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Article ; Online: Prévention de l’allo-immunisation anti-RH1 au premier trimestre de la grossesse: recommandations pour la pratique clinique du Collège National des Gynécologues-Obstétriciens Français.

Vigoureux, Solène / Maurice, Paul / Sibiude, Jeanne / Garabedian, Charles / Sananès, Nicolas

Gynecologie, obstetrique, fertilite & senologie

2024

Abstract: Objective: To provide recommendations for the prevention of Rh D alloimmunization in the first trimester of pregnancy.: Materials and methods: The quality of evidence of the literature was assessed following the GRADE methodology with questions ... ...

Title translation	Prevention of Rh D Alloimmunization in the first trimester of the pregnancy: French College of Obstetricians and Gynecologists guidelines for clinical practice.
Abstract	Objective: To provide recommendations for the prevention of Rh D alloimmunization in the first trimester of pregnancy. Materials and methods: The quality of evidence of the literature was assessed following the GRADE methodology with questions formulated in the PICO format (Patients, Intervention, Comparison, Outcome) and outcomes defined a priori and classified according to their importance. An extensive bibliographic search was performed on Pubmed, Cochrane, EMBASE, and Google Scholar databases. The quality of evidence was assessed (high, moderate, low, very low) and a recommendation was formulated: (i) strong, (ii) weak, or (iii) no recommendation. The recommendations were reviewed in two rounds with reviewers from the scientific board of the French College of the OB/GYN (Delphi survey) to select the consensus recommendations. Results: The three recommendations from PICO questions reached agreement using the Delphi method. It is recommended not to administer Rh D immunoglobulin before 12 weeks of gestation to reduce the risk of alloimmunization in case of abortion or miscarriage, in RhD negative patients when the genitor is RhD positive or unknown (Weak recommendation. Very low-quality evidence). It is recommended not to administer Rh D immunoglobulin before 12 weeks of gestation to reduce the risk of alloimmunization in cases of bleeding in an ongoing intrauterine pregnancy (Weak recommendation. Very low-quality evidence). The literature data are insufficient in quality and quantity to determine if the injection of Rh D immunoglobulin reduces the risk of alloimmunization in the case of an ectopic pregnancy (No recommendation. Very low-quality evidence). Conclusion: Even though the quality of evidence from the studies is very low, it is recommended not to administer Rh D immunoglobulin in case of abortion, miscarriage or bleeding before 12 weeks of amenorrhea. The quality of evidence was too low to issue a recommendation regarding ectopic pregnancy.
Language	French
Publishing date	2024-02-26
Publishing country	France
Document type	English Abstract ; Practice Guideline
ZDB-ID	2887456-0
ISSN	2468-7189
ISSN (online)	2468-7189
DOI	10.1016/j.gofs.2024.02.026
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Article ; Online: Contributions of Artificial Intelligence Reported in Obstetrics and Gynecology Journals: Systematic Review.

Dhombres, Ferdinand / Bonnard, Jules / Bailly, Kévin / Maurice, Paul / Papageorghiou, Aris T / Jouannic, Jean-Marie

Journal of medical Internet research

2022 Volume 24, Issue 4, Page(s) e35465

Abstract: Background: The applications of artificial intelligence (AI) processes have grown significantly in all medical disciplines during the last decades. Two main types of AI have been applied in medicine: symbolic AI (eg, knowledge base and ontologies) and ... ...

