Comment diagnostique-t-on une infection par Lyssavirus ?
Le diagnostic repose sur des tests sérologiques et PCR sur des échantillons de liquide céphalorachidien.
Virus de la rageDiagnostic
#2
Quels sont les tests spécifiques pour le Lyssavirus ?
Les tests immunofluorescents et la culture virale sont utilisés pour identifier le virus.
Culture viraleImmunofluorescence
#3
Peut-on diagnostiquer la rage par des symptômes cliniques ?
Les symptômes cliniques peuvent orienter le diagnostic, mais des tests sont nécessaires pour confirmation.
SymptômesRage
#4
Quel rôle joue l'historique d'exposition dans le diagnostic ?
L'historique d'exposition à des animaux potentiellement infectés est crucial pour le diagnostic.
ExpositionRage
#5
Les tests sanguins sont-ils utiles pour le Lyssavirus ?
Les tests sanguins ne sont pas fiables pour le diagnostic du Lyssavirus, privilégier le LCR.
SangLiquide céphalorachidien
Symptômes
5
#1
Quels sont les premiers symptômes de la rage ?
Les premiers symptômes incluent fièvre, maux de tête et malaise général.
SymptômesRage
#2
Comment évoluent les symptômes de la rage ?
Les symptômes évoluent vers des troubles neurologiques, agitation et paralysie.
NeurologieParalysie
#3
Y a-t-il des symptômes spécifiques à la phase terminale ?
À la phase terminale, on observe des convulsions, coma et décès par insuffisance respiratoire.
ConvulsionsInsuffisance respiratoire
#4
Les symptômes varient-ils selon l'espèce animale ?
Oui, les symptômes peuvent varier selon l'espèce, mais les signes neurologiques sont communs.
Espèces animalesSymptômes
#5
La rage peut-elle être asymptomatique ?
Non, la rage ne présente pas de phase asymptomatique; les symptômes apparaissent après incubation.
IncubationSymptômes
Prévention
5
#1
Comment prévenir l'infection par le Lyssavirus ?
La prévention passe par la vaccination des animaux et l'évitement des contacts avec des animaux sauvages.
PréventionVaccination
#2
La vaccination des animaux domestiques est-elle nécessaire ?
Oui, la vaccination des animaux domestiques est cruciale pour prévenir la rage.
Animaux domestiquesVaccination
#3
Quelles mesures prendre après une morsure d'animal ?
Il faut nettoyer la plaie, consulter un médecin et envisager une vaccination post-exposition.
MorsureConsultation médicale
#4
Les voyageurs doivent-ils se faire vacciner ?
Oui, les voyageurs dans des zones à risque doivent envisager la vaccination contre la rage.
VoyageVaccination
#5
Les traitements préventifs sont-ils efficaces ?
Oui, les traitements préventifs sont très efficaces s'ils sont administrés rapidement après exposition.
Traitements préventifsEfficacité
Traitements
5
#1
Quel est le traitement principal après exposition au Lyssavirus ?
Le traitement principal est la vaccination post-exposition et l'immunoglobuline antirabique.
VaccinationImmunoglobuline
#2
Y a-t-il un traitement antiviral pour la rage ?
Il n'existe pas de traitement antiviral efficace une fois les symptômes apparus.
AntivirauxRage
#3
Comment se déroule la vaccination post-exposition ?
La vaccination post-exposition se fait en plusieurs doses, généralement sur 14 jours.
VaccinationPost-exposition
#4
Les soins de soutien sont-ils importants ?
Oui, les soins de soutien sont essentiels pour gérer les symptômes et améliorer le confort.
Soins de soutienSymptômes
#5
Peut-on guérir de la rage une fois les symptômes présents ?
Non, la rage est presque toujours mortelle une fois les symptômes cliniques apparus.
GuérisonRage
Complications
5
#1
Quelles sont les complications possibles de la rage ?
Les complications incluent des troubles neurologiques, des infections secondaires et la mort.
ComplicationsRage
#2
La rage peut-elle entraîner des séquelles ?
Oui, des séquelles neurologiques peuvent persister chez les survivants après traitement précoce.
SéquellesNeurologie
#3
Quels sont les risques de transmission secondaire ?
Le risque de transmission secondaire est faible, mais possible par contact avec des fluides corporels.
TransmissionFluides corporels
#4
Les complications sont-elles plus graves chez certains groupes ?
Oui, les enfants et les personnes immunodéprimées peuvent avoir des complications plus graves.
EnfantsImmunodéprimés
#5
Comment les complications affectent-elles le pronostic ?
Les complications neurologiques sévères diminuent considérablement le pronostic de survie.
PronosticComplications
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque d'infection ?
Les principaux facteurs incluent l'exposition à des animaux sauvages et le manque de vaccination.
