ABSTRACT
The purpose of this report is to describe the epidemiological and pathological features of humeral osteomyelitis based on four pediatric cases observed during the subacute and chronic stage over a 12-month period. All locations were encountered. The offending bacterium was always Staphylococcus aureus. All four patients presented involvement of both the shoulder and elbow. Spreading of infection was largely due to the adverse effect of traditional massage therapy performed on these young patients. The poor living conditions of these children accounted for the existence of multiple foci of infection in one case and morbid association of tuberculosis pleurisy in another. Delay of treatment due to the use of traditional medicine can lead to severe functional sequels.
Subject(s)
Humerus , Osteomyelitis , Child , Child, Preschool , Fatal Outcome , Female , Humans , Madagascar , Male , Osteomyelitis/diagnosis , Osteomyelitis/microbiology , Osteomyelitis/therapyABSTRACT
A sigmoid tuberculosis is very rare. We report a case of sigmoid pseudotumoral tuberculosis with a fistulization into the urinary bladder in a 10-year-old girl. The diagnosis of tuberculosis was made by histopathological examination of the surgical specimen after segmental colectomy. Surgery completed by antitubercular chemotherapy gave a good result.
Subject(s)
Intestinal Fistula/microbiology , Sigmoid Diseases/diagnosis , Tuberculosis, Gastrointestinal/diagnosis , Urinary Fistula/microbiology , Child , Female , HumansABSTRACT
The inguinal hernia, malformations caused by persistence of peritonea-vaginal duct, is frequent in children. It is a benign affection as long as it is not strangled. During our five-year-retrospective study, we have found 32 cases (30 boys and 2 girls) of strangled inguinal hernia. There are 78,12% of cases under five years old. In 54%, the hernia was on the right side. Malnutrition and inguinoscrotal hernia are very exposed to strangulation. We observed obstruction syndrome in 81,25% of cases. We have to deplore one case of scrotal fistulae by intestinal necrosis and two cases of testicle necrosis. For all of our patients, the peritonea-vaginal duct was closed with ligature, associated with pre-funicular parietal refection. One case of recurrence is found in postoperative time.
Subject(s)
Hernia, Inguinal/complications , Hernia, Inguinal/surgery , Adolescent , Age Factors , Child , Child, Preschool , Emergencies , Female , Hernia, Inguinal/diagnosis , Hernia, Inguinal/epidemiology , Humans , Infant , Infant, Newborn , Male , Postoperative Complications , Prognosis , Recurrence , Retrospective Studies , Risk Factors , Sex Factors , Treatment OutcomeABSTRACT
The primitive psoas abscess is a pathology extremely rare in the child. The diagnosis is difficult and often delayed. Their treatment requires a local and general sterilization of the infection. We report three observations of primary abscess of the psoas in the child. The clinic presentation is uncommon. Ultrasonography keeps an important place. The biology objective an infectious and inflammatory syndrome. Histology permits to put in evidence all shapes association of lesions. The bacteriological survey of the pus after drainage is only positive in one case. Surgical drainage with bactericidal antibiotherapy permit a definitive recovery.
Subject(s)
Psoas Abscess , Staphylococcal Infections , Child , Female , Humans , Psoas Abscess/diagnosis , Psoas Abscess/therapy , Staphylococcal Infections/diagnosis , Staphylococcal Infections/therapyABSTRACT
Gastric perforation in the neonate is rare. The authors report a 3-day-old male infant, born through a normal delivery after an uncomplicated pregnancy, who presented with a sudden gross distention of the abdomen followed by respiratory distress. Abdominal X-ray examination showed a massive pneumoperitoneum. After a brief resuscitation, an isolated perforation of the stomach was discovered on laparotomy and was sutured. Outcome of spontaneous gastric perforation in newborns is favourable provided the disease is early recognised and treated.
Subject(s)
Stomach Rupture , Humans , Infant, Newborn , Male , Radiography , Rupture, Spontaneous , Stomach Rupture/diagnostic imagingABSTRACT
We report a case of right ovarian dermoid cyst fistulized in the bladder and revealed by recurrence urinary infections. The diagnostic has not been conformed but 5 years after the urinary first manifestations. The cystoscopy has been a cardinal importance but the right seat of the lesion has been determined only during laparotomy. This unusual complication of ovarian dermoid cyst must call the practitioner's attention to urinary symptoms with a pelvic tumour. Moreover, the left ovary agenesis and the young patient's age have constrained the surgeon to preservative method. The functional efficiency of this method has been proved by the periods recovery, 5 months later.
