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Siala N, Benzarti A, Boukthir S, Brini I, Sammoud A, Bousnina S, Ben Becher S, Lakhoua R, Fethi B, Harbi A, Gueddiche N, Sfar T, Hachicha M, Ben Hariz M, Maherzi A. [Pediatric Crohn's disease in Tunisia]. Tunis Med 2013; 91:715-723. [PMID: 24458675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
UNLABELLED Crohn's disease occur mainly in adults. However, pediatric onset forms are not rare and have many characteristics. AIM to study clinical, diagnostic, therapeutic and evolutive characteristics of crohn's disease in tunisian children. METHODS Retrospective multicenter study conducted in 10 pediatric departments on a period of 10 years (2000-2008) RESULTS : 43 children were included. The sex-ratio was 1.68. The mean age at the onset of the symptoms was 11+/-2.3 years (5-16 years). The age of onset was inferior to 10 years in 25 % of the children. The delay before management was superior to 1 year in 25% of cases. The initial symptoms were dominated by diarrhea (95%). Perineal manifestations were present at diagnosis in 30% of children and extra-digestive manifestations in 53%. Ileocolonic localization was the most frequent (46%). The initial disease flare was moderate in 83% of cases. The treatment was medical in 77 % of cases, nutritional and medical in 18.5%. Maintenance therapy was instituted in 86% of cases and consisted essentially in azathioprin (62%). The mean follow-up was 3 years and 4 months. 60% of the children had at least one acute flare. During evolution, 7% of children had anoperineal surgery and 11% an intestinal resection. CONCLUSION Crohn's disease seems rare in Tunisia. The time of diagnosis is often delayed. The management is based on immunosuppressive therapy and nutritional support.
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Chouikha A, Fodha I, Ben Hadj Fredj M, Ardhaoui M, Teleb N, Brini I, Messaadi F, Mastouri M, Sfar T, Hachicha M, Kammoun T, Bouaaziz A, Amri F, Harbi A, Zribi M, Bousnina S, Khemakhem A, Boujaafar N, Trabelsi A, Steele A. Relationship between electropherotypes and VP7/VP4 genotypes of group A rotaviruses detected between 2000 and 2007 in Tunisian children. ACTA ACUST UNITED AC 2011; 59:e43-8. [DOI: 10.1016/j.patbio.2009.04.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2009] [Accepted: 04/21/2009] [Indexed: 11/28/2022]
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3
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Zouari A, Smaoui H, Njamkepo E, Mnif K, Ben Jaballah N, Bousnina S, Barsaoui S, Sammoud A, Ben Becher S, Guiso N, Kechrid A. La réémergence de la coqueluche en Tunisie. Med Mal Infect 2011; 41:97-101. [DOI: 10.1016/j.medmal.2010.11.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2010] [Revised: 09/07/2010] [Accepted: 11/19/2010] [Indexed: 11/26/2022]
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4
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Elbeldi A, Smaoui H, Hamouda S, Helel S, Hmaied F, Ben Mustapha I, Barsaoui S, Bousnina S, Marrakchi Z, Barbouche MR, Kechrid A. Les infections à Listeria monocytogenes à Tunis: à propos de sept cas. ACTA ACUST UNITED AC 2010; 104:58-61. [DOI: 10.1007/s13149-010-0110-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2010] [Accepted: 09/07/2010] [Indexed: 11/28/2022]
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5
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Chermiti Ben Abdallah F, Bousnina S, Racil H, Ismail L, El Mezni F, Megdiche ML, Chabbou A. [Solitary malignant fibrous tumors of the pleura]. Rev Pneumol Clin 2010; 66:187-190. [PMID: 20561484 DOI: 10.1016/j.pneumo.2009.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2007] [Revised: 05/04/2009] [Accepted: 05/18/2009] [Indexed: 05/29/2023]
Abstract
Solitary fibrous tumours of the pleura are usually benign. However, malignancy is observed in 13% of the cases. The authors report two cases of 27 and 69 year-old patients, presenting chest pain and dyspnoea. The roentgenograms and computed tomography scanning revealed a pleural tumour in both cases. The patients underwent complete resections of these tumours. The immunohistochemical study confirmed the diagnosis of malignant solitary pleural fibroma. The patients succumbed to their disease secondary to local recurrences. Histopathology is very helpful in the diagnosis of malignant pleural fibroma. Surgery and long-term follow-up are mandatory.
