Orbital cellulitis of the left eye was diagnosed by computed tomography. Both blood culture and pus that was drained from the orbital abscess were positive for methicillin-resistant Staphylococcus aureus (MRSA), which was found to be a strain indigenous to the local community by a molecular method. Using vancomycin therapy and surgical drainage, the infant recovered uneventfully. Orbital cellulitis in neonates may rapidly progress to abscess formation, even to sepsis, and S. aureus is the most common pathogen. With the increasing prevalence of community-associated MRSA, empiric antibiotics effective against MRSA should be first considered in endemic areas. Copyright © 2012. Published by Elsevier B.V.

  1. Orbital cellulitis with periorbital abscess secondary to methicillin-resistant Staphylococcus aureus (MRSA) sepsis in an immunocompetent neonate.

    Science.gov (United States)

    Rao, Lavanya G; Rao, Krishna; Bhandary, Sulatha; Shetty, Priyanka Ranjan

    2015-04-21

    This article advocates the need for early incision and drainage of periorbital abscesses. We report a case of a 1.5-month-old neonate with orbital cellulitis and periorbital abscess, which had rapidly developed over a period of 3 days. Treatment history revealed methicillin-resistant Staphylococcus aureus sepsis treated with intravenous vancomycin, and incision and drainage of abscesses at multiple sites (left parotid region, upper and lower limbs). A small swelling noted on the left temporal region on discharge from the hospital was treated with oral cotrimoxazole. However, it spread rapidly to involve the periorbital tissue and the bones of the orbital walls to form a periorbital abscess and orbital cellulitis. 2015 BMJ Publishing Group Ltd.

  2. Fungal corneal ulcer and bacterial orbital cellulitis occur as complications of bacterial endophthalmitis after cataract surgery in an immunocompetent patient.

    Science.gov (United States)

    Kim, Eun Chul; Kim, Man Soo; Kang, Nam Yeo

    2013-03-01

    To report a case of fungal corneal ulcer and bacterial orbital cellulitis as complications of bacterial endophthalmitis following cataract surgery. A 51-year-old man underwent anterior chamber irrigation and aspiration in the left eye one day after cataract surgery because of bacterial endophthalmitis. Marked lid swelling with purulent discharge was developed after 5 days. Slit lamp examination showed generalized corneal ulcer and pus in the total anterior chamber. A computerized tomography scan showed left retrobulbar fat stranding with thickened optic disc. Streptococcus pneumonia was cultured from corneal scraping, vireous, and subconjunctival pus. The patient improved gradually with antibiotics treatments, but the corneal ulcer did not fully recover 2 months after cataract surgery. Candida albicans was detected in repetitive corneal culture. After antifungal and antibacterial therapy, the corneal epithelium had healed, but phthisis bulbi had developed. Fungal corneal ulcer and bacterial orbital cellulitis can occur as complications of endophthalmitis in an immunocompetent patient.

  3. Omphalith-associated relapsing umbilical cellulitis: recurrent omphalitis secondary to a hair-containing belly button bezoar.

    Science.gov (United States)

    Cohen, Philip R; Robinson, Floyd W; Gray, James M

    2010-10-01

    We report an 18-year-old man with recurrent cellulitis of his umbilicus and surrounding skin. Thorough investigation revealed a foreign body as the source of his relapsing infection, a compact collection of terminal hair shafts. Spontaneously occurring stonelike foreign bodies resulting from the accumulation and concretion of keratinous and amorphous sebaceous material within the umbilicus are referred to as omphaliths. However, because the composition of our patient's foreign body is pilar in origin, we propose that the foreign body be designated as either an omphalotrich or trichomphalith. Alternatively, because the umbilicus and epithelium of the gastrointestinal tract are embryologically related, we suggest that our patient's hair-containing foreign body be referred to as a trichobezoar, which is used to describe exogenous foreign bodies composed of ingested hair in the gastrointestinal tract. The patient's cellulitis resolved without any subsequent episodes following the removal of his belly button bezoar.

  4. Le Jardin de Fleur

    Index Scriptorium Estoniae

    2008-01-01

    Ettevõtja Martin Reinsalu osalusel Marokosse kerkiv kuurortide kompleks Le Jardin de Fleur tunnistati CNBC Araabiamaade kinnisvaraarendusprojektide seas Maroko parimaks arendusprojektiks ning parimaks golfiarenduskeskuseks. Projekt toetub araabia arhitektuurile, mida on kombineeritud kaasaegse maroko disainiga

  5. Cellulitis: Home Or Inpatient in Children from the Emergency Department (CHOICE): protocol for a randomised controlled trial

    Science.gov (United States)

    Ibrahim, Laila F; Babl, Franz E; Orsini, Francesca; Hopper, Sandy M; Bryant, Penelope A

    2016-01-01

    Introduction Children needing intravenous antibiotics for cellulitis are usually admitted to hospital, whereas adults commonly receive intravenous treatment at home. This is a randomised controlled trial (RCT) of intravenous antibiotic treatment of cellulitis in children comparing administration of ceftriaxone at home with standard care of flucloxacillin in hospital. The study aims to compare (1) the rate of treatment failure at home versus hospital (2) the safety of treatment at home versus hospital; and (3) the effect of exposure to short course ceftriaxone versus flucloxacillin on nasal and gut micro-organism resistance patterns and the clinical implications. Methods and analysis Inclusion criteria: children aged 6 months to cellulitis, requiring intravenous antibiotics. Exclusions: complicated cellulitis (eg, orbital, foreign body) and immunosuppressed or toxic patients. The study is a single-centre, open-label, non-inferiority RCT. It is set in the emergency department (ED) at the Royal Children's Hospital (RCH) in Melbourne, Australia and the Hospital-in-the-Home (HITH) programme; a home-care programme, which provides outreach from RCH. Recruitment will occur in ED from January 2015 to December 2016. Participants will be randomised to either treatment in hospital, or transfer home under the HITH programme. The calculated sample size is 188 patients (94 per group) and data will be analysed by intention-to-treat. Primary outcome: treatment failure defined as a change in treatment due to lack of clinical improvement according to the treating physician or adverse events, within 48 h Secondary outcomes: readmission to hospital, representation, adverse events, length of stay, microbiological results, development of resistance, cost-effectiveness, patient/parent satisfaction. This study has started recruitment. Ethics and dissemination This study has been approved by the Human Research Ethics Committee of the RCH Melbourne (34254C) and registered with the

  6. Le CRDI en Afghanistan

    International Development Research Centre (IDRC) Digital Library (Canada)

    capacités. □ les journalistes produisent des rapports sur les droits de la personne. □ les citoyens ont accès à Internet dans les langues locales. Soutien accordé par le CRDI depuis 1973. 21 activités d'une valeur de. 6 millions CAD. Le soutien du CRDI aide les chercheurs afghans à associer les collectivités à leurs travaux ...

  7. Le CRDI au Maroc

    International Development Research Centre (IDRC) Digital Library (Canada)

    visant à aider les secteurs de l'agriculture et du tourisme à s'adapter aux changements climatiques. Dans le cadre de recherches antérieures sur la mise au point .... France. Les manifestations et protestations survenues après 2010 et auxquelles on a donné le nom de Printemps arabe ont été annonciatrices de profondes ...

  8. Le CRDI en Jordanie

    International Development Research Centre (IDRC) Digital Library (Canada)

    Grâce à la recherche, les ménages peuvent irriguer en toute sûreté oliviers et pistachiers avec des eaux grises traitées. Le CRDI en Jordanie. Grâce à l'appui du CRDI. □ les agriculteurs ont ... Jordanie, au Maroc et en Tunisie viennent guider ces pays dans le choix des mesures à prendre pour donner suite aux demandes.

  9. Le faussaire roman

    CERN Document Server

    D'Anna, Gianfranco

    2016-01-01

    À l'aube du XXIe siècle, le monde de la science est sur le point de vivre une révolution. Le jeune physicien allemand Albert Hendrick Thebell, des célèbres laboratoires de recherche B-Labs, à Summit, dans le New Jersey, publie, dans les plus grandes revues scientifiques internationales, une série d'articles dans lesquels il prétend avoir obtenu des résultats extraordinaires qui pourraient révolutionner les bases mêmes de la technologie. Rapidement, la communauté scientifique puis les médias saluent en lui un futur prix Nobel; on compare même son génie à celui d'Albert Einstein. Le progrès scientifique semble avoir franchi une étape décisive, susceptible d'amener un futur meilleur. Mais ces découvertes sont-elles authentiques ? Car pendant ce temps, dans les mêmeslaboratoires, des voix s'élèvent pour contester non seulement les théories de Thebell mais aussi la légitimité même de ses expériences ; certains le soupçonnent d'avoir combiné la plus grande fraude scientifique de tous l...

  10. Bacteriemia en pacientes internados con celulitis Bacteremia in patients hospitalized with cellulitis

    Directory of Open Access Journals (Sweden)

    Juan S. Lasa

    2012-08-01

    Full Text Available La celulitis es una inflamación aguda de la dermis y tejido celular subcutáneo de causa bacteriana, que generalmente complica a heridas, úlceras y dermatosis, aunque de manera frecuente no existe sitio de entrada. Se recomienda la realización de cultivo de punción de piel y partes blandas (PPB. Los hemocultivos raramente dan resultados positivos. El objetivo de este trabajo fue determinar la prevalencia de bacteriemia en pacientes internados en nuestra institución con diagnóstico de celulitis. Se analizaron retrospectivamente los registros clínicos de los pacientes con este diagnóstico al ingreso entre junio de 2007 y marzo de 2010. Se evaluaron los datos poblacionales, presencia de comorbilidades, y resultados de los cultivos. En ese período, se internaron 140 pacientes con diagnóstico de celulitis y a todos ellos se les realizó hemocultivo y cultivos de PPB. Setenta y cuatro eran varones (52.8%. La edad promedio: 47.5 ± 19.7 años (rango 16-94. El 40% tuvo cultivos positivos de PPB, en los que el Staphylococcus aureus meticilino resistente (SAMR fue el germen más frecuentemente aislado (35.7%; la prevalencia de bacteriemia fue del 8.6%, en donde el germen más frecuente fue Streptoccocus Beta hemolítico, grupo G (33% del total de hemocultivos positivos. La bacteriemia se asoció significativamente a mayor estadía hospitalaria (10.5 ± 8.9 vs. 4.9 ± 6, p = 0.004. Se asoció con mayor riesgo de hemocultivo positivo a ser diabético, tener cultivo de PPB positivo, consumo de alcohol y/o enfermedad pulmonar obstructiva crónica.Cellulitis is an acute inflammation of dermis and subcutaneous tissue, usually complicating wounds, ulcers, or dermatosis. Even though in these cases it is recommended to perform culture from skin and soft tissue samples, the utility of blood cultures remains controversial due to the low frequency of positive results. Here we report the prevalence of bacteremia in patients with cellulitis admitted in our

  11. The impact of dermatology consultation on diagnostic accuracy and antibiotic use among patients with suspected cellulitis seen at outpatient internal medicine offices: a randomized clinical trial.

    Science.gov (United States)

    Arakaki, Ryan Y; Strazzula, Lauren; Woo, Elaine; Kroshinsky, Daniela

    2014-10-01

    Cellulitis is a common and costly problem, often diagnosed in the outpatient setting. Many cutaneous conditions may clinically mimic cellulitis, but little research has been done to assess the magnitude of the problem. To determine if obtaining dermatology consultations in the outpatient primary care setting could assist in the diagnosis of pseudocellulitic conditions and reduce the rate of unnecessary antibiotic use. Nonblinded randomized clinical trial of competent adults who were diagnosed as having cellulitis by their primary care physicians (PCPs), conducted at outpatient internal medical primary care offices affiliated with a large academic medical center. Outpatient dermatology consultation. Primary outcomes were final diagnosis, antibiotic use, and need for hospitalization. A total of 29 patients (12 male and 17 female) were enrolled for participation in this trial. Nine patients were randomized to continue with PCP management (control group), and 20 patients were randomized to receive a dermatology consultation (treatment group). Of the 20 patients in the dermatology consultation group, 2 (10%) were diagnosed as having cellulitis. In the control group, all 9 patients were diagnosed as having cellulitis by PCPs, but dermatologist evaluation determined that 6 (67%) of these patients had a psuedocellulitis rather than true infection. All 9 patients (100%) in the control group were treated for cellulitis with antibiotics vs 2 patients (10%) in the treatment group (P Dermatology consultation in the primary care setting improves the diagnostic accuracy of suspected cellulitis and decreases unnecessary antibiotic use in patients with pseudocellulitic conditions. Obtaining an outpatient dermatology consultation may be a cost-effective strategy that improves quality of care. clinicaltrials.gov Identifier:NCT01795092.

  12. Juvenile cellulitis in a puppy – case reportsCelulite juvenil canina – relato de casos

    Directory of Open Access Journals (Sweden)

    Carlos Eduardo Fonseca-Alves

    2012-08-01

    Full Text Available Juvenile cellulitis or juvenile sterile granulomatous lymphadenitis is a rare disorder that affects puppies between three weeks to six months years old. Clinical signs include alopecia, edema, papules, pustules and crusts especially on eyelids. Definitive diagnosis requires cytological and histological evaluation and early and aggressive therapy is recommended, once scars after recovery can be severe .The choice treatment is the high dose of corticosteroids use such as prednisone. Three animals of canine species were attended at the Veterinary Hospital Clinical Small Animal Service presenting different clinical signs. Hemogram, skin lesions and submandibular lymph nodes cytological examination was collected and analyzed. The treatment was instituted, using cephalexin (22mg/kg, twice daily up to control of secondary bacterial infection, and prednisone (2mg/kg, once a day until clinical resolution. Complete cure was obtained at the end of treatment. The aim of this work is to report three clinical cases of juvenile cellulitis in dogs. A celulite juvenil ou linfadenite granulomatosa estéril juvenil, é um distúrbio raro que acomete filhotes com idade entre três semanas a seis meses. Os sinais clínicos incluem alopecia, edema, pápulas, pústulas e crostas especialmente em pálpebras. O diagnóstico definitivo requer exames citológico e histopatológico e a terapia precoce e agressiva é preconizada, pois as cicatrizes após recuperação podem ser graves. O tratamento de escolha consiste no uso de altas doses dos glicocorticoides, como prednisona. Foram atendidos no Hospital Veterinário, três animais da espécie canina, apresentando sinais clínicos variados. Foram realizados hemograma, exame citológico das lesões de pele e dos linfonodos submandibulares. O tratamento foi instituído, utilizando-se cefalexina na dose de 22 mg/kg, duas vezes ao dia, até controle de infecção bacteriana secundária e prednisona na dose de 2mg/kg, uma vez

  13. Sclérose en plaques, OCT et cellules ganglionnaires : étude prospective et rétrospective au sein du service d'ophtalmologie du CHU Gabriel Montpied de l'atteinte du complexe ganglionnaire maculaire avec l'OCT dans la sclérose en plaques

    OpenAIRE

    Wimberger, Alizée

    2016-01-01

    Introduction du mémoire : La sclérose en plaques est apparue au XIXe siècle. C'est une maladie auto-immune, c'est à dire que le système immunitaire s'attaque aux cellules normales de l'organisme. Elle consiste en une démyélinisation progressive du système nerveux central. C'est une maladie dégénérative qui se traduit par un déficit de myéline en différents endroits.La sclérose en plaques touche environ une personne sur 1000 en France. C'est une pathologie qui est diagnostiquée grâce à la réal...

  14. Tumeur à cellules géantes des os du carpe, localisation rare ...

    African Journals Online (AJOL)

    Il s'agit d'une jeune fille de 19 ans, sans antécédents pathologiques notables, qui consulte pour des douleurs du poignet gauche d'allure inflammatoire, avec perte de la force de préhension, sans déficit vasculo-nerveux, évoluant pendant 2 ans. Le bilan radiologique (A) a montré des images lacunaire intéressant le ...

  15. Carcinome rénal à cellules chromophobes: à propos de quatre cas ...

    African Journals Online (AJOL)

    Le pronostic du carcinome chromophobe est favorable. Il est le plus souvent limité au rein et de bas grade nucléaire. Il semblerait donc licite dans les cas ou un examen extemporané mettrait en évidence une tumeur chromophobe, de limiter l'intervention à une néphrectomie partielle si elle est techniquement réalisable.

  16. Cryptococcosis mimicking cutaneous cellulitis in a patient suffering from rheumatoid arthritis: a case report

    Directory of Open Access Journals (Sweden)

    Probst Corina

    2010-08-01

    Full Text Available Abstract Background Cryptococcus neoformans is an encapsulated yeast and the most frequent cryptococcal species found in humans. Cryptococcosis is considered an opportunistic infection as it affects mainly immunosuppressed individuals. In humans, C. neoformans causes three types of infections: pulmonary cryptococcosis, cryptococcal meningitis and wound or cutaneous cryptococcosis. Case Presentation An 81-year-old woman developed severe necrotizing cellulitis on her left arm without any preceding injury. The patient had been treated with systemic corticosteroids over twenty years for rheumatoid arthritis (RA. Skin biopsies of the wound area were initially interpreted as cutaneous vasculitis of unknown etiology. However, periodic acid Schiff staining and smear analysis later revealed structures consistent with Cryptococcus neoformans, and the infection was subsequently confirmed by culture. After the initiation of therapy with fluconazole 400 mg per day the general condition and the skin ulcers improved rapidly and the patient was discharged to a rehabilitation facility. Subsequently surgical debridement and skin grafting were performed. Conclusions Opportunistic infections such as cryptococcosis can clinically and histologically mimic cutaneous vasculitis and have to be investigated rigorously as a differential diagnosis in immunosuppressed patients.

  17. A rare cause of cellulitis (necrotic arachnidism: a report of two cases

    Directory of Open Access Journals (Sweden)

    Tugba Sari

    2014-09-01

    Full Text Available Bites from brown recluse spiders (Loxosceles reclusa result in several clinical manifestations, causing painful, disfiguring necrotic ulcers and, uncommonly, severe systemic effects. We report two cases reports with necrotic arachnidism from Turkey. A 21-year-old man was admitted to our clinic with the complaints of pruritis, redness on his neck. He had a history of spider bite one day ago. A 52-year-old woman had a cellulitis with hemorrhagic lesion and superficial necrosis on her arm and had a history of spider bite one day ago. Based on these clinical and epidemiological findings, a diagnosis of necrotic arachnidism was suspected, and the diagnosis of necrotic arachnidism was confirmed with these typical skin lesions and spiders bites in histories of patients. The outcome of our patients were good after antihistaminic, antibiotic, analgesic and anti-inflammatory treatments. The brown recluse spider is notorious for its necrosisinducing bite. Its venom contains a rare toxin, sphingomyelinase D, which activates the vascular endothelium and initiates a cascade of activation of neutrophils and granulocyte macrophage colony-stimulating factor, resulting in tissue destruction. In many cases, diagnosis of spider bite is very difficult. Therefore, clinical and epidemiological findings, as well as a detailed history, may establish the diagnosis.

  18. Necrotizing cellulitis with multiple abscesses on the leg caused by Serratia marcescens.

    Science.gov (United States)

    Hau, Estelle; Bouaziz, Jean-David; Lafaurie, Matthieu; Saussine, Anne; Masson, Vincent; Rausky, Jonathan; Bagot, Martine; Guibal, Fabien

    2016-03-01

    Serratia marcescens is an unusual cause of severe skin infection initially described in immunocompromised patients. We report a case of necrotizing cellulitis of the leg caused by S marcescens in a 68-year-old woman with diabetes mellitus and a history of chronic lymphoedema of the leg. We reviewed the literature and found 49 cases of severe skin infections from S marcescens that included 20 cases of necrotizing fasciitis (NF) as well as 29 cases of severe skin infections without NF (non-NF cases). Patients were immunocompromised in 59% to 70% of cases. The mortality rate was high in NF cases (60%) versus non-NF cases (3%). Surgery was required in 95% of NF cases and in 24% of non-NF cases. The other clinical manifestations of S marcescens skin infection reported in the literature included disseminated papular eruptions in patients infected with human immunodeficiency virus with folliculitis on the trunk. Serratia marcescens is naturally resistant to amoxicillin alone and amoxicillin associated with clavulanic acid. Broad-spectrum antibiotics are indicated to treat S marcescens skin infections, and surgery should be promptly considered in cases of severe skin infections if appropriate antibiotic therapy does not lead to rapid improvement.

  19. Hospital costs for patients with lower extremity cellulitis: a retrospective population-based study.

    Science.gov (United States)

    Challener, Douglas; Marcelin, Jasmine; Visscher, Sue; Baddour, Larry

    2017-12-01

    Hospital admissions for non-purulent lower extremity cellulitis (NLEC) are common and can be prolonged and costly. Newer treatment options and preventive strategies are expected to result in cost savings before implementation, but few studies have quantified the cost of conventional treatment. Using the Rochester Epidemiology Project, the incidence of NLEC in Olmsted County, MN in 2013 was 176.6 per 100,000 persons. The subset of patients who required hospitalization for NLEC in 2013 was determined. Hospital admissions were analyzed retrospectively using standardized cost analysis within several relevant categories. Thirty-four patients had an average hospital length of stay of 4.7 days. The median total inpatient cost was $7,341. The median cost per day was $2,087, with 49% due to room and board. Antibiotics administered for treatment of NLEC contributed a median cost of $75 per day of hospitalization, and laboratory and imaging test costs were $73 and $44, respectively, per day of hospitalization. Hospitalizations for NLEC can be costly and prolonged with room and board accounting for much of the cost. Therefore, newer management strategies should seek to reduce hospital length of stay and/or avoid inpatient admission to reduce cost.

  20. Peritonsillar abscess and cellulitis and their relation to a positive antigen detection test for streptococcal infection.

    Science.gov (United States)

    Risberg, Stefan; Engfeldt, Peter; Hugosson, Svante

    2010-10-01

    The microbiological cause of peritonsillar abscess and the role of group A β-haemolytic Streptococcus (GAS) are unclear. We performed a retrospective study at the ear, nose and throat clinic (ENT) of Orebro University Hospital, Sweden, and included 376 events of peritonsillitis between 2002 and 2004. We determined if the patients had visited a primary healthcare centre (PHCC) within 30 days prior to inclusion. The results of the rapid antigen detection test for GAS (Strep A) taken at the PHCC were compared with the occurrence of peritonsillar abscess (PTA) and peritonsillar cellulitis (PTC). A Strep A test was performed in 61% (229/376) of the events studied. Strep A was positive in 22% of PTA events and in 35% of PTC events (p = 0.036). Of 48,000 Strep A tests taken in primary healthcare, mainly for sore throat, 22% were positive. We examined the relationship between age, the incidence of PTA, and positive Strep A tests. We also determined if there was a monthly correlation between number of positive Strep A tests and number of PTA events. We found no significant correlations. In conclusion, our findings indicate that GAS does not play a major role in the development of PTA/PTC.

  1. Le syndrome de pourfour du petit : une manifestation rare des ...

    African Journals Online (AJOL)

    The Pourfour de Petit syndrome (PdPS) is of various etiologies. We report the first case of SPdP secondary to cervicomediastinal cellulitis through which we describe the etiopathogeny, clinical presentation and evolution aspects of this rare clinical entity. A 37 years old male was hospitalized for cervico-mediastinal cellulitis.

