[Tolerance of amoxicillin-clavulanic acid combination in the child]. / Tolérance de l'association amoxicilline-acide clavulanique chez l'enfant.

Forty children all aged over 2 years and eutrophic were treated with the combination amoxycillin and clavulanic acid for various infections (twenty-three with meningitis, eleven with bronchial pneumonia, three with typhoid fever, two with lower urinary tract infections and one with ear infection of moderate severity). Nine of these patients had sickness during treatment which was mild and transient in the majority of cases and caused treatment to be stopped in only one case (2.5%). This low level of gastric tolerance should not concern the paediatrician faced with an infection due to (or most likely to be) a beta-lactamase producing micro-organism.

[Significance of the determination of lactic acid in the cerebrospinal fluid for the differential diagnosis of meningitis]. / Intérêt du dosage d'acide lactique dans le liquide céphalorachidien pour le diagnostic différentiel des méningites.

Measurement of cerebrospinal fluid lactic acid by an enzymatic test has been evaluated in 164 patients. The upper limit of normal CSF lactate was 300 mg/l. The CSF lactate level is useful for differential diagnosis between partially treated pyogenic meningitis and tuberculous meningitis. The increase of CSF lactate is not specific for meningitis and must be interpreted taking into account the clinical situation.

[Etiological evaluation of acute diarrhea in children hospitalized in Casablanca]. / Bilan étiologique des diarrhées aiguës de l'enfant hospitalisé à Casablanca.

A prospective study of pediatric diarrhea was conducted in Casablanca. An etiologic agent was found in 67,8% of 87 ill participants. Rotavirus was the most common cause while Campylobacter jejuni, reported as Rotavirus for the first time in Morocco, was isolated in 11% of the patients.