G Martet

Publications (88)111.74 Total impact

• Article: [American pulmonary histoplasmosis. Prospective study with 232 soldiers after a 2-year assignment in Guiana].

  D Bonnet, G Nguyen, J J De Pina, G Martet, J Miltgen, A Cuguilliere, D Verrot, T Lonjon, M Civatte, M Morillon
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  ABSTRACT: The purpose of this report is to describe the results of a prospective study on pulmonary histoplasmosis in French Guiana. Chest radiographs were performed in 232 French legionnaires returning from a two-year assignment in French Guiana. Further examinations were performed in a total of 8 subjects in whom chest radiographs demonstrated the presence of nodules in the lungs. No evidence of cancer or tuberculosis was found. Findings confirmed histoplasmomas in two cases and demonstrated probable histoplasmosis nodules in 6 cases including three involving calcified lesions. Five of these eight patients had been in high-risk rain forest environments. Pulmonary histoplasmosis should be considered as a possible diagnosis in subjects returning from endemic zones. Confirmation depends on a spectrum of findings. Calcified nodules require only radiographic surveillance with follow-up at six months. Non-calcified nodules require further investigation including CT-scan, bronchoscopy, and serological tests. Surgical biopsy may be necessary to achieve exact histological and mycological identification of the lesion and is recommended in smokers.
  Médecine tropicale: revue du Corps de santé colonial 02/2002; 62(1):33-8.
• Article: [Campylobacter lari bacteremia (letter)].

  S Godreuil, J Maslin, M Morillon, E Sagui, J J De Pina, G Martet
  La Presse Médicale 11/2000; 29(29):1603. · 0.67 Impact Factor
• Article: [A case of hepatic Loeffler's syndrome].

  C Arteaga, G Clavel, J L Perret, G Martet, B Wade, J F Briant
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  ABSTRACT: During nematode infection transit of the microorganism in the lung may be associated with transient infiltration lesions accompanied by marked eosinophilia. In the invasion stage of the disease maturation and sexual differentiation of schistosomules is restricted to portal vessels. Liver ultrasonography may show concomitant abnormalities. Eosinophilia was diagnosed in a 36-year-old man residing in Central Africa. Clinical examination, chest X-ray and biology were normal. Liver ultrasonography showed numerous hypoechoic lesions, up to 3 cm in diameter. Ultrasonography-directed biopsy demonstrated infiltration of both portal vessels and liver sinusoids, with sometimes microabcesses. No parasite was found in either blood, stool, or rectal biopsy. Immunoelectrophoresis and hemagglutination showed positive bilharziosis serology, whereas serology for other helminthiases was negative. Four months after treatment eosinophilia was still high, liver ultrasonography was normal, and hemagglutination was negative. The transient shistosomules maturation-related liver abnormalities detected by ultrasonography should be differentiated from the laying phase of the disease.
  La Revue de Médecine Interne 05/2000; 21(4):358-60. · 0.61 Impact Factor
• Article: [Cyclophosphamide-induced interstitial pneumopathy. Course data of bronchoalveolar lavage apropos of a case and review of the literature].

  A Cuguillière, H Bérard, G N'Guyen, J Miltgen, G Martet, J Eskandari, D Bonnet
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  ABSTRACT: A patient treated with cyclophosphamide for breast cancer developed functional and clinicoradiological signs of sub-acute diffuse interstitial pneumopathy. Bronchoalveolar lavage revealed lymphocyte alveolitis. Differential diagnoses were excluded and the course was favorable after cyclophosphamide withdrawal. The bronchoalveolar lavage results obtained initially and at follow-up and two previous lavages reported in the literature demonstrate the importance of this examination in the diagnosis of drug-induced pneumopathy.
  Revue de Pneumologie Clinique 05/1999; 55(2):100-4. · 0.24 Impact Factor
• Article: Evaluation of the monocyte counting by the ABX Vega. Comparison with the manual method and fluoro-flow cytometry.