  2. Le paradoxe du linguiste

    Directory of Open Access Journals (Sweden)

    Primož Vitez

    2012-12-01

    Full Text Available Le linguiste, dans sa volonté explicite de s'imposer comme sujet scientifique et de décrire objectivement la langue comme un objet qui lui est extérieur, est paradoxal, parce que, du fait même qu'il est habité de sa langue, il se trouve nécessairement dans l'impossibilité de remplir la tâche qu'il se propose. Le paradoxe du linguiste consiste donc en cela que, si on se permet de paraphraser l'observation de Labov, « les faits de la langue s'étudient selon la vision de tel ou tel linguiste individuel, alors que le linguiste n'existe que par son expérience personnelle des faits linguistiques ». Cela signifie très simplement que le linguiste, en tant que descripteur d'une langue, n'est opératif qu'à l'intérieur de son objet d'analyse. La crédibilité de l'analyste dépend entièrement de la position éthique qu'il prendra vis-à-vis de sa recherche.

  3. Le CRDI en Tunisie

    International Development Research Centre (IDRC) Digital Library (Canada)

    l'incidence accrue de la leishmaniose, maladie cutanée causée par un parasite que transmet le phlébotome (un moucheron qui se reproduit dans les eaux stagnantes), pourrait être attribuable aux changements climatiques et à la dégradation de l'environnement. □ Participation des jeunes femmes à la vie politique.

  4. Le CRDI en Bolivie

    International Development Research Centre (IDRC) Digital Library (Canada)

    aide d'un modèle de simulation mathématique, les chercheurs ont proposé une modalité de distribution de l'eau acceptable pour tous les usagers et ont ainsi contribué à la reconnaissance des droits coutumiers des populations rurales en.

  5. Oser le corps

    Directory of Open Access Journals (Sweden)

    Alex Cormanski

    2015-05-01

    Full Text Available Le corps est la voie primordiale dans le processus d’énonciation, mais reste encore (trop souvent corps étranger dans le processus d’enseignement/apprentissage des langues étrangères. Or entrer dans une langue étrangère, se l’approprier physiquement, sonner juste dans une autre langue, précisément pour qu’elle ne soit plus étrangère, implique un travail sur le corps, peut impliquer un transfert de corporéité. Oser les pratiques de corps dans la classe de langue : voie incontournable pour éviter les voix dissonantes. Dare the body voice Abstract: Focusing and working on the body is inescapable in the process of enunciation, but unfortunately not sufficiently put into practice in language learning. Speaking a foreign language, being attuned in that target language, i.e. to sound as close as possible to a native speaker, implies to work on the body physically as well as mentally, which means dealing with representation because of the transfer of identity the user may experience. Dare the body voice for a body change when switching from a language to another is a necessary direction the teacher ought to lead the learners to work on.

  6. Le projet Rov 6000

    OpenAIRE

    Nokin, Marc

    1993-01-01

    Initié en juillet 1989 au sein du département de robotique sous-marine, le projet ROV 6000 doit mettre à la disposition de la communauté scientifique un système d'imagerie 6000 mètres capable d'emporter et d'opérer de l'instrumentation scientifique.

  7. Le CRDI au Cambodge

    International Development Research Centre (IDRC) Digital Library (Canada)

    de la Jeunesse et des Sports et à la National. Information Communications Technology. Development Authority s'y emploient. Des ressources gérées par les collectivités. L'exploitation non durable des ressources primaires, notamment celles des forêts et des zones côtières, constitue une grave menace pour le pays.

  8. Implications and applications of systematic reviews for evidence-based dentistry and comparative effectiveness research: A sample study on antibiotics for oro-facial cellulitis treatment

    Directory of Open Access Journals (Sweden)

    Quyen Bach

    2015-01-01

    Full Text Available Introduction: Comparative effectiveness and efficacy research for analysis and practice (CEERAP was performed to assess the effects of penicillin-based versus erythromycin-based antibiotic treatments in patients with skin and soft tissue infections (SSTIs including cellulitis, impetigo, and erysipelas. Because SSTIs, especially orofacial cellulitis, are volatile infectious diseases of a life-threatening nature, research on the most efficacious remedies is necessary. Methods: The stringent bibliome yielded three systematic reviews, which were examined for quality of research synthesis protocol and clinical relevance. Results: The sample size of three, rendered the statistical analyses and cumulative meta-analysis problematic. Conclusion: The systematic review outlined here should aid in increasing clinical awareness, improving patient health literacy, and promoting consensus of the best evidence base (BEB to mitigate the threat of sepsis and potential death caused by cellulitis infections.

  9. Le vase de Pandore

    Directory of Open Access Journals (Sweden)

    Nicola Panichi

    2000-06-01

    Full Text Available Il s’agit ici de suivre les stratégies discursives par lesquelles Érasme situe sa Lingua sous le patronage symbolique de deux mythes des plus opératoires à la Renaissance : le vase de Pandore et la tour de Babel, tous deux verrouillant le texte, l’un en guise d’incipit, l’autre d’explicit, dans un dialogue où chacun use de l’autre pour renforcer les significations et instaurer le régime sémantique du texte, tant linguistique qu’éthique. Ce sont ces jeux complexes entre différents niveaux de discours dont dépend le sens ultime de l’œuvre que cet article s’attache à saisir.Se trata de seguir aquí las estrategias discursivas mediante las cuales Erasmo sitúa su Lingua bajo el dominio simbólico de dos de los mitos más funcionales del Renacimiento: el vaso de Pandora y la torre de Babel, los cuales limitan el texto, uno a modo de íncipit, otro de excipit, en un diálogo en el que se valen el uno del otro para reforzar los significados y establecer el régimen semántico del texto, tanto lingüístico como ético. Son esos juegos complejos entre diferentes niveles de discurso, de los que depende el sentido último de la obra, que este artículo intenta captar.

  10. Retrospective Evaluation of Risk Factors and Response in Treatment among Hospitalized Patients with Lower-Extremity Cellulitis

    Directory of Open Access Journals (Sweden)

    Lale Mehdi

    2016-06-01

    Full Text Available Objective: To reveal the risk factors for lower-extremity cellulitis, to investigate the role of risk factors on the treatment, and to have knowledge about treatment efficiency and the optimal duration of therapy in patients on parenteral antibiotic therapy. Methods: Potential risk factors, therapies used during hospitalization, outcomes of therapies and follow-up data of 46 patients hospitalized in the Department of Dermatovenereology of İstanbul Medical Faculty of İstanbul University with lower-extremity cellulitis between years 2009 and 2014 were investigated retrospectively. Results: Tinea pedis (n=19, diabetes mellitus (n=12, by-pass surgery (n=6, and chronic lymphedema of the legs (n=5 were detected as main risk factors. Improvement with systemic therapy was seen in all patients except one patient who was lost to follow-up. Thirty nine of the patients (84.8% were treated with parenteral ampicillin-sulbactam. The mean duration of parenteral antibiotic therapy was 17.7±12.4 (median: 14 days. In 11 patients (32.4%, recurrence was detected, during an average follow-up of 2 years. There was a significant correlation between tinea pedis and recurrence. Conclusion: Tinea pedis and chronic lymphedema were main risk factors for multiple attacks. Parenteral antibiotic treatment mostly used as the single drug regimen with ampicillin-sulbactam was highly effective. Relatively longer duration of treatment in our patients has been attributed to the facts that being a tertiary medical center, dealing mostly with therapy resistant and high risk patients of cellulitis or antibiotic resistance in our country.

  11. Genotypes and pathogenicity of cellulitis isolates reveal traits that modulate APEC virulence.

    Science.gov (United States)

    Barbieri, Nicolle Lima; de Oliveira, Aline Luísa; Tejkowski, Thiago Moreira; Pavanelo, Daniel Brisotto; Rocha, Débora Assumpção; Matter, Letícia Beatriz; Callegari-Jacques, Sidia Maria; de Brito, Benito Guimarães; Horn, Fabiana

    2013-01-01

    We characterized 144 Escherichia coli isolates from severe cellulitis lesions in broiler chickens from South Brazil. Analysis of susceptibility to 15 antimicrobials revealed frequencies of resistance of less than 30% for most antimicrobials except tetracycline (70%) and sulphonamides (60%). The genotyping of 34 virulence-associated genes revealed that all the isolates harbored virulence factors related to adhesion, iron acquisition and serum resistance, which are characteristic of the avian pathogenic E. coli (APEC) pathotype. ColV plasmid-associated genes (cvi/cva, iroN, iss, iucD, sitD, traT, tsh) were especially frequent among the isolates (from 66.6% to 89.6%). According to the Clermont method of ECOR phylogenetic typing, isolates belonged to group D (47.2%), to group A (27.8%), to group B2 (17.4%) and to group B1 (7.6%); the group B2 isolates contained the highest number of virulence-associated genes. Clonal relationship analysis using the ARDRA method revealed a similarity level of 57% or higher among isolates, but no endemic clone. The virulence of the isolates was confirmed in vivo in one-day-old chicks. Most isolates (72.9%) killed all infected chicks within 7 days, and 65 isolates (38.1%) killed most of them within 24 hours. In order to analyze differences in virulence among the APEC isolates, we created a pathogenicity score by combining the times of death with the clinical symptoms noted. By looking for significant associations between the presence of virulence-associated genes and the pathogenicity score, we found that the presence of genes for invasins ibeA and gimB and for group II capsule KpsMTII increased virulence, while the presence of pic decreased virulence. The fact that ibeA, gimB and KpsMTII are characteristic of neonatal meningitis E. coli (NMEC) suggests that genes of NMEC in APEC increase virulence of strains.

  12. [Febrile cellulitis surrounding a scar revealing a large immunoblastic B-cell lymphoma].

    Science.gov (United States)

    Charavin-Cocuzza, M; Templier, I; Simon, A; Salameire, D; Cuchet, E; Reymond, J-L; Beani, J-C; Leccia, M-T

    2008-12-01

    Secondary skin sites of lymphoma appear in the advanced stages of the disease. We report the first case of a pericicatricial skin infiltration, mimicking febrile dermohypodermitis, revealing diffuse immunoblastic large B-cell non-Hodgkin's lymphoma. Four months after decompressive cervical laminectomy, a 56-year-old man presented an inflammatory pericicatricial patch evoking cellulitis in a setting of hyperthermia and lymphadenopathy. Blood cultures and bacteriological analysis of skin biopsy samples were negative. The images showed infiltration of the soft subcutaneous areas and polyadenopathy. Two weeks later, several subcutaneous nodules appeared on the trunk. Histological analysis and immunolabelling pointed to immunoblastic large B-cell non-Hodgkin's lymphoma. A clone of B lymphocytes CD45+, CD20+, CD79a+, Bcl2+, CD5+, MUM1+, CD3-, CD10-, CD23- and Bcl6- was seen. The remainder of the extension examination was negative. CHOP-rituximab polychemotherapy resulted in complete regression of all lesions, notably the inflammatory cervical plaque. Secondary skin manifestations of lymphoma are generally non-specific (pruritus, ichthyosis, purpura, etc.) rather than specific in terms of lymphoid infiltration. As in our patient, certain cutaneous sites of lymphoma may have a misleading clinical presentation, histological analysis alone was able to provide a conclusive diagnosis. In our patient, the highly specific infiltration seen around the entire scar could either suggest a Koebner phenomenon or point to a role of the cutaneous aggression within the development of an inflammatory process contributing to pericicatricial infiltration by lymphoid cells. Locoregional invasion from the osseous part of the cervical spine and not macroscopically diagnosed during neurosurgery could also be responsible.

  13. Development of a prediction model for bacteremia in hospitalized adults with cellulitis to aid in the efficient use of blood cultures: a retrospective cohort study.

    Science.gov (United States)

    Lee, Chun-Yuan; Kunin, Calvin M; Chang, Chung; Lee, Susan Shin-Jung; Chen, Yao-Shen; Tsai, Hung-Chin

    2016-10-19

    Cellulitis is a common infectious disease. Although blood culture is frequently used in the diagnosis and subsequent treatment of cellulitis, it is a contentious diagnostic test. To help clinicians determine which patients should undergo blood culture for the management of cellulitis, a diagnostic scoring system referred to as the Bacteremia Score of Cellulitis was developed. Univariable and multivariable logistic regression analyses were performed as part of a retrospective cohort study of all adults diagnosed with cellulitis in a tertiary teaching hospital in Taiwan in 2013. Patients who underwent blood culture were used to develop a diagnostic prediction model where the main outcome measures were true bacteremia in cellulitis cases. Area under the receiver operating characteristics curve (AUC) was used to demonstrate the predictive power of the model, and bootstrapping was then used to validate the performance. Three hundred fifty one cases with cellulitis who underwent blood culture were enrolled. The overall prevalence of true bacteremia was 33/351 cases (9.4 %). Multivariable logistic regression analysis showed optimal diagnostic discrimination for the combination of age ≥65 years (odds ratio [OR] = 3.9; 95 % confidence interval (CI), 1.5-10.1), involvement of non-lower extremities (OR = 4.0; 95 % CI, 1.5-10.6), liver cirrhosis (OR = 6.8; 95 % CI, 1.8-25.3), and systemic inflammatory response syndrome (SIRS) (OR = 15.2; 95 % CI, 4.8-48.0). These four independent factors were included in the initial formula, and the AUC for this combination of factors was 0.867 (95 % CI, 0.806-0.928). The rounded formula was 1 × (age ≥65 years) + 1.5 × (involvement of non-lower extremities) + 2 × (liver cirrhosis) + 2.5 × (SIRS). The overall prevalence of true bacteremia (9.4 %) in this study could be lowered to 1.0 % (low risk group, score ≤1.5) or raised to 14.7 % (medium risk group, score 2-3.5) and 41.2

  14. Montignac – Le Chambon

    OpenAIRE

    Elizagoyen, Vanessa

    2016-01-01

    Lien Atlas (MCC) :http://atlas.patrimoines.culture.fr/atlas/trunk/index.php?ap_theme=DOM_2.01.02&ap_bbox=-1.106;45.029;1.212;45.100 Le diagnostic s’est avéré, sans surprise, positif du point de vue archéologique. Il a permis la découverte d’une occupation du second âge du Fer, datée du iie s. av. J.-C. Les vestiges consistent en des structures en creux matérialisant des traces de bâtiments sur poteaux et des fossés dessinant peut-être des enclos. Le mobilier archéologique, en particulier en ...

  15. Le Brahmane du Komintern

    Directory of Open Access Journals (Sweden)

    Elizabeth Burgos

    2008-01-01

    Full Text Available Le Brahmane du Komintern, largometraje documental del realizador francés Vladimir León, constituye un ejercicio ejemplar de investigación histórica y  de lograda factura de realización. Y, pese a no haber contado con la ayuda de ninguno organismo público, se trata de un ambicioso proyecto que cubre una amplia extensión geográfica que abarca: Estados Unidos, México, Moscú, Berlín, y la India. Gira en torno a una figura que tuvo en su tiempo su hora de gloria. Un bengalí, hijo de braman, la c...

  16. Le Brahmane du Komintern

    OpenAIRE

    Elizabeth Burgos

    2008-01-01

    Le Brahmane du Komintern, largometraje documental del realizador francés Vladimir León, constituye un ejercicio ejemplar de investigación histórica y  de lograda factura de realización. Y, pese a no haber contado con la ayuda de ninguno organismo público, se trata de un ambicioso proyecto que cubre una amplia extensión geográfica que abarca: Estados Unidos, México, Moscú, Berlín, y la India. Gira en torno a una figura que tuvo en su tiempo su hora de gloria. Un bengalí, hijo de braman, la ca...

  17. Le monde quantique

    CERN Document Server

    Aspect, A; Bensaude-Vincent, B; Castiel, A; Chevalley, C; Darrigol, O; Deligeorges, S; D'Espagnat, B; Laloë, F; Lévy-Leblond, J-M; Messiah, A; Paty, M; Vuillemin, J; Wheaton, B R

    1984-01-01

    Le monde quantique La physique quantique, après trois quarts de siècle, n'en finit pas d'être moderne. Elle est présente quotidiennement dans les laboratoires où les physiciens étudient atomes, noyaux et particules. Elle est entrée dans l'industrie où lasers, transistors et supraconducteurs lui doivent d'exister. Et elle continue à alimenter le débat philosophique sur la nature de la réalité dont elle montre la non-séparabilité fondamentale. Ses concepts de base, son développement, ses applications, ses controverses sont ici présentés par une pléiade de physiciens, d'historiens et de philosophes.

  18. Le partage du paysage

    OpenAIRE

    Sgard, Anne

    2011-01-01

    Ce mémoire de HDR présente un parcours de recherche en géographie sur le paysage, mené comme un essai sur cet objet plutôt qu'un itinéraire personnel. Partant d'une réflexion sur les évolutions récentes du concept de paysage, il défend une conception se référant à la médiance, qui aborde le paysage comme une modalité de la relation individuelle et collective au territoire, fondée sur la reconnaissance du sensible et de l'attachement à des paysages ordinaires ou remarquables. Un ensemble de dé...

  19. Le fiacre des propositions

    Directory of Open Access Journals (Sweden)

    Cyrille Michon

    2012-07-01

    Full Text Available Après avoir identifié quelques arguments pour illustrer ce dont traite la philosophie analytique de la religion, je défends que celle-ci a la pertinence de la spéculation classique sur le contenu de la foi. L’une et l’autre reposent sur la contrainte logique qui suit de l’acceptation d’une proposition — refus de ce qui la contredit, acceptation de ses conséquences — et sur le fait que la Révélation chrétienne contient des propositions, certaines paradoxales. J’illustre cette pertinence par trois exemples pris dans la « philosophie continentale de la religion ».

  20. LE CONDYLOME ACUMINE GEANT

    African Journals Online (AJOL)

    que la dégénérescence maligne. En conclusion, la tumeur de Buschke-. Lôwenstein est la lésion tumorale ta plus fréquente que l'on peut rencontrer dans le cadre des infections sexuellement transmis sibles. Son traitement de choix reste l'exérèse chirurgicale complète. L'examen anatomo- pathologique de la pièce permet ...

  1. Le CRDI au Mali

    International Development Research Centre (IDRC) Digital Library (Canada)

    sur la sécurité alimentaire internationale. Le CRDI continue de soutenir des travaux de recherche au Mali, quoique dans une moindre mesure en raison de la .... souvent tenues à l'écart du processus décisionnel. Les chercheurs tentent de déterminer de quelles manières les jeunes femmes du Mali et des pays avoisinants ...

  2. Le CRDI au Kenya

    International Development Research Centre (IDRC) Digital Library (Canada)

    et de l'agriculture. En produisant des connaissances dans ces secteurs essentiels, le programme contribuera à la sécurité alimentaire et améliorera la santé au Kenya. Les noms et les frontières indiqués sur la carte n'impliquent ni reconnaissance ni acceptation officielle de la part du CRDI. C. U. R. T. C. A. R. N. EM. A. R. K.

  3. Le silence des agneaux

    Directory of Open Access Journals (Sweden)

    BERNARD ROY

    2012-01-01

    Full Text Available Ce texte est avant tout une réflexion sur la notion d'obéissance, initiée à partir de deux évènements impliquant étroitement des membres de la profession infirmière. L'auteur se réjouit de la prise de parole et de l'implication directe d'infirmières dans le contexte du printemps érable. Il estime que la posture de ces infirmières s'inscrit dans ce que l'éthicien Guy Durand, appelle une obéissance autonome qui peut, du coup, mener à la désobéissance civile, à l'objection de conscience. En prenant exemple sur le silence des infirmières dans le contexte de la fermeture de postes d'infirmières en Minganie, l'auteur estime que cette posture est marginale chez les infirmières qui, majoritairement, adoptent une position de soumission et d'obéissance hétéronome.

  4. Kimon Loghi, le symboliste

    Directory of Open Access Journals (Sweden)

    Angelo Mitchievici

    2011-01-01

    Full Text Available eintre romantique par tempérament et par sa formation munichoise à l’école des symbolistes Franz von Stuck et Arnold Böcklin, Kimon Loghi relève une véritable sensibilité symboliste visiblement marquée dans une bonne partie par les peintures de sa première période. Il réalise une intéressante symbiose entre les thèmes symbolistes présents dans les peintures des symbolistes allemands, mais également populaires dans le cadre de la secession et celui idyllique-féerique, vivement colorié, chaud, méditerranéen dans lequel il les place. L’art du portrait en tant qu’expression d’un état d’âme reflète en égale mesure la sensibilité symboliste du peintre avec son penchant vers le mystère, la contemplation et le symbole.

  5. Submandibular cellulitis (Ludwig's angina) associated to a complex odontoma erupted into the oral cavity. Case report and literature review.

    Science.gov (United States)

    Bertolai, R; Acocella, A; Sacco, R; Agostini, T

    2007-01-01

    The clinical presentation of Ludwig's angina consists in a severe expanding cellulitis causing swelling of the floor of the mouth, tongue and submandibular region, thus resulting in a possible obstruction of the airway and in a rapid progress in deep neck soft tissue infection and mediastinitis with potentially fatal consequences. Frequently, submandibular cellulitis develops from an acute infection spreading from the lower molar teeth. Mandibular fractures, traumatic laceration of the floor of the mouth, and peritonsillar abscesses are other concomitant clinical features. A case of Ludwig's angina associated with a large erupted odontoma and with a deeply impacted third molar displaced to the border of the mandible is described. The patient was affected by enlargement of submandibular space, marked face swelling causing an evident face deformity, tenderness and redness of the neck and limited movement of the neck and mouth. In the past, Ludwig's angina was frequently fatal, however aggressive surgical and medical therapy have significantly reduced the mortality rate. The reported case can be considered as important, not only because of the rarity of the odontoma eruption in the oral cavity, but mainly for the extent of the clinical manifestation of a lesion usually described in literature as asymptomatic.

  6. SUBTENON AMIKACIN INJECTION FOR THE TREATMENT OF NOCARDIA ASTEROIDES ORBITAL CELLULITIS IN A PATIENT WITH A HISTORY OF SCLERAL BUCKLING.

    Science.gov (United States)

    Gursel Ozkurt, Zeynep; Demirci, Hakan

    2017-01-01

    To evaluate the use of subtenon amikacin injection for the treatment of Nocardia asteroides orbital cellulitis in a patient with a history of scleral buckle surgery. Case report. A 79-year-old diabetic woman presented with an 8-month history of diplopia, discharge, and swelling around her left eye. She had a scleral buckle surgery in this eye about 15 years ago. Examination of the left eye showed a visual acuity of 20/80, swollen and ptotic upper eyelid, chemotic conjunctiva, and limited extraocular motility. Magnetic resonance imaging showed an abscess under the scleral buckle. The scleral buckle was removed, and the abscess under the scleral buckle was drained. N. asteroides grew on the culture. Despite 4 months of the systemic trimethoprim/sulfamethoxazole and the topical fortified amikacin therapy, her infection worsened. After 5 monthly subtenon amikacin injections, the infection regressed dramatically, and her vision improved to 20/70. She used the systemic trimethoprim/sulfamethoxazole for 10 more months. After a 1-year follow-up, her external examination was normal, except for the left upper eyelid ptosis. Subtenon amikacin injection can be added to the regimen for N. asteroides orbital cellulitis, of which surgical drainage, systemic and topical antibiotic therapies are not enough to control infection.