Abstract	Background: The applications of artificial intelligence (AI) processes have grown significantly in all medical disciplines during the last decades. Two main types of AI have been applied in medicine: symbolic AI (eg, knowledge base and ontologies) and nonsymbolic AI (eg, machine learning and artificial neural networks). Consequently, AI has also been applied across most obstetrics and gynecology (OB/GYN) domains, including general obstetrics, gynecology surgery, fetal ultrasound, and assisted reproductive medicine, among others. Objective: The aim of this study was to provide a systematic review to establish the actual contributions of AI reported in OB/GYN discipline journals. Methods: The PubMed database was searched for citations indexed with "artificial intelligence" and at least one of the following medical subject heading (MeSH) terms between January 1, 2000, and April 30, 2020: "obstetrics"; "gynecology"; "reproductive techniques, assisted"; or "pregnancy." All publications in OB/GYN core disciplines journals were considered. The selection of journals was based on disciplines defined in Web of Science. The publications were excluded if no AI process was used in the study. Review, editorial, and commentary articles were also excluded. The study analysis comprised (1) classification of publications into OB/GYN domains, (2) description of AI methods, (3) description of AI algorithms, (4) description of data sets, (5) description of AI contributions, and (6) description of the validation of the AI process. Results: The PubMed search retrieved 579 citations and 66 publications met the selection criteria. All OB/GYN subdomains were covered: obstetrics (41%, 27/66), gynecology (3%, 2/66), assisted reproductive medicine (33%, 22/66), early pregnancy (2%, 1/66), and fetal medicine (21%, 14/66). Both machine learning methods (39/66) and knowledge base methods (25/66) were represented. Machine learning used imaging, numerical, and clinical data sets. Knowledge base methods used mostly omics data sets. The actual contributions of AI were method/algorithm development (53%, 35/66), hypothesis generation (42%, 28/66), or software development (3%, 2/66). Validation was performed on one data set (86%, 57/66) and no external validation was reported. We observed a general rising trend in publications related to AI in OB/GYN over the last two decades. Most of these publications (82%, 54/66) remain out of the scope of the usual OB/GYN journals. Conclusions: In OB/GYN discipline journals, mostly preliminary work (eg, proof-of-concept algorithm or method) in AI applied to this discipline is reported and clinical validation remains an unmet prerequisite. Improvement driven by new AI research guidelines is expected. However, these guidelines are covering only a part of AI approaches (nonsymbolic) reported in this review; hence, updates need to be considered.
MeSH term(s)	Artificial Intelligence ; Female ; Gynecology ; Humans ; Obstetrics ; Periodicals as Topic ; Pregnancy
Language	English
Publishing date	2022-04-20
Publishing country	Canada
Document type	Journal Article ; Review ; Systematic Review ; Research Support, Non-U.S. Gov't
ZDB-ID	2028830-X
ISSN	1438-8871 ; 1439-4456
ISSN (online)	1438-8871
ISSN	1439-4456
DOI	10.2196/35465
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Article ; Online: Intravenous Immunoglobulin for the Treatment of Severe Maternal Alloimmunization: Individual Patient Data Meta-Analysis.

Mustafa, Hiba J / Sambatur, Enaja V / Pagani, Giorgio / D'Antonio, Francesco / Maisonneuve, Emeline / Maurice, Paul / Zwiers, Carolien / Verweij, E J T Joanne / Flood, Anna / Shamshirsaz, Alireza A / Jouannic, Jean-Marie / Khalil, Asma

American journal of obstetrics and gynecology

2024

Abstract: Objective: To investigate the outcomes associated with the administration of maternal intravenous immunoglobulin (IVIG) in high-risk red blood cell (RBC) alloimmunized pregnancies.: Data sources: We systematically searched Medline, Embase, and ... ...

Abstract	Objective: To investigate the outcomes associated with the administration of maternal intravenous immunoglobulin (IVIG) in high-risk red blood cell (RBC) alloimmunized pregnancies. Data sources: We systematically searched Medline, Embase, and Cochrane Library until June 2023. Study eligibility criteria: We included studies reporting on pregnancies with severe RBC alloimmunization, defined as either a previous fetal or neonatal death or the need for IUT before 24 weeks in the previous pregnancy as a result of hemolytic disease of fetus and newborn (HDFN). Study appraisal and synthesis methods: Cases were pregnancies that received IVIG, while controls did not. Individual patient data (IPD) meta-analysis was performed using the Bayesian framework. Results: IPD analysis included eight studies comprising 97 cases and 97 controls. IVIG was associated with prolonged delta GA at first IUT (GA of current pregnancy - GA at prior pregnancy) (Mean Difference (MD): 3.19 weeks, 95% CrI 1.28, 5.05), prolonged GA at first IUT (MD: 1.32 weeks, 95% CrI 0.08, 2.5), reduced risk of fetal hydrops at time of first IUT (Incidence Rate Ratio (IRR): 0.19, 95% CrI 0.07, 0.45), reduced risk of fetal demise (IRR: 0.23, 95% CrI 0.10, 0.47), higher chances of live birth ≥28 weeks, ≥32 weeks, and survival at birth (IRR: 1.88, 95% CrI 1.31, 2.69; IRR: 1.93, 95% CrI 1.32, 2.83; IRR: 1.82, 9% CrI 1.30 to 2.61, respectively). There were no significant differences in numbers of IUT, hemoglobin level at birth, bilirubin level at birth, or survival at hospital discharge for live births. Conclusion: IVIG treatment in pregnancies at risk of severe early HDFN seems to have a clinically relevant beneficial effect on the course and severity of the disease.
Language	English
Publishing date	2024-04-06
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	80016-8
ISSN	1097-6868 ; 0002-9378
ISSN (online)	1097-6868
ISSN	0002-9378
DOI	10.1016/j.ajog.2024.03.044
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Article ; Online: Impact of COVID-19 lockdown on maternal psychological status, the couple's relationship and mother-child interaction: a prospective study.

