Titre : Neutropénie fébrile induite par la chimiothérapie

Neutropénie fébrile induite par la chimiothérapie : Questions médicales fréquentes

Termes MeSH sélectionnés :

Cochlear Implants
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plaquettes est-elle nécessaire ?\nComment surveiller l'efficacité du traitement ?", "url": "https://questionsmedicales.fr/mesh/D064146?mesh_terms=Cochlear+Implants&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Neutropénie fébrile induite par la chimiothérapie", "description": "Quelles sont les complications possibles ?\nLa neutropénie fébrile peut-elle être mortelle ?\nQuels types d'infections sont fréquents ?\nComment le sepsis se développe-t-il ?\nY a-t-il des risques de complications à long terme ?", "url": "https://questionsmedicales.fr/mesh/D064146?mesh_terms=Cochlear+Implants&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Neutropénie fébrile induite par la chimiothérapie", "description": "Quels sont les principaux facteurs de risque ?\nLes antécédents médicaux influencent-ils le risque ?\nLe sexe du patient joue-t-il un rôle ?\nLes traitements antérieurs affectent-ils le risque ?\nL'état nutritionnel influence-t-il le risque ?", "url": "https://questionsmedicales.fr/mesh/D064146?mesh_terms=Cochlear+Implants&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer la neutropénie fébrile ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un diagnostic repose sur une numération sanguine et la présence de fièvre." } }, { "@type": "Question", "name": "Quels tests sont nécessaires pour le diagnostic ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des analyses sanguines et des cultures microbiologiques sont essentielles." } }, { "@type": "Question", "name": "Quel seuil de neutrophiles indique une neutropénie ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Une numération inférieure à 1500 neutrophiles par microlitre est considérée comme neutropénie." } }, { "@type": "Question", "name": "Quand doit-on suspecter une neutropénie fébrile ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "En cas de fièvre supérieure à 38°C chez un patient sous chimiothérapie." } }, { "@type": "Question", "name": "Quels signes cliniques peuvent alerter ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Des frissons, une fatigue extrême et des infections cutanées peuvent alerter." } }, { "@type": "Question", "name": "Quels sont les symptômes de la neutropénie fébrile ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, frissons, infections fréquentes et fatigue intense sont courants." } }, { "@type": "Question", "name": "La neutropénie fébrile cause-t-elle des douleurs ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut entraîner des douleurs abdominales ou thoraciques dues à des infections." } }, { "@type": "Question", "name": "Comment se manifeste la fièvre dans cette condition ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "La fièvre est souvent supérieure à 38°C et peut être persistante." } }, { "@type": "Question", "name": "Y a-t-il des symptômes cutanés associés ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des éruptions cutanées ou des ulcères peuvent apparaître en raison d'infections." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon les patients ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent varier en fonction de l'état immunitaire et des infections." } }, { "@type": "Question", "name": "Comment prévenir la neutropénie fébrile ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention inclut l'utilisation de facteurs de croissance et une bonne hygiène." } }, { "@type": "Question", "name": "Les patients doivent-ils éviter certains aliments ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, éviter les aliments crus ou mal cuits pour réduire le risque d'infection." } }, { "@type": "Question", "name": "Quelles mesures d'hygiène sont recommandées ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Se laver les mains fréquemment et éviter les foules sont recommandés." } }, { "@type": "Question", "name": "Les vaccinations sont-elles importantes ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les vaccinations doivent être à jour pour prévenir les infections." } }, { "@type": "Question", "name": "Comment gérer les contacts avec des malades ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Éviter les contacts avec des personnes malades est crucial pour la prévention." } }, { "@type": "Question", "name": "Quel est le traitement principal de la neutropénie fébrile ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement principal inclut des antibiotiques et des facteurs de croissance des neutrophiles." } }, { "@type": "Question", "name": "Quand administrer des antibiotiques ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les antibiotiques doivent être administrés dès que la neutropénie fébrile est suspectée." } }, { "@type": "Question", "name": "Quels facteurs de croissance sont utilisés ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Le G-CSF (facteur de stimulation des colonies de granulocytes) est couramment utilisé." } }, { "@type": "Question", "name": "La transfusion de plaquettes est-elle nécessaire ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut être nécessaire si le patient présente une thrombopénie sévère." } }, { "@type": "Question", "name": "Comment surveiller l'efficacité du traitement ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La numération sanguine doit être surveillée régulièrement pour évaluer la réponse." } }, { "@type": "Question", "name": "Quelles sont les complications possibles ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des infections graves, des sepsis et des hospitalisations prolongées." } }, { "@type": "Question", "name": "La neutropénie fébrile peut-elle être mortelle ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elle peut être mortelle si des infections ne sont pas traitées rapidement." } }, { "@type": "Question", "name": "Quels types d'infections sont fréquents ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Les infections bactériennes et fongiques sont les plus fréquentes chez ces patients." } }, { "@type": "Question", "name": "Comment le sepsis se développe-t-il ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Le sepsis peut se développer à partir d'infections non traitées en raison de la neutropénie." } }, { "@type": "Question", "name": "Y a-t-il des risques de complications à long terme ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des complications à long terme peuvent inclure des problèmes immunitaires persistants." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les principaux facteurs incluent le type de chimiothérapie et l'âge avancé du patient." } }, { "@type": "Question", "name": "Les antécédents médicaux influencent-ils le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de maladies hématologiques augmentent le risque de neutropénie." } }, { "@type": "Question", "name": "Le sexe du patient joue-t-il un rôle ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Le sexe n'a pas d'impact significatif sur le risque de neutropénie fébrile." } }, { "@type": "Question", "name": "Les traitements antérieurs affectent-ils le risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des traitements antérieurs peuvent sensibiliser le patient à la neutropénie." } }, { "@type": "Question", "name": "L'état nutritionnel influence-t-il le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Un état nutritionnel déficient peut augmenter le risque d'infections et de neutropénie." } } ] } ] }