  7. La extracción dentaria en la celulitis facial odontogénica Dental extraction in odontogenic facial cellulitis

    Directory of Open Access Journals (Sweden)

    Pedro A Ducasse Olivera

    2004-08-01

    Full Text Available Se realizó un estudio retrospectivo de los pacientes ingresados en el Hospital "Héroes del Baire" con el diagnóstico de celulitis facial odontogénica, con el objetivo de caracterizar la celulitis facial en nuestro medio, así como el nivel de conocimiento de los estomatólogos y la población tiene de esta. Se obtuvieron los siguientes resultados: el sexo masculino y la región mandibular en pacientes de 15 a 29 años fueron los mas afectados. El antibiótico más utilizado fue la penicilina, y predominaron los casos moderados y leves. El nivel de información sobre el tema de los estomatólogos es adecuado, no así el de la población, que es deficiente.A retrospective study of patients admitted to "Heroes del Baire" hospital and diagnosed with odontogenic facial cellulitis was undertaken to characterize facial cellulitis behavior under our conditions as well as the level of knowledge by dentists and the population about this entity. The results were as follows: males and the mandibular region in 15-29 years-old patients were the most affected, penicillin was the most used antibiotic and moderate and mild cases predominated. The level of knowledge by dentists was adequate; however that of the population was poor.

  8. Le towianisme en France. La France dans le towianisme.

    Directory of Open Access Journals (Sweden)

    Jeremy Lambert

    2009-06-01

    Full Text Available La Révolution française et l’époque napoléonienne ont modifié durablement le visage de l’Europe, tant d’un point de vue politique que sociétal. « Tout le début du XIXe siècle, qui est aussi celui d’une société nouvelle, (… a été occupé par le souci de définir en doctrine les fondements de cette société, la loi de son existence et de son avenir. Un monde se trouvait ruiné, qu’avaient justifié d’antiques certitudes. Le monde nouveau aurait-il les siennes ? Le problème est le même pour toutes l...

  9. Étude du virus de l'immunodéficience féline chez le chat

    OpenAIRE

    Gatti, Thomas

    2017-01-01

    Peu connu du grand public mais pourtant mondialement répandue chez l'ensemble des félins, le Virus de l'Immunodéficience Féline est un pathogène viral responsable d'une immunodépression progressive caractérisée par la destruction des cellules immunitaires et la survenue concomitante de manifestations cliniques et/ou d'infections opportunistes protéiformes qui aboutissent inexorablement à la mort des animaux infectés. Ce travail présente l'impact spécifique du Virus de l'Immunodéficience Félin...

  10. Épuisement professionnel en contexte policier : lele des valeurs

    OpenAIRE

    Meylan, Stéphanie; Boillat, Patrice; Morel, Aurélie

    2011-01-01

    Cet article traite de l'épuisement professionnel en milieu policier, plus précisément de la question de son étiologie. Si la plupart des causes possibles d'un burnout ont été largement étudiées, celle traitant des valeurs n'a été qu'esquissée jusqu'à présent. La première partie de l'article rappelle les différentes façons dont les valeurs, personnelles et institutionnelles, peuvent concourir au développement d'un burnout. La deuxième partie présente de façon concrète la manière dont ce syndro...

  11. Negative pressure wound therapy in preseptal orbital cellulitis complicated with necrotizing fasciitis and preseptal abscess.

    Science.gov (United States)

    Contreras-Ruiz, José; Ramos-Cadena, Angeles; Solis-Arias, Patricia; Lozano-Platonoff, Adriana; Lopez-García, Lirio A; Contreras-Barrera, Martha E; Saenz-Corral, Claudia; de-la-Cruz-Garcia, Isabel; Cárdenas-Mejía, Alexander; Lopez-Oliver, Rubén

    2015-01-01

    Preseptal cellulitis (PC) may be locally complicated with abscess formation and necrotizing fasciitis. If not treated promptly and adequately, it may result in further complications. The authors report a series of patients where negative pressure wound therapy (NPWT) proved a safe and valuable adjunct therapy in avoiding complications of PC and in accelerating wound healing. A 4 patient case series. Four male patients (11 months to 58 years old) with unilateral complicated PC. Patients were admitted with PC and treated initially with specific intravenous antibiotic therapy. These patients did not respond adequately; therefore, surgical drainage and/or debridement were performed. After surgery, persistent edema and purulent discharge was observed prompting the need for adjunct NPWT every 48 to 72 hours. NPWT is the use of vacuum through a wound filler material covered with an airtight drape connected to a pump. Complete ophthalmologic examination was performed after each 48-hour cycle. Length of hospital stay, days from surgery to discharge, days from start of NPWT to discharge, clinical improvement, and safety. Four patients were diagnosed with PC between 2 and 5 days of evolution. Two diabetic adults developed the condition secondary to trauma, the adolescent as a result of a cosmetic piercing, and the infant associated to sinusitis. NPWT reached -125 mm·Hg, except for the infant who received -75 mm·Hg. The average number of days necessary for improvement with NPWT was 6.7 days. Only 2 patients required surgical reconstruction. Time from debridement to discharge was in average 13.5 days. No ocular complications were observed, and follow up was satisfactory with normal eyelid function and aesthetics and preserved visual acuity. NPWT proved to be safe and effective for treating locally complicated PC as an adjuvant therapy to antibiotic and surgical treatment that decreased the length of hospital stay, and the time for recovery in patients that were slow

  12. Tests of Nacelle-Propeller Combinations in Various Positions with Reference to Wings V : Clark Y Biplane Cellule - NACA Cowled Nacelle - Tractor Propeller

    Science.gov (United States)

    Valentine, E Floyd

    1935-01-01

    This report is the fifth of a series giving the results obtained from wind tunnel tests on the interference drag and propulsive efficiency of nacelle-propeller-wing combinations. This report gives results of tests of an NACA cowled air-cooled engine nacelle with tractor propeller located in 12 positions with reference to a Clark Y biplane cellule.

  13. Le regard anachronique

    Directory of Open Access Journals (Sweden)

    Jean-Paul Aubert

    2011-01-01

    Full Text Available Cet article a pour objet l’anachronisme dans le film historique. Il s’appuie sur l’étude du long métrage Goya à Bordeaux, réalisé en 1999 par le cinéaste espagnol Carlos Saura. Cette biographie filmée du peintre Francisco de Goya fait mieux que composer avec l’anachronisme inhérent à toute reconstitution historique. Il l’assume et le revendique. La mise en cause de la chronologie et l’effacement de l’Histoire prennent sens dans la perspective d’une réflexion originale sur l’Histoire de l’art conçue comme un dialogue entre les œuvres et entre les époques.Este artículo está dedicado al problema del anacronismo en las películas históricas. Se basa en el estudio de Goya en Burdeos, un largo metraje rodado en 1999 por el director de cine español Carlos Saura. Esta biografía de Goya no sólo se acomoda con el anacronismo propio de la reconstitución histórica sino que lo asume y lo reivindica. El cuestionamiento de la cronología y el desinterés por la Historia cobran un nuevo sentido en el marco de una reflexión original sobre la Historia del arte concebida como un diálogo entre las obras y entre las épocas.

  14. Le CRDI au Bhoutan

    International Development Research Centre (IDRC) Digital Library (Canada)

    tance. Le collège a adopté une application. Web qui permet aux enseignants de créer des sites d'apprentissage en ligne, il a offert des cours en informatique aux enseignants et aux étudiants et il a conçu son propre site Web. Il a également établi neuf centres d'études régionaux dans des écoles. La mesure des progrès.

  15. Le CRDI au Ghana

    International Development Research Centre (IDRC) Digital Library (Canada)

    poussée en mathématiques aux spécialistes de demain afin qu'ils puissent relever les défis pressants qui se posent en matière d'environnement, de santé et d'économie. La bourse de chercheur invité que le CRDI a octroyée en 2001 au regretté. John Atta-Mills, qui a par la suite été prési- dent du Ghana de 2009 à 2012, ...

  16. Le CRDI en Tanzanie

    International Development Research Centre (IDRC) Digital Library (Canada)

    récente alimentent les débats en cours en ce qui concerne le financement de la santé. Des chercheurs de l'Ifakara Health. Institute ont constaté que les paiements en espèces exigés pour les services et les médicaments étaient de beaucoup trop élevés par rapport à la capacité de payer des ménages pauvres. Ils aident les.

  17. Travailler le vison

    OpenAIRE

    Gorre, Jean-François

    2007-01-01

    Dans notre société, la fourrure est porteuse de valeurs symboliques. D'autres travaux ont montré comment elle est l'expression du jeu entre nature et culture : investissement de la force de l'animal, expression du sauvage, marque de la domestication de la nature (Delort 1973, Pouchelle 1981). Notre propos sera différent. Nous étudierons dans le cadre du métier de fourreur, à travers une technique particulière, l'« allonge », la teneur de l'affrontement entre deux groupes socio-professionnels....

  18. La piraterie sur le web

    CERN Multimedia

    2002-01-01

    Les échanges de toutes sortes sont facilités à l'extrême par le web: des forums, des vidéoconférences, le commerce à distance, ou tout simplement la célérité des courriers électroniques ou la convivialité des chats, tout cela participe de la société de communication. Une certaine partie du monde découvre le nouvel horizon des échanges quasi instantanés, mais... les transactions sur le web sont-elles vraiment s res?

  19. Le survivant sans le syndrome Schreber

    Directory of Open Access Journals (Sweden)

    Richard Figuier

    2006-09-01

    Full Text Available On a pensé la catastrophe, mais a-t-on suffisamment pensé la survivance et la figure du survivant ? Ce n'est pas un hasard si celle-ci est au centre de Masse et puissance, oeuvre dans laquelle Canetti interroge la « mauvaise » survivance responsable de la poursuite de la logique de guerre. Mais où trouver la « bonne » ? Revenir de la catastrophe ne suffit pas pour être un « survivant authentique », selon l'expression de Kafka. Il faut avoir dépassé, avec Primo Levi et Robert Antelme, l'opposition de la vie comme croissance continue et de la mort comme son horrible contraire, par le don, dans la pauvreté solidaire, de cette vie retrouvée.Hemos reflexionado acerca de la catástrofe, pero ¿hemos meditado lo suficiente sobre la supervivencia y el superviviente? No es una coincidencia si el superviviente es el tema principal de Masse et puissance, obra en la cual Canetti analiza la «mala» supervivencia responsable de la persistencia de la lógica de guerra ¿Dónde sin embargo podemos encontrar la «buena» supervivencia? Superar la catástrofe no es suficiente para ser un «auténtico superviviente», según Kafka. Es fundamental ir más allá, con Primo Levi y Robert Antelme, de la oposición entre la vida, como crecimiento continuo, y la muerte, como su espantoso contrario, mediante la donación de forma solidaria de esta vida reencontrada.Disaster is the theme of many studies, but what about survival and of the figure of the survivor? This issue is central in Mass and power, work in which Canetti questions the “bad” survival, responsible for the continuation of the logic of war. But is there any “good” survival? Coming back from the catastrophe is not enough to be an “authentic survivor”, according to Kafka’s expression. To achieve this, it is necessary to have exceeded, with PrimoLevi and Robert Antelme, the opposition of life as a continuous growth and of death as its horrible opposite, by the gift, in a

  20. INDUCTION DE L'IFN- SUR CULTURE DE CELLULES PÉRIPHÉRIQUES MONONUCLÉES CIRCULANTES DE PATIENTS ATTEINTS D'HYDATIDOSE SOUS L'INFLUENCE DE L'ANTIGÈNE-5. PURIFICATION DE L'ANTIGÈNE-5.

    Directory of Open Access Journals (Sweden)

    C TOUIL-BOUKOFFA

    2000-12-01

    Full Text Available L'interféron gamma est produit sur des cultures de cellules mononuclées circulantes stimulées par un antigène parasitaire isolé d'un liquide hydatique hépatique (Antigène-5. L'Antigène-5 est purifié sur SEPHADEX G-200 et identifié comme l'antigène majeur. Notre étude décrit les conditions optimales de production. Le niveau maximal d'interféron est atteint pour une concentration antigénique allant de 2 à 20mg/ml d'Antigène-5. Les titres obtenus sont de 64 U/ml. Le surnageant est absorbé sur acide silique, l'activité antivirale est éluée par un tampon de haute force ionique contenant de l'éthylène glycol et soumis à une chromatographie d’affinité: BLEU SEPHAROSE- CL-6B.  Ce traitement permet une production d’interféron répondant à une activité spécifique de 561,79 U/mg. Nos résultats montrent l’éventuelle implication de cette cytokine dans la défense immunitaire au cours de cette parasitose.

  1. Bulletin #109 | CRDI - Le Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Dans ce numéro nous célébrons le lancement de notre nouveau site Web. De plus, lisez les derniers billets du blogue Sur les traces du changement, présenté en partenariat avec le magazine Canadian Geographic. Bulletin du CRDI — mai 2016. Bulletin du CRDI. En vedette. un couple assis sur un banc ...

  2. Le rateau faucardeur relevable

    Directory of Open Access Journals (Sweden)

    ARRIGNON J.

    1976-07-01

    Full Text Available Un rateau monté sur deux bras mobiles à l'avant d'un bateau faucardeur permet de récupérer les végétaux coupés et de les déposer sur la berge. Le positionnement de la grille horizontale permet en outre l'enlèvement en profondeur des végétaux mous et notamment des algues filamenteuses ainsi que la récupération en surface des lentilles d'eau. La simplicité de la conception, la légèreté de l'outil, sa maniabilité et son coût modique s'associent à son efficacité pour le désigner comme une solution séduisante du problème de l'enlèvement des lentilles d'eau et des produits de faucardement dans les étangs et canaux.

  3. Le tournoi des ombres

    CERN Document Server

    Treille, Daniel

    2017-01-01

    Le lecteur, transporté avec le narrateur dans une région hors norme, est invité à partager sa fascination pour la beauté du lieu, à découvrir la chronique de son passé, rude et pittoresque. Il va côtoyer une galerie de personnages très attachants, mais aux destinées bousculées par l histoire, et assister à l agitation montante du présent dans un contexte d une actualité brûlante. Ce quatrième roman de Daniel Treille, mêlant hardiment les genres, du quotidien trivial au récit épique, de considérations géopolitiques à quelques avancées de la science moderne, confirme son talent à mener, d une écriture très aboutie, une histoire complexe, peuplée de héros singuliers

  4. Le principe roman

    CERN Document Server

    Ferrari, Jérôme

    2015-01-01

    Fasciné par la figure du physicien allemand Werner Heisenberg (1901-1976), fondateur de la mécanique quantique, inventeur du célèbre "principe d'incertitude" et Prix Nobel de physique en 1932, un jeune aspirant-philosophe désenchanté s'efforce, à l'aube du XXIe siècle, de considérer l'incomplétude de sa propre existence à l'aune des travaux et de la destinée de cet exceptionnel homme de sciences qui incarne pour lui la rencontre du langage scientifique et de la poésie, lesquels, chacun à leur manière, en ouvrant la voie au scandale de l'inédit, dessillent les yeux sur le monde pour en révéler la mystérieuse beauté que ne cessent de confisquer le matérialisme à l'œuvre dans l'Histoire des hommes.

  5. Mesenchymal stem cells, a hope for the treatment of radiotherapy complications; Les cellules souches mesenchymateuses, un espoir pour le traitement des complications des radiotherapies

    Energy Technology Data Exchange (ETDEWEB)

    Gourmelon, P. [Institut de Radioprotection et de Surete Nucleaire, Dir. de la Radioprotection de l' Homme, 92 - Fontenay-aux-Roses (France); Semont, A.; Benderitter, M. [Institut de Radioprotection et de Surete Nucleaire. Laboratoire de Radiopathologie et Therapies Experimentales, 92 - Fontenay-aux-Roses (France)

    2010-10-15

    This article reports experimental researches performed by IRSN researchers in the field of cell therapy, notably for the treatment of severe accidental radiological burns. It shows than mesenchymal stem cells have been very efficient for the treatment of radio-induced of muscular cutaneous lesions, notably by reducing the pain where conventional analgesic treatments fail. A positive effect has been also obtained by using these stem cells for the treatment of severe intestinal lesions on mice locally irradiated with high doses. The tumorigenic risk associated with the use of these mesenchymal stem cells is also discussed

  6. Relation entre l’annexine A6 et la phospholipase D1 pendant le processus d’exocytose dans les cellules PC12

    OpenAIRE

    Do, Le Duy

    2014-01-01

    The regulated exocytosis is a key process allowing cell-cell communication through the release of hormone and neurotransmitters. In neurons and neuroendocrine cells, it is strictly controlled by extracellular signal such as transmembrane potential and ligand bindings to receptors. Substantial progress has been made to understand the molecular mechanism of exocytosis. Major components of secretory machinery have been brought to light. Now the emergent question concerns the role of scaffolding ...

  7. Le citoyen rieur

    Directory of Open Access Journals (Sweden)

    Anna Rycman

    2009-11-01

    Full Text Available Dans la Pologne d’aujourd’hui, l’évolution des modèles d’engagement civique et politique s’opère plus particulièrement auprès des jeunes générations. Parmi les expériences nouvelles de participation politique, les nouvelles technologies de l’information et de la communication offrent des opportunités radicales de reconfigurer l’espace public. La jeunesse polonaise investit en masse le Web. Dans le flux de paroles affranchies circulant et dialoguant dans le cyberespace, nous nous intéressons ici au développement d’un discours qui emprunte au registre de la dérision et de la satire politiques. Une multitude de sites critiques, de nature apparemment contestataire, des sites d’opposition fondés sur le genre satirique, ont émergé comme réponse apportée à la situation politique. Cet espace public électronique représente une forme moderne de « folklore politique », contribuant au processus de socialisation des jeunes citoyens polonais.The laughing citizen. A modern form of civic commitment in democratic Poland?In present day Poland, the evolution of civic and political commitment models is above all the affaire of the younger generations. Among the current opportunities for political participation, the new information and communication technologies offer radical opportunities to reconfigure the public arena. Polish youth are flocking to the Web. Amongst the flux of frank points of views circulating and dialoguing in cyberspace, our interest here is the development of a discourse inspired by political and satirical derision. A multitude of critical, apparently anti-establishment, sites and general opposition sites using the satirical style have emerged as a response to the political situation. This public electronic space represents a modern form of « political folklore », contributing to the socialising processes of young polish citizens.El ciudadano que rie. ¿Nueva forma del compromiso cívico en la

  8. Le tourisme alpin

    Directory of Open Access Journals (Sweden)

    Andrea Macchiavelli

    2009-06-01

    Full Text Available La forte croissance qu’ont connue les pays alpins dans les dernières décennies a surtout été fondée sur l’offre des activités du ski, avec comme conséquence, un massif développement immobilier, la multiplication d’infrastructures et l’extension des domaines. Aujourd’hui, le marché du ski semble arriver à saturation, la Convention alpine a mis un frein à la poursuite du développement des domaines skiables et on observe donc avec intérêt la diversification de l’offre soutenue par l’innovation. Après avoir rappelé les facteurs de changement en cours les plus significatifs dans le tourisme montagnard, l’article présente une grille interprétative de l’évolution des destinations touristiques alpines, identifiant les phases qui ont caractérisé son développement. Puis il propose une réflexion sur certaines conditions qui peuvent favoriser l’innovation dans le tourisme alpin, ainsi que sur les contradictions qui les accompagnent souvent. Dans la plupart des cas l’innovation est le résultat d’un processus qui a été lancé et qui s’est développé au sein de la communauté alpine, souvent favorisé et soutenu par des institutions nationales et internationales, et grâce auquel les difficultés structurelles qui ont déjà été abordées précédemment ont pu être surmontées avec succès.The spectacular increase in tourism in the Alps in recent decades has been founded mainly on the boom in skiing, resulting in both strong real estate development and an increasing array of infrastructures and ski runs. Today the ski market seems to have virtually reached saturation point and the winter sports sector needs to diversify its offer through innovation. After a review of the main factors of change in mountain tourism, the paper presents a grid for interpreting the life cycle of alpine destinations, identifying the phases that characterize their evolution. The conditions that may favour innovation in alpine

  9. Le grand inventaire

    Directory of Open Access Journals (Sweden)

    Michel Melot

    2012-05-01

    Full Text Available Depuis quarante ans qu’il existe, l’Inventaire général des monuments et des richesses artistiques de la France n’a pas seulement progressé, couvrant près de dix mille communes, documentant plus de vingt mille dans cinq millions de pages, trois millions de photographies, et cent mille dessins. Il est devenu ce que ses fondateurs désiraient qu’il fût. Il n’est pas une liste d’objets plus ou moins singuliers qu’on aurait oubliés, mais l’observation méthodique de l’émergence dans le monde de l’ar...

  10. Conaissez vous le roumain?

    Directory of Open Access Journals (Sweden)

    Montes Giraldo José Joaquín

    2003-06-01

    Full Text Available

    Mioara AVRAM, Marius SALA, Conaissez vous le roumain?, Bucarest, Unión Latina, 2001. El libro de Avram y Sala es en parte una condensación del libro de Sala. Presenta en su primer capítulo lo esencial de la historia externa del rumano: nombres, localización, hablantes, clasificación genealógica, tipo, orígenes, dialectos, contactos lingüísticos antiguos y modernos, escritura, normalización, lengua literaria, etc. Esto acompañado de indicaciones bibliográficas y sobre el estudio del rumano en universidades extranjeras.

     

  11. Introduction. Le travail politique

    OpenAIRE

    Demazière, Didier; Le Lidec, Patrick

    2008-01-01

    Le travail n’est pas une catégorie d’analyse, ou même de description, souvent utilisée dans les sciences sociales pour appréhender l’activité politique. Celle-ci est, de fait, une réalité assez fuyante, difficile à circonscrire, rétive à la délimitation : elle est exercée par une population hétérogène, elle n’est pas toujours reconnue comme une activité professionnelle, elle ne peut être aisément référée à un corpus de savoirs ou à des conditions d’apprentissage et de formation, etc. L’activi...

  12. Le Baratze (ou

    Directory of Open Access Journals (Sweden)

    Jacques Blot

    1998-01-01

    Full Text Available El círculo de piedras Mendizabal 7, de 8 metros de diámetro,   presenta una corona externa constituida de grandes bloques   hincados en la tierra, y otra interna y tangente, de elementos idénticos sólo puestos en el suelo. El cajón central está compuesto de cuatro losas y una tapa. No hay depósito de huesos ni de carbón de leña ; sólo se encuentran dos herraduras, entre las cuales una completa de tipo medieval, que podrían permitir de pensar en una construcción del círculo en el periodo histórico.

