RESUMEN
We studied 422 patients with urethral discharge recruited from 4 sentinel sites in Morocco to determine sociodemographic characteristics, history of STI infection, infecting organism and antibiotic susceptibility of Neisseria gonorrhoeae. The mean age of the sample was 28 years (range 16-67 years), and most were single, had multiple sex partners without taking protective measures and came from all social backgrounds; 59.9% had a history of a previous STI. The majority (87%) of the infections were the acute form. By polymerase chain reaction of urine samples of 399 patients, 41.6% had N. gonorrhoeae infection, 6.3% Chlamidia trachomatis and 10.8% both organisms; in 41.4% no organism was identified. N. gonorrhoeae was strongly susceptible to ciprofloxacin.
Asunto(s)
Infecciones por Chlamydia/epidemiología , Infecciones por Chlamydia/microbiología , Chlamydia trachomatis , Gonorrea/epidemiología , Gonorrea/microbiología , Enfermedades Uretrales/epidemiología , Enfermedades Uretrales/microbiología , Enfermedad Aguda , Adolescente , Adulto , Distribución por Edad , Infecciones por Chlamydia/diagnóstico , Chlamydia trachomatis/genética , Farmacorresistencia Bacteriana , Escolaridad , Gonorrea/diagnóstico , Humanos , Incidencia , Estado Civil/estadística & datos numéricos , Pruebas de Sensibilidad Microbiana , Persona de Mediana Edad , Marruecos/epidemiología , Reacción en Cadena de la Polimerasa , Prevalencia , Recurrencia , Características de la Residencia/estadística & datos numéricos , Factores de Riesgo , Vigilancia de Guardia , Conducta Sexual/estadística & datos numéricos , Factores Socioeconómicos , Encuestas y Cuestionarios , Enfermedades Uretrales/diagnósticoRESUMEN
We studied 422 patients with urethral discharge recruited from 4 sentinel sites in Morocco to determine sociodemographic characteristics, history of STI infection, infecting organism and antibiotic susceptibility of Neisseria gonorrhoeae. The mean age of the sample was 28 years [range 16-67 years], and most were single, had multiple sex partners without taking protective measures and came from all social backgrounds; 59.9% had a history of a previous STI. The majority [87%] of the infections were the acute form. By polymerase chain reaction of urine samples of 399 patients, 41.6% had N. gonorrhoeae infection, 6.3% Chlamidia trachomatis and 10.8% both organisms; in 41.4% no organism was identified. N. gonorrhoeae was strongly susceptible to ciprofloxacin
Asunto(s)
Enfermedad Aguda , Distribución por Edad , Infecciones por Chlamydia , Chlamydia trachomatis , Farmacorresistencia Bacteriana , Gonorrea , Pruebas de Sensibilidad Microbiana , Reacción en Cadena de la Polimerasa , Características de la Residencia , Conducta Sexual , Factores Socioeconómicos , Enfermedades UretralesRESUMEN
BACKGROUND: Blastomycosis is an uncommon chronic granulomatosis caused by Blastomyces dermatitidis. We present a case with a skin localization that disclosed malignant corticoadenoma. CASE REPORT: A 32-year-old man consulted for inflammatory nodules of the face and lower limbs. The histological examination of a nodule biopsy was in favour of blastomycosis. Ketoconazole treatment was ineffective. Amphotericin B provided cure of the skin lesions. Search for extension disclosed a malignant corticoadrenoma. DISCUSSION: Blastomycosis is very rare in Morocco. The portal is usually the lung. Unique skin involvement is very exceptional. To our knowledge this is the first report of a blastomycosis-corticoadenoma association. The clinical situation may be alarming in immunodepressed subjects. Amphotericin B treatment is indicated.
Asunto(s)
Neoplasias de la Corteza Suprarrenal/diagnóstico , Adenoma Corticosuprarrenal/complicaciones , Adenoma Corticosuprarrenal/diagnóstico , Blastomicosis/complicaciones , Neoplasias de la Corteza Suprarrenal/complicaciones , Adulto , Humanos , MasculinoRESUMEN
On the basis of two new cases of cutaneous mucosal tertiary syphilis and a personal series of 30 cases observed at the University Hospital of Rabat and Casablanca from 1963 to 1980, we reviewed the clinical presentations of this disease. Late stage syphilis has not disappeared and appears to be increasing over the last decade. Lesions of the nervous system are increasingly reported in atypical often unrecognized forms. Cutaneous mucosal tertiary syphilis is very rare and little known and can take on the form of skin lesions suggesting tuberculosis, deep mycosis, sarcoidosis, leprosy or leishmaniasis. Based on our experience, we recall the variety of clinical presentations including superficial nodules and deep gommas leading to atrophic and rarely hypertrophic scars. The diagnosis relies essentially on the serology results which are always positive at a significant level. The pathology examination adds no essential information. Rapid response to treatment is one of the important criteria of the diagnosis of syphilis.
Asunto(s)
Dermatosis del Cuero Cabelludo/patología , Sífilis Cutánea/patología , Adolescente , Adulto , Humanos , Masculino , Enfermedades del Sistema Nervioso/etiología , Sífilis Cutánea/complicacionesRESUMEN
Between 1980 and 1987, 12 systematic surveys were made on a population of 254,979 people, of whom 236,868 were actually examined (92.61%). 422 suspected cases were identified i.e. a global detection rate of 1.66% of which only 241 reported to Aïn-Chock Hospital for further tests (55%). Out of these 241 suspected cases, 217 proved as having leprosy, i.e. a 90% correlation between the clinical suspicion and the biological identification. The 181 suspected cases who never reported to the hospital and the 16 leprosy patients whom we lost sight of constitute as a whole 46.68% of the suspected cases first identified. This shows an obvious lack of coordination between the local Authority and the medical service. The 185 confirmed cases of leprosy are shown in the table below and compared with those of the Central Statistical Office.
