📇 Rhumatologue · PARIS · (75) · Hospitalier
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3 raisons identifiées
En plein centre-ville
PARIS (75007) — accessible depuis tout le bassin urbain
Disponibilité géographique
7 lieux d'exercice — choisissez celui qui vous arrange
Délais de RDV courts dans la région
336.2 rhumatos / 100 000 hab. — département bien doté
✨ Génération du profil synthétique IA en cours…
UNION IMAGERIE
CLINIQUE SAINT JEAN DE DIEU 21 RUE OUDINOT, 75007 PARIS
CLINIQUE SAINT JEAN DE DIEU
2 R ROUSSELET, 75007 PARIS
CENTRE SCANNER SJD
19 R OUDINOT, 75007 PARIS
Données ANS publiques (Licence Ouverte 2.0) · Enrichissements MonRhumato 100 % opt-in · Toute personne référencée peut demander la suppression ou la rectification.
HOPITAL LA PORTE VERTE
6 AV FRANCHET D ESPEREY BP 455, 78004 VERSAILLES CEDEX
CENTRE D'IMAGERIE IRMO
21 R OUDINOT, 75007 PARIS
UNION IMAGERIE
12 RUE VOLNEY, 75002 PARIS
UNION IMAGERIE
161 AVENUE VICTOR HUGO, 75116 PARIS
Secteur de conventionnement non disponible (médecin hospitalier ou non présent dans l'Annuaire santé CNAM des libéraux conventionnés).
Lien Doctolib = recherche Google site:doctolib.fr (le 1er résultat est presque toujours le profil correct s'il existe).
Veterinary surgery : VS · 2017
AbstractObjectiveTo report the short‐ and long‐term outcomes of surgical management of umbilical infection in foals.Study designRetrospective case series.AnimalsFoals (n = 65).MethodsMedical records (2010‐2015) of foals up to 1 month of age, surgically treated for an umbilical infection were reviewed. Short‐term (at the time of discharge from hospital) and long‐term (1 year after surgery) survival rates were obtained. Clinical variables influencing survival were assessed. Chi‐square or Fisher's exact test were used to evaluate the relationship between the data retrieved and outcome.P ≤ .05 was considered statistically significant.ResultsSixty‐five foals were included in the study, representing 17.2% of all foals admitted to the hospital. Fifty foals were discharged from hospital (77%) and 43 foals (66%) were alive 1 year after surgery. Lower long‐term survival rates were associated with: younger age at presentation, septic joints, multiple pathologies, higher creatinine level, higher heart rate, umbilical infection diagnosed at the hospital rather than prior to referral, prolonged hospitalization, longer period between arrival and surgery, and postoperative complications. The most common surgical findings were urachal enlargement followed by right arterial enlargement.ConclusionYounger foals with worse systemic condition and concurrent disorders are at higher risk for treatment failure. Early diagnosis improves the outcome. Surgical treatment yields good results and should be considered upon diagnosis, after taking into account the clinical situation.Clinical significanceBased on the results of this study, diagnosis and surgical management of umbilical infection in neonatal foals should be performed as early as possible, and a good outcome can be expected after surgery.
Animals : an open access journal from MDPI · 2021
The aim of this study was to investigate the safety and pharmacokinetics of trimethoprim-sulphadiazine administered via intravenous regional limb perfusion (IVRLP) into the cephalic vein. According to the hypothesis, the drug could be administered without adverse effects and the synovial concentrations would remain above the minimum inhibitory concentration (MIC) for trimethoprim-sulphadiazine (0.5 and 9.5 µg/mL) for 24 h. Ten (n = 10) horses underwent cephalic vein IVRLP with an Esmarch tourniquet applied for 30 min. Four grams (4 g) of trimethoprim-sulphadiazine (TMP-SDZ) were diluted at 0.9% NaCl for a total volume of 100 mL. Synovial fluid and blood samples were obtained immediately before IVRLP and at 0.25, 0.5, 2, 6, 12 and 24 h after the initiation of IVRLP. Trimethoprim and sulphadiazine concentrations were determined using a method based on liquid chromatography/tandem mass spectrometry. The Cmax (peak drug concentration) values were 36 ± 31.1 and 275.3 ± 214.4 µg/mL (TMP and SDZ). The respective tmax (time to reach Cmax) values were 20 ± 7.8 and 26.4 ± 7.2 min. The initial synovial fluid concentrations were high but decreased quickly. No horse had synovial concentrations of trimethoprim-sulphadiazine above the MIC at 12 h. Severe vasculitis and pain shortly after IVRLP, lasting up to one week post-injection, occurred in five out of 10 horses. In conclusion, IVRLP with trimethoprim-sulphadiazine cannot be recommended due to the low concentrations of synovial fluid over time and the frequent severe adverse effects causing pain and discomfort in treated horses. Thus, in cases of septic synovitis with bacteria sensitive to trimethoprim-sulphadiazine, other routes of administration should be considered.
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
Animals : an open access journal from MDPI · 2021 · Journal Article
Gustafsson K, Tatz AJ, Dahan R, Abu Ahmad W, et al.
Veterinary surgery : VS · 2017 · Journal Article
Oreff GL, Tatz AJ, Dahan R, Segev G, et al.