  M Morillon, J Maslin, J J De Pina, F J Louis, G Martet
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  ABSTRACT: This study allowed evaluation and comparison of the precision (20 samples) and agreement (200 samples) of the relative and absolute values of the monocyte count using three methods: microscopic, flow cytometry and the automated ABX Vega hematology analyzer. Flow cytometry is the most precise method, even if the coefficient of variation of the automated analyzer is very similar. The coefficient of correlation between the ABX Vega and the flow cytometer is very satisfactory (r=0.8042). This study of the agreement also made it possible to confirm the difficulty that automated hematology analyzers have in differentiating between some granulocytes and monocytes and their propensity to overstimate the latter when the sample includes immature forms of granulocytes. This fact stresses the importance of the microscopic method, despite its lack of precision. The observed discrepancies did not lead to any difficulties in clinical interpretation; however, this finding should be taken into consideration, particularly in myleoproliferative syndromes and the laboratory monitoring of chemotherapy.
  Hematology and Cell Therapy 05/1999; 41(2):47-50.
• Article: [An anterior mediastinal mass].

  G N Thuy, S Larive, T Lonjon, A Cuguillere, J Miltgen, G Martet, E Gueguen, L Cador, D Bonnet
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  ABSTRACT: A 50-year-old man developed a bronchogenic cyst complicated by hemorrhage. A complete radiographic chest work-up provided a reliable diagnostic approach. Bronchogenic cysts are usually asymptomatic incidental discoveries. Chest ultrasonography confirms the cystic nature of the mediastinal mass. Computed tomography scan and especially magnetic resonance imaging further support the diagnosis and are helpful for guiding surgery. Surgery is required because of the unpredictable risk of hemorrhage, infection or enlargement.
  Revue de Pneumologie Clinique 04/1999; 55(1):47-50. · 0.24 Impact Factor
• Article: [Neisseria meningitidis and meningitis].

  P Nicolas, J M Debonne, G Martet
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  ABSTRACT: Meningococcal meningitis epidemics can occur anywhere in the world. However this risk is particularly high during the dry season in the sub-Saharan zone of Africa known as the Lapeyssonnie meningitis belt. This area characterized by hyperendemicity that regularly gives rise to epidemics. Multilocus enzyme electrophoresis has made possible identification and monitoring of the progression of virulent clones of Neisseria meningitidis strains in the world. Monitoring is now possible by multilocus sequence typing and data bank on the Internet. Vaccination is a major prophylactic modality. The usefulness of plain group A plus C polysaccharide vaccines is limited because of poor effectiveness in young children who constitute the highest risk group. During epidemics, mass vaccination should be carried out as early as possible according to the state of alert defined for the area. More recent conjugate vaccines against group A and C, which are effective in young children and provide long-term protection by induction of immunologic memory, may allow routine vaccination in the future. Although clinical signs are often apparent, not all cases are diagnosed by clinical examination unless gravity is taken into account. Untreated the disease is always fatal. The only hope of survival is early institution of appropriate antimicrobial therapy (even prior to hospitalization). Several strains resistant to chloramphenicol have been reported and the number of strains with reduced sensitivity to penicillin is rising constantly. Although treatment remains feasible, the existence of resistant forms raises the need to monitor the sensitivity of meningococci using standardized of antibiograms.
  Médecine tropicale: revue du Corps de santé colonial 02/1999; 59(1):68-78.
• Article: [Focal intrahepatic siderosis, diagnostic pitfall, iatrogenic image].

  C Arteaga, A Raillat, P Salamand, J M Debonne, D Bonnet, G Martet, M O Veuillet, A Battini-Nouzille, J F Briant
  Journal de Radiologie 03/1998; 79(2):157-8. · 0.42 Impact Factor
• Article: [Frequency of malaria in adult expatriates consulting for a fever in 4 medical-social centers in Africa].

  D Baudon, M Morillon, J P Desfontaines, A Dussanter, E Garnotel, J Maslin, P Layec, P Barbe, G Martet
  Médecine tropicale: revue du Corps de santé colonial 02/1998; 58(3):309-10.
• Article: [Resistance to chloroquine and cycloguanil of Plasmodium falciparum in patients arriving in France after travel in Africa without chemoprophylaxis].

  J Le Bras, B Pradines, J P di Piazza, R Durand, N Godineau, O Bouchaud, R Roué, B Marchou, G Martet, C Longuet, D Parzy
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  ABSTRACT: The in vitro susceptibility of chloroquine and the genomic profile of dihydrofolate reductase (DHFR) codon 108 was determined against african isolates of P. falciparum (Pf) from imported malaria cases without previous drug intake by an isotopic microtest or PCR + RFLP. Pf resistance to chloroquine or to the DHFR inhibitor was present in 49% and 46% of isolates, respectively. Pf drug resistance was more frequent in permanent than in seasonal malarial transmission areas and chloroquine plus DHFR resistance reached 28% in years 1995-97. Updating the guidelines for the prevention of malaria in travellers to Africa is necessary.
  Bulletin de la Société de pathologie exotique 02/1998; 91(5 Pt 1-2):490-2.
• Article: [Djibouti, history of 2 epidemics of cholera: 1993-1994].

