ABSTRACT
Introduction: L'otite moyenne suppuree chronique est une affection frequente chez l'enfant. Plusieurs facteurs peuvent favoriser l'installation d'un tel processus infectieux (rhinopharyngites; otites mal traitees .). L'identification du germe causal de l'otite est une etape essentielle pour mener un traitement adequat. But : Determiner l'ecologie bacterienne des otites purulentes chroniques de l'enfant dans notre unite. Patients et methodes : L'etude menee de novembre 2010 a octobre 2011 a concerne 76 jeunes patients (40 filles et 36 garcons ages de 6 a 180 mois avec une moyenne d'age de 52;73 mois) presentant une otite moyenne suppuree chronique. L'otorrhee purulente des 76 patients (80 oreilles) a ete prelevee. Celle-ci etait recueillie a l'oreille d'un ecouvillon sterile apres nettoyage du conduit auditif externe et conduit le meme jour au laboratoire pour examen bacteriologique. Resultats : 94;74 des prelevements etaient positifs et 5;26 etaient steriles. Parmi les prelevements positifs 75 etaient monomicrobiens et 25 plurimicrobiens. Staphylococcus aureus (41;31); proteus mirabilis (34;79) sont les principales especes bacteriennes responsables d'otite moyenne suppuree chronique chez l'enfant dans notre unite. Conclusion : Ainsi le role pathogene de staphylococcus aureus est preponderant dans les otites moyennes suppurees chroniques de l'enfant dans notre unite
Subject(s)
Bacteriology , Child , Otitis Media, Suppurative , Risk Factors , Staphylococcus aureusABSTRACT
This work is the result of a retrospective study carried out over three months, from February to April 2002 in the ENT service of Gabriel Touré hospital of Bamako (Mali). The purpose of the study was to find out the prevalence of HIV/aids among ENT patients over the study period. Out of 691 patients, there were 19 cases of seropositivity (2.7%). These seropositive patients were quite often young women, over half of them urban (16/19), jobless and unpaid. The oro-pharyngo-laryngology symptoms though not often obvious in the HIV/AIDS manifestations deserve to be studied more as they can point out possible screening.
Subject(s)
Acquired Immunodeficiency Syndrome/complications , Otorhinolaryngologic Diseases/complications , Acquired Immunodeficiency Syndrome/epidemiology , Adult , Female , HIV Seropositivity/epidemiology , HIV-1 , HIV-2 , Humans , Male , Mali/epidemiology , Retrospective StudiesABSTRACT
From 1994 to 1999, 19 cases of laryngeal papillomatosis were observed. The sex-ratio M/F was 0.9 and the mean age 10 years. The motive for consulting was dyspnoea for 45% of the cases and in all these cases resulted in emergency tracheotomy. The only available means of intervention was peeling under general anaesthesia. An anatomopathological examination could be carried out for only 63.1% of cases. Prevalence of the disease has been under-estimated for reasons of late diagnosis and the inaccessibility to health structures for some cases.
Subject(s)
Laryngeal Neoplasms/diagnosis , Papilloma/diagnosis , Child , Dyspnea , Emergency Treatment , Female , Humans , Laryngeal Neoplasms/epidemiology , Laryngeal Neoplasms/surgery , Male , Mali/epidemiology , Papilloma/epidemiology , Papilloma/surgery , TracheotomyABSTRACT
L'analyse des tableaux pharyngoscopiques chez 128 enfants ages de 2 a 15 ans presentant une amydalite chroniquee a ete realisee. Les resultats de l'etude nous permettent de considerer comme signes pharyngoscopiques frequents de l'amygdalite chronique chez l'enfant : - les adherences et brides reliant les piliers palatins avec les amygdales et le repli de His; - l'hypertrophie des amygdales - le remaniement sclero-cicatriciel des amygdales
Subject(s)
Endoscopy , Pharynx , TonsillitisABSTRACT
L'efficacite clinique et la tolerance de la Cetirizine ont ete evaluees chez 39 patients ages de 13 a 54 ans presentant des signes cliniques de rhinite allergique : obstruction nasale; rhinorrhee sereuse; eternuements; prurit nasal. La duree de la maladie variait entre 7 jours et 20 ans. Seulement 8;54 pour cent des patients ont presente des effets secondaires
Subject(s)
Cetirizine/therapeutic use , Rhinitis/drug therapyABSTRACT
We realized a clinical study in 65 patients with acquired immunodeficiency syndrome, aged from 3 to 62 years old (mean, 34 years) (34 males and 31 females) interned or showed in consultations at the hospital Gabriel Touré in Bamako, Mali (departments of ENT diseases and of internal medicine), in order to analyse and to state precisely different otorhinolaryngologic manifestations in AIDS. Oropharyngeal candidiasis was the most prevalent otorhinolaryngologic manifestation (57 %). Other less common lesions were suppurative otitis media (29 %), atrophic pharyngitis (18,5 %), sinusitis (11 %), Kaposi's sarcoma (5 %) localized above all on the palate: they are however a frequent sign of infection by HIV. The manifestations merit a particular attention by otorhinolaryngologist because, although they have few influence on the general evolution of the disease, they appear as additional manifestations of infectious risks in AIDS patients.
Subject(s)
Acquired Immunodeficiency Syndrome/complications , Otorhinolaryngologic Diseases/complications , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Humans , Male , Mali , Middle AgedABSTRACT
l'article est relatif a l'etude du profil bacteriologique des sinusites maxillaires purulentes observees dans le service ORL de l'Hopital Gabriel Toure
