[Pseudotumoral form of abdominal tuberculosis in child, about 4 cases]

The primary infection is the major form of infantile tuberculosis. The pseudo-tumoral form of tuberculosis is very rare in the child. It often poses a problem of positive diagnosis. Four cases were diagnosed over a four years period, in the paediatric service of surgery of the CHU Hassan II of Fez. All children were admitted initially for abdominal tumours and whose diagnosis was made in per operational

Acute oedema of the lung and pre-eclampsia about 15 cases

Our aim is to point out the relation between acute oedema of lung and pre-eclampsia and guidelines of care. All the patients were hospitalized in the intensive care unit of the university hospital center of Hassan II of Fez, for pre-eclampsia and eclampsia from January 2003 to March 2006. The authors report 15 cases of acute oedema of the lung [AOL] associated with pre-eclampsia. The average age was of 24 +/- 9 years. We noted 9 primipars, 6 cases of AOL occurred in delivery period. 10 cases of preeclampsia were detected, whereas it was associated to a cardiomyopathy of the peripartum and three rheumatic valvulopathies. The childbirth took place by Caesarean at 8 patients and 7 were confined by low way. 9 patientes required artificial ventilation and the haemodialysis was carried out in 3 patientes. The evolution was favourable in 12 patientes. We deplored three maternal deaths and 4 newborn deaths. The acute oedema of the lung during the preeclampsia is a serious pathology; its mechanism of appearance is complex. The materno-foetal forecast depends on how the treatment was prompt, of the severity of the EP and the age of the pregnancy. The prevention is based on the antenatal consultation and the monitoring of any EP in order to propose in time a possible ending of pregnancy