[Complications of typhoid fever]. / Les complications de la fièvre typhoïde.

The authors report the complications noted in the course of 120 cases of typhoid fever. Intestinal hemorrhages and ileal perforations were the most frequent complications observed, respectively, among 12.5% and 3.3% of patients. Neuropsychiatric manifestations were also frequent: 6.7% of cases. Only one death was noted (0.8%). According to this high rate of complications, typhoid fever must be managed under hospital conditions.

[Clostridium perfringens septicemia]. / Les septicémies à Clostridium perfringens.

We report 3 cases of Clostridium perfringens bacteremia with uterine gas gangrene. Clinical presentation included severe infectious syndrome, hemoglobinemia and hemoglobinuria, jaundice, uterine tenderness and hypertension. All 3 cases were first seen with installed renal failure. Diagnosis and modalities of therapy were reviewed. Clostridium perfringens bacteremia with uterine gas gangrene still occur in developing countries.

[Post-jejunoscopy bacteremia caused by Klebsiella pneumoniae]. / Bactériémie à Klebsiella pneumoniae post-jéjunoscopie.

We report a case of symptomatic Klebsiella pneumoniae bacteremia following a jejunoscopy. Occurrence of bacteremia in patients undergoing gastro-intestinal endoscopy is reviewed.

[Sheehan's syndrome followed by spontaneous pregnancy. Apropos of 2 cases]. / Syndrome de Sheehan suivi d'une grossesse spontanée. A propos de deux observations.

There are few reports of spontaneous pregnancies in patients with Sheehan's syndrome. We describe two cases which exhibited adrenal and thyroid insufficiency but not amenorrhea, return of the menstrual periods being at the expected time after delivery. Endocrinologic studies confirmed thyrotropin and corticotropin insufficiency. Clinical evidence of preserved gonadotropin secretion was supported by the response of LH and FSH to acute administration of synthetic LHRH and by the fact that thyroid and corticoid hormonal replacement resulted in a spontaneous pregnancy with successful outcome.

[Mediterranean boutonneuse fever. Apropos of cases observed in Sousse]. / La fièvre boutonneuse méditerranéenne. A propos des cas observés à Sousse.

We report 5 confirmed cases of boutonneuse fever. All patients presented fever with a generalised maculopapular rash, and the tache noire at the site of the tick bite. Trimethoprim sulfamethoxazole failed to cure one patient. Treatment with oral oxytetracycline was effective in all cases.

[Seroepidemiologic study of toxoplasmosis in the school population of Sousse]. / Etude séroépidémilogique de la toxoplasmose dans la population scolaire de Sousse.

To obtain basic epidemiological data about toxoplasmosis in our area, we undertook a serological investigation of the female school population of Sousse City. 33% of the students in college (mean age: 17.8 years) are seronegatives. Social economic status seems not to be important for the risk of infection. The more important source of contamination may be the soil.