Syndrome d'immunodéficience acquise (AIDS) révélé par un herpes génital sévère. A propos de deux cas.

The authors present 2 cases of AIDS revealed by severe recurrent genital herpes simplex. The patients are 2 young, previously healthy, African women without histories of homosexuality or drug abuse. The first patient died after 5 months of follow-up (post mortem findings: viral bronchopneumonia with positive cultures for herpes and cytomegalovirus (CMV), viral colitis due to CMV). The second patient survived. She has been treated, during the last 11 months, for filariasis, buccal and vaginal candidiasis and cerebral toxoplasmosis.

Seroprotection against tetanus in patients attending an emergency department in Belgium and evaluation of a bedside immunotest.

BACKGROUND: In most emergency departments, tetanus prophylaxis currently relies on vaccination history. Bedside evaluation of tetanus immunity may improve this process. OBJECTIVES: (i) To determine the seroprevalence of tetanus immunity; (ii) to evaluate the accuracy of vaccination history in assessing tetanus immunity; (iii) to identify factors predictive of seroprotection and incorrect history. METHOD: In a prospective observational study, tetanus immunity was assessed in 784 adults using Tétanos Quick Stick (TQS). A questionnaire was completed to obtain vaccination and general histories. Immunity assessed by TQS and by vaccination history were compared with anti-tetanus antibody levels measured by the enzyme-linked immunosorbent assay (seroprotection threshold >0.15 IU/ml). RESULTS: Overall, 64.2% of patients were protected according to TQS results. Four independent predictors of seroprotection were identified: young age, birthplace in Belgium, male sex and occupational medicine consultation. TQS performance was good: kappa=0.71, sensitivity 85.3%, specificity 87.2%, positive predictive value 92.1% and negative predictive value 77.2%. Seven hundred and sixty-two participants responded to the vaccination history: 23.4% said they were protected, 22.1% that they were not and 54.5% did not know. History performance was poor: kappa=0.27, sensitivity 60.3%, specificity 73.3%, positive predictive value 81.8% and negative predictive value 45.8%. Compared with history, TQS offered a significantly better sensitivity, negative and positive predictive values, but specificity was similar. No predictor of an incorrect history was identified. CONCLUSION: Lack of protective immunity against tetanus is frequent but poorly evaluated by history taking. Several demographic characteristics are good predictors of seroprotection. TQS could be a valuable tool in selected patients to improve tetanus prophylaxis in the emergency department.

Stratégies reproductives et sex-ratio chez le termite Cavitermes tuberosus (Emerson, 1925) -- Biologie des Organismes et Ecologie

Recently shown in some termites, Asexual Queen Succession (AQS) is a reproductive strategy in which the primary queen is replaced by numerous parthenogenetically-produced neotenic queens that mate with the primary king. In contrast, the workforce and alate dispersers are produced sexually. If the primary king is replaced by a sexually-produced neotenic son, the matings between neotenic male and females beget asymmetries in the reproductive value of alates, promoting a female-biased alate sex-ratio. Cavitermes tuberosus (Termitidae: Termitinae) is a soil-feeding tropical species, which shows parthenogenetically-produced neotenics and an AQS syndrome. Our work aims to characterize the reproductive strategies in this species by determining (i) the developmental scheme, (ii) the genetic origin of sexuals, (iii) the level of genetic structure (analysis of 65 nests distributed in 14 sites) and (iv) the alate sex-ratio.Our results show that (i) neotenic females develop from the third or fourth nymphal instar; (ii) the majority of neotenic females (82%) are parthenogenetically-produced while only 2% of female alates are so; (iii) nests are differentiated within sites, indicating that the foundation of new nests mainly occurs by nuptial flights; (iv) numerical sex-ratio of alate-destined sexuals is balanced (SRN=0.509, IC95%=0.497-0.522) while investment sex-ratio is slightly female-biased (SRE=0.529, IC95%=0.517-0.542). Altogether, our results demonstrate AQS and its implications in C. tuberosus, and reveal particularities compared to other species in which AQS has been demonstrated: neotenic-headed nests are less frequent than primary-headed ones and neotenic females never become physogastric. AQS is found in various ecological contexts and seems phylogenetically more widespread than previously thought. This strategy shows some evolutionary advantages but these seem to differ depending on species.

Colony sex ratios vary with breeding structure but not relatedness asymmetry in the facultatively polygynous ant Pheidole pallidula

We investigated sex allocation in a Mediterranean population of the facultatively polygynous (multiple queen per colony) ant Pheidole pallidula. This species shows a strong split sex ratio, with most colonies producing almost exclusively a single-sex brood. Our genetic (microsatellite) analyses reveal that P. pallidula has an unusual breeding system, with colonies being headed by a single or a few unrelated queens. As expected in such a breeding system, our results show no variation in relatedness asymmetry between monogynous (single queen per colony) and polygynous colonies. Nevertheless, sex allocation was tightly associated with the breeding structure, with monogynous colonies producing a male-biased brood and polygynous colonies almost only females. In addition, sex allocation was closely correlated with colony total sexual productivity. Overall, our data show that when colonies become more productive (and presumably larger) they shift from monogyny to polygyny and from male production to female production, a pattern that has never been reported in social insects.

Sex chromosome abnormalities after intracytoplasmic sperm injection.

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