Viaux-Savelon, Sylvie / Maurice, Paul / Rousseau, Alexandra / Leclere, Chloe / Renout, Manon / Berlingo, Laura / Cohen, David / Jouannic, Jean-Marie

BMC pregnancy and childbirth

2022 Volume 22, Issue 1, Page(s) 732

Abstract: Background: To compare the rate of postpartum depression (PPD) during the first COVID-19 lockdown with the rate observed prior to the pandemic, and to examine factors associated with PPD.: Methods: This was a prospective study. Women who gave birth ... ...

Abstract	Background: To compare the rate of postpartum depression (PPD) during the first COVID-19 lockdown with the rate observed prior to the pandemic, and to examine factors associated with PPD. Methods: This was a prospective study. Women who gave birth during the first COVID-19 lockdown (spring 2020) were offered call-interviews at 10 days and 6-8 weeks postpartum to assess PPD using the Edinburgh Postnatal Depression Scale (EPDS). Post-traumatic symptoms (Perinatal Post-traumatic Stress Disorder Questionnaire, PPQ), couple adjustment, and interaction and mother-to-infant bonding were also evaluated. The observed PPD rate was compared to the one reported before the pandemic. Factors associated with an increased risk of PPD were studied. The main outcome measures were comparison of the observed PPD rate (EPDS score > 12) to pre-pandemic rate. Results: Of the 164 women included, 27 (16.5% [95%CI: 11.14-23.04]) presented an EPDS score > 12 either at 10 days or 6-8 weeks postpartum. This rate was similar to the one of 15% reported prior to the pandemic (p = 0.6). Combined EPDS> 12 or PPQ > 6 scores were observed in 20.7% of the mothers [95%CI: 14.8-0.28]. Maternal hypertension/preeclampsia (p = 0.007), emergency cesarean section (p = 0.03), and neonatal complications (p = 0.008) were significantly associated with an EPDS> 12 both in univariate and multivariate analysis (OR = 10 [95%CI: 1.5-68.7], OR = 4.09[95%CI: 1.2-14], OR = 4.02[95%CI: 1.4-11.6], respectively). Conclusions: The rate of major PPD in our population did not increase during the first lockdown period. However, 20.7% of the women presented with post-traumatic/depressive symptoms. Trial registration: NCT04366817.
MeSH term(s)	COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/psychology ; Communicable Disease Control ; Depression, Postpartum/psychology ; Female ; Humans ; Infant, Newborn ; Interpersonal Relations ; Male ; Mother-Child Relations ; Pregnancy ; Prospective Studies ; Psychiatric Status Rating Scales ; Risk Factors
Language	English
Publishing date	2022-09-26
Publishing country	England
Document type	Clinical Study ; Journal Article
ZDB-ID	2059869-5
ISSN	1471-2393 ; 1471-2393
ISSN (online)	1471-2393
ISSN	1471-2393
DOI	10.1186/s12884-022-05063-6
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Article ; Online: Prenatal management of fetal anemia due to pyruvate kinase deficiency: A case report.

Maisonneuve, Emeline / Sohier Lepine, Marlène / Maurice, Paul / Pissard, Serge / Lafon, Bertrand / Mailloux, Agnès / Dhombres, Ferdinand / Leverger, Guy / Jouannic, Jean-Marie

Transfusion

2022 Volume 63, Issue 1, Page(s) 257–262

Abstract: Background: Pyruvate Kinase (PK) deficiency is the most common enzyme defect of glycolysis, leading to congenital hemolytic anemia, which can occur during the neonatal period.: Study design and methods: We report the prenatal management of fetal ... ...

