Trotoux J, Dupont B
Ann Otolaryngol Chir Cervicofac. 1976 Jul-Aug;93(7-8):453-62.
In connection with the cases of a group of patients hospitalised in Departments of Infectious Pathology, the authors consider the various general and visceral symptoms caused by the focal infection. In these statistics, fever occupies the first place and in its isolated form poses difficult diagnostic problems which can only be solved by a process of elimination. Repeated biological tests and careful attention to the clinical symptoms are necessary to link what has been observed to an infection which, it should be stressed, is descrete. Articular lesion, very different from acute articular rheumatism, cutaneous, ocular and renal symptoms are each in turn discussed and analyzed. From their personal observations, the authors recall the possibility of serous lesions and, in particular, of recurrent pericarditis. A summing-up of the theories concerning prescription completes this clinical survey which ends by recalling the function of the oto-rhino-laryngologist in the search for the causal infection and the difficulties involved in ascribing responsibility to an almost invariably latent focal infection.
关于一组在感染病理学科室住院患者的病例，作者们考虑了由局灶性感染引起的各种全身和内脏症状。在这些统计数据中，发热位居首位，其单独出现时会带来诊断难题，只有通过排除过程才能解决。反复进行生物学检测并仔细关注临床症状，对于将观察到的情况与感染联系起来是必要的，应当强调的是，这种感染是离散性的。与急性关节风湿症截然不同的关节病变、皮肤、眼部和肾脏症状依次进行了讨论和分析。作者们根据自身观察，提及了浆液性病变的可能性，尤其是复发性心包炎的可能性。关于治疗的理论总结完善了这项临床研究，最后回顾了耳鼻喉科医生在寻找病因性感染方面的作用以及将责任归咎于几乎总是潜伏的局灶性感染所涉及的困难。
