RESUMO
Bacterial bloodstream infections (BSI) account for considerable morbidity worldwide, but epidemiological data from resource-constrained tropical settings are scarce. We analysed 293 blood cultures from patients presenting to a regional referral hospital in Bouaké, central Côte d'Ivoire, to determine the aetiology of community-onset BSI. The prevalence of bacteraemia was 22.5%, with children being most commonly affected. Enterobacteriaceae (predominantly Klebsiella pneumoniae and Salmonella enterica) accounted for 94% of BSI. Staphylococcus aureus was the only relevant Gram-positive pathogen. Clinical signs and symptoms were not significantly associated with blood culture positivity after controlling for malaria.
RESUMO
Long complete remission in six cases of Burkitt's lymphoma in African children is reported. Complete remissions over eighteen months free of disease are considered as recovery because relapses are rare after this period. These remissions are obtained as well as in stage I and stages III-IV. If classic chemotherapy (cyclophosphamide and methotrexate) is effective, aggressive chemotherapy with several antimitotic drugs is recommended in the poor prognosis forms and relapses. Central nervous system chemoprophylaxis, radiation and maintenance chemotherapy are discussed. Prognosis improvement of Burkitt's lymphoma in African children needs early diagnosis and more aggressive treatment with less damage.