Sources (10000 au total)

Auditory perception in pediatric cochlear implant users with cochlear nerve hypoplasia.

The objectives of this study were to assess auditory perception and speech intelligibility outcomes in children with cochlear nerve (CN) hypoplasia who received cochlear implants (CIs) using Categorie... In total, 40 children who received CI and who were aged between 3 and 18 years were included in this study. The study group included 20 children with CN hypoplasia at least one ear, while the control ... Significant differences were found between the study and control groups' CAP II and SIR scores (p < 0.001). It was found that CAP II scores were positively correlated with SIR scores in the study (r =... Even for children with severe inner ear malformation and CN hypoplasia, CI is an effective treatment modality for auditory perception and speech production. However, it should be noted that CN hypopla...

Interobserver variability of cochlear duct measurements in pediatric cochlear implant candidates.

The objective of the study was to evaluate the proposed cochlear duct length estimation based on the cochlear 'A value'. Furthermore, we assessed the interobserver variability between radiology and ot... Thirteen pediatric cochlear implant candidates were retrospectively analyzed by three otolaryngology physicians (attending physician, second year, and fourth year trainees) and a radiology attending. ... The differences in measurements between the attending otolaryngologist and radiologist were not statistically different, while several significant differences were observed with regard to measurements... Based on these results, cochlear duct length measurement according to the proposed method may be a reliable and cost-effective method. Indeed, otolaryngology training may be sufficient to provide meas...

The value of nonverbal intelligence in cochlear implant.

Congenital sensorineural hearing loss is a common congenital condition.... The purpose of this study was to assess the correlation between nonverbal mental development and the effect of post-cochlear implant in children.... The study is a retrospective analysis of the CI program implemented at the ENT in the Lanzhou University Second Hospital (China). We reviewed data of 225 children who received CI between 2015 and 2018... Preoperative non-verbal DQ correlates with the long-term postoperative result, especially the Eye-hand co-ordination and Performance DQ.... Preoperative non-verbal intelligence would predict postoperative effect. The single postoperative scale does not fully reflect the postoperative result....

