Journal of Medical and Surgical Research

1

Authors: JE Bourkadi

Two epidemiological phenomena hinder TB control worldwide: the co-infection TB-HIV and the emergence of multi-drug resistant tuberculosis (MDR-TB). Fortunately, in Morocco, the rates of MDR-TB (0.5%) and co-infection (1.7%) are low, but the indicators show an ascent in the last years. The increase of migration movements and immunodeficiency conditions (diabetes, biotherapy...) could further complicate this situation.

1

Authors: A. Hrora, A. M. Majbar

...Surgical exploration revealed proximal jejunal diverticulosis starting from the duodeno-jejunal junction (Image). The size of the diverticula ranged from 2 cm to 8 cm...

3

Authors: M. Allaoui, M. Capovilla, JJ. Michels

Aim: Study of the incidence of diffuse lipomatous infiltration of the thyroid gland. Patients and methods: 320 cases of thyroid pathology representing one year of activity of the pathology department, were reviewed by the authors. Results: We observed 2 cases of lipomatous infiltration of the thyroid gland, the princeps case showed mature adipose tissue scattered between the thyroid follicles, occupying approximately 40% of the thyroid gland, and only one other case upon review of the 320 thyroid glands registered in our pathology department this year, with about 5 to 10% of adipose tissue. We found randomly distributed adipocytes in subcapsular location in 59 cases (18.5%), with 24 cases (7.5 %) with more than 1% and 35 cases (11%) with less than 1% of adipocytes. We noticed also the presence of one adenolipoma.

3

Authors: C. BenYakhlef, M. Fourtassi, G. Hjiej, A. Hajjioui

Whether tuberculosis (TB) was already spread in Morocco before the French protectorate or was it brought by foreigners, is an interesting debate in the medical history of Morocco. It was common among practitioners who were first interested in the health situation of Moroccans. TB, and especially its pulmonary form, was rather rare in Morocco. In the 19th century, a medical doctor (Despine) who lived in Essaouira, declared the absence of TB in this Moroccan city, which was open for trade with Europeans very early in history

4

Authors: Z. Lakhal, F.Z. Benaich, N. Mouine, J. Kheyi, M. Raissouni, A. Benyass, E. Zbir

Tuberculosis is a disease caused by Mycobacterium tuberculosis. Pulmonary localization is the most frequent. However, pericardial including extra- pulmonary disease, can cause fatal complications. A 37 years old man , without pathological history , who consults for emergency mid-thoracic pain associated with dyspnea, preceded by 10 days before a febrile syndrome with night sweats. Clinical examination showed patient in poor general condition, dyspneic and tachycardia. Cardiovascular examination showed spontaneous jugular veins and painful hepatomegaly, auscultation showed muted heart sounds without pericardial friction and breathless. Chest radiography showed cardiomegaly with symmetric edge straightness, electrocardiogram showed sinus tachycardia at 125bpm, microvoltage and electric alternating QRS complexes. A diffuse ST elevation ascending .Diagnosis of tamponade is suspected, transthoracic echocardiography showed abundance circumferential pericardial effusion measuring 40mm, with prolonged collapse of the right atrium and right ventricle , paradoxical septum , and significant changes in the flow inspiration. Pericardiocentesis ultrasound-guided has allowed a gradual evacuation of 2 liters of a cloudy yellow pericardial fluid, slightly viscous. Direct examination revealed the presence of 14 400 white cells, 99 % are neutrophils with gram-negative bacilli. Research bacillus by PCR and culture in the middle of LOWENSTEIN, later returned negative. Biologically, it is an important infectious syndrome. Taking into account the epidemiological profile of the country, diagnosis tuberculous primary infection tamponade was certain. quadruple anti- tuberculous treatment associated to corticosteroid therapy is instituted, The outcome was good, the patient was asymptomatic, with complete remission, echocardiography control finds no signs suggesting chronic constrictive pericarditis.

10

Authors: B. Alami, Y. A. Lamrani, T. Amraoui, M. Boubbou, M. Maaroufi

Pulmonary tuberculosis (TB) is a common worldwide infection and a medical and social problem causing high mortality and morbidity, especially in developing countries. In accordance with the virulence of the organism and the defenses of the host, tuberculosis can occur in the lungs and in extrapulmonary organs. A variety of sequelae and complications can occur in the pulmonary and extrapulmonary portions of the thorax in treated or untreated patients. In this article, we aimed to review the characteristic imaging findings of various sequelae of thoracic tuberculosis affecting the lung parenchyma, airways, vessels, mediastinum, pleura, and chest wall.