Salmonella typhi meningitis. About one case

Authors report a case of salmonella typhi meningitis observed in the unity of intensive care of Casablanca Children Hospital. It is a rare affection with a dreadful prognostic especially occurring in infancy. Clinical, bacteriological aspects and the difficulty of treatment choice are reviewed

Purpura fulminans. Report of 18 cases

The authors report 18 cases of fulminant purpura assembled in the intensive care unit of the Children Hospital in Casablanca. This affection is still life-threatening as showed by the 5 deaths, 2 amputations and 4 arthritis. One part of the failures is due to a very late diagnosis and to a very late or insufficient initial treatment. The authors emphasize the necessity of considering the myocardial incompetence during septic shock, and insist on continuing medical education

[Infantile convulsive illness. report of 37 cases]

The authors report on 37 cases of convulsive illness, observed in 4 years, and they emphasize the necessity of a rapid diagnosis, a codified quick hold in charge. The bad prognostic elements are: the new native period, the duration of convulsive ill superior to 12 hours, the major hyperthermy and the meningoence phalitis. They also insist on the necessity to inform the parents in the frame of the sanitary education in order to prevent the state of convulsive illness

[Idiopathic pulmonary hemosideros. report of a 3 cases]

Idiopathic pulmonary hemosiderosis, one of the "pneumo-anemic" syndroms is a very rare disease of unknown etiology and pathogeny. The study of three personal cases associating both an anemic and respiratory syndrom and the study of the literature have led to the description of the clinical manifestations of the disease. Particular attention should be paid to monosymptomatic cases. The presence of macrophages loaded with iron in bronchial secretions, and pulmonary sequestration of radioactive iron [iron 59], revealed by isotopic exploration should be enough to lead to the diagnosis; however a histo-pathological study of pulmonary biopsy, particularly after thoracotomy, seems to be necessary both for a better diagnosis and prognosis. The aetiopathogeny of this affection seems to depend from an immunological mechanism, which is not actually well known. Treatment by corticoids and/or immunosupressive drugs is controversed, and generally the disease evolves towards death within four years usually

Oxalosis: a familial case report

A case of "familial oxalosis" discovered after routine necropsy, is reported. The discovery of two other cases in the same family brought us to review the main features of the disease

Infantile tuberculosis: a study of 187 cases

187 cases of child's evolutive tuberculosis were diagnosed during 6 years in the Pediatrics department of the children's hospital of Casablanca. Among these observations 107 are pleuro-pulmonary and 80 extra-respiratory forms including mainly ganglionic [39 cases] and abdominals [37 cases] lesions. The frequency of the child's tuberculosis justifies an energitic policy of eradication of this illness which is based on preventive vaccination and treatment of contagious patients

[Enteric nutrition in children with denutrition]

Since it was first described by E. Levy, enteric nutritional assistance has been used successfully in surgical and medical denutritions. The authors have applied this method on 34 children whose ages range from 8 months to 16 years, suffering from denutrition among which 10 protein caloric malnutritions. This first Moroccan experience is based on the use of a cheap mixture of a hyperprotidic flour basis of local production. Enteric reanimation in cases of protein caloric malnutritions improves the prognosis, contributes to the recovery and improves the psychomotor development as well. As for surgical denutritions, enteric reanimation with a low and continuous flow has unabled better defense against infection, quick reconstitution of the losses of substance and a better cicatrization of the walls