Bacteriological studies of blood, tissue fluid, lymph and lymph nodes in patients with acute dermatolymphangioadenitis (DLA) in course of 'filarial' lymphedema
Identifieur interne : 000001 ( PascalFrancis/Curation ); précédent : 000000; suivant : 000002Bacteriological studies of blood, tissue fluid, lymph and lymph nodes in patients with acute dermatolymphangioadenitis (DLA) in course of 'filarial' lymphedema
Auteurs : W. L. Olszewski [Norvège] ; S. Jamal [Pologne] ; G. Manokaran [Inde] ; S. Pani [Inde] ; V. Kumaraswami [Inde] ; U. Kubicka [Norvège] ; B. Lukomska [Inde] ; F. M. Tripathi [Inde] ; E. Swoboda [Pologne] ; F. Meisel-Mikolajczyk [Inde] ; E. Stelmach [Norvège] ; M. Zaleska [Norvège]Source :
- Acta tropica [ 0001-706X ] ; 1999.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Inde.
- topic : Association, Homme.
English descriptors
- KwdEn :
Abstract
Filarial Iymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). Severe systemic symptoms during attacks of DLA resemble those of septicemia. The question we asked was whether bacterial isolates can be found in the peripheral blood of patients during the episodes of DLA. Out of 100 patients referred to us with filarial' lymphedema 14 displayed acute and five subacule symptoms of DLA. All were on admission blood microfilariae negative but had a positive test in the past. Blood bacterial isolates were found in nine cases, four acute (21%) and five subacute (26%). In 10 acute cases blood cultures were found negative. Six blood isolates belonged to Bacilli, four to Cocci and one was Sarcina. To identify the sites of origin of bacterial dissemination, swabs taken from the calf skin biopsy wounds and tissue fluid, lymph and lymph node specimens were cultured. Swabs from the calf skin biopsy wound contained isolates in nine (47%) cases. They were Bacilli in nine, Cocci in three, Acinetobacter and Erwinia in two cases. Tissue fluid was collected from 10 patients and contained Bacilli in four (40%) and Staphylococci in three (30%). Lymph was drained in four patients and contained isolates in all samples (100%). They were Staphylococcus epidermis, xylosus and aureus, Acinetobacter, Bacillus subtilis and Sarcina, Three lymph nodes were biopsied and contained Staphylococcus chromogenes, xylosus, Enterococcus and Bacillus cereus. In six cases the same phenotypically defined species of bacteria were found in blood and limb tissues or fluids. In the control' group of patients with lymphedema without acute or subacute changes all blood cultures were negative. Interestingly, swabs from biopsy wound of these patients contained isolates in 80%, tissue fluid in 68%, lymph in 70% and lymph nodes in 58% of cases. In healthy controls, tissue fluid did not contain bacteria, and lymph isolates were found only in 12% of cases. This study demonstrates that patients with acute episodes of DLA reveal bacteriemia in a high percentage of cases. Diversity of blood and tissue bacterial isolates in these patients points to a breakdown of the skin immune barrier in lymphedema and subsequently indiscriminate bacterial colonization of deep tissues and spread to an blood circulation.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Bacteriological studies of blood, tissue fluid, lymph and lymph nodes in patients with acute dermatolymphangioadenitis (DLA) in course of 'filarial' lymphedema</title><author><name sortKey="Olszewski, W L" sort="Olszewski, W L" uniqKey="Olszewski W" first="W. L." last="Olszewski">W. L. Olszewski</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>The Norwegion Radium Hospital</s1><s2>Oslo</s2><s3>NOR</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Norvège</country></affiliation></author><author><name sortKey="Jamal, S" sort="Jamal, S" uniqKey="Jamal S" first="S." last="Jamal">S. 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Meisel-Mikolajczyk</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Banaras Hindu University</s1><s2>Varanasi</s2><s3>IND</s3><sZ>10 aut.</sZ></inist:fA14><country>Inde</country></affiliation></author><author><name sortKey="Stelmach, E" sort="Stelmach, E" uniqKey="Stelmach E" first="E." last="Stelmach">E. Stelmach</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>The Norwegion Radium Hospital</s1><s2>Oslo</s2><s3>NOR</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Norvège</country></affiliation></author><author><name sortKey="Zaleska, M" sort="Zaleska, M" uniqKey="Zaleska M" first="M." last="Zaleska">M. Zaleska</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>The Norwegion Radium Hospital</s1><s2>Oslo</s2><s3>NOR</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Norvège</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">00-0017323</idno><date when="1999">1999</date><idno type="stanalyst">PASCAL 00-0017323 INIST</idno><idno type="RBID">Pascal:00-0017323</idno><idno type="wicri:Area/PascalFrancis/Corpus">000959</idno><idno type="wicri:Area/PascalFrancis/Curation">000001</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Bacteriological studies of blood, tissue fluid, lymph and lymph nodes in patients with acute dermatolymphangioadenitis (DLA) in course of 'filarial' lymphedema</title><author><name sortKey="Olszewski, W L" sort="Olszewski, W L" uniqKey="Olszewski W" first="W. L." last="Olszewski">W. L. Olszewski</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>The Norwegion Radium Hospital</s1><s2>Oslo</s2><s3>NOR</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Norvège</country></affiliation></author><author><name sortKey="Jamal, S" sort="Jamal, S" uniqKey="Jamal S" first="S." last="Jamal">S. Jamal</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Surgicol Research, Medicat Research Center, Polish Academy of Sciences, 5 Pawinski Str.