ABSTRACT
OBJECTIVES: The aim of this study is: to emphasize the difficulties of diagnosing genito-urinary tuberculosis because of its non specific symptoms; to incite the physician to seek it more frequently. MATERIAL AND METHOD: Five cases of genito-urinary tuberculosis have been diagnosed within a 10-years period and included in a retrospective study. RESULTS: We found one location in the kidney and one location in the bladder with 2 women diagnosed by repeated urianalysis and 3 cases of location in epididymis diagnosed after surgery. CONCLUSION: Symptoms of genito-urinary tuberculosis are misleading, pathologic findings are taking a more and more important place in the diagnosis, which the new techniques of serologic tests will surely improve.
Subject(s)
Tuberculosis, Urogenital/diagnosis , Adult , Female , Humans , Male , Retrospective StudiesABSTRACT
The authors report a case of pheochromocytoma of the bladder revealed by an important gross hematuria with shock. The diagnosis has been established by the pathologist after a partial cystectomy. This location mimmicks a bladder tumor. The diagnosis is difficult; conservative surgery is the rule.
Subject(s)
Hematuria/etiology , Pheochromocytoma/complications , Shock, Hemorrhagic/etiology , Urinary Bladder Neoplasms/complications , Adult , Humans , Male , Severity of Illness IndexABSTRACT
Many cases of rhinophyma have been reported in the European and American literature. To date, African cases have not been described. We report a case of rhinophyma observed in the ENT unit at CHU of Treichville. The diagnosis is made clinically and histologically. This patient refused surgical treatment and has not been seen in our unit since. This is the first case of rhinophyma seen in our service. Treatment difficulties arise due to the technical challenges of a good cosmesis and rejection of surgical intervention as in this case.
Subject(s)
Black People , Rhinophyma/pathology , Cote d'Ivoire , Humans , Male , Middle Aged , Rhinophyma/ethnology , Rhinophyma/surgery , Treatment OutcomeABSTRACT
Malignant melanomas (MM) are rare tumors of very bad prognosis. Few studies have precised the anatomopathological aspects and prognosis of these tumors in Africa and especially in Côte d'Ivoire. This has prompted us to review 195 cases of MM diagnosed in our laboratories in order to precise their epidemiological and anatomical features. Biopsies and/or surgical specimens fixed in 10% buffered formalin have been studied using the paraffin embedding methods and staining with hematoxylin and eosin, Masson's trichrome and Fontana. 117 men (60%) and 78 women (40%) with a medium age of 57 years were studied. Cutaneous MM were predominant (174 cases, 93%) with 57.8% located on the foot. Non classified (38.2%) and nodular (33.6%) forms were more frequent with only 19% of acral lentiginous melanomas. The prognosis of our cases was poor with 71% of levels IV or V according to Clark and Mihm, Breslow's thickness superior to 3 mm in 93% of cases and ulceration in 91.3%. Our study emphasizes the poor prognosis of MM in Côte d'Ivoire. These tumors are frequent in the elderly and located predominantly on the foot.
Subject(s)
Melanoma/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Cote d'Ivoire/epidemiology , Female , Humans , Male , Melanoma/pathology , Middle Aged , PrognosisABSTRACT
The rhino-orbito-cerebral mucormycosis is an acute rapidly progressive fungal infection. This disease is caused by a zygomycetes fungus, most often from the Rhizopus genus. This fungus is saprophitic of the nasal cavity and paranasal sinuses. It becomes pathogenic in some particular conditions, specially during diabetes mellitus. Histopathological study is the only method allowing the diagnosis, by revealing the tissue invasion by characteristic hyphae. Mycologic study allows a definitive identification of the fungus. The authors report a case of rhino-orbito-cerebral mucormycosis in a 44 year-old woman with cirrhosis. She presented an acute blindness and ophthalmoplegia. Despite of a rapid histologic diagnosis from the nasal and ethmoidal biopsies, the patient died 3 days after.
