[Contribution of the x-ray to the diagnosis of the non traumatic knee's pain in the teaching hospitals Tokoin and campus of Lomé]. / Radiographie Standard Dans Les Gonalgies Non Traumatiques Aux CHU Tokoin Et Campus De Lome.

GOAL: This survey has been realized in order to show the diagnostic interest of the standard radiography in the non traumatic knee's pain. OBJECTIVES: The main objectives of this work were to describe the elementary lesions, the etiological aspects of the non traumatic knee's pain and to list the met pathologies. PATIENT AND METHOD: It was about a prospective survey of six months (december 2007-may 2008) track in the departments of radiology of the Teaching Hospitals of Lomé and on a population of 187 patients enduring a non traumatic knee's pain. RESULTS: The frequency was of 2.5%. The average of age was of 48.55 years (extreme: 18 and 92 years). The feminine sex (63.10%) was the most represented. The housewives were the most represented (36.36%). of The bodily mass indication was consisted between 09 and 42 Kg/m2s with an average of 25.65 Kg/m2s. The osteophyte (26.67%) was the most observed elementary radiographic lesion. The arthrosic knee (47.71%) was the dominant pathology and the chondrocalcinose (02.74%) least represented. A predominance of the tricompartimentale arthrosic knee (38.46%) was cleared itself. The malformatives abnormalities were in 58.62% of the osteoarthritis cases seat. CONCLUSION: This survey reveals the importance diagnostic of the x-ray and the wealth of the pathology of the knee in Africa particularly in Togo.

[Kidney ultrasound scan performed on the adult patient with HIV serology positive in the University Hospital of Tokoin and campus of Lome]. / Echographie renale chez le sujet adulte porteur du VIH aux CHU Tokoin et campus de Lome.

PURPOSES: To describe the elementary lesions, to list the kidney pathologies, to determine the kidney reach frequency and to establish an interrelationship enters the gravity of the kidney reach and the kidney's structure at the ultrasound scan. PATIENT AND METHOD: It was about a prospective survey of ten (10) month, realized in the Departments of radiology of the Teaching Hospitals of Lomé (CHU Tokoin and Campus), concerning 281 patients aged of 18 to 71 years whose HIV serology is positive. RESULTS: The radiological frequency of the HIV/AIDS infection noted during our period of survey was of 3.27% (281/8583). The modal age group was of 30-40 years (32.38%). The female representativeness was 56.92% against 43.08% of men. The drivers (23.13%) follow-ups of the tradesmen were the more touched. The bachelors were more exposed (38.43%). The kidney increased size in 31.85% of the cases. The majority of the patients (88.19%) was at the echographic advanced stage of the renal suffering of which 70.08% were at the III stage. The length of the kidneys was generally normal (74.38%), their width was normal in 53.38% of the cases and increased in 44.42% of the cases. As for the thickness, it was increased in general (71.88%). The kidney suffering (49.03%) was the most dominant pathology. CONCLUSION: The wealth of the kidney pathology associated to the infection of the HIV/AIDS should bring the practitioners to integrate the ultrasound scan in the balance of this affection.

Echographie renale chez le sujet adulte porteur du VIH aux CHU Tokoin et Campus de Lomé

Objectifs : Par ce travail nous voulons decrire les lesions elementaires; repertorier les pathologies renales; determiner la frequence des atteintes renales et etablir une correlation entre la gravite de l'atteinte renale et la structure renale a l'echographie.Patients et methode : Il s'est agi d'une etude prospective de dix (10) mois; menee dans les services de radiologie des CHU Tokoin et Campus de Lome; concernant 281 patients ages de 18 a 71 ans dont la serologie VIH est positive. Resultats : La frequence radiologique de l'infection VIH/SIDA notee pendant notre periode d'etude etait de 3;27(281/8583). La tranche d'age modale etait de 30 a 40 ans (32;38). La representativite feminine etait 56;92contre 43;08d'hommes. Les chauffeurs (23;13) suivis des commercants etaient les plus touches. Les celibataires etaient les plus exposes (38;43) Le rein a augmente de taille dans 31;85des cas. La majorite des patients (88;19) etait a des stades echographiques avances de la souffrance renale dont 70;08au stade III. La longueur des reins etait generalement normale (74;38); leur largeur etait normale dans 53;38des cas et augmentee dans 44;42des cas. Quant a l'epaisseur; elle etait en general augmentee (71;88). La souffrance renale (49;03) etait la pathologie la plus dominante. Conclusion : La richesse de la pathologie renale associee a l'infection au VIH /SIDA devrait amener les praticiens a integrer l'echographie dans le bilan de cette affection