</s1><s2>12106 Warsaw</s2><s3>POL</s3><sZ>2 aut.</sZ></inist:fA14><country>Pologne</country></affiliation></author><author><name sortKey="Manokaran, G" sort="Manokaran, G" uniqKey="Manokaran G" first="G." last="Manokaran">G. Manokaran</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Thanjavur Medical College</s1><s2>Thanjavur</s2><s3>IND</s3><sZ>3 aut.</sZ></inist:fA14><country>Inde</country></affiliation></author><author><name sortKey="Pani, S" sort="Pani, S" uniqKey="Pani S" first="S." last="Pani">S. Pani</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Apollo Hospitals</s1><s2>Madras</s2><s3>IND</s3><sZ>4 aut.</sZ></inist:fA14><country>Inde</country></affiliation></author><author><name sortKey="Kumaraswami, V" sort="Kumaraswami, V" uniqKey="Kumaraswami V" first="V." last="Kumaraswami">V. Kumaraswami</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Vector Control Research Center, ICMR</s1><s2>Pondicherry</s2><s3>IND</s3><sZ>5 aut.</sZ></inist:fA14><country>Inde</country></affiliation></author><author><name sortKey="Kubicka, U" sort="Kubicka, U" uniqKey="Kubicka U" first="U." last="Kubicka">U. Kubicka</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>The Norwegion Radium Hospital</s1><s2>Oslo</s2><s3>NOR</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Norvège</country></affiliation></author><author><name sortKey="Lukomska, B" sort="Lukomska, B" uniqKey="Lukomska B" first="B." last="Lukomska">B. Lukomska</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Tuberculosis Research Center, ICMR</s1><s2>Madras</s2><s3>IND</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Inde</country></affiliation></author><author><name sortKey="Tripathi, F M" sort="Tripathi, F M" uniqKey="Tripathi F" first="F. M." last="Tripathi">F. M. Tripathi</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Tuberculosis Research Center, ICMR</s1><s2>Madras</s2><s3>IND</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Inde</country></affiliation></author><author><name sortKey="Swoboda, E" sort="Swoboda, E" uniqKey="Swoboda E" first="E." last="Swoboda">E. Swoboda</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Clinical Bacteriology, Medical Academy</s1><s2>Warsaw</s2><s3>POL</s3><sZ>9 aut.</sZ></inist:fA14><country>Pologne</country></affiliation></author><author><name sortKey="Meisel Mikolajczyk, F" sort="Meisel Mikolajczyk, F" uniqKey="Meisel Mikolajczyk F" first="F." last="Meisel-Mikolajczyk">F. Meisel-Mikolajczyk</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Banaras Hindu University</s1><s2>Varanasi</s2><s3>IND</s3><sZ>10 aut.</sZ></inist:fA14><country>Inde</country></affiliation></author><author><name sortKey="Stelmach, E" sort="Stelmach, E" uniqKey="Stelmach E" first="E." last="Stelmach">E. Stelmach</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>The Norwegion Radium Hospital</s1><s2>Oslo</s2><s3>NOR</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Norvège</country></affiliation></author><author><name sortKey="Zaleska, M" sort="Zaleska, M" uniqKey="Zaleska M" first="M." last="Zaleska">M. Zaleska</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>The Norwegion Radium Hospital</s1><s2>Oslo</s2><s3>NOR</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Norvège</country></affiliation></author></analytic><series><title level="j" type="main">Acta tropica</title><title level="j" type="abbreviated">Acta trop.</title><idno type="ISSN">0001-706X</idno><imprint><date when="1999">1999</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Acta tropica</title><title level="j" type="abbreviated">Acta trop.</title><idno type="ISSN">0001-706X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adenopathy</term><term>Association</term><term>Bacteriological investigation</term><term>Filariosis</term><term>Human</term><term>India</term><term>Lymphedema</term><term>Prevalence</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Adénopathie</term><term>Filariose</term><term>Exploration bactériologique</term><term>Association</term><term>Prévalence</term><term>Homme</term><term>Inde</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Inde</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Association</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Filarial Iymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). Severe systemic symptoms during attacks of DLA resemble those of septicemia. The question we asked was whether bacterial isolates can be found in the peripheral blood of patients during the episodes of DLA. Out of 100 patients referred to us with filarial' lymphedema 