Failure of systemic oral doxycycline in preventing ocular toxoplasmic retinochoroiditis in French military personnel

2018 ◽  
Vol 164 (2) ◽  
pp. 122-123 ◽  
Author(s):  
Sami Saad ◽  
M Delbarre ◽  
R Saad ◽  
M Berguiga ◽  
D Benisty ◽  
...  

This paper describes two cases of toxoplasmic chorioretinitis presenting in two French soldiers who had been receiving oral doxycycline for malaria prophylaxis. This is despite the proven effectiveness of oral doxycycline in treating Toxoplasma gondii, the most common cause of this infection. The lack of effectiveness of oral doxycycline in these two cases most likely reflected that the ocular concentration of 100 mg daily doxycycline is too low to treat or prevent Toxoplasmic retinochoroiditis (TC). Clinicians should therefore be aware that soldiers taking prophylactic oral doxycycline are still at risk of developing ocular TC with potentially sight-threatening consequences if not treated adequately.

Author(s):  
Herbert Hendin

Post-traumatic stress disorder (PTSD) is a condition associated with suicide in both military personnel and combat veterans. Most veterans with PTSD, however, are not at risk of suicide. The major factor distinguishing those who attempted or were preoccupied with suicide is persistent severe guilt over behaviour in combat while emotionally out of control. A 12-session short-term, psychodynamic psychotherapy, presented here in this chapter, showed promise of success in dissipating the guilt from combat-related actions in veterans of the war in Vietnam. Preliminary work with combat veterans of the wars in Iraq and Afghanistan indicates it may be equally successful in treating them.


2005 ◽  
Vol 31 (4) ◽  
pp. 353-359 ◽  
Author(s):  
B Bauduceau ◽  
F Baigts ◽  
L Bordier ◽  
P Burnat ◽  
F Ceppa ◽  
...  

2010 ◽  
Vol 35 (5) ◽  
pp. 444-451 ◽  
Author(s):  
Jason Williams ◽  
Sarah B. Jones ◽  
Michael R. Pemberton ◽  
Robert M. Bray ◽  
Janice M. Brown ◽  
...  

2009 ◽  
Vol 67 (2) ◽  
pp. 164-168 ◽  
Author(s):  
J. Poirriez ◽  
D. Toubas ◽  
C. Marx-Chemla ◽  
B. Leroux ◽  
D. Dupouy ◽  
...  

1950 ◽  
Vol 2 (4) ◽  
pp. 533-548
Author(s):  
Edward L. Katzenbach

In a recent article in Le Monde, a military writer remarked that ‘A country has the army it merits.”1 The expression is an old one. For a hundred years at least, French politicians and French military personnel have been quoting one another to the effect that the army is but the reflection of the state. But in a democracy, the strength of an army is not so much a question of merit as one of desire, desire as expressed by the people through the votes of their representatives. Certainly, it has little or nothing to do with international necessity.


2006 ◽  
Author(s):  
David W. Niebuhr ◽  
Amy M. Millikan ◽  
David N. Cowan ◽  
Robert Yolken ◽  
Yuanzhang Li ◽  
...  

Author(s):  
Deeksha Pandit ◽  
Mandeep Singh Bal ◽  
Paramjit Kaur ◽  
L.D. Singla ◽  
Vishal Mahajan ◽  
...  

Background: Toxoplasma gondii is an obligatory apicomplexan, intracellular, ubiquitous, eurykaryotic zoonotic pathogen that infects all warm blooded animals. In the present study, 823 small ruminants (245 sheep, 578 goats) were evaluated for T. gondii infection by ELISA to explore seroprevalence and spatial distribution of toxoplasmosis from different agro-climatic zones of Punjab. Results revealed high seroprevalence (40.58 %) of T. gondii in small ruminants being higher in sheep (42.85%) than in goat (39.60%). Methods: Seropositivity of toxoplasmosis in sheep and goat with history of abortion was found to be 63.80 and 50.00%, respectively. Goats with the history of abortion were 1.72 times more at risk (Cl =1.15-2.56) to T. gondii infection as compared to animals without the history of abortion (Cl=0.39-0.86). Result: Similarly, sheep with the history of abortion were 2.74 times more at risk (Cl =1.31-5.71) to toxoplasmosis as compared to sheep without abortion history (Cl= 0.17-0.76). Goat and sheep farms with frequent access to cats were 2.03 times (CI=1.05-3.90) and 4.04 times (Cl =1.78-9.14) more at risk, as compared to farms with limited cats access. Spatial distribution and predictive seroprevalence analysis indicate possible risk of toxoplasmosis in whole of the state with higher possibility of disease in agroclimatic zones III, IV and V.


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