[Digestive manifestations of hyperoxaluria]

Primary hyperoxaluria is a rare hereditary disease caracterised by deposits of calcium oxalate in different tissues, essentially the kidney. The digestive localization was exceptional. We reported two childs who are aged respectively 13 and 16 years; they are admitted for end stage renal failure caused by primitive hyperoxaluria. The diagnosis was suspected because there were consanguinity, nephrolithiasis in the two cases and nephrocalcinosis in one. It is confirmed by increase oxalic and oxaluric levels. The hemodialysis was started. After some years, the two patients developed crystal deposition in her digestive wall

[Renal osteodystrophy in children: about 26 cases]

The authors reported 26 cases of osteodystrophy in witch 10 girls and 16 boys aged between 3 and 22 years. 9 patients are asymptomatic, 5 have bone pain and 6 with lower member distortion. The hypocalcaemia is recovered at 7 patient, the hyperphosphoremia at 17 and the increase of the alkalin phosphatases at 20. The PTH is constantly increased. The x-ray standard shows geodes in 8 cases, a reduction of the transparency in 9. All patient received substitutive treatment. The evolution is marked by a stabilization or improvement of lesions in 20 cases and an aggravation at 6

[Post infectious extracapillary glomerulonephritis: about 8 paediatric cases]

We reported 8 cases of post infectious extracapillary glomerulonephritis enrolled in the pediatrics department of Sousse during 10 years, diagnosed histologically. It is about 4 girls and 4 boys aged 3 at 13 years. Clinically, all patients had oedema and haematuria. Hypertension was present in 6 cases; 7 children were anuric. All patients have renal failure, associate at nephrotic syndrome in 6 cases. The ASLO titres are elevated in 7 patients. Renal biopsy showed diffuse crescents in 6 cases and circumferential cresents in 3. 7 patients well treated by corticoids and immunosupresseurs. The outcome is good in 4 cases

[Purulent pleural effusion in children. About 47 cases]

The authors report retrospectively 47 cases of purulent pleural effusion, collaged in paediatrics department CHU Sahloul Sousse in 11 years [1994-2004]. It's about 30 boys and 17 girls. The symptomatology was dominated by fever, cough and dyspnea. The bacteria is identified in 18 cases: staphylococcus in 11 cases, streptococcus pneumonia in 3 cases and haemophilus in 3. The treatment was based in double antibiotherapy associated with kinetherapy in all cases; the drainage was required in 15 cases. The outcome is good in 38 cases; 7 cases of sequelle were noted. Two children were dead