[Hydatid cyst on polycystic kidney]

Even in endemic areas, renal hydatid cysts are rare and come in third place after hepatic and pulmonary hydatid cysts. They are easily diagnosed based on a combination of radiological examination and serological test for hydatidosis. The authors herein present a case of hydatid cyst on polycystic kidney in a 60-year-old patient. They underline the rarity of this pathology and the importance of imaging for its diagnosis

[ leptospirosis: clinical, biological and therapeutic study]

The Leptospirosis is an obligatory declared infectious disease, caused by a bacteria type spirochaete

Objectives: Analyse the clinical, biological and therapeutical characteristics of cases of leptospiral infection in the department of the internal medicine at CHU Ibn Sina, Rabat

Patients and Method: It was a retrospective study that begins in january 2000 still décember 2004.The inclusive criterions based on the epidemic circumstances orientated to the leptospirosis and the clinical and biological evokating arguments

Results: Seventeen cases were studied. Average age of the patients is 38 years old [28 years to 64 years] sex ratio of 7, 5 with predominance masculine. Contamination is related to of profession or exposure in a public bath in all the cases. The diagnostic period was 7-8 days. Clinically; icterus appears as a constant symptom, fever founded in 88% of the cases and hepatic cytolysis in 70% of the cases [transaminases are 2 times superior then the normal]. Renal insufficiency and thrombocytopenia are noted respectively in 58, 8% and 47% of the patients On the therapeutic plan; all patients benefited from parenteral rehydration. Thirteen patients benefited from a therapy based on Penicillin G; four patients were treated by Ampicillin parenteraly. One patient had presented with a mucocutaneous allergic reaction from Penicillin G at a 4 of the treatment so he had put on Cyclins. The average duration of hospitalization is 12, 5 days. Evolution was favourable in all patients

Conclusion: The diagnosis of leptospirosis must be evoked in all common cold [acute coryza] accompanied by hepatic cytolysis, renal insufficiency without thrombocytopenia. In the absence of serological proof, the clinical polymorphism of this disease makes the diagnosis sometimes difficult

Behcet's Disease

Behcet's disease is a predominantly venous vasculitis. It was first described as a clinical triad associating oral aphthae, genital aphthae and anterior uveitis. It concerns mainly young subjects of male gender originating from the Far-East and the Mediterranean basin. Its pathogenesis is not well known. It comprises neutrophil hyperreactivity owing to genetic predisposition, abnormalities in gd T cell function and microbial agents that could act as triggering factors. The most frequent clinical manifestations are cutaneo-mucous, ocular, vascular, neurological and articular. There is no specific biological abnormality and diagnosis is actually still purely based on clinical evidence. Treatment is not codified and only suspensive. It is based on colchicine, anti-inflammatory drugs and different immuno-supressives. In this work, we present a review on this subject according to some recent bibliographic data