Hemorrhagic hereditary telangiectasia (Rendu-Osler disease) and infectious diseases: An underestimated association

被引:67
作者
Dupuis-Girod, Sophie
Giraud, Sophie
Decullier, Evelyne
Lesca, Gaetan
Cottin, Vincent
Faure, Frederic
Merrot, Olivier
Saurin, Jean-Christophe
Cordier, Jean-Francois
Plauchu, Henri
机构
[1] Hop Hotel Dieu, Serv Genet, Hospices Civils Lyon, F-69288 Lyon 02, France
[2] Hop Hotel Dieu, Ctr Reference Malad Rendu Osler, F-69288 Lyon, France
[3] Hop Edouard Herriot, Genet Mol Lab, Lyon, France
[4] Hop Edouard Herriot, Serv Otorhinolaryngol, Lyon, France
[5] Hop Louis Pradel, Serv Pneumol, Lyon, France
[6] Hop Louis Pradel, Ctr Reference Malad Orphelines Pulm, Lyon, France
[7] Hop Croix Rousse, Serv Otorhinolaryngol, F-69317 Lyon, France
[8] Univ Lyon 1, Serv Hepatogastroenterol, Hop Lyon Sud, Hospices Civils Lyon, F-69365 Lyon, France
关键词
D O I
10.1086/511645
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Among 353 patients with hereditary hemorrhagic telangiectasia retrospectively analyzed during the period 1985-2005, we identified 67 cases of severe infection that affected 48 patients (13.6%). Extracerebral infections accounted for 67% of all infections, and most involved Staphylococcus aureus and were associated with prolonged epistaxis. Cerebral infections accounted for 33% of all infections, were mainly due to multiple and anaerobic bacteria, and were associated with the presence of pulmonary arteriovenous malformations and a short duration of epistaxis.
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页码:841 / 845
页数:5
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