14 displayed acute and five subacule symptoms of DLA. All were on admission blood microfilariae negative but had a positive test in the past. Blood bacterial isolates were found in nine cases, four acute (21%) and five subacute (26%). In 10 acute cases blood cultures were found negative. Six blood isolates belonged to Bacilli, four to Cocci and one was Sarcina. To identify the sites of origin of bacterial dissemination, swabs taken from the calf skin biopsy wounds and tissue fluid, lymph and lymph node specimens were cultured. Swabs from the calf skin biopsy wound contained isolates in nine (47%) cases. They were Bacilli in nine, Cocci in three, Acinetobacter and Erwinia in two cases. Tissue fluid was collected from 10 patients and contained Bacilli in four (40%) and Staphylococci in three (30%). Lymph was drained in four patients and contained isolates in all samples (100%). They were Staphylococcus epidermis, xylosus and aureus, Acinetobacter, Bacillus subtilis and Sarcina, Three lymph nodes were biopsied and contained Staphylococcus chromogenes, xylosus, Enterococcus and Bacillus cereus. In six cases the same phenotypically defined species of bacteria were found in blood and limb tissues or fluids. In the control' group of patients with lymphedema without acute or subacute changes all blood cultures were negative. Interestingly, swabs from biopsy wound of these patients contained isolates in 80%, tissue fluid in 68%, lymph in 70% and lymph nodes in 58% of cases. In healthy controls, tissue fluid did not contain bacteria, and lymph isolates were found only in 12% of cases. This study demonstrates that patients with acute episodes of DLA reveal bacteriemia in a high percentage of cases. Diversity of blood and tissue bacterial isolates in these patients points to a breakdown of the skin immune barrier in lymphedema and subsequently indiscriminate bacterial colonization of deep tissues and spread to an blood circulation.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0001-706X</s0></fA01><fA02 i1="01"><s0>ACTRAQ</s0></fA02><fA03 i2="1"><s0>Acta trop.</s0></fA03><fA05><s2>73</s2></fA05><fA06><s2>3</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Bacteriological studies of blood, tissue fluid, lymph and lymph nodes in patients with acute dermatolymphangioadenitis (DLA) in course of 'filarial' lymphedema</s1></fA08><fA11 i1="01" i2="1"><s1>OLSZEWSKI (W. L.)</s1></fA11><fA11 i1="02" i2="1"><s1>JAMAL (S.)</s1></fA11><fA11 i1="03" i2="1"><s1>MANOKARAN (G.)</s1></fA11><fA11 i1="04" i2="1"><s1>PANI (S.)</s1></fA11><fA11 i1="05" i2="1"><s1>KUMARASWAMI (V.)</s1></fA11><fA11 i1="06" i2="1"><s1>KUBICKA (U.)</s1></fA11><fA11 i1="07" i2="1"><s1>LUKOMSKA (B.)</s1></fA11><fA11 i1="08" i2="1"><s1>TRIPATHI (F. M.)</s1></fA11><fA11 i1="09" i2="1"><s1>SWOBODA (E.)</s1></fA11><fA11 i1="10" i2="1"><s1>MEISEL-MIKOLAJCZYK (F.)</s1></fA11><fA11 i1="11" i2="1"><s1>STELMACH (E.)</s1></fA11><fA11 i1="12" i2="1"><s1>ZALESKA (M.)</s1></fA11><fA14 i1="01"><s1>The Norwegion Radium Hospital</s1><s2>Oslo</s2><s3>NOR</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Surgicol Research, Medicat Research Center, Polish Academy of Sciences, 5 Pawinski Str.</s1><s2>12106 Warsaw</s2><s3>POL</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Thanjavur Medical College</s1><s2>Thanjavur</s2><s3>IND</s3><sZ>3 aut.</sZ></fA14><fA14 i1="04"><s1>Apollo Hospitals</s1><s2>Madras</s2><s3>IND</s3><sZ>4 aut.</sZ></fA14><fA14 i1="05"><s1>Vector Control Research Center, ICMR</s1><s2>Pondicherry</s2><s3>IND</s3><sZ>5 aut.</sZ></fA14><fA14 i1="06"><s1>Tuberculosis Research Center, ICMR</s1><s2>Madras</s2><s3>IND</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></fA14><fA14 i1="07"><s1>Department of Clinical Bacteriology, Medical Academy</s1><s2>Warsaw</s2><s3>POL</s3><sZ>9 aut.</sZ></fA14><fA14 i1="08"><s1>Banaras Hindu University</s1><s2>Varanasi</s2><s3>IND</s3><sZ>10 aut.</sZ></fA14><fA20><s1>217-224</s1></fA20><fA21><s1>1999</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>3165</s2><s5>354000088308130020</s5></fA43><fA44><s0>0000</s0><s1>© 2000 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>27 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>00-0017323</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Acta tropica</s0></fA64><fA66 i1="01"><s0>NLD</s0></fA66><fC01 i1="01" l="ENG"><s0>Filarial Iymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). Severe systemic symptoms during attacks of DLA resemble those of septicemia. The question we asked was whether bacterial isolates can be found in the peripheral blood of patients during the episodes of DLA. Out of 100 patients referred to us with filarial' lymphedema 14 displayed acute and five subacule symptoms of DLA. All were on admission blood microfilariae negative but had a positive test in the past. Blood bacterial isolates were found in nine cases, four acute (21%) and five subacute (26%). In 10 acute cases blood cultures were found negative. Six blood isolates belonged to Bacilli, four to Cocci and one was Sarcina. To identify the sites of origin of bacterial dissemination, swabs taken from the calf skin biopsy wounds and tissue fluid, lymph