Facteurs de risqueVaccination
#2
Les personnes travaillant avec des animaux sont-elles à risque ?
Oui, les vétérinaires et les travailleurs animaliers sont à risque accru d'exposition au virus.
VétérinairesExposition
#3
Les zones géographiques influencent-elles le risque ?
Oui, le risque est plus élevé dans les régions où la rage est endémique chez les animaux.
Régions endémiquesRage
#4
Les enfants sont-ils plus vulnérables ?
Oui, les enfants sont plus vulnérables en raison de leur comportement et de leur curiosité.
EnfantsVulnérabilité
#5
Le statut vaccinal influence-t-il le risque ?
Oui, un statut vaccinal inapproprié augmente considérablement le risque d'infection.
Statut vaccinalRisque
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State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural Universitygrid.35155.37, Wuhan, China.
Key Laboratory of Preventive Veterinary Medicine of Hubei Province, College of Veterinary Medicine, Huazhong Agricultural Universitygrid.35155.37, Wuhan, China.
State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural Universitygrid.35155.37, Wuhan, China.
Key Laboratory of Preventive Veterinary Medicine of Hubei Province, College of Veterinary Medicine, Huazhong Agricultural Universitygrid.35155.37, Wuhan, China.
Centre for Viral Zoonoses, Department of Medical Virology, University of Pretoria, Pretoria, South Africa.
Centre for Emerging Zoonotic and Parasitic Diseases, National Institute of Communicable Diseases of the National Health Laboratory Service, Sandringham, South Africa.
State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural Universitygrid.35155.37, Wuhan, China.
Key Laboratory of Preventive Veterinary Medicine of Hubei Province, College of Veterinary Medicine, Huazhong Agricultural Universitygrid.35155.37, Wuhan, China.
State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural Universitygrid.35155.37, Wuhan, China.
Key Laboratory of Preventive Veterinary Medicine of Hubei Province, College of Veterinary Medicine, Huazhong Agricultural Universitygrid.35155.37, Wuhan, China.
Friedrich-Loeffler-Institute (FLI), WHO Collaborating Centre for Rabies Surveillance and Research (Rabies)/OIE Reference Laboratory, 17493 Greifswald-Insel Riems, Germany.
Friedrich-Loeffler-Institute (FLI), WHO Collaborating Centre for Rabies Surveillance and Research (Rabies)/OIE Reference Laboratory, 17493 Greifswald-Insel Riems, Germany.
State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural Universitygrid.35155.37, Wuhan, China.
Key Laboratory of Preventive Veterinary Medicine of Hubei Province, College of Veterinary Medicine, Huazhong Agricultural Universitygrid.35155.37, Wuhan, China.
Infections caused by antimicrobial-resistant bacteria are a significant cause of death worldwide, and carbapenemase-producing bacteria are the principal agents. New Delhi metallo-beta-lactamase-1 prod...
A retrospective case-control study with patients hospitalized from January 2012 to February 2018 at the Hospital Civil de Guadalajara "Fray Antonio Alcalde" was designed. During this period, 139 patie...
One hundred and thirty-nine case patients with a KP-NDM-1 isolate and 486 control patients were analyzed. In the case group, acute renal failure was a significant comorbidity, hospitalization days wer...
In this study, the previous use of antibiotics, the use of a urinary catheter, the use of a central venous catheter, the use of mechanical ventilation, and ICU stay were shown to be predictors of infe...
While errors can harm patients they remain poorly studied. This study characterized errors in the care of surgical patients and examined the association of errors with morbidity and mortality....
Errors have been reported to cause <10% or >60% of adverse events. Such discordant results underscore the need for further exploration of the relationship between error and adverse events....
Patients with operations performed at a single institution and abstracted into the American College of Surgeons National Surgical Quality Improvement Program from January 1, 2018, to December 31, 2018...
Of 1899 patients, 170 were defined as cases who experienced a morbidity or mortality. The majority of cases (n=93; 55%) had at least 1 error; of the 329 matched control patients, 112 had at least 1 er...
Errors in surgical care were associated with postoperative morbidity. Reducing errors requires measurement of errors....
Iron deficiency is a common problem in subfertile women. The influence of iron status on unexplained infertility is unknown....
In a case-control study, 36 women with unexplained infertility and 36 healthy non-infertile controls were included. Parameters of iron status including serum ferritin and a serum ferritin <30 µg/dL se...
Women with unexplained infertility demonstrated a lower transferrin saturation (median 17.3%, IQR 12.7-25.2 versus 23.9%, IQR 15.4-31.6;...
Ferritin levels <30µg/L were associated with unexplained infertility and might be screened in the future. Further studies with a focus on iron deficiency and iron treatment on women with unexplained i...
