[Recurrent chromomycosis of the face and extremities: first case report from Iibya]. / Chromomycose récidivante du visage et des membres: a propos du 1er cas libyen.

Chromomycosis is a chronic cutaneous fungal infection most prevalent in tropical and subtropical countries. It mainly affects adults working in rural areas. This purpose of this report is to describe the first cases in Libya in a 16-year-old girl. This case is also remarkable with regard to location on the face and members, lack of association with trauma and long delay for recurrence, i.e., 6 years after first occurrence.

[Rhino-orbito-cerebral zygomycosis (mucormycosis) in diabetes insipidus]. / Zygomycose (mucormycose) rhino-orbito-cérébrale avec diabète insipide.

A case of rhino-orbito-cerebral zygomycosis in a diabetic patient treated with insulin is reported. Diagnosis was suspected because of extensive necrotic lesions of the face and was confirmed by mycologic tests. During hospital stay the patient developed a diabetes insipidus and the outcome was lethal because of the extension of lesions in spite of convenient antimycotic therapy.

[Standard radiological characteristics of thoracic sites of tuberculosis in patients with AIDS in a Tunisian population]. / Particularités radiologiques standards des localisations thoraciques de la tuberculose chez des sidéens dans une population Tunisienne.

Aspects of tuberculosis on the standard chest X-ray in a population of 18 AIDS patients in Tunisia were examined. The diagnosis of pulmonary tuberculosis was confirmed in all cases with bacteriology tests. Diffuse lesions of the parenchyma predominated contrasting with the exceptional nature of cavernous formations. Localized infiltrations were infrequent and intrathoracic node enlagement was rare. Cases with no abnormal radiological signs were also seen in advanced HIV infection. Such atypical cases, in agreement with data in the literature, would be explained by immunoradiologic correlation. Thus it is necessary to search for the tuberculosis bacilli in all patients with HIV infection whatever the aspect on the standard chest X-ray.

PIP: The chest X-ray is a fundamental element in the diagnosis of pulmonary tuberculosis (TB). In the person co-infected with HIV and TB, radiological signs can be deceiving given the degree of immunodepression and the resulting clinical manifestations. TB is endemic in Tunisia with a prevalence of 120 people infected per 100,000 population. TB affects 42% of people with AIDS in Tunisia, the major opportunistic infection in that population. The authors report upon their examination of aspects of TB in the standard chest X-ray of 18 AIDS patients in Tunisia. The diagnosis of pulmonary TB was confirmed in all cases with bacteriology tests. Diffuse lesions of the parenchyma predominated contrasting with the exceptional nature of cavernous formations. Localized infiltrations were infrequent and intrathoracic node enlargement was rare. Cases with no abnormal radiological signs were also seen in advanced HIV infection. Such atypical cases, in agreement with data in the literature, could be explained by immunoradiologic correlation. The authors stress the need to search for the TB bacilli in all patients with HIV infection regardless of the aspect on the standard chest X-ray.