[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

[Left multiocular cystic nephroma: a pediatric case report]

The authors reports a clinical case of cystic nephroma in a 12-year-old girl which the data non specific clinics and the character little informative exams of imagery contribute to make difficult the diagnosis of this rare affection. Only histologic studies affirm the diagnosis

[ splenic angioma in children: a case report]

The splenic angioma is a rare benign tumor, not very symptomatic and often of fortuitous discovery. The surgical treatment is essential for the bulky lesions which involve a significant risk of rupture and hemoperitonium. We report the observation of a eight years old girl at which the splenic angioma was discovered in a fortuitous way at the time of an ultrasonography required in the assessment of a urinary tract infection. The abdominal computed tomography scan confirmed the diagnosis by showing an hypodense lesion well limited with intense raising aftercontrast injection. The fear of a rupture made pose the indication of a partial splenectomy with simple continuations

[Brucellosis. report of a case]

The brucellosis is an infectious disease caused by brucella. We reported a case of brucellosis in a 14 year old boy admitted for a trailing fever and slimming. The diagnosis was confirmed by two blood cultures and the serodiagnosis of Wright. He was treated by rifampicin and doxycyclin. Two weeks later, he developed a brucella arthritis [spondylodiscitis]. The evolution after six months of treatment was good. This arthritis must be searched earlier with the radiologic explorations

[Primary sternal osteomyelitis. a case report]

Primary sternal osteomyelitis [PSO] is rare and of difficult premature diagnosis in pediatric population. We report a case of PSO complicated with abscess in a one and half-year-old child with a sickle cell disease. Surgery completed by antimicrobial treatment gave a good result and culture of aspirated materiel grew Salmonella Enteritidis

Pyloric atresia: a case report

Pyloric atresia is an uncommun condition occuring in 1/100.000 live births. It can be isolated or associated with other congenital anomalies. Authors present a case of isolated pyloric atresia in a male neonate explored for non bilious vomiting. Diagnosis was done on plain abdominal x-ray which showed a distended stomach as a single gas-filled bubble with a gasless abdomen. Digestive opacification showed distended stomach. The surgical treatement consisted on the excision of the web in combination with pyloroplasty. Pyloric atresia is establish on plain radiograph and must alert the surgeon of the severity of this condition

[Crossed renal ectora : a two cases report]

Crossed renal ectopia is a rare congenital anomaly, in which, the two kidneys are in the same side with one of the ureters which crosses the midline to be brought together in the bladder on the opposite side. Generally asymptomatic and of fortuitous discovery, this anomaly can appear by abdominal pains, urinary tract infection or a hematuria. The diagnosis rests on the radiological examinations in particular the ultrasonography, the intravenous urography and the CT scann. The treatment is surgical and is reserved for the complicated forms. We report two observations of children with a crossed renal ectopia The first observation is that of a 5 years old girl, presenting urinary tract infections at repetition whose etiologic assessment comprising a renal ultrasonography, a voiding cystourethrography as well as a three-dimensional tomodensitometry objectified a vesico-ureteral reflux grade HI, on left kidney in crossed ectopia. After sterilization of the urines, this patient profited from a surgical cure of her left vesicoureteral reflux with simple continuations.The second observation concerns a 10 years old boy, carrying a malformation anorectale, operated at birth, and at which the malformatif assessment [renal ultrasonography, vertebral radiography] objectified a left kidney in crossed ectopia with vesicoureteral ipsilateral reflux grade Ill associated with complex vertebral anomalies. This child was operated according to the same technique with simple operational continuations. From these two observations and after review of the literature, we recall the clinical, radiological and therapeutic characteristics of this malformation and discuss the pathogenic assumptions

Acute hematogenous osteomyelitis of the ischio pubic ramus. A case report

Pelvic osteomyelitis is rare. We report the case of a 10-year-old boy presented with a five-day history of pyrexia and left painful lameness. Passive range of hip was normal. Initial biological investigations revealed an inflammatory syndrome. Plain radiographs of the pelvis and ultrasound scan of the left hip joint were normal. Bone scintigraphy showed a tracer uptake in the left obturator ring. The blood cultures were positive for methicillin-sensitive staphylococcus aureus. The diagnosis of pelvic osteomyelitis was held. Magnetic Resonance Imaging [MRI] showed a left ischio-pubic ramus osteomyelitis with a subperiostal abscess decompressing into the surrounding tissues. This case history draw attention to the distinctive clinical and bacteriological features of this rare focus of acute hematogenous osteomyelitis and emphasize the MRI interest in the investigation of deep localizations. It may facilitate early recognition of pelvic osteomyelitis in child

Particular etiology of a child's painful hip: the subacute osteomyelitis

The subacute osteomyelitis of the hip is rare and remains a difficult diagnostic. We report a case of right pain hip in a 9-year-old girl, associated with a slight fever, rebel to the antibiotic treatment. Biology showed moderated raised inflammatory markers. The plain radiographs of the pelvic showed a little bone demineralization of the acetabular roof. The ultrasonography of the right hip was normal. The pelvic magnetic resonance imaging [MRI] showed a medullary edema in the acetabular roof. The bone scintigraphy showed an intense uptake on the right acetabulum. The computed tomography [CT] of the hip revealed the presence in the right acetabular roof of two bone defects enclosing bony sequestra thus evoking the diagnosis of subacute osteomyelitis. The evolution was favourable under antibiotic treatment managed by the intravenous way during 15 days [Bristopen, Gentamycin] then relayed by the oral way for one month