ABSTRACT
Cardiac involvement is rare in Behçet's disease. The authors report the case of a young patient with Behçet's disease and multiple cardiac complications. The remarkable feature of this case was the presence of a coronary artery (first diagonal) aneurysm associated with multiple venous thromboses. Anticoagulant therapy was changed for a platelet aggregant. Surgery was not indicated because of the fragility of the vessels.
Subject(s)
Behcet Syndrome/complications , Coronary Aneurysm/complications , Adult , Behcet Syndrome/drug therapy , Coronary Aneurysm/drug therapy , Humans , Male , Platelet Aggregation Inhibitors/therapeutic use , Venous Thrombosis/complications , Venous Thrombosis/drug therapyABSTRACT
A survey on the prevalence and severity of trachoma was carried out in the province of Ouarzazate, Morocco. In conformity with the guidelines proposed by the WHO Programme for the Prevention of Blindness, a random sample of 30 clusters was extracted from the general population of the province, according to probability proportional to size. Thus, the sample comprised 1200 individuals, of whom 1185 were examined. Participation in the survey was 98.8% and, overall, the sample is considered representative of the province. The simplified grading system proposed by WHO was used to register the data on trachoma and its complications. The global prevalence of trachoma was estimated at 40.8% (95% confidence interval (95% CI) = 30.2-51.4%) and that of active trachoma (follicular (TF), intense (TI), and mixed (TF + TI)) at 18% (95% CI = 12.8-23.2%). The trachomatous intensity indicator (presence of TI) for children under 10 years of age was 12.8% (95% CI = 6.8-18.8%). The severity of the infection is confirmed by prevalences of trichiasis-entropion of 2.2% (95% CI = 1.4-3.0%) and central corneal opacity of 3.3%. Corneal blindness is estimated at 1.6%. The epidemiological pattern of trachoma merits particular attention in the field of public health, particularly in the valley of Oued Drâa, where all the indicators are consistently higher than those elsewhere in the province.
Subject(s)
Epidemiologic Methods , Trachoma/epidemiology , Adolescent , Adult , Child , Confidence Intervals , Corneal Opacity/epidemiology , Entropion/epidemiology , Female , Humans , Male , Middle Aged , Morocco/epidemiology , Prevalence , Sampling Studies , Trachoma/classificationABSTRACT
For the first time a report is made of Meriones shawi (Duvernoy, 1842) infected by Leishmania major Yakimoff and Shokhor, 1914. The parasite was observed in two of 28 Meriones captured in the immediate vicinity of the Tata administrative center (South Morocco). M. shawi, because it is sub-commercial with man and abundant, is very likely one of the reservoirs of human cutaneous leishmaniasis in this area.
