[Assisted reproductive technique for an opiates dependant couple]. / Assistance médicale à la procréation chez un couple dépendant aux opiacés.

The aim of our network "Motherhood and Addiction Alsace" is to take care of opiates addicted pregnant women in order to permit the birth of a healthy child, raised by stabilized parents both on drug use and psychosocial status. A couple, both on methadone treatment, with chronic hepatitis for the husband had access to an in vitro fertilization program thanks to the network care. The difficulties on the path to parenthood, the adequate use of painkillers, neonatal care and the use of a coordinated action of all health professionals are discussed.

First case in Tunisia of PH1 positive chronic myelogenous leukemia in a 3 year old child.

The first case in Tunisia of a 3 year old child with adult type chronic myelogenous leukemia is presented. Diagnosis was based on clinical and biological presentation and detection of Philadelphia (PH1) chromosome. Chronic myelogenous leukemia in children represents 3.8% of all cases of chronic myelogenous leukemia detected in Tunisia between 1970 and 1990. Only one 3.5 year old case was reported without PH1 chromosome.