  13. Le fonctionnement d'un four de réduction daté de l'âge ancien du Fer (Koussané, bassin supérieur du Sénégal, Mali)

    OpenAIRE

    Dupuy, Christian

    2013-01-01

    International audience; Un décapage horizontal de 35 m 2 sur le gisement archéologique de Koussané a permis la mise au jour de vestiges sidérurgiques en relation avec une opération de réduction directe d'un minerai de fer siliceux. Deux fragments de charbon de bois inclus dans de la scorie ont fourni un âge C 14 de 1715 ± 55 BP en accord avec la chronostratigraphie. Le four utilisé pour cette opération se composait d'une fosse peu profonde légèrement hémisphérique surmontée d'une cellule maço...

  14. Le profil clinique et immunologique de 15 patients Marocains atteints de syndrome hyper IgM

    Science.gov (United States)

    Ouair, Hind; Benhsaien, Ibtihal; Jeddane, Leila; El Bakkouri, Jalila; Elhafidi, Naima; Rada, Noureddine; Najib, Jilali; Ailal, Fatima; Alj, Hanane Salih; Bousfiha, Ahmed Aziz

    2017-01-01

    Le Syndrome hyper IgM est un déficit immunitaire héréditaire bien connu, décrit pour la première fois en 1961. Il est causé par un défaut au niveau des lymphocytes B, caractérisé par un taux sérique normal ou élevé des IgM et un taux bas ou nul des IgG, IgA, IgE résultant d'une déficience de la commutation isotypique. Ses manifestations cliniques sont dominées par les infections à répétition, surtout du tube digestif, de la sphère ORL et des poumons. Le syndrome est causé par un défaut de commutation de classe d'immunoglobuline dans les cellules B, et une diminution de la capacité des monocytes à induire la prolifération des lymphocytes T. Le résultat net de tous ces défauts est la susceptibilité accrue aux infections opportunistes à Pneumocystis jiroveci, Cryptosporidium spp et d'autres organismes intracellulaires, ainsi qu'une fréquence élevée d'infections bactériennes et virales. L'intérêt de ce projet est d'illustrer l'importance de la compréhension des mécanismes physiopathologiques associés à cette susceptibilité accrue aux infections, ce qui permettra une meilleure prise en charge diagnostique et thérapeutique des patients atteint du Syndrome hyper IgM (SHIM). PMID:28690727

  15. Dans le tourbillon des particules

    CERN Document Server

    Zito, Marco

    2015-01-01

    Accélérateurs géants, détecteurs complexes, particules énigmatiques... La physique subatomique peut sembler bien intimidante pour le novice. Et pourtant, qui n a jamais entendu parler du boson de Higgs et du CERN, le laboratoire européen où il a été découvert en 2012 ? Nul besoin d être un spécialiste pour comprendre de quoi il s agit. Aujourd hui, une théorie extraordinairement élégante, le Modèle Standard, décrit tous les résultats des expériences dans le domaine. Trente-sept particules élémentaires et quatre forces fondamentales : c est tout ce dont nous avons besoin pour expliquer la matière et l Univers ! Ce livre, destiné à un large public, raconte sans équations le long parcours qui a abouti au Modèle Standard. Ce parcours, parfois sinueux, a été entamé lorsque les Grecs anciens, et peut-être d autres avant eux, ont imaginé que la matière est composée de petites « billes ». Il faudra attendre plusieurs siècles pour qu on réalise que la matière, à l échelle micros...

  16. Le panoptisme horizontal ou le panoptique inversé

    OpenAIRE

    BOREL, Simon

    2016-01-01

    Le panoptisme horizontal apparaît de plus en plus clairement comme la forme prise par le pouvoir dans la société en réseaux. Cet article tente de comprendre comment ce panoptisme réticulaire en ligne émerge à l’intersection des médias sociaux numériques, du capitalisme cognitif et des géants du numérique, de la gouvernementalité néolibérale et de la dynamique démocratique contemporaine de la reconnaissance. Il se caractériserait par la surveillance et le contrôle de tous par tous sur les rése...

  17. Vaincre le vampire violet | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    26 janv. 2011 ... Fort heureusement, Alan Watson pense avoir trouvé le pieu proverbial qui, planté dans le cœur de ce Dracula botanique, permettra d'en venir à bout : un simple champignon du nom de Fusarium oxysporum. Ce pourfendeur de vampires a été identifié au Mali, mais, à l'instar de la striga, il est très répandu ...

  18. [Orbital cellulitis with concomitant bacteraemia (Stenotrophomonas maltophilia) as a complication of an intraorbital foreign body--a case report and literature review].

    Science.gov (United States)

    Chwiejczak, Katarzyna; Wołowiec, Marcin; Grabska-Liberek, Iwona

    2015-01-01

    This is a case report of a 53-year-old man, who presented in the Department of Ophthalmology with signs of orbital cellulitis on the right side, which developed over a few days following an injury. Computed tomography revealed inflammatory infiltration of the orbital soft tissues, penetrating to the sella turcica. Orbital swab and blood cultures revealed the presence of Enterobacter and Peptostreptococcus spp. as well as Stenotrophomonas maltophilia, respectively. Review of the literature relevant to the presented case was performed based on the PubMed databasesearch, using the following keywords: intraorbital foreign body, orbital cellulitis, neuroinfection, Stenotrophomonas maltophiia.. Summarizing, the orbital injury-associated infections can be potentially life-threatening, due to the proximity of the anterior cranial fossa. Hence, they require prompt diagnosis and intensive treatment.

  19. Le bal du loup

    CERN Document Server

    Happy Children's Home

    2013-01-01

    The Bord'eau amateur theatre group will graciously perform a play of their creation Le bal du loup Saturday 19 October 2013 at 20:00 Sunday 20 October at 17:00 in the Théâtre des Grottes Rue Louis Favre 43, 1201 Genève Children from age 12 upwards. Summary: The new-elected mayoress of a small village would like to clean up the town by prohibiting alcohol and getting rid of its prostitutes. Then along comes « Massimo Lupo » the pimp... The performances will be given to support the Happy Children's Home charity, which runs a foster-home in Pokhara for Nepali children:  http://www.happychildrenshome.org/ Admission : minimum charge of 10 CHF per person requested, to cover the cost of technical assistance and theatre rental. Any profit will be used solely for the foster-home. At the end of each performance members of the HCH charity will be happy to answer any questions you may have. The theatre has 86 seats, thank you for reserv...

  20. LE PRINTEMPS ARABE ET LE DROIT: LE CAS DE LA TUNISIE

    OpenAIRE

    Hédi SAIDI

    2013-01-01

    Cet article montre comment les Tunisiens, ces « sans-culottes » du Tiers-monde n’avaient pas besoin du livre rouge ni du livre vert pour faire une révolution qui a étonné tout le monde a commencer par eux-memes. Il insiste sur le fait que la démocratie est compatible avec la Tunisie, qu’il n’y aura pas de marche arriere possible, tout en regrettant que le message de la révolution a été confisqué par des partis, chacun selon une grille de lecture partisane.

  1. Expression Study of LeGAPDH, LeACO1, LeACS1A, and LeACS2 in Tomato Fruit (Solanum lycopersicum

    Directory of Open Access Journals (Sweden)

    Pijar Riza Anugerah

    2015-10-01

    Full Text Available Tomato is a climacteric fruit, which is characterized by ripening-related increase of respiration and elevated ethylene synthesis. Ethylene is the key hormone in ripening process of climacteric fruits. The objective of this research is to study the expression of three ethylene synthesis genes: LeACO1, LeACS1A, LeACS2, and a housekeeping gene LeGAPDH in ripening tomato fruit. Specific primers have been designed to amplify complementary DNA fragment of LeGAPDH (143 bp, LeACO1 (240 bp, LeACS1A (169 bp, and LeACS2 (148 bp using polymerase chain reaction. Nucleotide BLAST results of the complementary DNA fragments show high similarity with LeGAPDH (NM_001247874.1, LeACO1 (NM_001247095.1, LeACS1A (NM_001246993.1, LeACS2 (NM_001247249.1, respectively. Expression study showed that LeACO1, LeACS1A, LeACS2, and LeGAPDH genes were expressed in ripening tomato fruit. Isolation methods, reference sequences, and primers used in this study can be used in future experiments to study expression of genes responsible for ethylene synthesis using quantitative polymerase chain reaction and to design better strategy for controlling fruit ripening in agroindustry.

  2. Le CRDI dans les Philippines

    International Development Research Centre (IDRC) Digital Library (Canada)

    Les travaux de certains bénéficiaires du CRDI ont eu des répercussions mon - diales. Ainsi, l'Institut international de recherche sur le riz (IRRI) a aidé à accroître le bien-être des riziculteurs et des consommateurs dans l'ensemble des pays en développement. Les faits, une arme contre la pauvreté. Une équipe de l'Angelo ...

  3. Un oiseau "sabote" le CERN

    CERN Multimedia

    Colson, Sébastien

    2009-01-01

    Un oiseau, un simple oiseau, est parvenu à bloquer à lui tout seul l'accélérateur à particules à 3,7 milliards d'euros. UNe histoire quasiment bulresque qui a toutefois impacté le fonctionnement de la machine durant près de cinq jours, puisque c'est le système de refroidissement qui a été affecté. (1 page)

  4. Le cas de la Chine

    International Development Research Centre (IDRC) Digital Library (Canada)

    pwust

    presse faisant état de 6,8 milliards de dollars US pour des projets tels qu'un réacteur nucléaire, des centrales électriques, la modernisation des chemins de fer et le développement en général. 18 Entrevues avec des analystes occidentaux et chinois, y compris des fonctionnaires de la Direction de la coopération pour le ...

  5. Are two penicillins better than one? A systematic review of oral flucloxacillin and penicillin V versus oral flucloxacillin alone for the emergency department treatment of cellulitis.

    Science.gov (United States)

    Quirke, Michael; O'Sullivan, Ronan; McCabe, Aileen; Ahmed, Jameel; Wakai, Abel

    2014-06-01

    Flucloxacillin either alone or combined with penicillin V is still the first-line antibiotic drug of choice for the treatment of cellulitis in emergency departments (EDs) in Ireland. The rationale for this antibiotic regimen is their anti-staphylococcal and anti-streptococcal activity. To determine the clinical efficacy, tolerability and safety of oral flucloxacillin alone (monotherapy) compared with a combination of flucloxacillin with penicillin V (dual therapy) in the ED-directed outpatient treatment of cellulitis. We searched the following electronic databases: MEDLINE (1950 to August 2011), EMBASE (1980 to August 2011), Cochrane Central Register of Controlled Clinical Trials (CENTRAL) (The Cochrane Library 2011, Issue), OpenGrey, Current Controlled Trials metaRegister of Clinical Trials (August 2011) and reference lists and websites of potential trials. We performed cross-referencing from the reference lists of major articles on the subject. We imposed no language restriction. Despite a comprehensive literature search to identify relevant studies, no randomized-controlled trials that fulfilled the inclusion criteria were found. Despite its common use, there are no published randomized-controlled trials comparing flucloxacillin monotherapy with a combination of flucloxacillin and penicillin V in the ED management of cellulitis. We discuss existing European and North American prescribing rationale and current guidelines.

  6. The effect of adding orbital computed tomography findings to the Chandler criteria for classifying pediatric orbital cellulitis in predicting which patients will require surgical intervention.

    Science.gov (United States)

    Le, Tran D; Liu, Eugene S; Adatia, Feisal A; Buncic, J Raymond; Blaser, Susan

    2014-06-01

    To assess the effect of adding orbital computerized tomography (CT) findings to the Chandler criteria for classifying pediatric orbital cellulitis in predicting which patients will require surgical intervention. The medical records of patients with orbital CT at a tertiary pediatric hospital from January 2000 to March 2011 were reviewed retrospectively. CT images of cases with radiology report of postseptal orbital involvement were further reviewed by a neuroradiologist. Of 101 cases of orbital cellulitis, 71 (mean age, 7.1 ± 4.0) were successfully managed with systemic antibiotics alone; 30 patients (mean age, 7.2 ± 4.3) required surgical intervention. Bony destruction on CT was significantly associated with surgical intervention (P = 0.02), and the size of the subperiosteal abscess (SPA) was significantly correlated with management outcome. Patients who were managed with systemic antibiotics alone had a mean SPA volume of 2.1 ± 2.4 mL; those who had undergone surgical intervention had a mean SPA volume of 14.3 mL ± 16.8 mL (P 3.8 mL, the probability of surgery is 71% (P orbital cellulitis classification scheme increases the ability to more accurately predict which patients will require surgical intervention. Copyright © 2014 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

  7. Continuous analytical control of the streaming waters in a uranium treatment plant and of various chemical products using automatic discharge valves; Controle par analyse en continu des eaux de ruissellement d'une usine traitant de l'uranium et divers produits chimiques avec commande automatique des vannes de decharge

    Energy Technology Data Exchange (ETDEWEB)

    Archimbaud, M.; Simeon, C. [Commissariat a l' Energie Atomique, Pierrelatte (France)

    1968-07-01

    This report describes a method for controlling the streaming waters produced by the Pierrelatte Centre; it is based on continuous analysis, with simultaneous recording of the species liable to be found accidentally in the corresponding hydrological circuits (chlorides, fluorides, chromium VI, uranium). An alarm set off at pre-determined thresholds leads to an automatic cutting off of the discharge valves; the outward flow of the waters is thus interrupted. This study has shown the various applications which can be found for this water control method, and gives an idea of the cost price. (authors) [French] Ce rapport decrit un mode de controle des eaux de ruissellement provenant du Centre de Pierrelatte base sur une analyse en continu, avec enregistrement des corps susceptibles de se retrouver accidentellement dans les reseaux hydrologiques correspondants (chlorures, fluorures, chrome VI, uranium). Le declenchement d'une alarme a partir de seuils choisis permet de fermer automatiquement les vannes de decharge et d'arreter ainsi l'ecoulement vers l'exterieur. Cette etude montre quelles peuvent etre les diverses applications de cette methode de controle des eaux et elle indique un ordre de grandeur du prix de revient. (auteurs)

  8. Le livre sur le livre traité de documentation

    CERN Document Server

    Otlet, Paul

    2015-01-01

    Paul Otlet est considéré comme le père des sciences de l'information. Ouvrage fondateur et fondamental, le Traité de documentation. Le livre sur le livre (1934) est l'aboutissement de son travail inlassable pour rassembler, classer et partager les connaissances. Otlet y propose une remarquable synthèse du savoir sur le livre et le document en même temps qu'il anticipe Internet et l'hypertexte. La réédition du Traité de documentation, 70 ans après la disparition de son auteur, coïncide avec la réouverture du Mundaneum à Mons, où le fabuleux héritage documentaire légué par Paul Otlet et Henri La Fontaine est conservé. « Ici, la table de travail n'est plus chargée d'aucun livre. À leur place se dresse un écran et à portée un téléphone. Là-bas, au loin, dans un édifice immense, sont tous les livres et tous les renseignements. De là, on fait apparaître sur l'écran la page à lire pour connaître la réponse aux questions posées par téléphone. » Préfaces de Benoît Peeters (éc...

  9. Le modèle spatial de la capitale allemande

    Directory of Open Access Journals (Sweden)

    Antoine Laporte

    2013-06-01

    Full Text Available En Allemagne, en 1999, le Chancelier fédéral et son gouvernement ont quitté Bonn pour Berlin. Ce transfert du pouvoir est accompagné de celui d’une grande partie de l’appareil d’État et de la haute administration, et des fonctions qui leur sont traditionnellement attribuées comme la presse, les lobbys ou encore la diplomatie. Le déplacement du statut de capitale effective de l’Allemagne de Bonn à Berlin est le résultat des évolutions géopolitiques d’un pays ayant recouvré son unité et sa pleine et entière souveraineté. Installer le pouvoir exécutif et législatif à Berlin était une démarche hautement symbolique, visant à normaliser la position de l’ancienne capitale de la RDA et du IIIe Reich comme véritable centre politique de l’Allemagne. Or le déplacement des institutions fédérales n’est pas qu’un acte symbolique. Il entraîne également à l’échelle intra-urbaine des dynamiques très concrètes sur le tissu urbain et participe à la mise en place de nouvelles centralités dans la ville. En effet, le statut de capitale d’État prédestine l’agglomération à la coprésence de nombreuses fonctions urbaines spécifiques plus ou moins directement liées à l’exercice ou à la symbolique du pouvoir.

  10. La Lutte Contre Le Tabagisme En Afrique

    International Development Research Centre (IDRC) Digital Library (Canada)

    Les sciences politiques, et le champ de la politique économique en particulier, constituent la focale permettant de discuter et d'analyser les conditions du ...... De plus, le ministère national de la Santé et de la Qualité de la vie a activement guidé la législation sur le contrôle du tabagisme dans son parcours à travers le ...

  11. Le dualisme Chipaya

    Directory of Open Access Journals (Sweden)

    1974-01-01

    Full Text Available L’auteur, partant des observations de Métraux sur Chipaya, apporte des idées neuves sur les ayllu constituant le village, basées sur une enquête approfondie et un plan détaillé du village : deux divisions principales apparaissent, celles-ci se divisant a leur tour en quatre ayllu. La chute brutale de la démographie depuis la seconde moitié du XVIe siècle a fait disparaître les 4 ayllu originels mais l’examen des archives permet d’observer un très vigoureux redressement démographique à partir des derniers 150 ans. Ce redressement démographique semble précipiter un nouvel éclatement de la communauté chipaya. El autor partiendo de las observaciones de Métraux sobre Chipaya, aporta sobre los ayllu que constituían el pueblo, basadas en una encuesta profunda y un plano detallado del pueblo: aparecen dos divisiones principales, dividiéndose éstas a su vez en cuatro ayllu. La caída brutal de la demografía desde la segunda mitad del siglo XVI ha hecho desaparecer los 4 ayllu primitivos pero el examen de los archivos permite observar un resurgimiento vigoroso a partir de los últimos 150 años. Este resurgimiento demográfico parece precipitar una nueva explosión de la comunidad chipaya.

  12. Paediatric post-septal and pre-septal cellulitis: 10 years' experience at a tertiary-level children's hospital

    Science.gov (United States)

    Craig, E; Al-Mahmoud, R; Batty, R; Raghavan, A; Mordekar, S R; Chan, J; Connolly, D J A

    2014-01-01

    Objective: To assess the incidence and complications of pre-septal (pre-SC) and post-septal (post-SC) cellulitis over 10 years. Pre-SC and post-SC are also known as periorbital and orbital cellulitis, respectively. Methods: Retrospective analysis of CT scans. Data included the presence of pre-SC and post-SC, paranasal sinus disease (PNS) and complications. Results: Among 125 patients scanned for these suspected diagnoses, 67 had both pre-SC and post-SC, 37 had pre-SC and 4 had post-SC; there were 17 normal scans. 110 patients had PNS. 68/71 (96%) patients with post-SC had PNS. Post-SC complications included orbital and/or subperiosteal abscess (50/71: 30 medial orbital, 10 superomedial, 3 lateral, 2 anteromedial, 2 inferomedial, 1 superior, 1 anterosuperior and 1 not specified), cavernous sinus thrombosis (CST) (1), superior ophthalmic vein (SOV) thrombosis (4) and subdural frontal empyema (2); 1 patient had SOV and CST and subdural empyema. Conclusion: 71/125 (57%) patients had post-SC. 50/125 (40%) patients imaged for pre-SC/post-SC had orbital abscess; 44/50 (88%) of these involved the medial orbit. Patients can develop solely superior or inferior abscesses that are difficult to identify by axial imaging alone, hence coronal reformatted imaging is essential. 5/125 (4%) patients developed major complications (SOV/CST/empyema), hence imaging review of the head and cavernous sinus region is essential. A diagnosis of post-SC on CT should alert the radiologist because this diagnosis can be associated with an increased incidence (5/71, 7%) of complications. Advances in knowledge: We recommend that all patients with a suspected diagnosis of post-SC should undergo CT scan (post-contrast orbits and post-contrast head, with multiplanar reformats and a careful review of the SOV and the cavernous sinus). Particular attention should be paid to exclude intracranial complications including subdural empyema and cerebral abscess. As soon as a diagnosis of post-SC is made, in

  13. Medical management versus surgical intervention of pediatric orbital cellulitis: the importance of subperiosteal abscess volume as a new criterion.

    Science.gov (United States)

    Todman, Michele S; Enzer, Yoash R

    2011-01-01

    To investigate age and frontal sinusitis as indications for the surgical management of pediatric orbital cellulitis with subperiosteal abscess (SPA) and to create an SPA volume criterion that would favor nonsurgical management. A retrospective chart review was performed to find all patients age 18 years and younger who presented to Hasbro Children's Hospital with orbital cellulitis secondary to sinusitis with an SPA from 2005 to 2009. SPA volume was measured using a CT ruler at the largest axial, coronal, and sagittal dimensions. Student t testing was used for statistical analysis. Twenty-nine patients were included: 8 (27.6%) were managed surgically and 21 (72.4%) were managed medically. The mean age of patients undergoing surgical management was 7.0 years old versus medical management 6.1 years old and was statistically similar (p < 0.001). The age range of patients undergoing surgical management was 17 months to 11 years versus 4 months to 13.4 years for medical management. The mean volume of abscesses needing surgery were larger (3,446.3 mm) than abscesses not needing surgery (420.5 mm) (p < 0.04). Volumes of <1,250 mm did not require surgical management (p < 0.001). The frontal sinuses were visualized on CT scan in 17 patients; frontal sinusitis was found in 11 of 17 (64.7%) patients; of these 11 patients, 4 (36.4%) underwent surgical drainage and only 2 (18.2%) showed positive culture results. The 2 (18.2%) patients who had positive culture results had an SPA volume that was ≥ 1,250 mm. The volume of SPA seemed to be the most important criterion in determining medical versus surgical management. The volumes of abscesses needing surgery were larger than the volumes of abscesses not needing surgery. Volumes of <1,250 mm did not require surgical management. Most cases of SPA with concurrent frontal sinusitis do not require surgical intervention. The cases of frontal sinusitis requiring surgical intervention always had concurrent SPA volumes of ≥ 1,250 mm

  14. Le nouveau modèle africain | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    22 juil. 2011 ... Or, ce serait rater le bateau que de ne pas s'engager dans la voie tout autre que les Africains proposent maintenant — à savoir se défaire du syndrome de la dépendance qui afflige l'Afrique depuis des décennies. Le Canada et les autres pays riches du Nord reconnaissent généralement qu'ils ne peuvent ...

  15. Le pompage optique naturel dans le milieu astrophysique

    Science.gov (United States)

    Pecker, J.-C.

