[Subdural empyemas complicating listeria monocytoenes meningitis in an immunocompetent infant]

Empyemas complicating Listeria monocytogenes meningitis is a rare event in immunocompetent children, beyond the neonatal period. We report a case of Listeria monocytogenes meningitis in a 15-month-old-girl. Magnetic resonance imaging showed subdural empyemas. Specific treatment was established with ampicillin for six weeks. The outcome was favourable

Short rib polydactyly syndrome type II [Majewski syndrome]

Short rib polydactyly syndromes [SRPS] are a group of inherited autosomal recessive skeletal dysplasias. It is characterized by the triad of micromelia, polydactyly and short horizontal ribs with or without visceral involvement. We reported the case of a recurrent Majewski's syndrome

[ newborns from epileptic women about 13 cases]

We report a study of 13 pregnant women with epilepsy over a 5-year period The mean age was 28 years [Range :20-36 years].Eight women had grand mal seizures [generalized tonic-clonic seizures]. All women were receiving anticonvulsivant therapy before pregnancy, whose 08 under monotherapy and 05 under bitherapy. Phenobarbital is largely the must used for 10 women. During pregnancy, an increase in seizure frequency was noticed in 07 cases and antiepileptic doses were increased to the clinic in 05 cases and 02 patients required the association of other anticonvulsivants. Thirty babies were born at term of which 03 by forceps and 02 by caesarean section. There where no cases of neonatal hemorrhage or per natal death. Symptoms of drug impregnation were found in 04 cases. pregnancy doesn't have a catastrophic effect on the course of epilepsy apart from the risk of an increase in the frequency of the fits. This risk must be reduced thanks to an optimal use of an anticonvulsive therapy before and during pregnancy

[Circulating anticoagulant revealing a systemic lupus erythematosus: about an observation]

In various circumstances, lupus anticoagulants [LA] are found in plasma. 40% of patients with systemic lupus erythematosus [SLE] have LA positive plasmas. These latter's are responsible for thrombosis in 10% of cases. This situation is observed in antiphospholipids antibodies syndrome, and it is complicated by thromboembolia. In other situations, LA can be found after viral infections. However, they are not accompaigned by thrombosis or haemorrhage, and they are discovered accidentally in most cases before an operation by abnormal coagulation tests. The authors report the case of an eleven year-old girl admitted for exploration of isolated adenopathy. The coagulation tests done before anesthesia showed the presence of LA leading to the diagnosis of SLE