Cochlear implants and deep brain stimulators.

With an aging population and increasing utilization of both cochlear implants (CI) to treat hearing loss and deep brain stimulation (DBS) to treat neurodegenerative movement disorders, more patients w... Two illustrative cases of sequential CI followed by DBS are reviewed. Relevant pre-, intra-, and postoperative issues are discussed for both DBS following CI surgery and CI following DBS surgery.... Despite the potential for challenges, sequential CI and DBS (and vice versa) can provide substantial benefit to those individuals with severe hearing loss and movement disorders. A thorough understand...

Effect of Cochlear Implantation on Social Life.

Explore the effects of hearing loss on social life and identify residual social life deficits that remain after cochlear implantation.... Retrospective review of prospectively obtained data.... Tertiary care adult neurotology center.... Adults between the ages of 35 and 83 years were included with either normal hearing (NH) or a cochlear implant (CI).... CI and non-CI-specific quality-of-life (QOL) surveys focused on social and overall QOL.... (1) The difference in QOL survey responses between NH and CI participants. (2) The relationship between CI-specific global and social QOL responses and non-CI-specific social QOL responses in CI users... A total of 51 participants were included: 31 CI users and 20 NH participants. Of the social QOL questionnaires, CI users reported significantly poorer scores on Self-Efficacy in Social Interactions th... CI users self-report similar social life outcomes as their NH peers with the exception of poorer self-efficacy in social situations. Moreover, self-efficacy in social interactions and social isolation...

Assessing Patient Barriers to Cochlear Implantation.

Evaluate barriers that deter adult patients from following through with cochlear implantation.... Retrospective chart review and phone survey.... Single tertiary referral center.... Between January 2019 and August 2021, 113 patients, without a previous cochlear implant (CI), were determined to be candidates for cochlear implantation. Thirty-eight (33.6%) patients deferred cochlea... None.... Demographic, socioeconomic, otologic history, and comorbidity factors associated with deferment of cochlear implantation. Patient survey assessment of factors that had the greatest impact, rated on a ... Out of the 113 patients who met inclusion criteria, 75 (66.3%) underwent cochlear implantation and 38 (33.6%) patients deferred. Comparing implanted versus deferred groups, there was no statistical di... The greatest concern among the patients was the fear of losing residual hearing. Spending greater time educating patients about the success and failure rates of cochlear implantation may reduce patien...

Investigating Socioeconomic Barriers to Cochlear Implantation.

To explore socioeconomic disparities in cochlear implant evaluation (CIE) referrals and cochlear implantation.... Retrospective chart review.... Tertiary referral academic center.... Adult patients (n = 271) with an audiogram performed between 2015 and 2019 with a pure-tone average of at least 60 dB and word recognition score of 60% or less in the better-hearing ear or no word rec... There were 122 insured patients referred to CIE where 84 were considered cochlear implant (CI) candidates and 73 were implanted. In multivariate regression analysis, non-English-speaking patients were... Primary language spoken was associated with a disparity in rates of CIE referral. Insurance type did influence rate of cochlear implantation once patients completed CIE and were considered CI candidat...

Cochlear implantation in systemic autoimmune disease.

Autoimmune inner ear disease (AIED) is a rare, but likely underrecognized cause of hearing loss. However, hearing loss is common in systemic autoimmune disease and it is important for the clinician to... Hearing loss in AIED tends to be progressive and bilateral, but up to 40% can present as sudden hearing loss and one-third can present unilaterally. HSP-70 serology may help with diagnosis and may pre... Diagnosis of AIED is largely clinical, and a strong index of suspicion is required. Multidisciplinary care is crucial for optimal management. Cochlear implant outcomes are generally excellent, but the...