    The title of this lecture abstracts only a part of it : the importance in astrophysics of the study of non-LTE situations has become considerable, as well in the stellar atmospheres as, still more, in the study of fortuitous coincidences as a mechanism of formation of emission line nebular spectra, or of molecular interstellar « masers ». Another part of this talk underlines the role of Kastler in his time, and describes his warm personality through his public reactions in front of the nuclear armement, of the Viet-Nam and Algerian wars, of the problems of political refugees... Kastler was a great scientist ; he was also a courageous humanist. 1976 : Les accords nucléaires du Brésil : allocution d'ouverture (19 mars). Colloque sur le sujet ci-dessus. 1976 : La promotion de la culture dans le nouvel ordre économique international, allocution à l'occasion d'une table ronde sur ce thème par l'UNESCO (23-27 juin 1976) ; « Sciences et Techniques », octobre 1976. 1979 : La bête immonde (avec J.-C. Pecker), « Le Matin », 20 mars. 1979 : Appel à nos ministres (avec J.-C. Pecker), « Le Monde », 13 décembre. 1979 : Le flou, le ténébreux, l'irrationnel (avec J.-C. Pecker), « Le Monde », 14 septembre. 1980 : Education à la paix, Préface, in : Publ. UNESCO. 1981 : Le vrai danger, « Le Monde », 6 août 1981. 1982 : Nucléaire civil et militaire, « Le Monde », 1er juin 1982. 1982 : Les scientifiques face à la perspective d'holocauste nucléaire (texte inédit). Le titre de cette communication en résume seulement une partie : l'importance prise en astrophysique par l'analyse des situations hors ETL est devenue considérable, qu'il s'agisse des atmosphères stellaires, ou plus encore, des coïncidences fortuites de la formation des spectres d'émission nébulaires, ou des « masers » moléculaires interstellaires. Une autre partie de cet exposé souligne lele de Kastler dans son époque, et décrit sa personnalité généreuse à travers ses r

  16. Utilisation de l'essai comete et du biomarqueur gamma-H2AX pour detecter les dommages induits a l'ADN cellulaire par le 5-bromodeoxyuridine post-irradiation

    Science.gov (United States)

    La Madeleine, Carole

    Ce memoire est presente a la Faculte de medecine et des sciences de la sante de l'Universite de Sherbrooke en vue de l'obtention du grade de maitre es sciences (M.Sc.) en radiobiologie (2009). Un jury a revise les informations contenues dans ce memoire. Il etait compose de professeurs de la Faculte de medecine et des sciences de la sante soit : Darel Hunting PhD, directeur de recherche (departement de medecine nucleaire et radiobiologie), Leon Sanche PhD, directeur de recherche (departement de medecine nucleaire et radiobiologie), Richard Wagner PhD, membre du programme (departement de medecine nucleaire et radiobiologie) et Guylain Boissonneault PhD, membre exterieur au programme (departement de biochimie). Le 5-bromodeoxyuridine (BrdU), un analogue halogene de la thymidine reconnu depuis les annees 60 comme etant un excellent radiosensibilisateur. L'hypothese la plus repandue au sujet de l'effet radio sensibilisant du BrdU est qu'il augmente le nombre de cassures simple et double brin lorsqu'il est incorpore dans l'ADN de la cellule et expose aux radiations ionisantes. Toutefois, de nouvelles recherches semblent remettre en question les observations precedentes. Ces dernieres etudes ont confirme que le BrdU est un bon radiosensibilisateur, car il augmente les dommages radio-induits dans l'ADN. Mais, c'est en etant incorpore dans une region simple brin que le BrdU radiosensibilise l'ADN. Ces recherches ont egalement revele pour la premiere fois un nouveau type de dommages produits lors de l'irradiation de l'ADN contenant du BrdU : les dimeres interbrins. Le but de ces travaux de recherche est de determiner si la presence de bromodeoxyuridine dans l'ADN augmente l'induction de bris simple et / ou double brin chez les cellules irradiees en utilisant de nouvelles techniques plus sensibles et specifiques que celles utilisees auparavant. Pour ce faire, les essais cometes et la detection des foci H2AX phosphorylee pourraient permettre d'etablir les effets engendres par

  17. Le territoire, un levier complémentaire pour l’atteinte du facteur 4 Territories, a complementary tool to achieve a low-carbon society

    Directory of Open Access Journals (Sweden)

    Jacques Theys

    2011-02-01

    Full Text Available Les exercices de prospective économique ou technico-économique intègrent de plus en plus fortement les contraintes énergétiques et climatiques afin de satisfaire aux exigences du facteur 4. Cependant, ces exercices réalisés dans les cadres conceptuels et méthodologiques habituels, qu’ils soient techniques ou économiques, permettent surtout de réaliser la difficulté d’atteindre les objectifs climatiques sans changer de paradigme. Dès lors, l’intégration de la problématique territoriale peut apparaître comme un moyen de mobiliser des leviers complémentaires à la prospective technico-économique. Le territoire peut en outre permettre de traiter ces problèmes de manière transversale tout en traitant des questions de gouvernance à cette échelle. La Mission Prospective du Commissariat Général au Développement Durable et l’ADEME ont donc lancé et codirigent le programme « Repenser les villes dans une société post carbone » afin de donner à l’approche territoriale toute la place qu’elle peut tenir dans la transition énergétique.Energy and climate-related issues are getting more and more tackled in economic and techno-economic strategic foresight exercises in order to meet the 75% reduction of greenhouse gas emissions challenge by 2050 in France. However, when performed within the traditional conceptual and methodological frameworks, these exercises show how difficult it is to reach climate change objectives without shifting paradigm. Considering territorial aspects can provide complementary tools to traditional techno-economic strategic foresight exercises. This approach can also help to deal with these issues across-the-board, as well as to tackle governance-related issues at the local level. The Commissariat Général au Développement Durable (the French Sustainable Development General Commission and the ADEME (the French Environment and Energy Management Agency have jointly launched a research program

  18. L’avion, le cerf-volant et le deuil

    Directory of Open Access Journals (Sweden)

    Jean Marie Théodat

    2009-07-01

    Full Text Available Le hasard de l’actualité nous fait publier ce neuvième numéro avec un Sur le Vif en résonance décalée par rapport à l’émoi planétaire suscité par la disparition brutale, le jeudi 25 juin, de Michael Jackson. Certes, la pop music n’est pas notre cœur de métier, mais une fois faite la part de l’ombre des coulisses d’une vie que l’on devine pleine de douleurs enfouies, et celle des paillettes qui illuminent la scène, demeure l’incontestable talent dont la ferveur planétaire justifie, dans ces co...

  19. Hyperloop : le droit et le devoir de douter...

    OpenAIRE

    Crozet, Yves

    2016-01-01

    National audience; C’est comme si c’était fait ! Les journaux les plus sérieux (Les Echos) nous annoncent que le premier test du prototype Hyperloop dans le désert du Nevada est un succès. Le projet futuriste d’Elon Musk se concrétise. Un véhicule terrestre de transport collectif va bientôt se déplacer à plus de 1000 km/h entre San Francisco et Los Angeles. Comme pour donner du crédit à cette information, la SNCF, via sa filiale SYSTRA va devenir partenaire du projet. Déjà les journaux de Pro...

  20. Le LHC, un tunnel cosmique

    CERN Multimedia

    CERN. Geneva

    2009-01-01

    Et si la lumière au bout du tunnel du LHC était cosmique ? En d’autres termes, qu’est-ce que le LHC peut nous apporter dans la connaissance de l’Univers ? Car la montée en énergie des accélérateurs de particules nous permet de mieux appréhender l’univers primordial, chaud et dense. Mais dans quel sens dit-on que le LHC reproduit des conditions proches du Big bang ? Quelles informations nous apporte-t-il sur le contenu de l’Univers ? La matière noire est-elle détectable au LHC ? L’énergie noire ? Pourquoi l’antimatière accumulée au CERN est-elle si rare dans l’Univers ? Et si le CERN a bâti sa réputation sur l’exploration des forces faibles et fortes qui opèrent au sein des atomes et de leurs noyaux, est-ce que le LHC peut nous apporter des informations sur la force gravitationnelle qui gouverne l’évolution cosmique ? Depuis une trentaine d’années, notre compréhension de l’univers dans ses plus grandes dimensions et l’appréhension de son comportement aux plus peti...

  1. Le developpement autocentre avec integration dans le marche ...

    African Journals Online (AJOL)

    Une peur d'être exploité a imposé la concentration sur l'appropriation de ressources financières pour l'investissement. L'expansion du marché de masse pour l'incitation de la production locale de biens d'équipement a été négligée. Lele des exportations de produits manufacturés pour la création de l'emploi n'a pas été ...

  2. Le financement de lurbanisation et le developpement local

    National Research Council Canada - National Science Library

    Club du Sahel

    2002-01-01

    ... G38G82G16G82G83G72G85G68G87G76G82G81G3G68G81G71G3G39G72G89G72G79G82G83G80G72G81G87 Le financement de l’urbanisation et le développement local Jean-Marie Cour 1 Introduction et résumé L’objet de cette note est d’aborder la question...

  3. Le même et le différent

    OpenAIRE

    Tixier, Nicolas

    2015-01-01

    À partir de Smoke de Paul Auster et Wayne Wang; International audience; Auggie Wren (joué par Harvey Keitel) tient un débit de tabac à Brooklyn au coin de la 16e rue et de Prospect Park West. Chaque matin il traverse le carrefour face à sa boutique et dispose avec attention, toujours au même endroit, son appareil photo sur un trépied. Il regarde sa montre, attend la bonne heure et appuie sur le déclencheur. Cette photo rejoindra un album où jour après jour, page après page, depuis de nombreus...

  4. [Dissecting cellulitis of the scalp: a retrospective study of 7 cases confirming the efficacy of oral isotretinoin].

    Science.gov (United States)

    Koudoukpo, C; Abdennader, S; Cavelier-Balloy, B; Gasnier, C; Yédomon, H

    2014-01-01

    Dissecting cellulitis of the scalp (DCS) is a rare and long-standing disease and its aetiopathogenesis remains unclear. Various therapeutic alternatives exist. We attempted to assess the efficacy of oral isotretinoin in a series of patients. Seven cases of DCS followed and treated by one of the authors at the Sabouraud Centre in the Saint-Louis Hospital between 2007 and 2013 were retrospectively studied and the efficacy of oral isotretinoin was evaluated. The seven patients included were males aged between 22 and 39 years, with alopecic nodules on the occiput (two cases) or the top of the vertex (five cases). Most patients were given oral isotretinoin at a dosage of 0.75mg/kg/day for at least nine months. The outcome was satisfactory with complete healing of the lesions and good regrowth in all cases. Follow-up after recovery lasted between 16 and 42 months. Based on published studies and the results of the present study, oral isotretinoin at a dose of 0.75mg/kg/day may be proposed as first-line treatment for DCS. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  5. Facteurs influençant l'initiation au traitement antirétroviral des personnes vivant avec le VIH dans les Centres de Traitement Agréés de Bamenda et de Bertoua au Cameroun

    Science.gov (United States)

    Mbopi-Keou, Francois-Xavier; Voundi, Esther Voundi; Kalla, Ginette Claude Mireille; Emah, Irène; Angwafo, Fru; Muna, Walinjom

    2014-01-01

    Introduction L'objectif de ce travail était de déterminer les facteurs influençant l'initiation au traitement antirétroviral des personnes vivant avec le VIH (PVVIH) dans les centres de traitements agrées (CTA) de Bamenda et de Bertoua au Cameroun. Méthodes Il s'agissait d'une étude transversale, analytique réalisée de Janvier à Avril 2011, dans les CTA de Bamenda et de Bertoua. Pour cette étude, nous avons obtenu une clairance éthique. Résultats Nous avons étudiés 460 dossiers de patients séropositifs en phase d'initiation au traitement antirétroviral dans les CTA de Bamenda et de Bertoua, 53,9% et 46,1% respectivement. L ‘âge médian était de 36 ans. La plupart des séropositifs à Bertoua (41) avaient fait un dépistage volontaire du VIH par rapport à ceux de Bamenda (22) (p= 0.008). Il y ‘avait plus de VIH de type 1 et 2 dans le CTA de Bamenda (15) par rapport à Bertoua (3) (p= 0.011). La majorité des patients était classé au stade clinique II à Bamenda (54,0%) tandis qu ‘à Bertoua le stade clinique III était prédominant (52,4%) (p = 0,000). Le taux médian de CD4 était de 133 cellules/mm3 dans le CTA de Bamenda et de 175 cellules/mm3 à Bertoua (p = 0,008). La Zidovudine était plus prescrit à Bamenda et le Ténofovir à Bertoua (p = 0,000). L ‘Efavirenz était plus prescrit à Bertoua tandis que la Névirapine l ‘était plus à Bamenda (p = 0,000). Le Lopinavir/r était plus prescrit à Bamenda qu ‘à Bertoua (p = 0,017). Conclusion Il apparait urgent de standardiser la prise en charge des PVVIH dans les CTA du Cameroun. PMID:25184023

  6. Effets d'un inhibiteur de la synthèse de la chitine, le diflubenzuron ...

    African Journals Online (AJOL)

    SF9) de Spodoptera frugiperda (Lépidoptère), les cellules (PID2) des disques imaginaux des ailes de Plodia interpunctella (Lépidoptère) et des cellules (S2) embryonnaires de Drosophila melanogaster (Diptére). Les résultats obtenus montrent ...

  7. Hypothesis of Lithocoding: Origin of the Genetic Code as a "Double Jigsaw Puzzle" of Nucleobase-Containing Molecules and Amino Acids Assembled by Sequential Filling of Apatite Mineral Cellules.

    Science.gov (United States)

    Skoblikow, Nikolai E; Zimin, Andrei A

    2016-05-01

    The hypothesis of direct coding, assuming the direct contact of pairs of coding molecules with amino acid side chains in hollow unit cells (cellules) of a regular crystal-structure mineral is proposed. The coding nucleobase-containing molecules in each cellule (named "lithocodon") partially shield each other; the remaining free space determines the stereochemical character of the filling side chain. Apatite-group minerals are considered as the most preferable for this type of coding (named "lithocoding"). A scheme of the cellule with certain stereometric parameters, providing for the isomeric selection of contacting molecules is proposed. We modelled the filling of cellules with molecules involved in direct coding, with the possibility of coding by their single combination for a group of stereochemically similar amino acids. The regular ordered arrangement of cellules enables the polymerization of amino acids and nucleobase-containing molecules in the same direction (named "lithotranslation") preventing the shift of coding. A table of the presumed "LithoCode" (possible and optimal lithocodon assignments for abiogenically synthesized α-amino acids involved in lithocoding and lithotranslation) is proposed. The magmatic nature of the mineral, abiogenic synthesis of organic molecules and polymerization events are considered within the framework of the proposed "volcanic scenario".

  8. Chapitre 3. Revisiter le mythe

    OpenAIRE

    Vauthier, Elisabeth

    2014-01-01

    Nous avons vu qu’après 1967 le roman arabe se tourne vers l’homme, en tant qu’être singulier représentatif d’une destinée partagée. L’important est désormais de décrire la réalité à travers l’expérience individuelle d’êtres humains qui explorent leur moi profond et se donnent à voir dans ce qu’ils ont d’intime. Le réel qu’ils évoquent n’est pas moins douloureux que précédemment, mais l’authenticité du témoignage est recherchée dans l’introspection et le spectacle d’un sujet qui se dévoile dev...

  9. Le Corbusier’s Dioramas

    Directory of Open Access Journals (Sweden)

    José Ramón Alonso Pereira

    2013-10-01

    Full Text Available AbstractLe Corbusier symbolizes the modern rational urbanism, whose rigorous effort of town planning demands a parallel effort of comprehension. It opposes to these contemporary urbanism that wish to perceive and to enjoy cities in a sensible way. Nevertheless, sentiment and reason are not adverses and Le Corbusier gives us at his  moment keys to intent a synthesis, joined them in a singular way by means of his ‘boîtes à miracles’ or ‘magic boxes’: those "architectural spectacles of synthesis" that he defined in 1951 Ciam. Here we try to approach to the first of those ‘spectacles’: the ‘diorama’, considering it as a corbusean strategy of mediation between rational and sensible in modern and contemporary city.Key wordsLe Corbusier, diorama, Ville Contemporaine, Plan Voisin, Plan Maciá

  10. Le bord de la solitude

    Directory of Open Access Journals (Sweden)

    Jean-Paul Galibert

    2010-04-01

    Full Text Available La solitude a un bord, et non un seuil, parce que sinon, ce ne serait pas la solitude. Car le seuil a ceci de merveilleux qu’il sépare un dedans et un dehors, en sorte qu’il reste franchissable, et que l’on peut toujours sortir, et rentrer à sa guise. De ce fait, où que soient les autres, le seuil garantit donc que je pourrais les rejoindre, et me délasser, en changeant de lieu, des inconvénients croisés de l’intérieur et de l’extérieur. Dans le seuil, la métaphore implicite de la maison nous...

  11. Le Fleix – Bourg Ouest

    OpenAIRE

    Gineste, Marie-Christine

    2013-01-01

    Date de l'opération : 2009 (EX) Le projet d’extension d’une cantine scolaire est à l’origine de cette prescription. Il concerne une parcelle de 1 438 m2 située sur un replat de la terrasse holocène, en bordure d’un affluent de la Dordogne ; le Lasolle du Bost, dans le périmètre supposé de l’agglomération antique appelée « ville de Meille ». L’assiette du projet correspond au XIXe siècle à un secteur agricole non bâti. Deux tranchées ont été réalisées, occasionnant la découverte, surtout au no...

  12. Le déchet

    OpenAIRE

    Pesqueux, Yvon

    2016-01-01

    Doctoral; D'un point de vue étymologique, le mot de « déchet », dérivé du verbe déchoir, signifie, à partir du Moyen-âge, la part qui est perdue. Au début du XIX° siècle, le mot caractérise également une personne dégénérée. Il faut en souligner la proximité avec la notion d'obsolescence. Comment ne pas mentionner non plus La part maudite de G. Bataille. Il est possible de considérer le déchet comme étant un des analyseurs possibles du fonctionnement d'une société dans la mesure où ils sont re...

  13. Quand le dentier devient danger!

    Science.gov (United States)

    Sadak, Nouzha; Herrak, Laila; Achachi, Leila; El Ftouh, Mustapha

    2017-01-01

    Bien que rare chez l'adulte, l'inhalation de corps étranger (CE) est un accident grave pouvant mettre en jeu le pronostic vital ou entrainer des séquelles importantes. Nous rapportons l'observation d'un patient de 50 ans, sans antécédents pathologiques particuliers, qui s'est présentée aux urgences pour douleur thoracique, toux intermittente et dyspnée d'effort, six jours après avoir inhalé, accidentellement, sa prothèse dentaire en plastique lors d'un repas. L'examen clinique était sans particularités. La radiographie thoracique ainsi que l'ASP ne montraient pas d'anomalie. Une bronchoscopie souple sous anesthésie générale a permis de visualiser le CE au niveau du tronc intermédiaire et l'extraction a été réalisée avec succès évitant ainsi le recours à un geste beaucoup plus invasif. La radiographie standard peut s'avérer utile en visualisant les CE radio-opaque ou par des signes indirects évoquant la présence d'un CE, mais le recours à la bronchoscopie à visée diagnostique et thérapeutique est primordial. PMID:28904706

  14. Le strade nascoste del mesmerismo

    OpenAIRE

    RICCIO, Monica

    2015-01-01

    [The hidden routes of mesmerism].The recent book Mesmer et mesmerismes. Le magnétisme animal en contexte (edited byB. Belhoste and N. Edelman, Montreuil, Omniscience, 2015) offers a new view on the history of animal magnetism. This article develops in particular its indications concerning mesmerism as a very psychological knowledge.

  15. Le strade nascoste del mesmerismo

    Directory of Open Access Journals (Sweden)

    Riccio, Monica

    2015-12-01

    Full Text Available [The hidden routes of mesmerism].The recent book Mesmer et mesmerismes. Le magnétisme animal en contexte (edited byB. Belhoste and N. Edelman, Montreuil, Omniscience, 2015 offers a new view on the history of animal magnetism. This article develops in particular its indications concerning mesmerism as a very psychological knowledge.

  16. Computed tomographic patterns of orbital cellulitis due to sinusitis Padrões tomográficos de celulite orbitária secundária à sinusite

    Directory of Open Access Journals (Sweden)

    Filipe José Pereira

    2006-08-01

    Full Text Available PURPOSE: To describe the CT findings of orbital cellulitis due to sinusitis. METHODS: The records and CT scans of 45 consecutive patients with orbital cellulitis due to sinusitis treated at the Hospital of the Medical School of Ribeirão Preto were analyzed by a radiologist and two orbital surgeons. RESULTS: Three major types of CT changes were observed: diffuse fat infiltration, subperiosteal abscess and orbital abscess. Diffuse fat infiltration (characterized by an increased density of the extra- or intraconal fat was seen in 11 patients (24.44%. A subperiosteal abscess was diagnosed in 28 patients (62.23%. A surgically proved orbital abscess was detected in 6 patients (13.33%. CONCLUSIONS: In all cases of orbital cellulitis due to sinusitis intraorbital changes can be detected by CT scans either as a diffuse infiltration of the orbital fat or as a detachment of the periorbita (subperiosteal abscess or a true orbital abscess. Category I of Chandler orbital cellulitis classification (inflammatory edema must be understood as a stage of a process that is already happening within the orbit and, as the term "preseptal cellulitis" means a palpebral infection, this designation should not be used to stage orbital cellulitis.OBJETIVO: Descrever os achados tomográficos em celulites orbitárias secundárias à sinusite. MÉTODOS: Os prontuários e filmes tomográficos de 45 pacientes consecutivos com celulite orbitária secundária à sinusite tratados no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto foram analisados por um radiologista e dois cirurgiões de órbita. RESULTADOS: Três principais tipos de alterações tomográficas foram observadas: infiltração difusa da gordura, abscesso subperiósteo e abscesso orbitário. Infiltração difusa da gordura (caracterizada por aumento da densidade da gordura extra ou intraconal foi vista em 11 pacientes (24,44%. Abscesso subperiósteo foi diagnosticado em 28 pacientes (62

  17. LE SYSTEME ALGERIEN DE PROTECTION SOCIALE : ENTRE ...

    African Journals Online (AJOL)

    la plus grande partie de la population contre les risques sociaux. Nous proposons dans notre travail de ..... système des soins a été plutôt administratif que financier, le finance-. 8. Le rapport entre la sécurité sociale et le ..... militaires de carrières (CAMSSF). La gestion et le fonctionnement de ces régimes étaient opaques,.

  18. dynamiques migratoires et rapport avec le

    African Journals Online (AJOL)

    Cette analyse concerne uniquement les Burkinabés vivant en milieu rural. Les migrants gardent un contact ... retour de se valoriser (en se faisant voir les jours du marché). Ainsi dès le départ, la migration n'a .... liée au fait que le pays ne développe pas assez d'initiatives pour maintenir le lien; c'estainsi par exemple que le ...

  19. RENTABILITE DES INVESTISSEMENTS DANS LE COMMERCE DE ...

    African Journals Online (AJOL)

    l'unité monétaire investie génère 2,76 F CFA chez le grossiste primaire et 3,19 F CFA chez le grossiste secondaire. Ce niveau de rentabilité est surtout lié à la commercialisation des ignames de l'espèce Dioscorea rotundata. L'étude a également montré que le grossiste primaire qui investi plus que le grossiste secondaire, ...

  20. Le CRDI en Indonésie

    International Development Research Centre (IDRC) Digital Library (Canada)

    l'État dans l'île de Java. Soutenu par le CRDI, l'institut Lembaga Alam Tropika Indonesia. (ou LATIN) a conçu un modèle de cogestion des forêts qui met à contribution les collec- tivités et le gouvernement dans trois dis- tricts. Ainsi, les agriculteurs disposent d'un meilleur accès aux ressources de la forêt. Évaluation des ...

