ABSTRACT
We report a rare case of polyostotic fibrous dysplasia with maxillofacial dysmorphia diagnosed in the radiology department at Hopital Sominé Dolo of Mopti. The aim was to describe the role of medical imaging including the CT scan in its diagnosis. He was a 42-year-old man of rural origin with poor socio-economic conditions. He was sent to us for a craniofacial CT scan for assessment of a maxillofacial mass. This CT scan showed a thickening of the diploid of the vault and the cranial base with osteocondensation and osteolytic lesions at the maxillofacial level. An extension assessment showed polyostotic involvement. His diagnosis is based on medical imaging and in particular CT scan. Three types of radiological aspects are evocative: a homogeneous or heterogeneous clarity, a smoke-like appearance and a slightly condensed appearance. Complications observed were deformities, fracture of the femoral neck and aesthetic damage.
Nous rapportons un cas rare de dysplasie fibreuse polyostotique avec dysmorphie maxillo-faciale diagnostiqué au service de radiologie à l'hôpital Sominé Dolo de Mopti. Le but était de décrire le rôle de l'imagerie médicale notamment le scanner dans son diagnostic. Il s'agissait d'un homme âgé de 42 ans, de provenance rurale avec des conditions socio-économiques défavorables. Il nous a été adressé pour un scanner crâniofacial pour bilan d'une masse maxillo-faciale. Cette exploration scanographique avait objectivé un épaississement du diploé de la voûte et de la base crânienne avec ostéocondensation et des lésions ostéolytiques soufflantes au niveau maxillo-facial. Un bilan d'extension a objectivé une atteinte polyostotique. Son diagnostic repose sur l'imagerie médicale et en particulier la tomodensitométrie. Trois types d'aspects radiologiques sont évocateurs: une clarté homogène ou hétérogène, un aspect en volutes de fumée et un aspect légèrement condensé. Les complications observées étaient les déformations, la fracture du col fémoral et le préjudice esthétique.
ABSTRACT
Although neurological complications have been described after tetanus vaccinations, they are rare. The authors report a case of acute disseminated encephalomyelitis (ADEM) in a 28-year-old pregnant woman at a gestational age of 10 weeks, admitted 15 days after a tetanus vaccination, with spastic tetraplegia and sphincter disturbances. Corticosteroid treatment led to partial recovery of the neurological deficit. Differential diagnosis of infectious and demyelinating diseases of the central nervous system is difficult in view of clinical and laboratory aspects of post-vaccination ADEM. Without any specific diagnostic markers, the clinical examination, magnetic resonance imaging and negative etiological findings were key to this diagnosis. Medical staff must bear in mind the possible complications of this vaccine.
Subject(s)
Encephalomyelitis, Acute Disseminated/chemically induced , Pregnancy Complications/chemically induced , Tetanus Toxoid/adverse effects , Adult , Female , Humans , Pregnancy , SenegalABSTRACT
The epidemiological characteristics of iron deficiency anemia after radioimmunoassay of serum and erythrocyte ferritin were evaluated in 209 Malian women at the time of delivery in a maternity unit in Bamako, Mali. The incidence of iron deficiency anemia was high (36.8%). This incidence did not reflect socio-economic status, nor even any particular obstetric history, but was significantly higher in younger mothers (aged under 26). The severity of anemia was such that 2.4% of women would require a blood transfusion post-partum. It looks therefore desirable, in Mali, to screen routinely and to ensure the prevention of iron deficiency in adolescent girls and to include, in the prevention of anemia of pregnant women, routine iron supplements from the beginning of pregnancy.
