[Acute post-streptococcal glomerulonephritis and pneumonia. About 6 cases]

Acute post-streptococcal glomerulonephritis [GNA] typically occurs 7-14 days after streptococcal infection, however some children can develop GNA concomitantly with bacterial pneumonia. ONA and pneumonia is a rare association, its often underestimated, its etiopathogenie remains still not clear. The purpose of this study is to analyse the etiopathogeny, clinical course and the outcome of this association. It is about 6 children hospitalized for GNA and pneumonia among 417 cases of GNA admitted between 1982 and 2003. All patients had at the time of admission abnormal urianalysis associated with respiratory manifestations. The evolution was favorable at 5 patients while the last one presented an empyema, nephrotic syndrome and died by pulmonary emboly. In conclusion the presence of a renal symptomatology at a child with pneumonia should be evaluated for concomitant GNA. This glomerulonephrite has generally a good prognosis, but sometimes specific therapeutic interventions are necessary to avoid the risk of renal failure

Atraumatic restorative treatment and glass ionomer sealants in Tunisian children: survival after 3 years

We evaluated the survival rates of atraumatic restorative treatment restorations and of glass ionomer sealants after 3 years of usage in primary and permanent teeth in Tunisian children aged 3-15 years attending rural schools, and assessed the presence or absence of dental caries in the restored teeth. After an initial survey of 1949 children, 242 were selected and agreed to undergo treatment. The loss to follow-up after 3 years was about 40%. Of those evaluated, 45.73% of one-surface ART restorations in permanent teeth had survived, 54.96% of one-surface sealants in permanent teeth had survived and 27.85% of one-surface ART restorations in primary teeth had survived. Caries was found in only 19 teeth after 3 years

Les maladies osseuses constitutionnelles a revelation neonatale - a propos d'une serie de 11 observations

The constitutional osseous diseases are numerous and varied. The easy done radiological exam is the first element which we habitually dispose after the clinic. It very often permits and alone the diagnosis or at least to reduce considerably the diagnosis possibilities. We report 11 observations of constitutional osseous diseases found in the pediatric service of Mahdia Hospital from January 1982 to December 1985. It is about of one case of thanatophore manism, two case of achondroplasia, 1 case of punctured chondrodysplasia, 1 case of osteopetrosis, 2 cases of Porak and Durante illenesses, 1 case of spondylocostal dysostosis, 1 case of phocomelia and two cases of mucolipidosis type II