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Dengue type 3 viruses were isolated from patients in Martinique between 1999 and 2002. This serotype had not been detected on the island in the last 20 years. Genomic sequence determination and analysis showed great stability of the virus during the period studied.
INTRODUCTION Serum B-type natriuretic peptide (BNP) is frequently elevated after subarachnoid hemorrhage (SAH), but whether this high BNP level is related to transient elevation of left ventricular filling pressure (LVFP) is unknown. However, in patients with preexistent cardiac pathologies, it is impossible to differentiate between BNP elevation caused by… (More)
Two case reports of Datura stramonium intoxications are presented. The first one was a self poisoning, with a moderate anticholinergic syndrome and a spontaneous improvement. The second one was a recreational use of Datura stramonium for its hallucinogenic properties. The anticholinergic syndrome was marked and the improvement required orotracheal… (More)
Compressive pnemopericardium is an uncommon cause of shock after blunt trauma. The purpose of this report is to describe a case of air tamponnade observed during management of a patient with thoraco-abominal injuries in Dakar, Senegal. Diagnosis was suspected based on chest x-rays and subsequently confirmed by CT-scan. Clinical features included shock… (More)
OBJECTIVE To report a case of hyperventilation caused by topiramate therapy and propose a pathophysiologic mechanism for this disorder. CASE SUMMARY A 52-year-old woman with refractory seizure disorder was admitted to the burn care unit with burns over 10% of her body. Her seizure medications, unchanged and well tolerated for several months, included… (More)
A 74-year-old man was admitted with postoperative peritonitis. On day 45, a double-lumen central venous catheter was positioned in the patient's right subclavian vein. The distal lumen was used only for parenteral nutrition (2,000 ml/day Kabiven ® 1600; Fresenius Kabi Brezin, France). Glucose 5% (250 ml) with 6 g potassium was infused, over 24 hours, via… (More)