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Affiliation(s)
- F Chermiti Ben Abdallah
- Service de pneumologie-pavillon II, hôpital Abderrahmen Mami de pneumologie, 2080 Ariana, Tunisie.
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Fitouri Z, Brahim K, Matoussi N, Aissa S, Essaddam L, Cheour M, Tinsa F, Bousnina S, Ben Becher S. CL123 - La tuberculose ostéo-articulaire (TOA) chez l’enfant. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70338-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Tinsa F, Yahyaoui S, Jallouli M, Bousnina D, Slim I, Zouari B, Boussetta K, Bousnina S. [Laryngotracheobronchial foreign body in children: predictive factors of respiratory sequelae]. Tunis Med 2010; 88:330-334. [PMID: 20517829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
BACKGROUND Inhalation of laryngotracheobronchial foreign body in children is a serious accident that may compromise the prognosis of the child and the respiratory function in the long term. AIM identify the predictive factors of respiratory sequelae of laryngotracheobronchial foreign body inhalation. METHODS This retrospective study was conducted in the children hospital of Tunis during a period of nine years (2000 - 2008). In all statistical tests, the significance level was set at 0.05. RESULTS 60 children were included in the study. The average age was 24.9 +/- 3.4 months. 2 / 3 of the children were boys. The foreign body was plant in 80% of cases. The penetration syndrome was reported in 83.7% of cases. The average time of stay of foreign body was 14 days. The chest radiograph was abnormal in 77.4% of cases. Endoscopic extraction was performed in 59 cases and a pneumectomy was conducted in one child. 30 children were followed for an average of 23 months. 18 children had not respiratory sequelae (clinical, radiological and scintigraphic). 10 children had respiratory sequelae (clinical and radiological and/or scintigraphic) at the last follow-up and four patients developed bronchial dilatation. Respiratory sequelae were correlated with the stay period of the foreign body exceeding 84H. Neither age, nor sex, nor the nature of foreign body or its location, nor the presence of radiological opacity at the initial radiograph, were predictive factors of respiratory sequelae. CONCLUSION The inhalation of foreign body is a serious accident affecting essentially male infants. Clinical, radiological and scintigraphic follow up is mandatory.
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Affiliation(s)
- F Tinsa
- Service de médecine infantile B, hôpital d'Enfants de Tunis, Place Bab Saadoun, Jabbari, Tunis, Tunisie
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Tinsa F, Yahyaoui S, Brini I, Michel-Calemard L, Boussetta K, Bousnina S. [Recessive autosomic polycystic kidney in a Tunisian family: correlation between genotype and phenotype?]. Tunis Med 2010; 88:68-69. [PMID: 20415225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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9
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Chouikha A, Fredj MBH, Fodha I, Mathlouthi I, Ardhaoui M, Teleb N, Brini I, Messaadi F, Mastouri M, Sfar T, Hachicha M, Kammoun T, Bouaaziz A, Amri F, Harbi A, Zribi M, Bousnina S, Khemakhem A, Boujaafar N, Trabelsi A, Steele AD. [Evolution of group A Rotavirus strains circulating in Tunisia over a 3-year period (2005-2007)]. ACTA ACUST UNITED AC 2009; 59:e79-83. [PMID: 19896286 DOI: 10.1016/j.patbio.2009.05.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2009] [Accepted: 05/15/2009] [Indexed: 10/20/2022]
Abstract
BACKGROUND Rotaviruses are the most frequent agents associated with diarrhoea in children worldwide. Analysis of mobility of the 11 segments of genomic RNA by polyacrylamide gel electrophoresis (PAGE) yields a pattern which is characteristic for a particular rotavirus isolate. The group A rotaviruses can be further characterized by analysis of VP7 and VP4 genes specificities, responsible for rotavirus classification into G and P genotypes, respectively. The aim of the present study was to determine the evolution of group A Rotavirus strains circulating in Tunisia over a 3-year period (2005-2007). MATERIAL AND METHODS A total of 1503 stool samples collected from children less than five years old, consulting or hospitalised in Tunisia for diarrhoea between 2005 and 2007, were screened for the presence of group A Rotaviruses. Rotavirus-positive specimens were further analyzed by PAGE and G/P-genotyped by multiplex semi-nested RT-PCR. RESULTS Rotaviruses were detected in 323 stool samples over 1503 (21 %). Long electropherotypes predominated in Tunisia during the whole period of study (N=158 vs N=82 short electropherotypes). VP7 genotyping showed the cocirculation of five different genotypes: G1, G2, G3, G4 and G9. VP4 typing detected four different P-genotypes: P[8], P[4], P[6] and P[11]. Rotavirus strains with G3P[8] specificity were predominating in Tunisia in 2005 and 2006, replaced by G2P[4] strains in 2007.
