La Revue de médecine interne
-
Observational Study
[Hereditary thrombophilia testing and its therapeutic impact on venous thromboembolism disease: Results from a retrospective single-center study of 162 patients].
Venous thromboembolic disease is a multifactorial, frequently recurrent pathology, whose treatment is based on anticoagulation. As part of the etiological investigation, screening for an inherited thrombophilia is framed by French guidelines published in 2009. The aim of the study is to assess the contribution of inherited thrombophilias testing in common practice. ⋯ Adherence to French guidelines remains limited. In clinical practice, diagnosis of hereditary thrombophilia has little impact on the curative therapeutic approach in venous thromboembolic disease.
-
Twitter(®) is a social "microblogging" network in which users can send and receive updates of up to 140 characters. Nowadays its use in medicine has become common in the United Kingdom and in the USA, particularly in scientific meetings where attendees tweet relevant information from the various lectures. Then, the tweeted information is relayed by followers who may be present or not at the lectures. ⋯ This experience emphasizes the fact that Twitter(®) improves interactions during congresses. Therefore, we should continue on a going forward basis to develop this tool.
-
Silicone injections, in particular illegal injections, carried out in an aesthetic purpose, can cause serious complications, like silicone embolism syndrome. ⋯ A serious alveolar hemorrhage in a young patient should raise suspicion of silicone embolism syndrome, especially if there are cutaneous lesions compatible with injections.
-
Case Reports
[Seoul hantavirus infection-associated hemorrhagic fever with renal syndrome in France: A case report].
Rodents are hantavirus hosts. In Europe, hantaviruses are responsible for human infections resulting in hemorrhagic fever with renal syndrome. Thousands of Puumala virus infections are reported annually in Europe, whereas human Seoul virus infections are rarely detected. ⋯ This report serves to remind physicians to consider diagnosing hantavirus infection when observing the association of fever, acute renal failure and thrombocytopenia. Transitory blurred vision is a specific element to indicate this diagnosis.