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Extraspinal Incidental Findings at Lumbar Spine Magnetic Resonance Imaging in Two hospitals:Prevalence and Clinical Importance

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Open Journal of Radiology 2017年第4期7卷 241-248页

作者： Odile Fernande Zeh Emilienne Guegang Goujou Armel Philippe Awana Julienne Onguene Medza Joshua Tambe Claude Sandra Raissa Abomo Ngodo Maxwell Goudjou Sandjong Joseph Gonsu Fotsin Faculty of Medicine and Biomedical Sciences University of Yaounde IYaoundeCameroon Yaounde Gynaecology Obstetrics and Pediatrics hospital YaoundeCameroon Jordan Medical Center YaoundeCameroon Yaounde General hospital YaoundeCameroon Yaounde Jamot hospital YaoundeCameroon jacques monod hospital le havre MontivilliersFrance

Objective: To assess the importance of incidental extraspinal findings on Magnetic Resonance Imaging of the lumbar spine in two hospital facilities. Materials and Methods: It was a descriptive and retrospective study from November 2015 to March 2016. The records of patients who had done a Magnetic Resonance Imaging (MRI) scan of the lumbar spine were re-read in search of incidental findings. The incidental findings found were classified using Colonography Reporting and Data System(C-RADS) classification of extracolonic lesions to assess clinical significance. The prevalence of incidental findings was calculated for each facility, as well as the distribution according to age, the organs involved and the clinical importance. A non-detection rate was calculated by confronting the findings of the study with the original reports. Results: The prevalence of incidental findings was respectively 33% (19 out of 36) in Jordan Medical Center (JMC) in Yaounde and 27.74% (106 out of 292) in jacques monod hospital. The extraspinal incidental findings were classified mainly as extracolonic 2 (E2): 58% in each facility. The percentage detection of incidental findings was 5% at JMS and 1.7% at jacques monod hospital. Conclusion: Extraspinal incidental findings are frequent in both hospitals. However, the rate of detection remains very low.

关键词： Incidental Findings Magnetic Resonance Imaging Lumbar Spine Extraspinal lesions

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慢性脑膜炎球菌脓毒症

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世界核心医学期刊文摘（皮肤病学分册） 2005年第8期1卷 52-52页

作者： Carré Sere D. Dompmartin A. Sannier K. 王琼 Dermatologie Centre Hospitalier Jacques Monod BP 24 76083 Le Havre Cedex France

Introduction. Chronic meningococcemia is a rare clinical form of invasive Neisseria meningitidis infection. We report 2 cases. Observations. A 39 year- old man and a 42 year- old woman had developed a widespread, fleeting and painful maculopapular cutaneous eruption over the past few weeks, associated with intermittent fever and inflammatory arthralgia. In both cases blood cultures isolated a serogroup B meningococcus that confirmed the diagnosis. Cutaneous histology revealed a nonspecific image of leukocytoclastic vasculitis. Treatment with β .lactamin antibiotics was successful after respectively 3 weeks and 12 days. Discussion. This septicemia is characterized by the clinical triad of cutaneous eruption, fever and arthralgia. It must not be mistaken for connectivitis because inappropriate corticosteroid prescription may provoke severe complications. Confirmation of the diagnosis is provided by the blood cultures, which should be repeated. In the case of strong clinical suspicion, the rapid improvement with antibiotics confirms the diagnosis.

关键词：脓毒症脑膜炎球菌脑膜炎双球菌侵袭性皮肤组织病理关节痛斑丘疹皮质醇激素疼痛性泛发性

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