Intraosseous lipoma of the calcaneus: report of a case and review of the literature.

Intraosseous lipoma is a rare, benign primary tumor occurring in bone. In the present report, a case of an intraosseous lipoma of the calcaneus is presented, together with a focused review of published studies. Radiographically, the lesions will appear osteolytic and well delineated, displaying a central area of calcification. Curettage and packing with autogenous bone grafts was our treatment for this rare tumor. In the present case, and 1 previously published case, a central sclerotic mass was observed. The histologic findings were typical, with mature adipose tissue mixed with a few degenerated bone trabeculae.

Bacteriological aspects of chronic osteoarticular infections in adults: the influence of the osteosynthesis material.

BACKGROUND: The aim of this study is to establish the bacterial epidemiology of chronic osteoarticular infections in adults, to study the susceptibility of the isolated strains to antibiotics and to demonstrate the influence of osteosynthesis material thereon. PATIENTS AND METHODS: This is a retrospective study of 78 months, from January 2006 to June 2012, providing bacteriological samples from patients with osteitis and osteoarthritis in the Mohammed V military teaching hospital of Rabat. Isolation and identification of bacteria were made by bacteriological classical techniques. The antimicrobial susceptibility testing of the isolates was performed by disk diffusion agar method, as recommended by the Committee of the susceptibility of the French Society for Microbiology (CA-SFM). RESULTS: We collected 234 cases, 53% (n = 124) of patients without osteosynthesis material (group A) and 47% (n = 110) patients with osteosynthesis material (group B).We isolated 371 bacteria which 51.49 (n = 191) in group A and 48.51% (n = 180) in group B. Gram-positive cocci were the most frequent (n = 234), followed by the Gram-negative bacilli (n = 114) and the Gram-positive bacilli (n = 19). Our study shows that the rate of resistance to antibiotics in strains obtained from patients with osteosynthesis material is higher compared to those obtained from patients without osteosynthesis material. CONCLUSIONS: Chronic OA infection in adults is difficult to diagnose and treat. Its good management must be multidisciplinary.

Osteoid osteoma of the acetabular roof: a case report.

BACKGROUND: An acetabular location of osteoid osteoma is rare and represents less than 1 % of cases. The purpose of this clinical case report is to highlight the unusual location of osteoid osteoma and the technical difficulty of its removal. CASE PRESENTATION: We report a case of a 17-year-old Moroccan Arab boy who presented with pain in his right hip with lameness. The diagnosis of osteoid osteoma was made by imagery and confirmed by histological examination. The treatment consisted of a complete percutaneous resection scanno-guided of the nidus. The evolution was marked by complete healing with total and definitive disappearance of symptoms after 1 year. CONCLUSIONS: Osteoid osteoma of the acetabular roof is rare. The diagnosis is now easy because of the evolution of imaging. Treatment is exclusively surgical. Complete resection guarantees the absence of recurrence. The difficulty of the surgical procedure is due to the deep localization of the osteoid osteoma and because it is endosseous, it is also dangerous due to anatomical relationships and the small size of the osteoid osteoma.

Diabetic Foot Infection in Morocco: Microbiological Profile.

OBJECTIVE: The objective of this work is to describe the microbiology of diabetic foot infections (DFIs). MATERIALS AND METHODS: The authors included all samples of infected diabetic foot ulcers between January 2009 and June 2014 at the Mohammed Vth Military Teaching Hospital of Rabat, Morocco. RESULTS: The researchers collected 199 samples corresponding to 157 patients. The mean age of the patients was 59 years ± 12 years. Of the collected samples, deep samples represented 41% and swab samples 59%. Direct examination indicated anaerobic infection in 32% of the cases. There were 307 bacteria isolates from both deep and swab samples. There was no statistically significant association between the sampling method and isolate species (P = 0.237). Enterobacteriaceae, Staphylococcus aureus, Streptococcus sp, nonfermenting gram-negative bacilli (NFGNB), and Enterococcus sp represented 31.8%, 12.6 %, 12.3%, 11.7%, and 8.7% of the isolates, respectively. Methicillin-resistant S. aureus represented 4.7% of S. aureus isolates. Enterobacteriaceae and NFGNB-producing extended spectrum ß-lactamases represented 14.1% and 5.1%, respectively, with isolates producing carabapenemase representing 3.8% and 38.5%. Piperacillin-tazobactam, imipenem, and ciprofloxacin resistance concerned 7.5%, 4.7%, and 25.5%, respectively, of isolated Enterobacteriaceae, and 35.9%, 30.7%, and 35.9% of NFGNB. Low susceptibility to ß-lactams was found in 4.9% of Streptococcus sp isolates and 4.9% of Streptococcus sp isolates were resistant to moxifloxacin. CONCLUSION: Gram-negative bacilli are responsible for 43% of DFIs, and multidrug-resistant GNB is a challenging issue in DFI management. The sampling method doesn't seem to impact the bacteriological profile; however, this finding must be confirmed with further study.