Abstract	Background: Pyruvate Kinase (PK) deficiency is the most common enzyme defect of glycolysis, leading to congenital hemolytic anemia, which can occur during the neonatal period. Study design and methods: We report the prenatal management of fetal anemia related to PK deficiency in a family with a severe proband. Results: The couple had a first child born with hydrops, whose PK deficiency was diagnosed at 18 months of life. He was treated with allogeneic bone marrow transplantation. The second child was free from disease. For the third pregnancy, the amniocentesis revealed a PK deficiency. Weekly ultrasound monitoring of the middle cerebral artery velocity allowed the detection of severe fetal anemia. Two intrauterine red blood cell transfusions (IUTs) were performed, raising the fetal hemoglobin from 6.6 to 14.5 g/dl at 28 weeks' gestation and from 8.9 to 15.3 g/dl at 31 weeks. A hematopoietic stem cell allograft was discussed prenatally but not chosen, as it would not have significantly changed the perinatal prognosis. The patient delivered a 2730 g girl at 37 weeks, with hemoglobin of 13.6 g/dl. The child presented with neonatal jaundice treated with phototherapy and received postnatal transfusions. Discussion: When a proband is identified in a family, fetal investigation is warranted, to set up third-trimester ultrasound surveillance and perinatal management. In case of fetal severe anemia of unknown etiology, the workup on fetal blood sampling before IUT should comprise the search for erythrocytes enzymopathies, such as PK deficiency. IUTs allow safer full-term delivery in cases with PK deficiency.
MeSH term(s)	Pregnancy ; Infant, Newborn ; Male ; Child ; Female ; Humans ; Pyruvate Kinase ; Blood Transfusion, Intrauterine/adverse effects ; Anemia/etiology ; Anemia/therapy ; Anemia, Hemolytic, Congenital Nonspherocytic/complications ; Anemia, Hemolytic, Congenital Nonspherocytic/therapy ; Anemia, Hemolytic, Congenital Nonspherocytic/diagnosis ; Fetal Diseases/diagnostic imaging ; Fetal Diseases/therapy
Chemical Substances	Pyruvate Kinase (EC 2.7.1.40)
Language	English
Publishing date	2022-11-08
Publishing country	United States
Document type	Case Reports
ZDB-ID	208417-x
ISSN	1537-2995 ; 0041-1132
ISSN (online)	1537-2995
ISSN	0041-1132
DOI	10.1111/trf.17177
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Article ; Online: Additional evidence for the vascular disruption defect hypothesis in a novel case of brainstem disconnection syndrome.

Vekemans, Marie-Aricie / Maurice, Paul / Lachtar, Mohamed / Blondiaux, Eléonore / Jouannic, Jean-Marie / Burglen, Lydie / Rodriguez, Diana / Garel, Catherine / Valence, Stéphanie

Birth defects research

2022 Volume 114, Issue 19, Page(s) 1298–1306

Abstract: Introduction: Brainstem disconnection syndrome is a rare and severe disease resulting from a midbrain-hindbrain segmental defect. Clinical signs include a severe neurological impairment, an early death (usually during the first year of life), and ... ...

Abstract	Introduction: Brainstem disconnection syndrome is a rare and severe disease resulting from a midbrain-hindbrain segmental defect. Clinical signs include a severe neurological impairment, an early death (usually during the first year of life), and pathognomonic postnatal brain imaging features. Two major hypotheses are proposed to explain the etiopathogenesis of this syndrome, namely an inborn error of morphogenesis or a vascular disruption defect. Case report and literature review: Here we report on prenatal (ultrasound; fetal MRI) and postnatal (MRI) neuroimaging findings observed in a full-term female newborn with a brainstem disconnection syndrome. The prenatal and postnatal findings point toward an early fetal vascular disruption defect as the pregnancy was marked by three episodes of hospitalization resulting from a very severe maternal dehydration. The first episode took place as early as the 18th week of gestation. Our clinical follow-up at 1 year age is well in line with the findings observed in 13 other cases reported in the literature. Interestingly, among these 13 cases, a vascular disruption defect was suggested in 8 patients and confirmed by autopsy in at least 2 cases. Conclusion: In the present report, we bring objective evidence for the antenatal cause of a brainstem disconnection syndrome resulting from a vascular disruption defect occurring in the context of a severe maternal dehydration. In particular, our neuroimaging findings observed during pregnancy and after birth illustrate the prenatal occurrence of this vascular disruption defect.
MeSH term(s)	Pregnancy ; Infant, Newborn ; Humans ; Female ; Dehydration ; Brain Stem ; Syndrome ; Brain ; Mesencephalon
Language	English
Publishing date	2022-10-09
Publishing country	United States
Document type	Case Reports
ZDB-ID	2104792-3
ISSN	2472-1727
ISSN (online)	2472-1727
DOI	10.1002/bdr2.2100
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Article ; Online: Feticide in second- and third-trimester termination of pregnancy for fetal anomalies: Results of a national survey.

