[Tuberculosis of patella. a case report]

Osteoarticular tuberculosis is a rare affection that touches the knee in 8 per cent of cases and particularly the kneecap in less 0.1 per cent. We return a case of the kneecap tuberculosis at a child of 10 years vaccinated correctly by the BCG with an osteolytic lesion in the right kneecap. The diagnosis has been confirmed by a histological exam and the child received a treatment during 12 months with good evolution

Visceral leishmaniasis revealed by disseminated intravascular coagultion

Mr M S, 31 years old man, with no pathological history, was hospitalised for prolonged fever, hepatosplenomegaly and deep health degradation. Biological assessment revealed pancytopenia and disseminated intravascular coagulation. Blood assessment for leishmaniasis and bone marrow smears confirmed parasitic origin of consumptive coagulopathy. Thus, in a case of disseminated intravascular coagulation with unknown origin, visceral leishmaniasis should be searched and early treated in endemic zone

Imaging in the screening and diagnosis of hepatocellular carcinoma in cirrhosis liver in tunisia. a series of 30 cases

The aim of our study is to expose a practical screening and diagnosis strategy of HCC occuring in cirrhosis liver, which is nowadays a health public matter in Tunisia. HCC routine screening in cirrhosis liver has been conducted every 6 months using a combination of abdominal sonography and serum alpha-foetoprotein levels. PCUS, CT scan or MRI have been performed each time a focal liver lesion was discovered in US, or in case of elevated serum alpha-foetoprotein levels. 30 cases of HCC were identified.US has shown a unique nodule in 46% of the cases, multiple nodules in 50% of them. No lesion has been discovered in 4% of the cases. Nodule size ranged from 8 to 140 mm. Heterogenous hyperechoic pattern was the most frequent one [41%]. Hypervascular doppler feature was authentified in 20% of the cases. Serum alpha-foetoprotein levels had respectively a sensitivity and a specificity of 14% and 44% in lesions inferior to 3 cm, 62% and 80% in lesions superior to 3 cm. Typical arterial enhancement of HCC was depicted in 1 case for PCUS, in 76% for CT scan and 60% for MRI. Combination of abdominal sonography and serum alpha-foetoprotein levels practiced every 6 months represent a good compromise between cost and effectiveness. Second intention imaging is based on CT scan in Tunisia because of its availability compared to MRI. PCUS is becoming in the near future the best modality for lesion caracterization thanks to its safety and relative inexpen