[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

Etude bacteriologique de 2792 souches de salmonelles isolees au Maroc entre 1976-1985

The authors report the results of a bacteriological survey of 2792 Salmonella strains isolated between 1976-1985 in Morocco identified by the microbiological Department of the Institut National d'Hygiene -RABAT. The survey shows the clear prevalence of the typho-paratyphoid serotyps liable for fever [94,88%] of the whole Salmonella isolated wheras [5,12%] were serotypes liable for food intoxication. The phage typing carried out on 835 S. typhi strains shows The existence of 18 phage type and 2 groups wich cannot be phage typed [I + IV] and alienosensible. The prevalence of the ubiquitous phage type E 1 [36,53%] The frequency of the alienosensible strains The absence of resistance to chloramph‚nicol showed by the antibiogramme of 200 S. typhi strains, 40 S. para A strains and 40 S. para B strains

Saturnisme: a propos d'observations relevees au village de Oued el Heimer et sa region [Province Doujda]

Lead intoxication isn't rare in professional circle and it needs great vigilance on behalf medical services. At the present time, diagnosis can be made at a precocious biological degree. Edetate treatment is innocuous and it wards off the unexpected arrival of late and irreversible demonstrations. Moroccan legislation lets the frame doctor taking all necessary steps against that disease. Lead intoxication includes three stages with growth serverity: - The pollution lead - poisoning: It's dangerous for foetus and boys. - The latency lead - poisoning: It's the case of our [26] workers of Oued El Heimer's foundry. - The patent lead - poisoning: It's the case of the [19] workers of that foundry. Since car moroccan medical slogan is "It's better to ward off than to cure, prevention takes a primordial part in lead intoxication. Tl medical prevention is into focus, technical prevention leaves much to be desired. For that, we have to make a ring round it, for the benefit of the worker and the employer