Asunto(s)
Lepra/epidemiología , Adolescente , Adulto , Niño , Femenino , Humanos , Incidencia , Lepra Lepromatosa/epidemiología , Lepra Tuberculoide/epidemiología , Masculino , Tamizaje Masivo , Persona de Mediana Edad , Marruecos/epidemiología , Vigilancia de la Población , PrevalenciaAsunto(s)
Adenoma de las Glándulas Sudoríparas/patología , Neoplasias Cutáneas/patología , Adulto , Brazo , Humanos , Masculino , TóraxAsunto(s)
Sarcoma de Kaposi/inmunología , Femenino , VIH/inmunología , Humanos , Masculino , Persona de Mediana Edad , MarruecosRESUMEN
The authors, in a series of 65 cases of Behçet's disease, notice 53% of rheumatological manifestations which are third in line after aphthosis and ocular disease. In order of decreasing frequency, it concerns arthritis (mono, oligo or poly-arthritis), arthralgias with an almost identical frequency, sacroiliitis, extraarticular involvement. These rheumatological manifestations are readily associated with necrotic pseudo-folliculitis and cutaneous aphthosis.
Asunto(s)
Síndrome de Behçet/diagnóstico , Antígenos HLA-B , Artropatías/etiología , Adolescente , Adulto , Artritis/etiología , Femenino , Frecuencia de los Genes , Antígenos HLA/análisis , Humanos , Articulación de la Rodilla , Masculino , Persona de Mediana Edad , Dolor/etiología , Recurrencia , Articulación Sacroiliaca , Tendinopatía/etiologíaAsunto(s)
Neoplasias del Ojo/diagnóstico , Retinoblastoma/diagnóstico , Adolescente , Niño , Preescolar , Diagnóstico Diferencial , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Factores de TiempoRESUMEN
Ganglioneuroblastoma a transitional tumor of sympathetic origin has not yet been described as involving orbit. It is characterized by a mixture of cells ranging from primitive neuroblast to well differentiated ganglion cells within a neurofibromatous tissue. The prognosis is uncertain, as the tumor may either undergo maturation into a ganglioneuroma or may metastasize widely and rapidly as in neuroblastoma. We may postulate a relationship between ganglioneuroblastoma and Recklinghausen's neurofibromatosis in view of the development of the tumor in conjunction with the phacomatosis.
Asunto(s)
Ganglioneuroma/patología , Neoplasias Primarias Múltiples/patología , Neoplasias Orbitales/patología , Transformación Celular Neoplásica/patología , Preescolar , Diagnóstico Diferencial , Ganglioneuroma/fisiopatología , Ganglioneuroma/terapia , Humanos , Masculino , Neuroblastoma/patología , Neuroblastoma/fisiopatología , Neurofibromatosis 1/patología , Neoplasias Orbitales/terapia , Pronóstico , Neoplasias Cutáneas/patologíaRESUMEN
Cowden's disease is a phacomatosis (multiple hamartomas), which is a familial, hereditary, dominant autosomal affection presenting as typical buccolabial mucocutaneous lesions associated with digestive tract polyps. Differential diagnosis of the predominantly digestive form of the disease is polyposis. A new case of this rare disorder is reported, only 62 cases being documented in literature.
Asunto(s)
Hamartoma/genética , Neoplasias Primarias Múltiples/genética , Adolescente , Pólipos del Colon/genética , Neoplasias del Sistema Digestivo/genética , Humanos , Neoplasias Intestinales/genética , Labio/patología , Masculino , Mucosa Bucal/patología , Neoplasias de la Boca/genética , Neoplasias Cutáneas/genética , SíndromeRESUMEN
The authors report the results obtained in 74 cases, or 105 eyes, with congenital glaucoma operated on by trabeculectomy. Three different trabeculectomy procedures were used: closing the scleral flap with two sutures; placing a silastic passing in bridge under the flap; and tightly suturing the scleral flap. The last mentioned method gave the best results. This was related to intervention during the first phase of the disease and minimizing damage to the cornea. It is derived from this study that the mechanism of action of a trabeculectomy is more an "opening" of the paths of physiological drainage than filtration via the sub-conjunctival space.
Asunto(s)
Glaucoma/cirugía , Malla Trabecular/cirugía , Adolescente , Factores de Edad , Niño , Preescolar , Femenino , Estudios de Seguimiento , Glaucoma/congénito , Humanos , Lactante , Masculino , Técnicas de SuturaRESUMEN
For one year, the authors have observed the clinical and biological development of early syphilis on 205 patients infected between 1971 and 1979 and treated by a single injection of Benzathine-Penicilline of 2,400,000 U.I. The serological negativeness has been obtained in the proportions as follow: - 91,43 p. 100 of primary syphilis (blood test positive), - 88,57 p. 100 of secondary syphilis, - 67,69 p. 100 of latent syphilis. These results compared to those obtained by other more time-consuming and expensive methods, can be considered as satisfactory.
Asunto(s)
Penicilina G Benzatina/administración & dosificación , Sífilis/sangre , Humanos , Inyecciones Intramusculares , Sífilis/tratamiento farmacológico , Serodiagnóstico de la Sífilis , Sífilis Latente/sangreRESUMEN
The authors report four cases of methanol poisoning, two of which suffering acute bilateral optic neuropathy which secondarily leads to optic atrophy. The report the main clinical features of such a poisoning and the actual basis of its physiopathology and treatment. According to the four cases reported, they underline the importance of early diagnosis and specific treatment.