[Fortuitous discovery of intracerebral foreign body leads to the diagnosis of Munchausen syndrome by proxy]. / Un corps étranger intracérébral de découverte fortuite conduit au diagnostic du syndrome de Munchausen par procuration.

An intracerebral foreign body is a rare situation in childhood. It often occurs accidentally with transorbital or more rarely transnasal penetration. We report the case of a child who had been followed since the age of 2.5 months for chronic vomiting without failure to thrive. The fortuitous discovery at 22 months of age of a 4.5-cm-long sewing needle in his brain probably introduced via the fontanel led us to the diagnosis of Munchausen syndrome by proxy.

[Helicobacter pylori infection: prospective study for asymptomatic Tunisian children]. / Infection à Helicobacter pylori: étude prospective chez les enfants tunisiens asymptomatiques.

UNLABELLED: The aim of this study was to specify epidemiologic particularities of Helicobacter pylori infection among asymptomatic Tunisian children. POPULATION AND METHODS: A sample of 191 Tunisian healthy children studied for a two-month-period of time in protection center for mothers and children in a Tunis area. The children had benefited of an oriented questionnaire and a serological study of Helicobacter pylori. RESULTS: The prevalence of Helicobacter pylori infection was 30.4% (58 of 191). This prevalence increased with age (21% < 5 years vs 69% > 6 years: p < 0.04). The low socio-economic level and the familial antecedents of peptic illness constitute the main risk factors of Helicobacter pylori infection (p < 0.05). Both ways of transmission: oro-oral and fecal-oral seem to coexist among children.