Atypical manifestation of a fistula between a hydatid cyst of a liver and a gallbladder: A case report.

The hydatid cyst of the liver is the most common location of hydatid disease. Complications in this form are dominated by superinfection of the cyst and rupture into the bile ducts or the peritoneal cavity. We report the case of a 54-year-old female patient with a hydatid cyst of the liver complicated by a rupture in the gallbladder revealed by urinary symptoms.

Cherubism: a rare case report with literature review.

Cherubism is an autosomal dominant disorder caused by a mutation of the gene encoding the binding protein SH3BP2. However, non-hereditary forms are observed, probably related to a de novo mutation. It is clinically manifested by an enlargement or a deformation of the jaw associated with a malposition of the teeth. In severe forms, these deformations can have a psychological impact, associated with ocular complications, as well as a reduction of the pharynx lumen and phonation disorders. The appearance of the lesions on imaging is not very specific, however it remains essential for the mapping of the lesions. We report a case of cherubism in a 12-year-old boy with no family history. This case report's objective is to identify the radiological aspect of this pathology and establish an early diagnosis to oriented therapeutic interventions.

Perirenal cystic lymphangioma mimicking a renal cyst in an elderly patient: Case report.

Cystic lymphangioma is a congenital benign lymphatic tumor commonly diagnosed in childhood. Cervical and axillary locations are the most usual, while retroperitoneal involvement is exceptional. Perirenal cystic lymphangioma may be revealed by urological signs or by incidental findings. Imaging plays an essential role in characterizing the tumor, however differential diagnosis with benign or malignant renal tumors is not always possible, thus requiring histological evidence. We report the case of a 50-year-old man who presented with a cystic lymphangioma of the left kidney revealed by lumbar pain with imaging features mimicking an exocortical developing renal cyst. The work has been reported in line with the SCARE criteria.

Extensive prostatic abscess drained by CT-guided percutaneous approach: Case report.

Prostatic abscess is a rare entity that occurs most frequently after the age of 50. The main risk factors are immunosuppressive conditions such as diabetes, HIV infection and chronic renal failure. It is clinically manifested by signs of bladder irritation. The management of the disease involves antibiotic therapy and drainage of the abscess, which can be performed by various invasive methods. We report the case of a 60-year-old patient with a large prostatic abscess drained by CT-guided percutaneous approach.

Profil clinique; biologique et evolutif des leucemies aigues du noir africain : Experience du Service d'Hematologie clinique du CHU de Yopougon

L'etude retrospective realisee dons le service d'hematologie clinique du CHU de YOPOUGON sur une periode de 13 ans; allant de 1990 a 2003 et portant sur 58 dossiers de patients atteints de LA a permis de retenir les resultats suivants. AU PLAN EPIDEMIOLOGIQUE : -L'age moyen des patients est de 24;6 ans avec des extremes allant dela 62ans ; -Une predominance masculine (sex-ratio = 1.75) ; -La moitie des patients a un niveau socio-economique bas. AU PLAN CLINIQUE : -Deux grands syndromes ont ete individualises: *un syndrome d'insuffisance medullaire; *un syndrome tumoral quasi constant; fait essentiellement d'hepatomegalie 70pour cent; d'adenopathies 50pour cent et de splenomegalie 48;8pour cent. AU PLAN BIOLOGIQUE : -L'anemie normochrome normocytaire aregenerative est presente chez 89;6pour cent des patients ; -La leucocytose inferieure e 25000 elemeni~ par mm3 est retrouvee dans 53;4pour cent ; -79;3pour cent des patients ont une blastose medullaire superieure a 50pour cent ; -On note une predominance des LAL 62;02pour cent contre 36;21pour cent. AU PLAN EVOLUTIF : L'evolution est emaillee de complications infectieuses; hemorragiques et anemiques. AU PLAN ANALYTIQUE : -Notre etude realisee sur 58 patients ne montre pas de correlation entre les caracteristiques epidemiologiques; cliniques; biologique et l'evolution des LA

[Toxoplasma serology in HIV infected patients and suspected cerebral toxoplasmosis at the Central Hospital of Bobo-Dioulasso (Burkina Faso)]. / Sérologie toxoplasmique chez les patients infectés par le VIH et suspects de toxoplasmose cérébrale au Centre hospitalier de Bobo-Dioulasso (Burkina Faso).

A study was conducted in the Internal Medicine unit of Bobo-Dioulasso Hospital. Of the 1828 HIV positive patients admitted in medical wards, 268 presented neurological symptoms. 25.4% had positive Toxoplasma gondii serology. Encephalitis was associated with 12.5% of this latter group and intracranial hypertension with focal neurological defects affected a further 47.5% of them. Presumptive treatment of toxoplasmosis led to significant clinical improvement in 60% of cases. Toxoplasma gondii serology should be part of the standard check-up for every HIV-infected patient, and toxoplasmosis chemoprophylaxis should be given to those with positive toxoplasma serology. Presumptive therapy of toxoplasmosis should be started for all HIV positive patients with focal neurological manifestations in the absence of a cerebral scanner.

[Suspected palpebral anthrax in children. (Apropos of 3 cases)]. / Suspicion de charbon palpébral chez l'enfant. (A propos de trois cas).

Anthrax is an infectious disease caused by Bacillus anthracis. It is primarily a disease of domestic animals. Human beings can be infected by contact with infected animals, soiled objects, thorns or insect stings. In its cutaneous form, it may produce lesions of the eyelids. The authors report three suspected cases of palpebral anthrax in children. The clinical diagnosis was evident. Scraping from the necrotic tissue showed thick Gram positive rods in two children. This aspect evokes Bacillus. All the patients responded to the Penicillin G. No complications were noted. Prevention of anthrax in Africa poses the difficult problem of health education for the local population and immunization programs for animals which can be infected by Bacillus anthracis.

Prenatal diagnosis of trisomy 9. Six cases and a review of the literature.

Six prenatally diagnosed cases of trisomy 9 are reported and 22 previously reported cases are reviewed; the difficulty of genetic counselling for such cases and the variation in the percentage of trisomic cells in different tissues, thus making accurate diagnosis of trisomy 9 difficult, are emphasized. In addition to karyotyping results, ultrasound findings are important in achieving diagnoses. Finally, a course of action when prenatal trisomy 9 is detected is proposed.