Maurice, Paul / Letourneau, Alexandra / Benachi, Alexandra / Jouannic, Jean-Marie

Prenatal diagnosis

2019 Volume 39, Issue 13, Page(s) 1269–1272

Abstract: Objective: To conduct an audit of the practice of feticide in second- and third-trimester termination of pregnancy for fetal anomalies (TOPFA) in prenatal diagnosis (PD) centers in France.: Results: A questionnaire was sent out to the 49 French PD ... ...

Abstract	Objective: To conduct an audit of the practice of feticide in second- and third-trimester termination of pregnancy for fetal anomalies (TOPFA) in prenatal diagnosis (PD) centers in France. Results: A questionnaire was sent out to the 49 French PD centers and completed by 39/49 centers; 5350 TOPFAs were performed. The gestational age after which feticide was performed was 20 weeks in two centers (5%), 22 weeks in 28 centers (72%), 23 weeks in four centers (10%), and 24 weeks in five centers (13%). Fifteen of 39 centers reported that feticide was not performed in all cases, because of a fetal abnormality associated with a high probability of rapid neonatal death (13 centers), pregnant woman's refusal (11 centers), and technical impossibility of performing feticide (one center). Feticide was done using xylocaine in 38 of the 39 centers and using KCl in the remaining center. All but one of the centers before feticide used fetal anesthesia. Feticide was done on the day of induction of labor in 35/39 centers (90%), after maternal epidural analgesia in 33 centers, or after maternal subcutaneous local anesthesia in two centers. Feticide was done the day before induction of labor in two centers. Conclusion: In France, most TOPFAs performed in second and third trimesters are associated with feticide, which is most often done after fetal anesthesia.
MeSH term(s)	Abortion, Induced ; Congenital Abnormalities ; Female ; France ; Humans ; Pregnancy ; Pregnancy Trimester, Second ; Pregnancy Trimester, Third ; Surveys and Questionnaires
Language	English
Publishing date	2019-11-14
Publishing country	England
Document type	Journal Article
ZDB-ID	82031-3
ISSN	1097-0223 ; 0197-3851
ISSN (online)	1097-0223
ISSN	0197-3851
DOI	10.1002/pd.5594
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Article ; Online: Lettuce (Lactuca sativa, variety Salanova) production in decoupled aquaponic systems

Hendrik Monsees / Johanna Suhl / Maurice Paul / Werner Kloas / Dennis Dannehl / Sven Würtz

PLoS ONE, Vol 14, Iss 6, p e

Same yield and similar quality as in conventional hydroponic systems but drastically reduced greenhouse gas emissions by saving inorganic fertilizer.

2019 Volume 0218368

Abstract: Decoupled aquaponic systems have the potential to become one of the most effective sustainable production systems for the combined production of animal protein and plant crops. Here, recirculating aquaculture systems for fish production are combined with ...