  1. Nanostructures pour le développement de vaccins contre le virus de ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Institut national de la recherche agronomique (France). Ce projet est financé par le fonds d'innovation en vaccins pour le bétail, un partenariat entre la fondation Bill et Melinda Gates, Affaires Mondiales Canada et le Centre de recherches pour le ...

  2. Canada Among Nations 2014 – le Canada et le système financier ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    28 mai 2014 ... Le 28e ouvrage de la collection Canada Among Nations revient sur la crise financière mondiale de 2008 et examine son impact au Canada ainsi que lele que le pays a joué et joue toujours au sein du système financier international.

  3. Gevaren van financiële vernieuwing

    NARCIS (Netherlands)

    Hommes, C.H.; Wagener, F.O.O.

    2010-01-01

    Financiële instrumenten maken de spreiding van financiële risico’s mogelijk, en daardoor welvaartswinsten. Op markten met begrensd rationele agenten schuilt in financiële vernieu- wing echter ook een gevaar: effecten van kuddegedrag worden versterkt, wat uiteindelijk tot instabiliteit en grote

  4. Le CERN ouvre ses entrailles au public

    CERN Multimedia

    2004-01-01

    "Le CERN se lance dans une grande opération de relations publiques pour son cinquantième anniversaire. Le centre de recherche organisera une journée portes ouvertes le 16 octobre. Quelque 50 sites pourrant être visités" (1/2 page)

  5. Le LHC, priorité absolue

    CERN Multimedia

    Huet, S

    2002-01-01

    Le LHC, sa mise en est repoussee a 2007 quand les physiciens esperaient 2006. Le CERN a sous-estime les couts, environ 11% pour les 1 200 aimants supraconducteurs. Les Etats membres n'augmenteront pas leurs subventions, il propose donc cette semaine un plan drastique : tout pour le LHC (1/2 page).

  6. LE CORBUSIER: CONCURSOS Y PALACIOS / Le Corbusier: competitions and palaces

    Directory of Open Access Journals (Sweden)

    Fernando Zaparaín Hernández

    2012-11-01

    Full Text Available RESUMEN Cuando Le Corbusier ya había pasado de los cuarenta años se enfrentó a dos concursos internacionales: el Palacio de las Naciones en Ginebra (1926–31 y el Palacio de los Soviets en Moscú (1931–32 con los que intentaba acceder a grandes encargos de estado con mayor escala urbana en los que poner a prueba su ideario moderno sobre arquitectura y urbanismo. En ambos casos estuvo entre los vencedores pero por conveniencia e indecisión, los poderes políticos optaron por soluciones academicistas. Al conocer las decisiones definitivas, Le Corbusier y todos sus contactos del Movimiento Moderno orquestaron diversas polémicas ante los medios de comunicación y los gobernantes por entender que el progreso se veía lastrado por el triunfo de propuestas reaccionarias. Mediante el estudio de la correspondencia con personas particulares como Moser, Giedion, Colly o Stonorov, conservada en la Fundación Le Corbusier, se analizan las relaciones y el tono ideológico en torno a aquellas protestas. En esos textos quedan reflejados los principales rasgos que caracterizan la modernidad como su internacionalización, la seguridad en la propia misión, la defensa de lo nuevo o el método dialéctico.SUMMARY When Le Corbusier had already passed the age of forty he confronted two international competitions: the Palais des Nations in Geneva (1926–1931 and the Palace of the Soviets in Moscow (1931–32, with which he attempted to access large state commissions, with greater urban scale, in which to test his ideas about modern architecture and urbanism. In both cases he was among the winners, but through convenience and indecision the political powers opted for solutions from academicians. Upon knowing the final decisions, Le Corbusier and all his contacts in the Modern Movement orchestrated several controversies with the media, and the people in power, to convey that progress seemed burdened by the triumph of reactionary proposals. The relationships and

  7. Non-Necrotizing Streptococcal Cellulitis as a Cause of Acute, Atraumatic Compartment Syndrome of the Foot: A Case Report.

    Science.gov (United States)

    Toney, James; Donovan, Stephanie; Adelman, Vanessa; Adelman, Ronald

    2016-01-01

    Acute compartment syndrome is widely accepted as a surgical emergency. Most cases of acute compartment syndrome occur after high-energy trauma, especially crush injuries. We present a unique case of acute, atraumatic compartment syndrome of the foot associated with infectious cellulitis. A 53-year-old male, with a medical history significant for human immunodeficiency virus, presented to the emergency department secondary to an insidious onset of intense foot pain, swelling, and an inability to bear weight on the affected extremity. He had no history of recent trauma. He was admitted to the hospital because of a suspected infection and subsequently was given intravenous antibiotics. During the admission, he developed a severe infection, and blood cultures demonstrated growth of group A streptococcus. No abscess or hematoma was identified on magnetic resonance imaging or during exploratory surgery. The findings from intraoperative cultures were negative. Despite proper medical care for his infection, the lower extremity pain worsened; therefore, compartmental pressures were obtained at the bedside. Multiple compartment pressures were measured and were >40 mm Hg. Compartment syndrome was diagnosed, and the patient was taken to the operating room for emergent fasciotomies. Surgical release of the medial, lateral, interosseous, and adductor compartments revealed copious amounts of serosanguinous drainage. Again, no definitive hematoma or purulence was identified. The patient's symptoms resolved after the fasciotomies, and he healed uneventfully. Our case highlights the need to consider acute compartment syndrome in the differential diagnosis for pain out of proportion to the clinical situation, even when a traditional etiology is absent. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  8. The Penicillin for the Emergency Department Outpatient treatment of CELLulitis (PEDOCELL) trial: update to the study protocol and detailed statistical analysis plan (SAP).

    Science.gov (United States)

    Boland, Fiona; Quirke, Michael; Gannon, Brenda; Plunkett, Sinead; Hayden, John; McCourt, John; O'Sullivan, Ronan; Eustace, Joseph; Deasy, Conor; Wakai, Abel

    2017-08-24

    Cellulitis is a painful, potentially serious, infectious process of the dermal and subdermal tissues and represents a significant disease burden. The statistical analysis plan (SAP) for the Penicillin for the Emergency Department Outpatient treatment of CELLulitis (PEDOCELL) trial is described here. The PEDOCELL trial is a multicentre, randomised, parallel-arm, double-blinded, non-inferiority clinical trial comparing the efficacy of flucloxacillin (monotherapy) with combination flucloxacillin/phenoxymethylpenicillin (dual therapy) for the outpatient treatment of cellulitis in the emergency department (ED) setting. To prevent outcome reporting bias, selective reporting and data-driven results, the a priori-defined, detailed SAP is presented here. Patients will be randomised to either orally administered flucloxacillin 500 mg four times daily and placebo or orally administered 500 mg of flucloxacillin four times daily and phenoxymethylpenicillin 500 mg four times daily. The trial consists of a 7-day intervention period and a 2-week follow-up period. Study measurements will be taken at four specific time points: at patient enrolment, day 2-3 after enrolment and commencing treatment (early clinical response (ECR) visit), day 8-10 after enrolment (end-of-treatment (EOT) visit) and day 14-21 after enrolment (test-of-cure (TOC) visit). The primary outcome measure is investigator-determined clinical response measured at the TOC visit. The secondary outcomes are as follows: lesion size at ECR, clinical treatment failure at each follow-up visit, adherence and persistence of trial patients with orally administered antibiotic therapy at EOT, health-related quality of life (HRQoL) and pharmacoeconomic assessments. The plan for the presentation and comparison of baseline characteristics and outcomes is described in this paper. This trial aims to establish the non-inferiority of orally administered flucloxacillin monotherapy with orally administered flucloxacillin

  9. Poetry, science and hope in the Prose des cellules HeLa (prose for the HeLa cells) in Marcel Thiry’s poetic work

    OpenAIRE

    Halen, Pierre

    2014-01-01

    International audience; If the process of natural sciences, so-called “exact sciences”, can be enlightened by theology and philosophy, it can also be seen by a literary gaze, and in this case by a poetic approach. A work published in 1969 by the Belgian poet Marcel Thiry, entitled Prose des cellules HeLa (prose for the HeLa cells), shows the possibility for knowledges to hold a dialogue which brings out their complementary nature. Using resources of various worldviews (myths from Greek Antiqu...

  10. Désignation des « minorités » et assignation identitaire dans le discours de la presse française (2007-2010 : étude de [Dét. N d’origine X

    Directory of Open Access Journals (Sweden)

    Devriendt Émilie

    2012-07-01

    Full Text Available Cette contribution propose une analyse sémantique et discursive des emplois du désignant [Dét. N d'origine X] dans un corpus de presse quotidienne française traitant du thème de l'« identité nationale » entre 2007 et 2010. Ce faisant, elle s'inscrit dans une problématique relative à la nomination (dialogique des identités minoritaires et interroge la notion de construction textuelle de l'idéologie, en cherchant à mettre au jour le fonctionnement discursif de l'essentialisation (ou assignation identitaire, phénomène bien analysé par ailleurs en sociologie de l'immigration et en sociologie post-coloniale. On étudie tout d'abord les emplois autonymiques du désignant /Français d'origine étrangère/ et du caractérisant /d'origine étrangère/, qui renvoient dans le corpus à un discours prononcé par N. Sarkozy, président de la République française, en juillet 2010 (discours de Grenoble, pour interroger la dimension argumentative de cette mise à distance et la perception des catégories légales qui la sous-tendent. On présente ensuite une analyse des emplois en usage du type [Dét. N d'origine X], largement majoritaires dans le corpus. On montre ainsi comment la désignation en fonction de l'origine, critère transversal aux catégories légales (étranger, Français, tend à signifier l'« immigration », de manière euphémistique, pour catégoriser tout ensemble immigré·e·s (Français·e·s ou non et leurs descendant·e·s français·e·s. On s'intéresse ensuite aux structures de type [NP, (Dét. N d'origine X], caractéristiques des emplois au singulier, pour illustrer l'un des fonctionnements sémantiques et discursifs de l'essentialisation de l'origine (géographique, « ethnique », génétique, réelle ou supposée, des individus. On montre en effet comment la fonction cohésive de la construction étudiée fait coïncider, par le biais de l'interprétation causale qu'elle appelle, une forme de n

  11. Lele des intervenants non gouvernementaux dans le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Ces défis peuvent exacerber les injustices sur le plan de la santé et des revenus. Les stratégies de gouvernance visant à optimiser la contribution des intervenants non gouvernementaux incluent : - des interventions ciblées, comme des partenariats public-privé; - des changements sur les plans politiques et réglementaires.

  12. Reflexion sur le climat, l'effet de serre et le rechauffement global ...

    African Journals Online (AJOL)

    Le climat de la Terre est largement influencé par l'état de son atmosphère. Le rayonnement solaire jouerait un rôle primordial dans la climatologie terrestre certes, néanmoins, il n'est plus en mesure à lui tout seul d'expliquer le climat qui prédomine, en moyenne, à la surface de la terre. L'effet de serre serait le phénomène ...

  13. Lombóle (Bantou C60-70) Le dialecte des Loelé | Montingea ...

    African Journals Online (AJOL)

    Les présentes notes grammaticales concernent le parler des Loelé, un dialecte mbóle qui porte le numéro 116 sur la liste des dialectes Mongo. Comme la plupart d'autres parlers mbóle, le loelé atteste des traits phonologiques et morphologiques d'un intérêt insoupçonné du point de vue de la recherche historique : la règle ...

  14. Le Conseil des gouverneurs | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2 nov. 2010 ... La composition du Conseil aide à faire en sorte que les programmes et activités du Centre répondent de façon efficace aux besoins des pays en développement, respectent les bonnes pratiques de gouvernance et servent l'intérêt public. La Loi sur le CRDI précise qu'au moins 11 des gouverneurs doivent ...

  15. Le cosmos et le lotus confessions d'un astrophysicien

    CERN Document Server

    Trinh, Xuan Thuan

    2011-01-01

    Que nous dit vraiment la science sur la nature de l'univers, sur son origine et son avenir ? Par quel mystère le langage mathématique, pure création de l'esprit humain, se révèle-t-il aussi performant pour nous décrire les phénomènes physiques, de l'infiniment petit à l'infiniment grand ? S'il existe un ordre du monde, ce que nous en disent la physique quantique et la théorie de la relativité est-il compatible avec ce qu'enseigne le bouddhisme ? Et que peut-on en conclure concernant notre propre vie ? A ces questions passionnantes et à beaucoup d'autres, le célèbre astrophysicien Trinh Xuan Thuan répond ici d'une façon personnelle, en s'appuyant sur son expérience. Son itinéraire l'a placé d'emblée à la confluence de trois cultures : issu d'une famille de lettrés vietnamiens imprégnée de traditions bouddhiste et confucéenne, il a reçu une éducation à la française puis une formation scientifique à l'américaine. Une telle richesse de points de vue lui permet d'apporter, non pas de...

  16. Le premier BRASU | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Dans l'embrasure des portes et au bout des couloirs étaient suspendues des nattes lâchement tressées sur lesquelles des hommes ne faisaient rien d'autre que les asperger d'eau…tel était le système de refroidissement par évaporation. De l'eau glacée nous était toujours offerte, que nous devions refuser…même si elle ...

  17. Le supplice tragique de Phyton

    OpenAIRE

    Chamoux, François

    2015-01-01

    Le siège et la prise de Rhégion par Denys l'Ancien représentent dans l'histoire du tyran un épisode d'une importance capitale. Diodore lui consacre un long développement qui dérive probablement de Timée, source principale de Diodore pour les affaires de Sicile. Le siège dura onze mois (387-386) et s'acheva par la reddition de la ville, réduite par la famine. Les efforts de Denys et les moyens considérables qu'il avait mis en œuvre pour emporter d'assaut les murailles n'avaient pu faire plier ...

  18. Le sette meraviglie del cosmo

    CERN Document Server

    Narlikar, Jayant V

    2004-01-01

    Tra giganti, "nane" e stelle che esplodono in cielo, un vademecum per scoprire il cosmo e i misteri che lo abitano. Lasciati alle spalle i confini sicuri della Terra e del Sistema solare, assistiamo a un'esplosione continua di fenomeni inaspettati. L'universo si svela nel suo continuo mutamento, cresce in fascino e complessità via via che ci addentriamo nei suoi spazi profondi. Tramite esempi semplici, aneddoti umoristici e una prosa cristallina, Vishnu Narkilar racconta l'emozione di fronte alle sorprese del cosmo. Le "sette meraviglie" sono i fenomeni misteriosi che si nascondono dietro le stelle che punteggiano il cielo, una schiera di eventi spettacolari che per secoli hanno sfidato la curiosità umana ed eluso ogni spiegazione.

  19. Déconstruire le patrimoine.

    Directory of Open Access Journals (Sweden)

    Fanny Letissier

    2005-04-01

    Full Text Available Le passé connaît un recentrage au sein des problématiques de recherches actuelles, comme l’évoque Michel Rautenberg dès l’introduction de La rupture patrimoniale : « depuis une vingtaine d’années, les sciences sociales se sont souvent intéressées au passé ». […] (p. 17. Ce constat peut être enrichi par le fait que la densité de ce genre de travaux s’est elle aussi accrue. Ce livre s’inscrit donc dans cette lignée d’ouvrages qui tentent de comprendre la ...

  20. Le glaive de la parole

    Directory of Open Access Journals (Sweden)

    Luce Marchal-Albert

    2006-09-01

    Full Text Available Chacun sait, selon le mot de Pierre Viret, « en quelle confusion est la Chrestienté » au xvie siècle en Europe. C’est le deuxième quart du siècle qui nous intéressera ici, et en particulier l’année 1545, qui constitue une année charnière qui voit vaciller l’Église romaine, flamber et culminer la chasse aux hérétiques en même temps qu’elle voit la jeune Église réformée se renforcer et se positionner avec succès dans un champ religieux plus que chaotique. Les ouvrages polémiques réformés écrits...

  1. La lecture par le jeu

    OpenAIRE

    Gaudin Roy, Marion; Tièche Christinat, Chantal

    2012-01-01

    En tant que maîtresse de classe développement itinérante, je me suis demandé s’il était possible d’apprendre la lecture en jouant. Puis d’autre questions ont suivi : qu’est-ce que la lecture ? Qu’est-ce que le jeu ? Le jeu est perçu comme un loisir voire comme une activité oisive. Il est donc en opposition à l’apprentissage qui est perçu comme difficile et demandant des efforts. Comment se situer en tant qu’enseignante ? A travers ce mémoire, j’ai pu répondre à ces interrogations. Pour...

  2. Le portrait de Che Guevara

    OpenAIRE

    Maguet, Frédéric

    2013-01-01

    Frédéric Maguet, Le portrait de Che Guevara. Comment la parole vient à l’icône – Depuis plus de quarante ans, le portrait de Che Guevara au béret étoilé a été une image très largement reproduite dans les contextes les plus divers, du militantisme politique à l’industrie du design. La perspective retenue ici est celle de sa réception en France et en Europe. Dès la mort du Che en 1967, ce portrait est massivement diffusé dans l’espace public et devint un symbole de la rébellion en général, disp...

  3. Un regard sur le quotidien

    Directory of Open Access Journals (Sweden)

    Bernard Zuppinger

    2005-10-01

    Full Text Available Sur la base d’une situation particulière tirée d’une expérience de terrain récente, cette contribution cherche à montrer comment l’observation participante peut, dans le quotidien d’une enquête sur les stratégies foncières des habitants d’un quartier périphérique de Ouagadougou, être porteuse d’ambiguïté et de distance en fonction du changement de statut de l’enquêteur. Et comment cette distance implique de considérer une méthodologie basée sur un empirisme «instruit» pour reprendre le terme de O. Schwartz.

  4. Capitolo VI. Le influenze extralogiche

    OpenAIRE

    Tarde, Gabriel

    2016-01-01

    Dobbiamo adesso studiare le cause non logiche di favore o di sfavore rispetto ai diversi tipi di imitazioni in concorrenza tra loro, che ci forniscono la ragione del loro successo o del loro insuccesso. Prima di cominciare queste considerazioni, spendiamo tuttavia qualche parola a proposito di alcune modalità che possono riguardare un’imitazione qualunque, relative sia alla sua esattezza o inesattezza, sia al suo carattere cosciente o inconscio.   1. Innanzitutto, l’imitazione può essere prec...

  5. Le CRDI au Costa Rica

    International Development Research Centre (IDRC) Digital Library (Canada)

    La stabilité politique du Costa Rica a fait de ce pays un partenaire essen- tiel du CRDI en Amérique centrale pour la recherche portant sur l'agriculture, les politiques économiques, la démocratisation et la prévention des catastrophes naturelles. Le CRDI a beaucoup contribué à la recherche en agriculture au Costa Rica,.

  6. Le beurre et la couronne

    Directory of Open Access Journals (Sweden)

    François Verdier

    2012-04-01

    Full Text Available La Tour de Beurre de la cathédrale et la Tour couronnée de l'abbaye Saint-Ouen se côtoient dans le ciel de Rouen depuis la fin du Moyen Age, et présentent de nombreuses similitudes. Sans prétendre apporter une connaissance nouvelle et complète sur la genèse, l'analyse et la postérité de ces chefs-d'oeuvre, cette étude modeste fait le point des connaissances et situe ces fameux morceaux d'architecture dans le riche contexte des édifices flamboyants du début de la Renaissance à Rouen.Les deux célèbres tours sont présentées dans leurs rapports avec les grandes églises qu'elles complètent et situées parmi quelques monuments plus ou moins éloignés dans l'espace et dans le temps, qui ont manifestement subi leur très forte influence.The Butter-tower of the cathedral and the Crowned-tower of the abbey of Saint-Ouen which rise together, since the middle-ages, into the sky at Rouen, have many features in comon. This paper will not add new elements nor pretend to complete genesis, analysis and development of these master-pieces, but, with reference to existing knowledge, places these two important buildings in the context of "flamboyante architecture" at the beginning of the Renaissance period in Rouen.

  7. Le CRDI au Sri Lanka

    International Development Research Centre (IDRC) Digital Library (Canada)

    les urbanistes et les architectes de Colombo à intégrer l'agriculture urbaine à leur plan d'aménagement des quartiers et à l'architecture domiciliaire. De plus .... représentation politique des minorités et une croissance économique favorable aux pauvres. □ Économie et environnement. Financement : 688 200 CAD. (pour le ...

  8. Georges et le big bang

    CERN Document Server

    Hawking, Lucy; Parsons, Gary

    2011-01-01

    Georges et Annie, sa meilleure amie, sont sur le point d'assister à l'une des plus importantes expériences scientifiques de tous les temps : explorer les premiers instants de l'Univers, le Big Bang ! Grâce à Cosmos, leur super ordinateur, et au Grand Collisionneur de hadrons créé par Éric, le père d'Annie, ils vont enfin pouvoir répondre à cette question essentielle : pourquoi existons nous ? Mais Georges et Annie découvrent qu'un complot diabolique se trame. Pire, c'est toute la recherche scientifique qui est en péril ! Entraîné dans d'incroyables aventures, Georges ira jusqu'aux confins de la galaxie pour sauver ses amis...Une plongée passionnante au coeur du Big Bang. Les toutes dernières théories de Stephen Hawking et des plus grands scientifiques actuels.

  9. Les vicissitudes du divin au Mexique. L’évêque, le juge et le pulque

    OpenAIRE

    Fournier, Dominique

    2014-01-01

    L’histoire mythique du Mexique précolombien raconte comment, lors de leur arrivée sur le plateau central, les nomades Mexica se heurtèrent aux Toltèques sédentaires, qui ne consentaient pas à pratiquer le sacrifice humain par arrachement de cœur. Après de vaines tentatives, le dieu nécromant Tezcatlipoca contraignit le prêtre-dieu toltèque Quetzal-coatl, le Sage, le Civilisateur, à abandonner le contrôle des régions convoitées en le poussant à s’enivrer avec du pulque par des manœuvres dolosi...

  10. Spinning characteristics of wings II : rectangular Clark Y biplane cellule: 25 percent stagger; 0 degree decalage; gap/chord 1.0

    Science.gov (United States)

    Bamber, M J

    1935-01-01

    General methods of theoretical analysis of airplane spinning characteristics have been available for some time. Some of these methods of analysis might be used by designers to predict the spinning characteristics of proposed airplane designs if the necessary aerodynamic data were known. The present investigation, to determine the spinning characteristics of wings, is planned to include variations in airfoil sections, plan forms, and tip shapes of monoplane wings and variations in stagger, gap, and decalage for biplane cellules. The first series of tests, made on a rectangular Clark Y monoplane wing, are reported in reference 1. That report also gives an analysis of the data for predicting the probable effects of various important parameters on the spin for normal airplanes using such a wing. The present report is the second of the series. It gives the aerodynamic characteristics of a rectangular Clark Y biplane cellule in spinning attitudes and includes a discussion of the data, using the method of analysis given in reference 1.

  11. Flame figures associated with eosinophilic dermatosis of hematologic malignancy: is it possible to distinguish the condition from eosinophilic cellulitis in patients with hematoproliferative disease?