and lymph node specimens were cultured. Swabs from the calf skin biopsy wound contained isolates in nine (47%) cases. They were Bacilli in nine, Cocci in three, Acinetobacter and Erwinia in two cases. Tissue fluid was collected from 10 patients and contained Bacilli in four (40%) and Staphylococci in three (30%). Lymph was drained in four patients and contained isolates in all samples (100%). They were Staphylococcus epidermis, xylosus and aureus, Acinetobacter, Bacillus subtilis and Sarcina, Three lymph nodes were biopsied and contained Staphylococcus chromogenes, xylosus, Enterococcus and Bacillus cereus. In six cases the same phenotypically defined species of bacteria were found in blood and limb tissues or fluids. In the control' group of patients with lymphedema without acute or subacute changes all blood cultures were negative. Interestingly, swabs from biopsy wound of these patients contained isolates in 80%, tissue fluid in 68%, lymph in 70% and lymph nodes in 58% of cases. In healthy controls, tissue fluid did not contain bacteria, and lymph isolates were found only in 12% of cases. This study demonstrates that patients with acute episodes of DLA reveal bacteriemia in a high percentage of cases. Diversity of blood and tissue bacterial isolates in these patients points to a breakdown of the skin immune barrier in lymphedema and subsequently indiscriminate bacterial colonization of deep tissues and spread to an blood circulation.</s0></fC01><fC02 i1="01" i2="X"><s0>002B05E03B4D</s0></fC02><fC02 i1="02" i2="X"><s0>235</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Lymphoedème</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Lymphedema</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Linfedema</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Adénopathie</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Adenopathy</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Adenopatía</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Filariose</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Filariosis</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Filariosis</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Exploration bactériologique</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Bacteriological investigation</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Análisis bacteriológico</s0><s5>04</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Association</s0><s5>05</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Association</s0><s5>05</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Asociación</s0><s5>05</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Prévalence</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Prevalence</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Prevalencia</s0><s5>06</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Homme</s0><s5>07</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Human</s0><s5>07</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Hombre</s0><s5>07</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Inde</s0><s2>NG</s2><s5>08</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>India</s0><s2>NG</s2><s5>08</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>India</s0><s2>NG</s2><s5>08</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Nématodose</s0></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Nematode disease</s0></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Nematodosis</s0></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Helminthiase</s0></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Helminthiasis</s0></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Helmintiasis</s0></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Parasitose</s0></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Parasitosis</s0></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Parasitosis</s0></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Infection</s0></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Infection</s0></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Infección</s0></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Asie</s0><s2>NG</s2></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Asia</s0><s2>NG</s2></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Asia</s0><s2>NG</s2></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Appareil circulatoire pathologie</s0><s5>37</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Cardiovascular disease</s0><s5>37</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0><s5>37</s5></fC07><fC07 i1="07" i2="X" l="FRE"><s0>Lymphatique pathologie</s0><s5>38</s5></fC07><fC07 i1="07" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0><s5>38</s5></fC07><fC07 i1="07" i2="X" l="SPA"><s0>Linfático patología</s0><s5>38</s5></fC07><fN21><s1>010</s1></fN21></pA></standard></inist></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Bacteriological studies of blood, tissue fluid, lymph and lymph nodes in patients with acute dermatolymphangioadenitis (DLA) in course of 'filarial' lymphedema
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