Bacterial meningitidis of penicillin and cephalosporin resistant streptococcus pneumoniae

The authors report a case of bacterial meningitis with pneumococcus resisting to penicillin. It concerns an 8 years old child, who presented since the age of 9 months with recurrent meningitis due to a malformation in the internal ear [Mondini malformation]. The pneumococcus responsible of this is a serotype 23 which is resistant to penicillin, the oxacillin and to the cephalosporins of 3rd generation [CMI=2ug/ml]. The improvement was obtained with great doses of vancomycin. In Morocco, the resistance of the pneumococcus to penicillin is close to 10% and it is especially made of an intermediary level of resistance

Traitement de la primo-infection tuberculeuse de l'enfant: place du traitement court

The authors present a restatement of the therapeutical managernent of primary tuberculosis in child. The short treatment is ideal, it lastes 6 months and is based on Combination of 3 drugs: Rifampicin, Isoniazide and pyrazinamid which must be used only on 2 months period. As for congenital tuberculosis, this paper suggests an attitude in accordance to the maternal tuberculosis