    Science.gov (United States)

    Qiao, Jianjun; Sun, Chang-E; Zhu, Weifang; Zhu, Dingxian; Fang, Hong

    2013-01-01

    Eosinophilic dermatosis of hematologic malignancy is a multifaceted dermatosis with a wide morphological spectrum, presenting as pruritic, erythematous, papular and occasionally vesicular, urticarial, nodular eruptions. Histopathologically eosinophil infiltration in the super and deep dermis was found. We reported a case of eosinophilic dermatosis of hematologic malignancy presented as urticarial and vesicular lesions in a patient with chronic lymphocytic leukemia. A skin biopsy revealed a prominent subepidermal blister and a diffuse infiltrate of eosinophils with flame figures in the dermis and subcutaneous tissue. Although flame figures associated with eosinophilic dermatosis of hematologic malignancy is rarely reported, we believe that it would not seem unusual to find them in this skin disease. Eosinophilic cellulitis, which share clinical and histological features with eosinophilic dermatosis of hematologic malignancy, has also been described as showing an association with hematoproliferative diseases. In order to clearly describe eosinophilic dermatosis in patients with hematologic malignancies, the terminology eosinophilic dermatosis of hematologic malignancy, instead of eosinophilic cellulitis, would be a more suitable term in patients with eosinophilic dermatosis.

  12. A possible mechanism in the recruitment of eosinophils and Th2 cells through CD163(+) M2 macrophages in the lesional skin of eosinophilic cellulitis.

    Science.gov (United States)

    Fujimura, Taku; Kambayashi, Yumi; Furudate, Sadanori; Kakizaki, Aya; Aiba, Setsuya

    2014-01-01

    M2 macrophages play a critical role in the recruitment of T helper 2 (Th2) regulatory T cells (Treg). To study the role of M2 macrophages and Treg cells in eosinophilic celulitis. We employed immunohistochemical staining for CD163( )and CD206 (macrophages) as well as FoxP3 (Treg), in lesional skin of four cases of eosinophilic cellulitis. CD163(+) CD206(+) M2 macrophages, which were previously reported to produce CCL17 to induce Th2 cells and Treg cells, were predominantly infiltrating the subcutaneous tissues and interstitial area of the dermis. M2 macrophages derived from PBMC showed significantly increased expression of CCL11, CCL17, CCL24 and CCL26 mRNA and production of CCL17 and CCL24, when stimulated by IL-4 or IL- 13. In addition, CCL17-producing cells and CCL24-producing cells were prominent in the lesional skin of EC. Our study sheds light on one of the possible immunological mechanisms of eosinophilic cellulitis.

  13. Primary cellulitis and cutaneous abscess caused by Yersinia enterocolitica in an immunocompetent host: A case report and literature review.

    Science.gov (United States)

    Kato, Hirofumi; Sasaki, Shugo; Sekiya, Noritaka

    2016-06-01

    Primary extraintestinal complications caused by Yersinia enterocolitica are extremely rare, especially in the form of skin and soft-tissue manifestations, and little is known about their clinical characteristics and treatments. We presented our case and reviewed past cases of primary skin and soft-tissue infections caused by Y enterocolitica. We report a case of primary cellulitis and cutaneous abscess caused by Y enterocolitica in an immunocompetent 70-year-old woman with keratodermia tylodes palmaris progressiva. She presented to an outpatient clinic with redness, swelling, and pain of the left ring finger and left upper arm without fever or gastrointestinal symptoms 3 days before admission. One day later, ulceration of the skin with exposed bone of the proximal interphalangeal joint of the left ring finger developed, and cefditoren pivoxil was described. However, she was admitted to our hospital due to deterioration of symptoms involving the left finger and upper arm. Cefazolin was initiated on admission, then changed to sulbactam/ampicillin and vancomycin with debridement of the left ring finger and drainage of the left upper arm abscess. Wound culture grew Y enterocolitica serotype O:8 and methicillin-sensitive Staphylococcus aureus. Blood cultures were negative and osteomyelitis was ruled out. Vancomycin was switched to ciprofloxacin, then skin and soft-tissue manifestations showed clear improvement within a few days. The patient received 14 days of ciprofloxacin and oral amoxicillin/clavulanate and has since shown no recurrence. We reviewed 12 cases of primary skin and soft-tissue infections caused by Y enterocolitica from the literature. In several past cases, portal entry involved failure of the skin barrier on distal body parts. Thereafter, infection might have spread to the regional lymph nodes from the ruptured skin. Y enterocolitica is typically resistant to aminopenicillins and narrow-spectrum cephalosporins. In most cases, these inefficient

  14. le des medias dans le domaine scientifique

    CERN Document Server

    De Closets, F; Curien, Hubert; Meijers, H; Moosleitner, G P; Patermann, C; Rubbia, Carlo; CERN. Geneva; 2271246

    1993-01-01

    Promotion de la science dans les médias - création d'un réseau européen de sources scientifiques - Pourquoi la science a la presse qu'elle mérite. - Intégration des médias scientifiques de l'Europe de l'Est -Rôle des médias dans la stimulation de l'intérêt scientifique parmi la jeunesse européenne. Ouverture N.CALDER - Conférence F. de CLOSETS

  15. Le tennis dans le monde: état et prospective

    Directory of Open Access Journals (Sweden)

    Pierre DUMOLARD

    1989-06-01

    Full Text Available Le tennis est peu ou prou pratiqué dans tous les pays du monde, mais avec de considérables variations d'intensité. Actuellement, ses points d'ancrage se situent dans les pays développés occidentaux et dans l'ancienne sphère d'influence britannique. En tenant compte de l'évolution démographique et économique possible des nations, des projections de pénétration de ce sport sont établies pour l'horizon 2000.

  16. Contester le mariage forcé : mettre en place la ligne de défense et le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Le droit civil en matière de mariage est la Loi spéciale sur le mariage, qui permet aux parties de différentes religions de se marier sans changer de religion. Elle exige le consentement explicite des deux partenaires pour que le mariage soit possible. Le consentement demeure le point central de la loi sur le mariage; ...

  17. Peut-on voyager dans le temps ?

    CERN Multimedia

    CERN. Geneva

    2008-01-01

    La possibilité de voyager dans le temps est régulièrement évoquée par les magazines scientifiques (et parfois même par les scientifiques). Elle est également le sujet de nombreux romans de science-fiction. Nous discuterons d’abord du sens qu’on peut donner à l’expression « voyager dans le temps », puis nous expliciterons ce que la physique contemporaine dit à ce propos.

  18. Le cas du Brésil

    International Development Research Centre (IDRC) Digital Library (Canada)

    pwust

    dernières années, le programme a appuyé 102 projets en agriculture, en biologie, en santé, en sciences sociales et humaines, en sciences naturelles et en génie — dont 61 dans ces deux derniers domaines seulement. PROAFRICA, qui a vu le jour en 2003 dans le cadre de la Communauté des pays de langue portugaise ...

  19. Le nouvel Edito B1

    CERN Document Server

    Heu, Elodie; Pinson, Cécile

    2012-01-01

    - Une organisation des contenus plus segmentée. Chaque unité thématique se divise en 2 dossiers constituant un ensemble pédagogique complet : un travail croisé des compétences, des entraînements spécifiques à la grammaire, un enrichissement du vocabulaire ainsi qu'en alternance, des éclairages ciblés sur la France ou la francophonie et l'interculturel. - Des renvois réguliers vers le cahier d'exercices pour consolider les nouveaux éléments grammaticaux et lexicaux.

  20. La spermiation chez le brochet.

    Directory of Open Access Journals (Sweden)

    DE MONTALEMBERT G.

    1980-01-01

    Full Text Available L'évolution quantitative et qualitative de la production de sperme au cours de la période de spermiation a été étudiée chez des brochets maintenus en captivité dans un étang de 400 m2. Le sperme est prélevé toutes les semaines à partir du début de février, et pendant près de 2 mois. La quantité de sperme recueillie est très faible et présente de fortes variations individuelles ; elle augmente progressivement jusqu'à la 5me semaine et décroit ensuite. La quantité moyenne de sperme récoltée par mâle est de l'ordre de 0,7 ml/semaine et varie considérablement d'un mâle à l'autre (0.07 à 1,5 ml. La concentration du sperme en spermatozoïdes varie entre 18 et 25 milliards par ml ( X = 21,5 109 + 2,11. La quantité de spermatozoïdes récoltée par semaine est de 28,5 106 + 26,4/kg de poids corporel. La qualité du sperme appréciée par l'intensité et la durée de motilité suit une évolution similaire à celle de la quantité de sperme récoltée avec des valeurs maximales à 4 semaines et minimales en début et fin de période de prélèvement. Les premières ovulations détectées sur des femelles stockées dans les mêmes conditions que les mâles ont été observées à la 6me semaine de prélèvements alors que les performances de spermiation avaient déjà fortement déclinées. Il est vraisemblable que les conditions expérimentales particulièrement traumatisantes pour les mâles ont affecté prématurément la spermiation, amplifiant ainsi le décalage fréquemment observé entre les périodes de spermiation et d'ovulation.

  1. Le corps dans l'Antiquité

    Directory of Open Access Journals (Sweden)

    Sophie Lalanne

    2008-06-01

    Full Text Available Ouvrages générauxLaqueur Thomas, La fabrique du sexe. Essai sur le corps et le genre en Occident, trad. fr., Paris, Gallimard, 1992.Feher Michel, Naddaff Ramona, Tazi Nadia, Fragments for a History of the Human Body, 3 volumes, New York, Zone Books, 1989.Le Corps dans l’AntiquitéBodiou Lydie, Frère Dominique, Mehl Véronique dir., L’expression des corps. Gestes, attitudes, regards dans l’iconographie antique, Rennes, Presses Universitaires de Rennes, 2006.Bonnard Jean-Baptiste, Le complexe de ...

  2. Lutter contre le paludisme sans DDT

    International Development Research Centre (IDRC) Digital Library (Canada)

    Nancy Minogue

    La contribution des chercheurs parrainés par le Centre de recherches pour le développement international (CRDI) du Canada a été déter- minante dans ce succès. Le Dr Mario Henry Rodriguez, Juan Eugenio. Hernández et leur équipe se sont intéressés de près à la lutte contre le paludisme dans l'État de Oaxaca, région ...

  3. Jacques Dubois, Pour Albertine. Proust et le sens du social

    OpenAIRE

    Mauger, Gérard

    2017-01-01

    Les lectures canoniques de La Recherche qui fétichisent et hypostasient « le sujet psychologique », distinguent le Proust de la subjectivité et de l’introspection (l’analyste de la mémoire et de la jalousie), le Proust poétique, amateur des haies d’aubépines et de poiriers en fleur, et le Proust du tableau social (l’analyste des salons aristocratiques et bourgeois), le poète et le sociologue faisant figure d’auxiliaires du psychologue, le poétique et le social enchâssant le psychologique. La ...

  4. Chiffrer le travail des femmes - économie sexiste sur le marché et au ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Chiffrer le travail des femmes - économie sexiste sur le marché et au foyer. Les femmes ... Bien que les femmes accomplissent un travail semblable, elles sont habituellement moins bien rémunérées. La scolarité ou ... Ces indicateurs aideront à élaborer des politiques visant à améliorer le bien-être des femmes. Le projet ...

  5. Le point sur le sida, l'alimentation et la nutrition | CRDI - Centre de ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    14 oct. 2010 ... Food Security, Livelihoods and HIV: Challenges and Responses ... En effet, la malnutrition et le manque de nourriture peuvent accroître les risques d'exposition au VIH et, par le fait même, la vulnérabilité à l'infection par ce virus, tandis que le sida contribue, quant à lui, à aggraver le phénomène de la faim.

  6. Le CRDI participe à la lutte mondiale contre le VIH/sida | CRDI ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    15 juil. 2014 ... Le Centre de recherches pour le développement international (CRDI), organisme canadien, a été l'un des premiers bailleurs de fonds à vocation internationale à reconnaître que le VIH/sida constituait un problème de développement important.

  7. L’Association du personnel, le TREF, le Comité des Finances et le Conseil du CERN

    CERN Multimedia

    Staff Association

    2016-01-01

    L’Association du personnel, forte de son approche participative et consensuelle, recherche toujours le meilleur accord possible pour l’Organisation et son personnel. Pour ce faire, discussions et concertation avec la Direction, travail d’explication et de persuasion au TREF et ailleurs auprès des délégués des États membres sont nos principaux atouts. TREF (Tripartite Employment Conditions Forum), un Forum d’échanges, de discussions « L’objectif du Forum est d’améliorer le processus de prise de décision  en donnant aux personnes concernées la possibilité et le temps de comprendre pleinement la position de tous les participants. » (CERN/RTG/8) Le Forum tripartite sur les conditions d’emploi (TREF), créé par le Conseil du CERN en juin 1994, est composé de r...

  8. L'analyse des semences d'arachide fermières pour le contrôle de ...

    African Journals Online (AJOL)

    Le manque de semences sélectionnées en qualité satisfaisante et en quantités suffisantes est une contrainte majeure à la production de l'arachide (Arachis hypogea L.) en Afrique centrale. La multiplication de semences en milieu paysan est le moyen de propagation le plus rapide, le moins cher et le plus durable.

  9. Montignac – Le Chambon, Le Moulin au Touron

    OpenAIRE

    Gineste, Marie-Christine

    2013-01-01

    Identifiant de l'opération archéologique : 025121 Date de l'opération : 2007 (EX) Le site est implanté à un kilomètre à l’est du bourg de Montignac, à la confluence d’un petit cours d’eau - la Laurence - et de la Vézère, sur la basse terrasse subactuelle Fz de la Vézère, en limite du site antique des Olivoux. Un projet de centre commercial a provoqué la réalisation d’un diagnostic archéologique. Une occupation préhistorique structurée a été mise en évidence avec la découverte d’un amas de déb...

  10. Derrière Le Suicide, le divorce

    OpenAIRE

    Zaidman, Claude

    2009-01-01

    Encore une relecture du suicide ! Le Suicide est un des textes sociologiques les plus lus, relus, et commentés. Ce livre qui parle de la mort volontaire a donc connu une postérité étonnante liée au fait qu’il est la démonstration, la mise en acte de la méthode préconisée par Durkheim : mise en évidence de la dimension sociale du suicide par rupture avec les prénotions, définition de l’objet d’étude, utilisation des statistiques à la fois comme instrument d’objectivation et de démonstration, e...

  11. Tonsillar Cellulitis and Abscess

    Science.gov (United States)

    ... Urinary ALL SYMPTOMS > Emergencies Cardiac Arrest Choking ALL EMERGENCIES > Drug Information Drug Information, Search Drug Names, Generic and Brand Natural Products, Search Drug Interactions Pill Identifier Commonly searched drugs Aspirin Metformin Warfarin Tramadol ...

  12. Perianal streptococcal cellulitis

    Science.gov (United States)

    ... fistula , or abscess Bleeding, discharge Bloodstream or other streptococcal infections (including heart, joint, and bone) Kidney disease (acute glomerulonephritis ) Severe skin and soft tissue infection ( ...

  13. Le CAN et le Mercosur: bilan et perspectives

    Directory of Open Access Journals (Sweden)

    2001-01-01

    Full Text Available L’Amérique du sud n’a pas échappé au processus de régionalisation commerciale datant du début des années 1990. Le commerce entre les pays andins, dans le cadre de la CAN, et celui des pays du cône sud, dans le cadre du MERCOSUR, a augmenté de manière spectaculaire depuis dix ans. Parallèlement, le nord du continent s’est regroupé, avec succès, autour d’un accord commercial préférentiel, l’ALENA. Actuellement, à l’initiative des États-Unis, un projet vise à la création d’une zone de libre échange continentale en 2005. Si les pays sud-américains sont ouverts à l’idée d’un meilleur accès aux marchés régionaux, ils craignent que les États-Unis n’imposent un accord “OMC plus” (contenant des clauses sur le droit au travail et sur l’environnement qui pénaliserait leur économie. Ainsi, afin de constituer un bloc unitaire et cohérent, susceptible de peser dans les négociations, la CAN et le MERCOSUR ont prévu, pour 2002, l’instauration d’une zone de libre échange en Amérique du sud. LA CAN Y EL MERCOSUR: BALANCE Y PERSPECTIVAS. América del Sur no escapó del proceso de regionalismo comercial que data de inicios de la década de los 90. El comercio entre los países andinos, en el marco de la CAN, y entre los países pertenecientes al cono sur, en el marco del MERCOSUR, ha aumentado de manera espectacular en los últimos diez años. Paralelamente, el norte del continente se ha reagrupado alrededor de un acuerdo comercial preferencial, el llamado ALENA, cuyo éxito no se ha desdicho. Actualmente, bajo la iniciativa de los Estados Unidos, se avizora un proyecto para el 2005: la creación de una zona de librecambio para el continente. Por un lado, los países sudamericanos ocuparán una posición favorable en lo que se refiere a un mejor acceso a los mercados regionales, pero, por otro lado, ellos temen que los EEUU impondrán un acuerdo “OMC plus” (el mismo que debería contener las cláusulas sobre el

  14. Pasteurella multocida cellulitis and possible septic arthritis of the knee after exposure to dog saliva after a recent total knee arthroplasty

    Directory of Open Access Journals (Sweden)

    Natallia Suvorava

    2017-01-01

    Full Text Available Prosthetic joint replacement occurs frequently. Complications of prosthetic joint replacements include bleeding, mechanical disruption, persistent pain, and infection. Infectious complications can occur early or late, measured in hours to days or months to years. The microorganism profiles vary depending on whether infection is early or late. Factors related to wound care have a significant role in the development of wound infection and coincident infection of the prosthesis. We report a wound infection and possible septic arthritis with septic shock due to Pasteurella multocida; symptoms and signs of joint involvement were noted but aspiration of the joint was declined by the orthopedic surgery service due to concerns about joint contamination from the overlying cellulitis. Blood cultures were sterile. The wound had been licked by her pet dogs on numerous occasions. Ultimately the infection was eradicated with antimicrobial agents, and the septic shock resolved.

  15. Tourisme sexuel et virtualité : le voyage dans le cyberespace

    OpenAIRE

    Frigault, Louis-Robert

    2012-01-01

    Nous proposerons dans cet article une réflexion sur le tourisme, la sexualité et Internet selon deux axes. Le premier permettra de dégager et d’illustrer la manière dont Internet faciliterait l’échange d’information sur le tourisme sexuel et participerait à son expansion. Le second s’intéressera au cyberespace comme un territoire complexe dans lequel on navigue ou sur lequel on « surfe », ce qui nous permet de repenser les liens entre le tourisme, la sexualité et Internet. En analysant les dé...

  16. Le facteur humain et la sûreté de fonctionnement dans le ...

    African Journals Online (AJOL)

    Notre contribution porte sur lele fondamental du facteur humain dans le management intégré des risques d'une part et du rôle déterminant qu'il peut avoir à jouer pour que la sûreté de fonctionnement réponde à sa propriété d'autre part. Un rôle illustré à travers une analyse de risque dans un complexe de Gaz Naturel ...

  17. L'astronomie dans le monde

    OpenAIRE

    Manfroid, Jean

    2012-01-01

    Collision dans le Dragon; Trou noir de masse intermédiaire;Zoom sur une galaxie lointaine; Les jours de Vénus s’allongent ?; Lumière cendrée; Anomalies magnétiques lunaires; Océan martien; Hercule par le VST

  18. Le CRDI au Pérou

    International Development Research Centre (IDRC) Digital Library (Canada)

    Arequipa. Trujillo. Chiclayo. Piura. Cuzco. Pucallpa. Iquitos. 914. ○ Tumbes. Quelques activités en cours. Voici quelques exemples des travaux de recherche appuyés par le CRDI au Pérou. □ Amélioration des pratiques agricoles pour lutter contre le paludisme. Financement : 500 400 CAD. Période visée : de 2012 à 2016.

  19. Conférence principale : Le changement climatique mondial, ses ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Conférence principale : Le changement climatique mondial, ses défis et ses opportunités. 10 mai 2011 ... Par conséquent, le réchauffement futur est sans équivoque et déjà engagé », a affirmé le Dr Nobre. Le niveau actuel des carburants ... Le changement climatique menace particulièrement l'Amazonie, a dit le Dr Nobre.

  20. 1. Rôle d’équipage

    OpenAIRE

    Lamikiz, Xabier

    2016-01-01

    le d’équipage du bateau Le Dauphin (TNA, HCA 32/180–1). [image 1] Argazkiak: Xabier LAMIKIZ. Rôle d’équipage du bateau Le Dauphin (TNA, HCA 32/180–1). [image 2] Argazkiak: Xabier LAMIKIZ Rôle d’équipage du bateau Le Dauphin (TNA, HCA 32/180–1). [image 3] Argazkiak: Xabier LAMIKIZ

  1. Cisjordanie et Gaza | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Le conflit qui perdure et la violence politique ont aggravé le stress chez les adolescents, qui constituent près de la moitié de la population de la Cisjordanie. La violence politique et le conflit qui perdure ont aggravé le stress chez les adolescents. Le problème a été analysé dans le cadre de travaux menés en collaboration ...

  2. Le janissariat ou Au nom de l’Empire, au nom de la Nation, au nom du Parti, au nom de la Race ! The Janizariat: in the name of the Empire, in the name of the Nation, in the name of the Party, in the name of the Race! 

    Directory of Open Access Journals (Sweden)

    Frosa Pejoska-Bouchereau

    2012-05-01

    Full Text Available Le janissariat, corps d’élite de l’Empire ottoman, trouve une évocation récurrente dans les littératures balkaniques. Des Prétoriens romains aux janissaires ottomans, en passant par les mamelouks d’Égypte, une seule et même idée anime les empires : constituer un corps de groupes militaires spécialement sélectionnés et formés qui puisse devenir la garde des empereurs et, plus largement, participer à la sauvegarde de l’Empire.Dans les littératures balkaniques, ce phénomène occupe une place prépondérante par la récurrence de son traitement. À travers deux écrivains macédoniens : Luan Starova et Stale Popov, nous questionnerons les raisons de l’importance de cette thématique.Loin de se limiter au seul homo balkanicus, nous tenterons de montrer, – à travers la théorie inédite d’Ernest Gellner fondée sur le janissariat et le concept de castration dans son ouvrage Nations et Nationalisme, ainsi qu’avec Georges Orwell et sa magistrale fable antitotalitaire : La ferme des animaux, et, enfin, avec Clarissa Henry, Marc Hillel et Léon Poliakov traitant du rapt des enfants et la naissance des « janissaires du IIIe Reich » –, que ce sujet concerne l’humain dans son humanité.From the Roman Praetorians to the Ottoman janizaries, through the mamelukes of Egypt, one single idea animated the empires: to constitute a corps of military groups specially selected and formed which could become the emperors guard and, more widely, participate in safeguarding the Empire.  In Balkan literature this phenomenon occupies a preponderant place by the recurrence of its treatment. Through two Macedonian writers, Luan Starova and Stale Popov, we will question the reasons for the importance of this thematic. Far from limiting ourselves to the only "homo balkanicus", we will attempt to show, through the original theory of Ernest Gellner founded in the janizariat and the concept of castration in his work Nations and

  3. Le sel de la Baie

    OpenAIRE

    Amorim, Inês; Bochaca, Michel; Bossis, Philippe; Bouhier, Claude; Briand, Julien; Bruand, Olivier; Buron, Gildas; Carrera, Juan C. Castro; Carusi, Cristina; Cassen, Serge; Corlay, Jean-Pierre; Cuello, Antonio Malpica; Hocquet, Jean-Claude; Labriffe, Pierre-Arnaud de; Litchfield, Carol D.

