La forme scléronodulaire de la maladie de Hodgkin: expérience du CHU de Sherbrooke

Scleronodular type of Hodgkin''s disease: experience at the Centre hospitalier universitaire de SherbrookeThe nodular sclerosis type of Hodgkin''s disease appears to be a distinct clinical entity. However, the incidence, the initial localization of the tumour and the survival of the patients are variable. The present study was carried out on a group of 17 patients, all French Canadians living in the province of Quebec, from a total of 31 with Hodgkin''s disease, an incidence of 55%. There were more males (10) than females (7). The mean age of the group was 37 years, but that of the females was lower than that of the males. The mediastinum was involved at the onset in 47% of the patients. The initial staging (according to the classification of Rye) in 76% of the patients was I or II.Four patients showed disease below the diaphragm. The lungs were infiltrated three times, the spleen six times, and the liver five times. The duration of survival of the 17 patients was twice that of the patients with the three other types of the disease.     

Aspergilosis En Colombia

Resumen Se presentan 15 casos de aspergilosis recolectados en diferentes ciudades del país. Doce fueron casos autopsiados. Los tres restantes se refieren a pacientes en quienes se efectuó una lobectomía pulmonar superior derecha por aspergiloma gigante intracavitario. En los doce primeros existía una enfermedad básica que había alterado seriamente el estado general del paciente; once de ellos habían recibido antibióticos, cinco habían recibido esteroides, y dos, agentes citotóxicos. Se cree que, tanto el estado general del paciente, como la administración de dichas drogas, favorecieron la infección micótica. De los tres casos con aspergiloma intracavitario gigante, se cree que, en uno, la micosis se implantó en una caverna tuberculosa cicatrizada. En los otros dos, la cavidad era un bronquio localmente dilatado y se consideró que no existía una infección tuberculosa.ElAspergillus posee un amplio espectro de patogenicidad. Se le puede observar en lesiones que van desde una localización intrabronquial, acompañada de mínima o nula reacción inflamatoria, hasta casos en los cuales existen lesiones pulmonares necrotizantes con diseminación hematógena a otros órganos (sistema nervioso central, hígado, riñón).     

Preparation of protoplast-like structures from conidia ofFusarium culmorum

Protoplast-like structures have been formed by digestion of the cell walls ofFusarium culmorum conidia by lytic enzyme preparations ofMicromonospora AS. Under the test conditions extrusion of the protoplasts was not observed. It seems that digestion of the cell wall occurs in different stages. Digestion of the septa preceded the formation of protoplasts of the individual cells of the multicellularF. culmorum conidia. A few protoplasts survived the lytic enzyme treatment. “Protoplasts” obtained from conidia are much more stable than those obtained from young hyphae and were able to germinate with the formation of normal mycelium. Lysis of some of the protoplast bodies led to the formation of a membranous structure. The protoplasts derived from each of the constituent cells of the conidia could be isolated with the micromanipulator. No differences were found in the ability of the isolated cells to germinate.