  M Morillon, J J De Pina, J A Husser, J M Baudet, E Bertherat, G Martet
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  ABSTRACT: When two cholera epidemics broke out in Djibouti, respectively in 1993 and 1994, Bioforce was obliged to intervene. The first time, three goals were pursued: setting up a rehydration centre in a tent, organizing epidemiological surveillance and training local personnel in treatment and diagnosis techniques. The next year, the epidemic followed serious flooding. The epidemiological analysis showed that cholera had become endemic in the poor neighbourhoods of the town and that epidemic break-outs were favoured by contaminated surface water and disturbances in the distribution of drinking water. The epidemic of 1997, likewise following flooding, only confirmed this point of view.
  Bulletin de la Société de pathologie exotique 02/1998; 91(5 Pt 1-2):407-11.
• Article: [Standardization of the Neisseria meningitidis antibiogram. Detection of strains relatively resistant to penicillin].

  P Nicolas, J D Cavallo, R Fabre, G Martet
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  ABSTRACT: Studying the susceptibility of 189 Neisseria meningitidis strains to penicillin, amoxicillin, cefotaxime, ceftriaxone, chloramphenicol and rifampicin by determination of minimum inhibitory concentrations (MICs) by agar dilution (reference method), E-test and disc diffusion method on Mueller-Hinton agar at 37 degrees C with 5% CO2 enabled us to standardize the antibiograms. While MIC determination by agar dilution is still the reference method, it is possible to obtain exact or approximate MIC values using the E-test. For laboratories that cannot determine penicillin MICs, it is impossible to detect strains that are relatively resistant to penicillin (RRP strains: 0.1 < or = MIC < or = 1 mg/l) using a 10-U penicillin disc. A 1 microgram-oxacillin disc allows MIC to be determined in most cases when the oxacillin inhibition zone is < or = 10 mm. Such strains must be sent to a reference laboratory for exact MIC determination. Based on our results and literature data on pharmacokinetics, we propose critical concentrations for these various antibiotics as well as critical diameters for chloramphenicol and rifampicin discs.
  Bulletin of the World Health Organisation 01/1998; 76(4):393-400. · 4.64 Impact Factor
• Article: [MRI aspects of filaria scrotum elephantiasis. MRI-anatomopathological correlations].

  C Arteaga, P Salamand, D Mianné, G Martet, A Raillat, J F Briant
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  ABSTRACT: We report a case of filaria scrotum elephantiasis explored by MRI. MRI and pathological description of the three muscular layers (superficial, medium, deep) were well correlated.
  Journal de Radiologie 01/1998; 78(12):1285-7. · 0.42 Impact Factor
• Article: Pulsed-field gel electrophoresis analysis of clonal relationships among Neisseria meningitidis A strains from different outbreaks.

  P Nicolas, D Parzy, G Martet
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  ABSTRACT: Pulsed-field gel electrophoresis was used to analyze the DNA of 67 Neisseria meningitidis A strains from five African outbreaks occurring between 1988 and 1996. Endonuclease Bg/II was used to cut chromosomal DNA, generating 19 analyzable fragments. This technique allowed comparison of clonal relationships between outbreak strains and revealed that the same pulsotype was responsible for the outbreaks. This pulsotype is closely related to strain B54, subgroup III reference strain, Finland, 1975, showing only two fragment differences.
  European Journal of Clinical Microbiology 08/1997; 16(7):541-4. · 2.86 Impact Factor
• Article: Pulsed-field gel electrophoresis analysis of clonal relationships amongNeisseria meningitidis A strains from different outbreaks

  P. Nicolas, D. Parzy, G. Martet
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  ABSTRACT: Pulsed-field gel electrophoresis was used to analyze the DNA of 67Neisseria meningitidis A strains from five African outbreaks occurring between 1988 and 1996. EndonucleaseBglII was used to cut chromosomal DNA, generating 19 analyzable fragments. This technique allowed comparison of clonal relationships between outbreak strains and revealed that the same pulsotype was responsible for the outbreaks. This pulsotype is closely related to strain B54, subgroup III reference strain, Finland, 1975, showing only two fragment differences.
  European Journal of Clinical Microbiology 06/1997; 16(7):541-544. · 2.86 Impact Factor
• Article: [Research on three parasitic infestations in rats captured in Marseille: evaluation of the zoonotic risk].