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Affiliation(s)
- A Chouikha
- Laboratoire MDT-01, faculté de pharmacie, Monastir, Tunisie
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Tinsa F, Chebbi Y, Meddeb M, Bousnina D, Boussetta K, Bousnina S. Monosomy 10q26-qter and trisomy 11q13-qter as a result of de novo unbalanced translocation. J Appl Genet 2009; 50:289-91. [PMID: 19638686 DOI: 10.1007/bf03195685] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
A male infant with partial monosomy 10 q and partial trisomy 11q as a result of de novo unbalanced translocation between the long arms of chromosomes 10 and 11: der(10)t(10;11)(q26;q13) is described. He had craniofacial dysmorphy, congenital heart defects, urogenital and cerebral anomalies, and severe developmental delay. To the best of our knowledge, this is the first report of this combination of chromosomal abnormalities.
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Affiliation(s)
- F Tinsa
- Department of Paediatrics B of the Children's Hospital of Tunis, Jabbary, Bab Saadoun, Tunis, Tunisia.
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Tinsa F, Brini I, El May A, Bousnina D, Boussetta K, Bousnina S. Nodular regenerative hyperplasia of the liver, celiac disease and Sjogren's syndrome in a child. ACTA ACUST UNITED AC 2009; 34:40-2. [PMID: 19765928 DOI: 10.1016/j.gcb.2009.07.035] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2009] [Revised: 06/07/2009] [Accepted: 07/22/2009] [Indexed: 11/16/2022]
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Bousnina S, Zendah I, Marniche K, Racil H, Kachboura S, Megdiche ML, Chabbou A. [Left hemothorax caused by aortic dissection]. Rev Pneumol Clin 2007; 63:119-22. [PMID: 17607219 DOI: 10.1016/s0761-8417(07)90113-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Hemothorax is generally secondary to trauma, invasive thoracic surgery or specific lung of pleural disease. Hemothorax secondary to aortic dissection is rare. We report a case in a 69-year-old man with a history of smoking and hypertension. The patient was referred for exploration of a left pleural opacity with mediastinal widening. Pleural puncture produced a hemorrhagic fluid. The thoracic scan led to the diagnosis of Stanford type B aortic dissection. The patient was given antihypertensive treatment and now has a sixteen month follow-up. Aortic dissection can give rise to hemothorax, especially in a hypertensive subject with an anomalous aortic arch or mediastinal widening on the chest X-ray. Computed tomography generally gives the diagnosis. Treatment may be medical or surgical, depending on the site of the lesion and the severity of the clinical presentation. Aortic dissection is a cause of hemothorax, particularly in patients with favorable conditions or a suggestive radiological anomaly.
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Affiliation(s)
- S Bousnina
- Service de Pneumologie, Pavillon 2, Hôpital de Pneumo-Phtisiologie Abderrahman-Mami, 2080 L'Ariana/Tunis, Tunisie.
