Anguillulose autochtone: a propos de 3 cas

For the first time in Morocco, three cases report were related by the Authors, to autochtonous anguilluliasis; including that disseminated and deadly form of an utmost gravity, that happened to a corticotreated dermatomyositis patient. The two other patients had a mild evolution. Diagnosis is made by putting evidence of Rhabditoids larva and by stool-enhancing in the third case. This helminthiasis, although rare, must be well known by physicians and called for in numerous circumstances. Usually clinical manifestations are mainly expressed by digestive and cutaneous symptoms. Anarchic and prolonged hyper-eosinophilia is a great value biologic sign; thus it's also a therapeutic overseeing criterium. Severe forms happen on debilitated backgrounds, thus anguilluliasis case finding and it's systematic, non discriminated treatment [mainly in endemic zone] must appear between preventive bounds in acceptance with immunodepressed patients or with those subject to a long term immunosuppressive therapy

Phenotypes de resistance a 4 antibiotiques des germes isoles dans une formation hospitaliere

The sensitivity of bacterial strains isolated during the last semester of 1979 at the Military hospital d'lnstruction Mohammed V is studied using the method of gelose diffusion and three antibiotics amino glycosides l'Amikacine, Gentamicine and Tobramycin] and a semi synthetic penicillin [Ampicillin]. The authors studied 995 strains isolated from different suppurations [103 blood cultures 423 urine cultures and 469 abceses of diverse origin]. Amikacin was very active against most of the strains [921 or 92,6%]. The analytic study showed that: - for gram negative strains Amikacine was more effective than the other two aminoglycosides and Ampicilline [only 51,3% of the strains for this latter]. - the phenotypes of resistance were of this type: Amikacine + Gentarnicine, Amikacin + Tobramycin and Gentamicin + Tobramycin with a net predominance of this latter in the strains isolated from abseses. - Against the staphylocossus aureus the three aminoglycosides had almost the same activity with a small edge to Amikacin [93, 5%]. On the opposite there was a marked resistance against Ampicillin [42,7% only of sensitive strains]. There was no Amikacin Gentamicin phenotype of resistance. Finally other strains were tested salmonella [40] and pseudomonas aeroginosa [75], Amikacin was the most sensitive against salmonella [35 strains] and Gentamicin against pseudomonas [63 sensitives strains]