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Résumé Le diagnostic d’une maladie de système et/ou sa prise en charge en service de réanimation est conditionné par le dialogue entre le réanimateur et les spécialistes de ces pathologies. Néanmoins, certains signes d’alerte cliniques (associations syndromiques) ou biologiques doivent amener le réanimateur à la suspicion de ces pathologies au départ. Certains examens biologiques ou histologiques...
Histoplasma capsulatum var. capsulatum is a dimorphic fungus endemic to America and subtropical regions. Several cases of this opportunist mycosis have been reported in immunocompromised patients. We report the case of a patient treated with methotrexate and corticosteroid therapy for rheumatoid arthritis and who presented with disseminated histoplasmosis that partially mimicked a dermatomyositis.
L'œdème pulmonaire est l'accumulation pathologique de liquide dans les espaces et tissus extravasculaires pulmonaires. Il existe, en conditions physiologiques, un passage de liquide de la lumière capillaire vers l'interstitium, qui est drainé par le système lymphatique. L'œdème résulte le plus souvent d'un déséquilibre entre les phénomènes qui tendent à déplacer le liquide des vaisseaux vers les espaces...
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