  B Davoust, M Boni, D Branquet, J Ducos de Lahitte, G Martet
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  ABSTRACT: A cross sectional survey was carried out on a population of 82 rats (Rattus norvegicus and Rattus rattus alexandrinus) trapped in Marseille. The main histopathological finding was the presence of adults or eggs of Capillaria hepatica in 44% of the animals. 21% were found with fleas (Xenopsylla cheopis). There was no evidence of trichinosis in any of the rats examined. Hepatic capillariasis is a zoonosis seldom described in human beings. About 30 human cases have been reported in the world. Human infestation occurs first by consumption of raw rat liver containing un-embryonated eggs causing only pseudoparasitism without disease. The genuine mode of infestation is the consumption of sullied soil with rats feces containing embryonated eggs. Therefore parasites provoke, true as in rat inflammatory lesions, necrosis and fibrosis of the liver. The treatment associates antiparasitic drugs such as ivermectine, disophenol or pyrantel tartrate. The presence of a large population of infested synanthropic rats requires epidemiological monitoring and extermination of rats. All physicians must be informed of this potential risk.
  Bulletin de l'Académie nationale de médecine 06/1997; 181(5):887-95; discussion 896-7. · 0.25 Impact Factor
• Article: [Plasmodium falciparum malaria and negative HRP2 results: an explanation?].

  J J De Pina, M Morillon, D Parzy, E Garnotel, G Martet
  Médecine tropicale: revue du Corps de santé colonial 02/1997; 57(4):413-4.
• Article: [Malaria and travelers: protection and information].

  D Baudon, G Martet
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  ABSTRACT: With the increasing drug resistance of Plasmodium falciparum especially to agents used for chemoprophylaxis, every precaution must be taken to protect travelers from contracting malaria. Prevention of mosquito bites is a fundamental goal that can be achieved by a variety of means including pyrethrinoid-impregnated bed nets, insecticide strips, liquid vaporizers, repellents, insecticide-impregnated garments, and air-conditioning. There are no contraindications for vector control. Chemoprophylaxis depends of individual criteria as determined by clinical and laboratory examinations and on travel conditions (destination, season, duration of stay, and local living conditions). Stand-by medication should be prescribed for self-treatment of fever in areas where medical care is not readily available. Chemoprophylaxis must be continued after the traveler returns and medical attention should be sought if symptoms occur. To ensure proper compliance with preventive measures, pre-travel counseling is a mandatory and integral part of prevention. Information provided to travelers must be clear, reliable, and up-to-date.
  Médecine tropicale: revue du Corps de santé colonial 02/1997; 57(4 Bis):497-500.
• Article: [Malaria attack: a very late relapse due to Plasmodium vivax].

  J Maslin, A Cuguillère, D Bonnet, G Martet
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  ABSTRACT: Plasmodium vivax malaria late-forms rarely exceed two years--the authors reported a late-form more than twenty years after a stay in endemic area. This late-form occurred in an immunocompromised patient with two terminal-stage neoplasia receiving radio, chimio corticotherapy associated with anemia and thrombopenia. Repeated-tests allowed the diagnostic.
  Bulletin de la Société de pathologie exotique 02/1997; 90(1):25-6.
• Article: [A tropical pulmonary nodule].

  A Cuguilliere, J Maslin, A Raillat, E Auvray, T Lonjon, J Miltgen, D Branquet, L Cador, G Martet, D Bonnet
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  ABSTRACT: The authors report a case of american pulmonary histoplasmosis discovered by chance on a chest radiograph in a non immunocompromised patient, back from a stay in French Guyana. Confronted with the negativity of usual mycotic research, diagnosis has been made thanks to wedge excision by video-assisted thoracic surgery. The authors briefly sum up the recent facts regarding this imported infection, stressing the interest of a direct approach by surgical practices not very invasive that allow to eliminate with certainty neoplasm or tuberculosis.
  Revue de Pneumologie Clinique 02/1997; 53(4):198-202. · 0.24 Impact Factor