Fever of unknown origin in a Swiss-born child: don't miss tuberculosis!

Tuberculosis incidence is low in Switzer land. We report here on a Swiss-born toddler. Tuberculosis manifested with a fever of unknown origin, mimicking an inflammatory or autoimmune disorder triggering a high dose of corticosteroid treatment. The disease went unrecognized for several weeks until development of a miliary tuberculosis with advanced central nervous system involvement. This case highlights the difficulties encountered in diagnosing tuberculosis and in identifying the origin of this case. It reminds us that this disease must never be forgotten when facing a child with persistent fever who must be screened for, before starting immunosuppressive therapy.

La transplantation d'organes entre rhétorique du don et vision biomédicale du corps. Une étude de la décision de don d'organes.

Cette thèse examine la manière dont les tensions qui traversent la discipline de la médecine de transplantation se répercutent sur la décision de don d'organes en étudiant, d'une part, la décision de don d'organes considérée comme «un souhait possible pour le futur» et, d'autre part, les conditions concrètes qui ont conduit à une prise de décision de don d'organes réelle dans le passé.

Don't trust a vein graft to treat carotid aneurysm in patients with Behçet disease.

Extracranial carotid aneurysm is a rare vascular manifestation of Behçet disease. To our knowledge, only 32 cases have been reported. This article presents a complex case of a 28-year-old man who was first treated by vein graft reconstruction. At 12 months of follow-up, a nonanastomotic false aneurysm of the vein graft occurred and was treated by interposition of prosthetic graft. Two months later, an anastomotic pseudoaneurysm between the two grafts was excluded by two stent grafts. Based on our experience and a review of the literature, we compared the outcomes of prosthetic and autologous vein reconstructions and discussed the role of carotid ligation and immunosuppressive treatment.

La Misión Indígena San Francisco Solano de Tacaaglé en las tierras fiscales de Formosa (1900-1950)

[spa]La Misión Indígena fue inaugurada en el año 1901, en la zona del río Pilcomayo del Territorio Nacional de Formosa, precisamente al costado de la concesión paraguaya otorgada a Elisa (Elizabeth Alicia) Lynch. Desde entonces, fue trasladada, primero a Tacaaglé en 1902, donde adquirió el nombre de Misión San Francisco Solano, y posteriormente, en 1915, al riacho El Porteño. Los misioneros franciscanos asumieron la tarea de formar a “colonos indígenas” tobas y pilagás para la producción de azúcar. Se analiza la evolución de la Misión franciscana y el impacto de la llegada del Ferrocarril de Formosa a Embarcación (F.C.F.E.). La documentación utilizada se encuentra en la Biblioteca y Archivo Históricos de la Provincia Franciscana de San Miguel, del Museo Conventual de San Carlos Borromeo ubicado en San Lorenzo, Provincia de Santa Fe

Root distribution of irrigated grapevine rootstocks in a coarse texture soil of the São Francisco Valley, Brazil

An experiment was carried out to determine the root distribution of four grapevine rootstocks (Salt Creek, Dogridge, Courdec 1613, IAC 572) in a coarse texture soil of a commercial growing area in Petrolina County, São Francisco Valley, Brazil. Rootstocks were grafted to a seedless table grape cv. Festival, and irrigated by microsprinkler. Roots were quantified by the trench wall method aided by digital image analysis. Results indicated that roots reached 1 m depth, but few differences among rootstocks were found. All of them presented at least 90 % of the roots distributed until 0.6 m depth, with a greater root presence in the first 0.4 m. The upper 0.6 m can be taken into account as the effective rooting depth for soil and water management.