Epidemiological characteristics and some risk factors of extrapulmonary tuberculosis in Larache, Morocco.

INTRODUCTION: this work aims to bring out the epidemiological characteristics of extrapulmonary tuberculosis (EPTB) in the province of Larache (Morocco) and to investigate the effect of gender and age on its localization and treatment outcome. METHODS: it consists in a retrospective study based on 2962 cases of EPTB, reported during the period 2000 to 2012. RESULTS: the mean age was 31.74 ± 18.83 years, with a median age of 26. Males are more affected by this form of tuberculosis, with a male to female sex-ratio of 1,15. The EPTB affects particularly the young population whose age is between 15 and 34 years. The pleural and lymph node localizations are the most common with 45% and 28% respectively. The statistical analysis reveals that younger patients are preferentially affected by lymph node tuberculosis whereas oldest ones are more likely to suffer from urogenital and pericardial tuberculosis. Regarding the treatment outcome, we demonstrated that age is significantly associated with the treatment outcome and that deaths occur preferentially in the oldest patients. Finally, we found out a significant association between males and pleural ETB localization, and between females and lymph node and peritoneo-itestinal ETB localizations. CONCLUSION: special attention must be paid to the mentioned most vulnerable categories of EPTB patients.

[Epidemiology of cancers in Niger, 1992 to 2009]. / Épidémiologie des cancers au Niger, 1992 à 2009.

The present study aims to determine the various epidemiological characteristics of cancers in Niger from 1992 to 2009. It is a retrospective and descriptive study led from the data of the National cancers Register of Niger country between 1992 and 2009. During that period, 7,031 cases of cancers were collected. The number of registered patients suffering from cancers significantly increased, from 186 cases in 1992 to 646 cases in 2009. The ascendancy was feminine with a sex-ratio of 1.40. The average age was of 43 ± 17.53 years. The majority of the patients (70.2%) lived from the Niamey area. The breast cancer (27.36%) was the most frequent feminine cancer, followed by the cervical cancer (13.41%) and ovary cancer (8.83%). The main localizations in the man were the liver (19%), the skin (8.04%) and the bladder (4.92%). Approximately 7% of the registered cases are due to the child's cancers. The cancer's diagnosis of confirmation represented 42%; the carcinomas constituted (27.03%) the most frequent histological type. The Burkitt lymphoma (15.1%) was the most histological entity met in the child.

[Reliability and application of protocols and procedures to be followed in the treatment of scorpion stings in Morocco]. / Fiabilité et application de la conduite à tenir en cas de piqûre de scorpion au Maroc.

This works investigates the reliability of scorpion stings treatment adopted by the Moroccan Poison Control and Pharmacovigilance Center and its application at the provincial level hospital in Kelaa Des Sraghna. The study was based on a sample of 984 cases reviewed from the hospitalization records from this establishment. The results of the distribution of patients according to the level of severity of the cases showed that the Class II category represents 67.45% (n=518 cases) and Class III represents 8.33% (n=64 cases). Although patients ranked in Class I should not be hospitalized, the study found that 24.22% of the cases recorded during the study period belong to this category of patients. Among the 186 cases registered in Class I, 8.06% (n=15) displayed clinical signs; this implies a problem in the classification of these patients. However, the study of the correlation between the classification of those admitted and their respective clinical signs and symptoms revealed that those clinical indicators corresponded well to the categories in which patients were placed. Moreover, the study showed that the evolution of patients depends significantly on the distress signals (Class III) and on some signs indicated severity: priapism, sweating and vomiting (Class II).