Journal Article > CommentaryAbstract
Nature. 27 October 2011; Volume 478 (Issue 7370); DOI:10.1038/478458a
Guerrier G, Baron E, Fakri R, Mouniaman I
Nature. 27 October 2011; Volume 478 (Issue 7370); DOI:10.1038/478458a
The burden of war-related mental disorders is well documented among US veterans (Nature 477, 390–393; 2011), but not among civilians in Iraq. This oversight must be rectified so that adequate medical support can be provided to the Iraqi people. US combat troops will soon depart Iraq, leaving Iraqis to cope with the consequences of the 2003 invasion. Although the number of violent deaths is falling, civilians have been killed almost every day this year, most of them in coordinated bomb attacks. Roadside blasts cause long-term disabilities and societal effects among injured civilians. However, these have been largely neglected by the media and no systematic surveillance has been undertaken.
Journal Article > ResearchAbstract
Epidemiol Infect. 21 June 2011; Volume 139 (Issue 10); DOI:10.1017/S0950268811001075
Guerrier G, Daronat JM, Morisse L, Yvon JF, Pappas G
Epidemiol Infect. 21 June 2011; Volume 139 (Issue 10); DOI:10.1017/S0950268811001075
High brucellosis seroprevalence rates in domestic swine herds have been reported in Wallis and Futuna Islands and are associated with a significant burden of human infection by Brucella suis, a species that is rarely incriminated in human disease. Between 2003 and 2010, seven patients had a positive blood culture for B. suis biovar 1, 11 symptomatic patients had a positive Rose Bengal test (RBT) and a positive serum agglutination test (SAT) and three asymptomatic cases were found to be positive for RBT, SAT or ELISA IgM (after systematic screening of 52 family members of 15 index cases). Overall, Brucella infection was diagnosed in 21 people, corresponding to a mean annual incidence of 19 cases/100 000 inhabitants. Compared to series of patients infected with other more commonly encountered Brucella spp. such as B. melitensis and B. abortus, clinical presentation and percentage and distribution of complications were similar, apart from a marked observation of significantly increased median alanine aminotransferase levels, 20 times greater than upper normal rates, but not accompanied by any particular hepatic pathology. Wallis and Futuna, where people live in close proximity to animals and where the cultural significance of pig-raising precludes the implementation of adequate veterinary preventive measures, thus represents one of the few known B. suis foci worldwide and allows for evaluation of the peculiarities of this infection.
Journal Article > ResearchFull Text
Int J Womens Health. 12 August 2013; DOI:10.2147/IJWH.S48179
Guerrier G, Oluyide B, Keramarou M, Grais RF
Int J Womens Health. 12 August 2013; DOI:10.2147/IJWH.S48179
Despite considerable efforts to reduce the maternal mortality ratio, numerous pregnant women continue to die in many developing countries, including Nigeria. We conducted a study to determine the incidence and causes of maternal mortality over an 8-month period in a rural-based secondary health facility located in Jahun, northern Nigeria.
Journal Article > ResearchAbstract
Int Health. 11 November 2011; Volume 3 (Issue 4); DOI:10.1016/j.inhe.2011.06.003
Guerrier G, Guerra J, Fermon F, Talkibing WB, Sekkenes J, et al.
Int Health. 11 November 2011; Volume 3 (Issue 4); DOI:10.1016/j.inhe.2011.06.003
Journal Article > ResearchAbstract
Br J Oral Surg. 28 June 2012; Volume 53 (Issue 6); DOI:10.1016/j.bjoms.2012.06.003
Guerrier G, Alaqueeli A, Al Jawadi A, Foote N, Baron E, et al.
Br J Oral Surg. 28 June 2012; Volume 53 (Issue 6); DOI:10.1016/j.bjoms.2012.06.003
Our aim was to assess the long-term results, complications, and factors associated with failure of mandibular reconstructions among wounded Iraqi civilians with mandibular defects. Success was measured by the quality of bony union, and assessed radiographically and by physical examination. Failures were defined as loss of most or all of the bone graft, or inability to control infection. During the 6-year period (2006-2011), 35 Iraqi patients (30 men and 5 women, mean age 33 years, range 15-57) had residual mandibular defects reconstructed by iliac crest bone grafts. The causes were bullets (n=29), blasts (n=3), and shrapnel (n=3). The size of the defect was more than 5cm in 19 cases. Along the mandible the defect was lateral (n=14), central/lateral (n=5), lateral/central/lateral in continuity (n=6), and central in continuity (n=10). The mean time from injury to operation was 548 days (range 45-3814). All but 2 patients had infected lesions on admission. Bony fixation was ensured by locking reconstruction plates (n=27), non-locking reconstruction plates (n=6), and miniplates (n=2). Complications were associated with the reconstruction plate in 2 cases, and donor-site morbidity in 5. After a mean follow-up of 17 months (range 6-54), bony union was achieved in 28 (80%). The quality of the bone was adequate for dental implants in 23 cases (66%). Our results suggest that war-related mandibular defects can be reconstructed with non-vascularised bone grafts by multistage procedures with good results, provided that the soft tissues are in good condition, infection is controlled, and the method of fixation is appropriate. Further studies are needed to assess the role of vascularised free flaps in similar conditions.
Journal Article > Case Report/SeriesFull Text
Case Rep Dermatol Med. 31 December 2010; Volume 2011; 1-3.; DOI:10.1155/2011/604390
Guerrier G, Daronat JM, Deltour R
Case Rep Dermatol Med. 31 December 2010; Volume 2011; 1-3.; DOI:10.1155/2011/604390
Acute urticarial lesions may display central clearing with ecchymotic or haemorrhagic hue, often misdiagnosed as erythema multiforme, serum-sickness-like reactions, or urticarial vasculitis. We report a case of acute annular urticaria with unusual presentation occurring in a 20-month-old child to emphasize the distinctive morphologic manifestations in a single disease. Clinicians who care for children should be able to differentiate acute urticaria from its clinical mimics. A directed history and physical examination can reliably orientate necessary diagnostic testing and allow for appropriate treatment.