[Colon amyloidosis secondary to tuberculosis: Case report and review of the literature]. / L'amylose colique secondaire a la tuberculose: A propos d'une observation et revue de la litterature.

The authors report the first case of amyloidosis diagnosed by histology and documented in Mali. The patient was a young lady of 31 years old who was hospitalized in internal medicine at the University Hospital of "Point G" for edema and ascites syndrome. She had a history of diarrhea, fever, vomiting, exercise dyspnea and diffused abdominal pain. The biological assessment such as HIV serology was negative. The research of Mycobacterium tuberculosis in sputum was positive. The diagnosis hypothesis of amyloidosis has been evoked and a biopsy of the rectal mucosa has been performed. The fragments showed by histology an acellular band between the basal membrane and the periglandular area. This band was stained in red by Rouge Congo. That confirmed the diagnosis of amyloidosis.

Les auteurs rapportent le premier cas d'amylose diagnostiqué à l'histologie et documenté au Mali. Il s'agissait d'une jeune dame de 31ans ayant été hospitalisée en médecine interne au CHU du «Point G" pour syndrome oedemato-ascitique. Elle a comme antécédent: une diarrhée, une fièvre, des vomissements, une dyspnée d'effort et des douleurs abdominales diffuses. Le bilan biologique y compris la sérologie VIH était sans particularité. La recherche de BAAR dans les crachats était positive. L'hypothèse diagnostique d'amylose a été évoquée et une biopsie de la muqueuse rectale a été effectuée. Les fragments présentaient à l'histologie une bande acellulaire entre la membrane basale et la zone périglandulaire. Cette bande a été colorée en rouge par le rouge Congo. Ceci a permis de confirmer le diagnostic d'amylose.

Male circumcision and HIV in the Malian military.

In the goal of determine the impact of circumcision in transmission of HIV in military area. A retrospective study has been carried out from January 2000 to December 2005 at the infirmary of Genie military garrison about all HIV positive serology registered in that structure. It was a study of circumcised militaries and uncircumcised militaries as control group. Among 1183 militaries, 1102 were men (93.2%). Among these 1102, 57 were HIV positive (5.1%). Among 1102 military, 154 were uncircumcised and among them 20 were HIV positive (12.9 %). Among 948 of circumcised militaries 37 were HIV positive (3.9%). Circumcision reduces the risk of infection by HIV; however it has to be considered as supplement among other prevention methods.

Male Circumcision and HIV in the Malian Military

In the goal of determine the impact of circumcision in transmission of HIV in military area. A retrospective study has been carried out from January 2000 to December 2005 at the infirmary of Genie military garrison about all HIV positive serology registered in that structure. It was a study of circumcised militaries and uncircumcised militaries as control group. Among 1183 militaries1102 were men (93.2). Among these 1102; 57 have were HIV positive (5.1). Among 1102 military 154 were uncircumcised and among them 20 were HIV positive (12.9). Among 948 of circumcised militaries 37 were HIV positive (3.9). Circumcision reduces the risk of infection by HIV; however it has to be considered as supplement among other prevention methods