Abstract	Decoupled aquaponic systems have the potential to become one of the most effective sustainable production systems for the combined production of animal protein and plant crops. Here, recirculating aquaculture systems for fish production are combined with hydroponics for soilless plant production thereby recycling dissolved nutrients derived from metabolism of the fish. The aim of the present study was to characterize hydroponic lettuce production using conventional nutrient solution in comparison with decoupled aquaponics using the nutrient rich fish water as basis for the nutrient solution being supplemented by missing nutrients. In addition, one aquaponic treatment became disinfected in order to assess any occurring advantage of the aquaponics derived fish water. For evaluation the temperature, electrical conductivity, pH, and the mineral composition of the nutrient solution, as well as colony forming units in the fish water were monitored. Additionally, plant growth (fresh and dry weight, number and area of leaves) and quality parameters of lettuce leaves (nitrate, mineral content, phenolic compounds) were examined. Carbon sources and microorganisms derived from fish water seem to have neither beneficial nor detrimental effects on plant growth in this study. Except for some differences in the mineral content of the lettuce leaves, all other quality parameters were not significantly different. The use of aquaponic fish water saved 62.8% mineral fertilizer and fully substituted the required water for the nutrient solution in comparison to the control. Additionally, the reduced fertilizer demand using decoupled aquaponics can contribute to reduce greenhouse gas emissions of an annual lettuce production site per ha by 72% due to saving the energy for fertilizer production. This study clearly demonstrates the huge potential of the innovative approach of decoupled aquaponics to foster the transformation of our conventional agriculture towards sustainable production systems saving resources and minimizing emissions.
Keywords	Medicine ; R ; Science ; Q
Subject code	660
Language	English
Publishing date	2019-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: La grippe humaine et aviaire due au virus H5N1. Où en est-on en février 2007?

Durand, Maurice-Paul

Sante (Montrouge, France)

2007 Volume 17, Issue 1, Page(s) 3–10

Abstract: Recent alerts about "avian influenza", more often referred to by veterinarians as "fowl plague" and by the public as "bird flu", and about its transmission to humans, have received extensive media coverage. Physicians need further information about this ... ...

Title translation	Human and avian influenza due to the H5N1 virus.
Abstract	Recent alerts about "avian influenza", more often referred to by veterinarians as "fowl plague" and by the public as "bird flu", and about its transmission to humans, have received extensive media coverage. Physicians need further information about this development. We begin by looking at several fundamental aspects of influenza virus structure and its various types and subtypes and then review the various avian and human influenza epidemics throughout history. A description follows of the current avian influenza, its history, its presence in migratory and domestic birds, and its clinical aspects. Transmission to humans is covered next: the facts, conditions, human cases, and consumption of poultry meat. Then we consider treatment: none in animal diseases, and very limited for human disease. Vaccination has previously been dealt with and will be barely touched upon here. Finally we will present the guidelines and measures taken both nationally and internationally. Our conclusion is intended to be relatively optimistic, stressing the species barrier and the multiplicity of pathogenic avian viruses recently encountered in humans. We insist on the need to contain the epizootic, if necessary by animal vaccination, to diminish the likelihood of human contamination.
MeSH term(s)	Amantadine/administration & dosage ; Amantadine/therapeutic use ; Animals ; Antiviral Agents/administration & dosage ; Antiviral Agents/therapeutic use ; Birds ; Humans ; Influenza A Virus, H5N1 Subtype/pathogenicity ; Influenza Vaccines/administration & dosage ; Influenza in Birds/mortality ; Influenza in Birds/prevention & control ; Influenza in Birds/therapy ; Influenza in Birds/virology ; Influenza, Human/drug therapy ; Influenza, Human/mortality ; Influenza, Human/prevention & control ; Influenza, Human/therapy ; Influenza, Human/virology ; Oseltamivir/administration & dosage ; Oseltamivir/therapeutic use ; Poultry ; Practice Guidelines as Topic ; Time Factors ; Virulence ; Virus Replication
Chemical Substances	Antiviral Agents ; Influenza Vaccines ; Oseltamivir (20O93L6F9H) ; Amantadine (BF4C9Z1J53)
Language	French
Publishing date	2007-01
Publishing country	France
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	1079352-5
ISSN	1950-6953 ; 1157-5999
ISSN (online)	1950-6953
ISSN	1157-5999
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Article ; Online: Images in clinical medicine. Staphylococcal toxic shock syndrome.

Chan, Bob C Y / Maurice, Paul

The New England journal of medicine

2013 Volume 369, Issue 9, Page(s) 852

MeSH term(s)	Adult ; Female ; Hand/pathology ; Humans ; Shock, Septic/microbiology ; Shock, Septic/parasitology ; Skin/pathology ; Staphylococcal Infections ; Staphylococcus aureus
Language	English
Publishing date	2013-08-29
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	207154-x
ISSN	1533-4406 ; 0028-4793
ISSN (online)	1533-4406
ISSN	0028-4793
DOI	10.1056/NEJMicm1213758
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