[Aspergillosis of the paranasal sinuses]

Aspergillosis of the paranasal sinuses is rare. It's responsible of chronic sinusitis resistant to the antibiotic treatment, especially in a patient with antecedents of dental cares. Two cases of aspergillosis have been collected in our service during a period of 2 years, between January 2002 and December 2003. It is about a man and a woman of age respective 49 and 32 years hospitalized for a chronic rhinorrhea The CT scan discovered micro-calcifications within a complete opacity of the sinus The treatment consisted in a surgical excision by Caldwell Luc way The evolution is good with a middle receding of 15 months Discussion The diagnosis of the aspergillosis of sinus is easy in front of a chronic sinusitis poorly symptomatic with total or subtotal opacity of a maxillary sinusis [TDM] However only the endoscopy and/or the surgery with histological or mycological exam confirm the diagnosis The treatment is essentially surgical

Currarino's syndrome

Currarino's triad is a congenital malformation involving the combination of anorectal stenosis, a presacral mass and an anterior sacral bony defect. A new case is reported in a male neonate, who developed intestinal obstruction on the second day of life. The examination revealed a high anorectal malformation. A colostomy was performed. Partial agenesis of the sacrum was diagnosed radiologically. Computed tomographic myelography demonstated an anterior sacral meningocele and a tethered spinal cord. Excision of the meningocele and untethering of a tethered spinal cord were performed. Secondly, posterior sagittal anorectoplasty was performed. Colostomy was closed 3 months after rectal dilatations. Early diagnosis and management is recommended to avoid the high mortality and morbidity associated with this condition