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Infections du système nerveux central du patient immunodéprimé

Central nervous system infections in immunocompromised patients

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Médecine Intensive Réanimation

Résumé

Les infections du système nerveux central (SNC) chez les patients immunodéprimés sont associées à un mauvais pronostic. Cette revue fait le point sur l’épidémiologie des infections sévères du SNC chez les patients immunodéprimés, avec une attention particulière pour les patients infectés par le VIH, transplantés d’organes solides ou d’hématologied’hématologie. L’objectif est de mettre à jour les connaissances du réanimateur, de proposer une approche diagnostique pratique et de discuter brièvement des étiologies les plus fréquemment rencontrées.

Abstract

Central nervous system (CNS) infections in immunocompromised patients are associated with a poor prognosis. The present review discusses the epidemiology of severe CNS infections in the immunocompromised, with a major emphasis on HIV-infected patients, solid organ transplant recipients, and hematological patients. The goal is to update the general intensivist with a practical diagnostic approach, and to briefly discuss some of the most prevalent conditions.

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Authors and Affiliations

  1. Service de réanimation médicale et infectieuse, Inserm U1148, hôpital Bichat–Claude-Bernard, université Paris-Diderot, Assistance publique–Hôpitaux de Paris (AP–HP), 46, rue Henri-Huchard, F-75018, Paris, France

    E. Magalhaes, M. Neuville, B. Mourvillier, C. Dupuis, J. Lebut, O. Andremont, C. Vinclair, R. Smonig, M. Lermuzeaux, L. Bouadma, M. Wolff, J.-F. Timsit & R. Sonneville

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  1. E. Magalhaes
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  2. M. Neuville
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  3. B. Mourvillier
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  4. C. Dupuis
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  10. L. Bouadma
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  13. R. Sonneville
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Correspondence to R. Sonneville.

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Magalhaes, E., Neuville, M., Mourvillier, B. et al. Infections du système nerveux central du patient immunodéprimé. Méd. Intensive Réa 26, 188–195 (2017). https://doi.org/10.1007/s13546-017-1276-x

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  • DOI: https://doi.org/10.1007/s13546-017-1276-x

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