[Prevalence of intestinal parasitic infections in Moroccan urban primary school students]. / Portage parasitaire intestinal chez l'enfant scolarisé à Salé, Maroc.

Intestinal parasitic infections are among the most widespread of human infections in developing countries, and children are the most vulnerable. The aim of this study was to determine the prevalence of protozoa and intestinal helminthes, as well as the risk factors of intestinal parasites in schoolchildren in Salé city, Morocco. This is a study of incidence and prevalence conducted prospectively over a period of five months in schoolchildren in Salé city. The collection of stool was performed over three days (j1, j3, j5). In addition, adhesive cellophane tape slide evaluation was performed on day 7 for all students included in this work. During the study period, we included 123 students. Seventy-six children (61.7%) were infected by intestinal parasites. The age group 12-14 years is by far the most affected. Protozoa were found in 57.7% (N = 71) of children examined. Amoebae family parasites were predominant. Helminths were present in 26% (N = 32) of the schoolchildren. Forty-five (36.6%) children were poly-parasitized. This work shows that the prevalence of intestinal parasitism is quite high among primary schoolchildren in Salé city. Several parasite species are found. This finding is explained by unhealthy living conditions and poor hygiene, predisposing to endemicity and perpetuation of the transmission. The impact on health is not negligible especially when compounded by malnutrition. The best way to fight this scourge is prevention and awareness.

[Severe keratomycosis due to Fusarium solani induced by a telluric foreign body: About a case in moroccan Sahara]. / Kératomycose grave àFusarium solani induite par un corps étranger tellurique : à propos d'un cas au Sahara marocain.

We report a case of severe keratitis due to Fusarium solani in a young man in the Sahara in Morocco where the climate is arid. This patient reported had a grain of sand in his right eye for a week after a sandstorm. On admission he had a corneal abscess. Despite rapid diagnosis and initiation of treatment with available antifungal drugs: amphotericin B and natamycin eye drops, the prognosis worsened and led to the enucleation of the right eye. Faced with a suspected eye infection after a microtrauma caused by grains of sand carried by a sandstorm, it is important to take biological samples to search for fungal infections among other. It is also important to have new triazole antifungal drugs available to treat ocular mycosis rapidly and effectively.

[Wound myiasis due to Wohlfahrtia magnifica. First human case in Morocco]. / Myiase des plaies dues à Wohlfahrtia magnifica (Schiner, 1862). Premier cas humain au Maroc.

Wohlfahrtia magnifica is a frequent fly in countries with high breeding activity: Australia, South Africa or Arab country The parasitological infestation occurred essentially during the summer, favourable period to the biological evolution of the flies. In this work, we report one case of wound myiasis that complicates a cutaneous lesion caused by larvae of Wohlfahrtia magnifica. This observation constitutes the first human case in our country.

[Cutaneous filariasis Loa Loa: 26 moroccan cases of importation]. / Filariose cutanée à Loa Loa. 26 cas marocains d'importation.

INTRODUCTION: Loa Loa filariasis or loiasis is a subcutaneous and bloody vectorial parasitosis. It is endemic in forest and swamp areas of west and central Africa. PATIENTS AND METHODS: We reviewed 26 moroccan cases of importation. All patients had visited Equatorial Guinea. Transient and migratory edema with pruritus were described in all cases and seen in 5 cases. A history of eyeworm was reported in 13 patients and subcutaneous migration of adult Loa Loa in 19 patients. Other features including fever and asthenia were reported in 11 patients. Microfilaremia was positive in 8 patients and eosinophilia was present in 22 patients. Fifteen patients were treated with diethylcarbamazine alone and 9 patients with ivermectin and diethylcarbamazine. Two patients were treated with ivermectin alone. Relapses were noted in 8 cases. No visceral complications were noted excepting one case of terminal hematury. DISCUSSION: Loiasis is a filarial infection of man that occurs exclusively in central and West Africa. The most common symptoms being pruritus with temporary, localised edema, subcutaneous and subconjonctival eye passage of the adult worm, fever and fatigue. The biologic diagnosis of loaisis is made on peripheral microfilariae, filarial serology and eosinophil count. Travel and visits endemic areas were at the origin of the emergence of this pathology in Morocco. Filarial Loa Loa infection should be treated with diethylcarbamazine and/or ivermectin.

[Candida albicans endocarditis after treatment of complete atrioventricular canal]. / Endocardite à Candida albicans après cure de canal atrioventriculaire complet.

Infective endocarditis is rare in children, it is rarer after a surgical treatment of atrioventricular canal, and it is exceptional that Candida albicans is the etiologic agent. This is a serious infection found in congenital heart disease with or without surgery. It is potentially lethal, despite diagnostic and therapeutic advances. We report a case of infective endocarditis due to C. albicans after the treatment of a congenital systemic atrioventricular canal in a child with trisomy 21. The diagnosis was suspected on clinical manifestations and cardiac auscultation. Confirmation was provided by positive blood cultures and echocardiography. The large size of the vegetation in the patient was in favor of a fungal etiology, blood cultures allowed to identify the fungus. This observation illustrates a poorly understood disease, with very poor prognosis and which is a potential complication of heart surgery. The improved prognosis should be achieved by shortening the time to diagnosis and optimizing the therapeutic support.

[Presence in Morocco of Phlebotomus (Paraphlebotomus) kazeruni Theodor and Mesghali, 1964]. / Présence au Maroc de Phlebotomus (Paraphlebotomus) kazeruni Theodor et Mesghali, 1964.

A report is made of Phlebotomus kazeruni on southern Marocco (Tata and Ouarzazate Provinces). This sandflies was previously known only from Afghanistan, Iran and Saudi Arabia.