[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

[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

A severe illness of a congenital cytomegalovirus infection

Congenital cytomegalovirus [CMV] infection occurs in about 1 per cent of newborns and 10 per cent of them exhibit symptomatic infection. Nervous system damage influences prognosis and newborns management. We report the case of a newborn with a s6vere and progressive congenital CMV infection. He was admitted because of petechiae and thrombocytopenia. Investigations of the newborn showed a bilateral optic atrophy, severe nervous system damage with hydrocephalus, enormous periventricular pseudocysts and cerebellum hypoplasia. No brain calcifications were found. Diagnosis relied on blood CMV viral load measurement in both the newborn and his mother. The newborn received Ganciclovir. Hydrocephalus progressed and required ventriculoperitoneal shunt placement. This case illustrates that pseudocysts and progressive hydrocephalus must suggest CMV congenital infection even not associated to brain calcifications. Nervous system damage is serious in congenital CMV infection and requires a systematic screening during pregnancy

[ 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

[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

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