    2015-01-01

    L'histoire des sels atlantiques connaît aujourd'hui de profonds renouvellements. Sur la base des solides acquis d'une recherche particulièrement active depuis l'élan pionnier des années 1950 et 1960, elle redonne un nouveau souffle à de vieux thèmes longuement explorés comme le négoce ou la fiscalité et s'oriente vers de nouvelles voies prometteuses. Si, en effet, l'intérêt accordé aux routes et aux marchés, aux débouchés des arrière-pays et aux enjeux de leur pénétration marchande, aux aléas...

  4. Comprendre le territoire de Venise

    Directory of Open Access Journals (Sweden)

    Lorena Rocca

    2013-05-01

    Full Text Available Le projet de recherche PANDORA - PArticipatory Networks and Databases fOr sustainable Research and Assessment (www.feempandora.it – de la Fondation Eni Enrico Mattei repose sur une démarche innovante de recherche action invitant à la participation de tous grâce aux Nouvelles Technologies de l’Information et de la Communication (TIC. A partir de l’analyse des pratiques collaboratives sur Internet, un espace en ligne a été créé afin de diffuser des informations et des données sur la ville mais surtout, de recueillir des avis, des idées et des solutions alternatives permettant d’atteindre les objectifs d’un développement urbain durable et co-construit.

  5. Le surpoids, l'obésité et le contrôle glycémique chez les diabétiques ...

    African Journals Online (AJOL)

    utilisation et du stockage des sucres apportés par l'alimentation, sa prise en charge est assurée par le suivi du surpoids et l'obésité et le contrôle glycémique régulier. L'objectif de ce travail était l'étude du surpoids, l'obésité et le contrôle glycémique ...

  6. Le labyrinthe arabo-musulman dans les romans de Tahar Ben Jelloun (El laberinto árabe-musulmán en las novelas de Tahar Ben Jelloun

    Directory of Open Access Journals (Sweden)

    Virginia Boza Araya

    2015-09-01

    Full Text Available El escritor marroquí Tahar Ben Jelloun reproduce en sus obras la estructura laberíntica de su medina. La circularidad que marca las historias de sus personajes constituye la muralla que protege los misterios, los secretos y los seres. La superposición de composiciones teje, en el interior de esta muralla, callejuelas obscuras que desembocan en la vida de seres cuyo destino fue alienado por los caprichos de la historia. Todo es sombrío: atmósfera, historias, personajes, y estos tan sombríos como la vida de los magrebís cuya identidad ha sido alienada y que están en búsqueda de sus raíces. Tahar Ben Jelloun est un écrivain marocain d’expression française, cependant son œuvre reste foncièrement arabe autant dans la forme que dans le fond. Chaque roman harmonise différentes compositions pour créer le labyrinthe de la culture arabo-musulmane. Son œuvre s’articule, tant au niveau macro que micro, comme une Médina qui est au cœur même de la culture arabe. Chaque histoire constitue une micro cellule (histoire dans l’histoire qui se cache au fond de ses impasses. Elle suit l’itinéraire de ces ruelles étroites et sinueuses, pour déboucher sur d’autres histoires aussi sombres que certains espaces qu’on trouve au détour d’une venelle dans les souks. En fait, la médina est indissociable des récits et d’événements historiques comme le souligne Tahar Ben Jelloun.

  7. Le Corbusier, Alfred Roth y el color

    Directory of Open Access Journals (Sweden)

    Angelica Fernández-Morales

    2014-07-01

    Full Text Available This article discusses the relationship between Le Corbusier and Alfred Roth, a member of the Paris office between 1927 and 1928. It also deals with the influence that this period had with reference to an important factor in Roth’s professional development, as in Le Corbusier’s later works: the use of colour in his architecture. This article takes the position that Roth, given his close friendship with Mondrian, was an important figure in turning Le Corbusier’s work towards greater use of primary colours and aesthetic neoplasticism.

  8. S'orienter dans le virtuel

    OpenAIRE

    Vitali-Rosati, Marcello

    2012-01-01

    Fictif, artificiel, imaginaire, trompeur, immatériel, irréel, impalpable, invisible, mystérieux... Lorsque l'on pense au virtuel, une foule d'idées nous submerge. Concept aux valeurs sémantiques multiformes et aux différents usages, sa signification reste floue et son sens en perpétuel mouvement. Qu'est-ce «réellement» que le virtuel ? Quel rapport entre le sens philosophique et son emploi dans le domaine du numérique ? Quelles sont ses implications politiques ? Quelle conception de la réalit...

  9. Une complication majeure du paludisme : le neuropaludisme

    OpenAIRE

    Neveu, Natassia

    2017-01-01

    Le paludisme touche de nombreux pays dans le monde, particulièrement les régions tropicales et subtropicales défavorisées. C'est un fléau en Afrique sub-saharienne qui compte 90% du paludisme mondial. D'après les estimations actuelles, il y a eu 212millions cas d'infections palustres et 429000 décèspour l’année 2015. Le neuropaludisme est une complication grave et souvent mortelle du paludisme à Plasmodium falciparum. Il s'agit d'une urgence vitale surtout pour les populations les plus sensib...

  10. Le CRDI en Éthiopie

    International Development Research Centre (IDRC) Digital Library (Canada)

    Il a aidé les agriculteurs à améliorer leurs pratiques et à préserver l'eau. CRDI. Centre De reCherChes pour le Développement internAtionAl. Le CRDI en Éthiopie. Soutien accordé ... chiche, la lentille et le haricot commun. Au moyen de la sélection végétale, ils améliorent la valeur nutritive de ces légumineuses à graines.

  11. Le capital-risque et lele des grandes entreprises
    aux Etats-Unis

    OpenAIRE

    Paulré, Bernard

    2003-01-01

    Ce texte fut écrit à l'occasion du cinquantenaire de l'Association Nationale des Docteurs en Sciences Economiques (12 juin 2003). Une version différente et plus courte fut publiée sous le titre Les groupes industriels et le Capital Risque dans le numéro spécial de la revue Vie et Sceiencs économiques (revue de l'ANDESE) : n° 164 de juillet 2003.; L'apparition et le développement d'un système de capital-risque soulèvent naturellement la question de la place ou de l'attitude des grandes entrepr...

  12. Le soleil devient un mythe

    Directory of Open Access Journals (Sweden)

    Ildikó Lőrinszky

    2009-01-01

    Full Text Available Partant d’une phrase énigmatique datant de 1858 et puisée dans la Correspondance de Flaubert, cet article s’interroge sur la relation entre soleil et mythe, qui constituera l’un des éléments clefs de la dimension mythologique de Salammbô. Il se propose d’examiner la façon dont cette question apparaît dans deux ouvrages représentatifs des études mythographiques : d’une part, L’Origine de tous les cultes de Charles-François Dupuis, d’autre part, Les Religions de l’Antiquité..., publié sous les noms de Frédéric Creuzer et de son adaptateur français, Joseph-Daniel Guigniault. La version française de la grande synthèse de Creuzer, assortie d’une série importante de planches, a été richement exploitée par Flaubert au cours de la genèse du roman carthaginois. Dans Salammbô, le mythe apparaît sous de multiples formes. L’analyse de ce texte peut nous amener à réfléchir sur le « bon usage » du mythe auquel chaque créateur (et chaque lecteur se trouve nécessairement confronté.Starting from an enigmatic phrase in Flaubert’s correspondence, dating from 1858, this article examines the relation between the Sun and myth, which constitutes one of the key elements of the mythological dimension of Salammbô. It especially focuses on the treatment of this question in two representative works of mythographic studies, The Origin of All Religious Worship by Charles-François Dupuis, and Les Religions de l’Antiquité..., the French adaptation of Frédéric Creuzer’s Symbolik und Mythologie der alten Völker by Joseph-Daniel Guigniault. The French version of Creuzer’s great synthesis, supplied with a remarkable set of prints, was abundantly consulted by Flaubert when writing his Carthaginian novel. In Salammbô, myth takes on various forms. Analyzing this text might lead one to reconsider “the right way” to use myths — a problem all writers (and readers find themselves confronted with.

  13. pour le trimestre qui a pris fin le 31 décembre 2014

    International Development Research Centre (IDRC) Digital Library (Canada)

    Office 2004 Test Drive User

    31 déc. 2014 ... d'information financière (normes IFRS). Toutes les sommes sont exprimées en dollars canadiens. Le Centre recommande de lire ce rapport en parallèle avec les états financiers intermédiaires résumés, non audités (qui débutent à la page 13). L'information et les divulgations contenues dans le Rapport ...

  14. Rapport financier trimestriel pour le trimestre qui a pris fin le 31 ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Office 2004 Test Drive User

    31 déc. 2016 ... dʼinformation financière (normes IFRS). Toutes les sommes sont exprimées en dollars canadiens. Le Centre recommande de lire ce rapport en parallèle avec les états financiers intermédiaires résumés, non audités (qui débutent à la page 11). Lʼinformation et les divulgations contenues dans le Rapport ...

  15. pour le trimestre qui a pris fin le 30 septembre 2014

    International Development Research Centre (IDRC) Digital Library (Canada)

    Office 2004 Test Drive User

    30 sept. 2014 ... d'information financière (normes IFRS). Toutes les sommes sont exprimées en dollars canadiens. Le CRDI recommande de lire ce rapport en parallèle avec les états financiers intermédiaires résumés, non audités (qui débutent à la page 11). L'information et les divulgations contenues dans le Rapport ...

  16. Le Modèle du Contentieux Administratif Anglais dans la Constitution ...

    African Journals Online (AJOL)

    Nafiisah

    des anciennes colonies françaises dotées d'un Système de Droit Mixte -le cas de l'Ile Maurice-. 407 solide, l'affaire Savanne ..... administratif ou tribunal de conflits dans le système judiciaire mauricien. En effet, un juge mauricien ..... Commission's appreciation of the relevant facts in relation to a particular decision ». Dans le ...

  17. Le modèle du corps en danse classique comme prescription mathématique

    Directory of Open Access Journals (Sweden)

    Biliana Vassileva Fouilhoux

    2009-10-01

    Full Text Available Nous proposons d'examiner les différentes dimensions singulières du modèle du corps comme prescription mathématique dans l'enseignement de la danse classique ainsi que dans le domaine de création chorégraphique. Après une perspective socio-historique, nous avons choisi le cas particulier du travail du chorégraphe américain William Forsythe, reconnu pour son apport dans le renouvellement des codes esthétiques classique. En effet, dans le domaine de la danse, le modèle du corps comme prescription mathématique est indispensable dans l'acquisition de coordinations spécialisées. Ce modèle géométrique et harmonieux est souvent inscrit dans une opposition technique (qui s'acquiert par l'effort à une sensibilité artistique (qui a toujours été là. Questionner le modèle du corps comme prescription mathématique dans le domaine de la danse, c'est mener une critique de son économie de production, de sa politique intérieure (du gouvernement de son propre corps à celui des spectateurs, de ses conditions d'exposition et de réception, de ses processus de création, et plus encore de la formation de ses artistes. Aussi, la question qui a conduit notre recherche est celle du modèle du corps en danse classique, plus précisément la survalorisation de la prescription mathématique dans un esprit de perfectionnement.

  18. Le réseau | CRDI - Centre de recherches pour le développement ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Pour en savoir plus sur cette fructueuse collaboration Canada-Chine. Une vive concurrence · Un apprentissage bidirectionnel · Le déclin de la pauvreté, la montée des inégalités · Des idées neuves · Le parcours d'un chercheur · Sur la scène mondiale · Les enquêtes CHIP · Des mentors choisis avec soin · Le bon travail se ...

  19. Nuevo León

    Directory of Open Access Journals (Sweden)

    Laura Nelly Medellín Mendoza

    2006-01-01

    Full Text Available El ensayo analiza la transición política nuevoleonesa a partir de un contexto de liberalización política. En Nuevo León el régimen político autoritario fue cediendo en el plano electoral, dada la presión que conjuntamente la sociedad política y la sociedad civil ejercieron por lograr reglas democráticas. Este avance gradual permitió garantizar un organismo electoral confiable y que determinó en buena medida la garantía de la alternancia en 1997. El pan fue el partido que capitalizó el bono democrático, pero una vez en la responsabilidad de gobierno, no pudo ampliar el proceso de liberalización política al mediatizar las reformas electorales y no comprometerse para sacar del atolladero legislativo las iniciativas que garantizaban mecanismos de participación ciudadana: referéndum y plebiscito.

  20. Savoir gérer le mal

    Directory of Open Access Journals (Sweden)

    Michel Maffesoli

    2015-09-01

    Full Text Available Le sens commun, conservatoire immémorial de la sagesse humaine « sait », de savoir incorporé, que le mal, l’ombre, la mort, la douleur sont des caractéristiques essentielles de l’existence en son entièreté. Dès lors les créatures quelles qu’elles soient, sont des manifestations de la vie et, dès lors, méritent une attitude « compassionnelle », fraternelle, parce qu’ensemble elles constituent le flux vital. C’est ainsi que l’on peut comprendre l’utilité sociale de ces divers « mondes intermédiaires » que sont les croyances, religieuses ou philosophiques, au « double », au « daimon », aux esprits et autres figures tutélaires ou effrayantes. Elles aident à vivre, au jour le jour, la souffrance en la communalisant.

  1. Complicaciones asociadas con osteotomia Le Fort I

    National Research Council Canada - National Science Library

    Duque S., Francisco L; Jaramillo V., Pedro M

    2009-01-01

    .... La osteotomia Le Fort I esta relacionada con gran variedad de complicaciones. Un conocimiento preciso de las complicaciones deberia ayudar al cirujano, al ortodoncista y al paciente para estimar los beneficios de una cirugia electiva versus los riesgos...

  2. Droits d'auteur | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Droits d'auteur détenus par le CRDI Sauf indication contraire, les droits d'auteur relatifs aux documents mis en ligne sur le présent site Web sont détenus par le Centre de recherches pour le développement international (CRDI).

  3. Guatemala : tous les projets | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Le triangle nord du Mexique et de l'Amérique centrale, qui couvre le Salvador, le Guatemala et le Honduras, fait face à une grave crise de sécurité publique. Région: El Salvador, Guatemala, Honduras, Mexico. Programme: Governance and Justice. Financement total : CA$ 473,500.00. Soutien organisationnel de la phase ...

  4. Le Nobel de physique pour la theorie des supraconducteurs

    CERN Multimedia

    Vonnez, J L

    2003-01-01

    "L'Academie suedoise des sciences a en effet attribue le Prix Nobel de physique 2003 ... a trois theoriciens majeurs en physique des basses temperatures: le Russo-americain Alexei Abrikosov (75 ans), le Russe Vitaly Ginzburg (87 ans) et le Britannique Anthony Leggett (65 ans)" (1/2 page).

  5. Le réseau évolue | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    8 juil. 2011 ... Il mentionne lele qu'a joué le réseau de recherche sur la pauvreté et les inégalités dans la formation d'un autre groupe axé sur la collaboration : le réseau d'économistes du travail (China Labour Economists Network). Lancé récemment par Lu Ming de concert avec Yin Heng et Xing Chunbing de la ...

  6. Entre les violences conjugales et le harcèlement moral : le stalking .

    Directory of Open Access Journals (Sweden)

    Nicolas Desurmont

    2007-09-01

    Full Text Available Ce livre de la criminologue Murielle Anteo est le premier publié en langue française sur le stalking si l’on excepte les travaux encore inédits de Virginie Léon (2004. Comme le rappelle l’auteure, le terme est emprunté à l’anglais to stalk (hanter, rôder, et désigne un comportement menaçant, initié par un individu dont l’objectif conscient ou inconscient est l’objectivation de sa victime à des fins de domination. L’agression prend différentes formes : ...

  7. Le numérique pour stopper le moulin à rumeurs | CRDI - Centre de ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    7 sept. 2016 ... Une approche écosanté pour le contrôle de la fièvre de la vallée du Rift dans les collectivités pastorales au Kenya. La fièvre de la vallée du Rift est une maladie grave qui se transmet par la piqûre d'un moustique qui infecte l'être humain, le bétail et les anima. Voir davantageUne approche écosanté pour le ...

  8. Le CRDI en Égypte

    International Development Research Centre (IDRC) Digital Library (Canada)

    , le traitement de l'eau, ainsi que les services de santé. Dans la foulée des soulèvements qui se sont produits récemment dans la région, le CRDI a repéré plusieurs interventions ciblées ayant pour but d'appuyer les transitions à la démocratie.

  9. Le CRDI au Népal

    International Development Research Centre (IDRC) Digital Library (Canada)

    et visant à évaluer et à faire connaître les innovations en matière de production agricole, de transformation et de mise en marché. Le CRDI collabore avec le Fonds international de développement agricole à la mise sur pied de ce réseau, dont les membres sont reliés au moyen de technologies numériques. TE. K. G. U. R.

  10. Le CRDI en Égypte

    International Development Research Centre (IDRC) Digital Library (Canada)

    centre de recherches pour le développement international. Le CRDI en Égypte. Dans la foulée du Printemps arabe, la recherche porte sur les transitions à la démocratie et sur la création ... Des chercheurs d'Égypte et de Tunisie réunissent des données en vue de cerner les changements survenus depuis dans l'activité.

  11. Le patrimoine et ses outils de gestion

    CERN Document Server

    Garcin, J

    2001-01-01

    Les principale taches de gestion du Patrimoine immobilier du CERN sont la saisie des données, leur mise à jour, l'archivage et la mise à disposition des informations. Les outils de gestion actuels : Le Système de Gestion de Base de Données Relationnelles alphanumérique ORACLE permet de gérer toutes les informations du Patrimoine, sur le réseau du CERN. Le logiciel de dessin Graphique MICROSTATION (Bentley) a été installé dans la division ST depuis fin 1991. Les plans de situation des sites, des bâtiments et locaux, des espaces confinés ont été réalisés avec ce logiciel. Les outils de demain : La mise en place du SIG (Système d'Information Graphique) STAR a été réalisée en 1993. Le transfert des plans de locaux de MICROSTATION vers STAR est en cours depuis une année environ. Le dessin de la cartographie des réseaux de canalisations Eaux Usées et Eaux Pluviales est en cours de réalisation. Le Web est l'outil de consultation de l'information par les utilisateurs.

  12. Activité antérieure – Le Kenya nomme le titulaire de sa première ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    14 avr. 2016 ... De concert avec le CRDI, la National Commission for Science, Technology and Innovation (NACOSTI) du Kenya a inauguré sa première chaire de recherche à Nairobi, le 31 mars 2015. Le professeur Fabian Omoding Esamai, qui dirige actuellement le College of Health Sciences de la Moi University, a été ...

  13. Publications | Page 162 | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    William F. Ryan, S.J. (auteur de ... Science, Technology, and Innovation in Chile. Le Chili et le Canada sont deux pays qui doivent relever le défi de créer et de maintenir un « système national d'innovation » vital afin de répondre aux besoins de leur économie à base de ressources. Le Chili et le Canada ont aussi une.

  14. Diminution de la teneur en cardiolipide, un phospholipide clé dans la régulation de la fonction énergétique, dans un modèle d’hypertrophie musculaire lié à l’invalidation de la myostatine

    OpenAIRE

    Baati, Narjes; Fouret, Gilles; Vernus, Barbara; Goustard, Benedicte; Barea, Bruno; Coudray, Charles; Bonnieu, Anne; Ramonatxo, Christelle; Feillet Coudray, Christine

    2016-01-01

    Introduction et but de l’étude : La mitochondrie est la centrale énergétique de nos cellules, leur fournissant l’énergie nécessaire à son activité métabolique. Toute altération de cette centrale énergétique a pour conséquence une baisse de production d’énergie et affecte préférentiellement les tissus qui en sont fortement consommateurs. Des travaux récents montrent un rôle central du cardiolipide (CL), un phospholipide exclusivement mitochondrial, dans la régulation de la fonction énergétique...

  15. Guide pour la rédaction de cahiers des charges pour la sous-traitance en mécano-soudage

    CERN Document Server

    Cheminat, Olivier

    2016-01-01

    Ce rapport est principalement dédié aux rédacteurs de cahiers des charges lors de sous-traitance en soudage. Le choix de faire sous-traiter une fabrication et le choix du sous-traitant revêtent une triple dimension technique, économique et stratégique. Un sous-traitant n'est pas un simple fournisseur ; il est un véritable partenaire technique pour le donneur d'ordre qui lui confie la réalisation d'un produit qu'il a lui-même conçu. La sous-traitance nécessite alors, outre un audit préalable du partenaire, un suivi en continu, à distance, et une communication entre le donneur d'ordre et le sous-traitant. Le cahier des charges est un des éléments de cette communication. C'est un outil essentiel, notamment lorsque le marché est soumis à des normes, imposées par contrat entre le donneur d'ordre et le sous-traitant. Ce présent document est un guide pour la rédaction du document de consultation, afin d'être le plus précis et exhaustif possible, mais il ne saurait être utilisé pour établi...

  16. Contribution de l'échographie dans le dépistage et le diagnostic des ...

    African Journals Online (AJOL)

    Contribution de l'échographie dans le dépistage et le diagnostic des cancers du sein : une expérience de Yaoundé, Cameroun. GE Guegang, TI Sandjong, PM Tebeu, BA Temgoua, Z Sando, JR Moulion, A Atem, E Mboudou, J Yomi, A Doh, FJ Gonsu ...

  17. Pour que brûle le feu du changement | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    7 déc. 2010 ... Le programme Recherche pour la lutte mondiale contre le tabac (RMCT) du CRDI aide des chercheurs des pays en développement à contrer l'influence des géants de l'industrie du tabac aux ressources financières colossales.

  18. Le paludisme, le tsunami silencieux d'Afrique | CRDI - Centre de ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    12 janv. 2011 ... Cela a aidé les manufacturiers de textiles à commencer à produire des moustiquaires en polyester et le secteur public à en promouvoir l'utilisation. Des usines de textile qui avaient dû fermer leurs portes ont été rouvertes et emploient maintenant des milliers de personnes. La Tanzanie est le seul pays ...

  19. Le Centre de recherches pour le développement international du ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    CRDI) du Canada, Jean Lebel, a annoncé aujourd'hui que le CRDI se joindra à la délégation officielle du gouvernement du Canada qui participera à la 21e Conférence des Parties (COP21) organisée dans le cadre de la ...

  20. Le capital-risque et lele des grandes entreprises aux Etats-Unis

    OpenAIRE

    Bernard Paulré

    2003-01-01

    L'apparition et le développement d'un système de capital-risque soulèvent naturellement la question de la place ou de l'attitude des grandes entreprises vis-à-vis de celui-ci. Logiquement, et pour raisonner simplement, on peut considérer que les activités de ce système sont peu appréciées et potentiellement menaçantes pour les grandes entreprises en place. C'est le point de vue que nous conduit à avoir la thèse du premier Schumpeter. Mais le second Schumpeter, celui de Capitalisme, Socialisme...