There are few studies published referring to bariatric surgery in patients older than 70 years. The aim of this study is to evaluate whether there are benefits to performing sleeve gastrectomy (SG) in...
Data were retrospectively collected from a Private Clinic's electronic medical records of patients undergoing SG between June 2017 and September 2020. Inclusion criteria were patients older than 70 ye...
Fifty patients were included in the study. Both groups were similar regarding gender, weight, BMI, and presence of DM. The 30-day morbidity and mortality were similar between the groups. The patients ...
The sleeve gastrectomy surgery performed in patients over 70 years of age is safe. The early results suggest similar benefits regarding weight loss and improvement of comorbidities to those having SG ...
The etiology of diverticulitis is multifactorial and poorly understood. We estimated the familiality of diverticulitis using the Utah Population Database, a statewide database linking medical records ...
We identified patients with diverticulitis diagnosed between 1998 and 2018 and age- and sex-matched controls in the Utah Population Database. Risk of diverticulitis in family members of patients and c...
The study population included 9,563 diverticulitis patients (with 229,647 relatives) and 10,588 controls (with 265,693 relatives). Relatives of patients were more likely to develop diverticulitis (inc...
Our results indicate that the first-, second-, and third-degree relatives of diverticulitis patients are at elevated risk of developing diverticulitis. This information may aid surgeons in counseling ...
This study aimed to investigate the clinical and laboratory as well as radiological features of spondyloarthritis (SpA) patients with thrombocytosis and to explore risk factor for thrombocytosis in Sp...
A total of 145 patients with SpA were included in this study, and non-thrombocytosis was identified in 76 patients while thrombocytosis was found in 69 patients, 38 out of the 69 patients received ant...
The proportion of hip involvement (60.86% vs 36.84%, p = 0.004), bath ankylosing spondylitis disease activity index score (4.24 ± 0.55 vs 3.69 ± 0.67, p < 0.001), erythrocyte sedimentation rate (62.22...
SpA patients with thrombocytosis have a higher proportion of hip involvement and disease activity compared to non-thrombocytosis SpA patients. The potential risk factors for thrombocytosis in SPA pati...
Recent studies of the vaginal microbiome have led to a better understanding of the microbiota and interactions with the host environment, however the role of the vaginal microbiome in vestibulodynia r...
This study aims to investigate and examine differences in the bacterial and fungal microbiome among patients with vestibulodynia and healthy controls....
A case-control study was conducted examining the vaginal microbiome of 29 patients with vestibulodynia and 26 controls through Stony Brook University Obstetrics and Gynecology ambulatory clinic. Exclu...
Principal component analysis (PCA) and linear discriminant analysis effect size (LefSe) were used to identify differences in relative abundance of operational taxonomic units (OTUs) for the vaginal mi...
Lactobacillus species were dominant amongst both cases and controls. PCA of 16S and ITS OTUs did not show significant differences in microbiome composition between vestibulodynia patients and controls...
Additional studies are needed to further assess the clinical significance of these findings....
Strengths of this study include ITS amplicon sequence analysis for fungal species diversity. Limitations of this study include small sample size and lack of racial diversity....
Our study did not find significant differences in composition or diversity between the vaginal microbiomes of cases of vestibulodynia and controls; however, the data suggests differences in abundance ...
Varied reports suggest a contentious relationship of bladder malignancy with pioglitazone in patients with type 2 diabetes....
To study an association (prevalence and predictors) of bladder malignancy with pioglitazone therapy in Asian-Indian type 2 diabetes patients....
In this observational multicenter study, type 2 diabetic patients attending out-patient diabetes-clinic were evaluated. A detailed history of anti-diabetic medication, dose, duration, pioglitazone usa...
A total of 8000 patients were screened out of which 1560 were excluded. Among 6440 included patients, 1056 (16.3%) patients were in group A and 5384 (83.6%) group B. Patients on pioglitazone were olde...
Pioglitazone use in Asian-Indians is not associated with an increased bladder cancer risk. However, pioglitazone should be restricted in individuals with history of hematuria. Age more than 58 years i...
Multiple chemical sensitivity (MCS) is a chronic condition characterized by the appearance of symptoms caused by exposure to chemical compounds that are tolerable for the general population. It mainly...
Stroke is the leading cause of mortality in China. DNA methylation has essential roles in multiple diseases, but its association with stroke was barely studied. We hereby explored the association betw...
The association was discovered in a hospital-based case-control study (cases/controls = 190:190) and further validated in a prospective nested case-control study including 139 cases who developed stro...
In our study, altered HTRA1 methylation was associated with stroke at clinical and preclinical stages and thus may provide a potential biomarker in the blood for the risk evaluation and preclinical de...