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Greb D, Racil H, Chaouch N, Chikhrouhou S, Saad S, Bousnina S, Marniche K, Zidi A, Chabbou A. 105 Hémorragie intra-alvéolaire : à propos de 6 cas. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72481-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Ben Amar J, Chaouch N, Racil H, Rekhis O, Greb D, Bousnina S, Mernich K, Chabbou A. 339 Pyopneumothorax tuberculeux : à propos de 3 cas. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72715-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Greb D, Chaouch N, Racil H, Rekhis O, Ben Amar J, Marniche K, Bousnina S, Yaalaoui S, Chabbou A. 363 Association hépatite virale et tuberculose pulmonaire : à propos de 9 cas. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72739-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Greb D, Racil H, Chaouch N, Chikhrouhou S, Ben Amar J, Bousnina S, Marniche K, Zidi A, Chabbou A. 463 Calcinose pulmonaire sans trouble du métabolisme calcique. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72839-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Greb D, Racil H, Chaouch N, Chikhrouhou S, Saad S, Bousnina S, Marniche K, Zidi A, Chabbou A. 479 Hémorragie intra-alveolaire : à propos de 6 cas. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72855-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Ben Amar J, Racil H, Chaouch N, Chikrouhou S, Greb D, Bousnina S, Mernich K, Chabbou A. 412 Les anomalies des arcs aortiques. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72788-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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El Farhati S, Racil H, Chaouche N, Ben Jerad I, Marniche K, Bousnina S, Megdiche M, Chabbou A. 381 La tuberculose endobronchique : à propos de 6 cas. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72757-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Saad S, Chaouch N, Racil H, Rekhis O, Ben Amar J, Bousnina S, Marniche K, Chabbou A. 341 Association tuberculose pulmonaire et extrathoracique. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72717-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Greb D, Racil H, Chaouch N, Ben Jrad I, Saad S, Rekhis O, Bousnina S, Marniche K, Mezni F, Chabbou A. 196 Maladie de hodgkin à localisation trachéale. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72572-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Saad S, Racil H, Chaouch N, Ben Jrad I, Chikhrouhou S, Ben Amar J, Marniche K, Bousnina S, Megdiche M, Chabbou A. 331 Pneumothorax non infectant et tuberculose pulmonaire évolutive. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72707-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Bousnina S, Zendah I, Marniche K, Yalaoui S, El Mezni F, Megdiche ML, Chabbou A. [Solitary plasmocytoma of the rib: a rare tumor not to miss]. Rev Pneumol Clin 2006; 62:243-6. [PMID: 17075549 DOI: 10.1016/s0761-8417(06)75448-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Solitary plasmocytoma is a rare tumor accounting for 5% of all plasma cell neoplasias. The diagnosis is based on identification of the localized tumor composed of monoclonal plasma cells identical to those observed in multiple myeloma, and absence of the signs in favor of a disseminated form. We report the case of a52-year-old man who presented a growth of the chest wall in the left axillary region. Imaging disclosed a mass of tissue with a large zone of osteolysis of the 6th rib and infiltration of the chest wall. Surgical biopsy for pathology study and immunohistochemistry enabled the diagnosis of costal plasmocytoma. Blood protein immunoelectrophoresis revealed a monoclonal kappa type IgG. Bence-Jones proteinuria was positive. Search for other localizations was negative and the diagnosis of solitary plasmocytoma was retained. Radiotherapy was delivered and the patient has remained in remission at one year. Costal localization is rare for solitary plasmocytoma. The diagnosis is based on imaging findings and pathology. Radiotherapy is the treatment of choice but with the risk of progression with other bone lesions, the development of medullary plasmocytosis and multiple myeloma. Factors predictive of systemic recurrence have not been identified. Regular surveillance is required.
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Affiliation(s)
- S Bousnina
- Service de Pneumologie, Pavillon II, Hôpital de Pneumo-Phtisiologie Abderrahman-Mami, 2080 L'Ariana/Tunis, Tunisia.
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Bousnina S, Marniche K, Yaalaoui S, Megdiche M, Chabbou A. Les marqueurs tumoraux dans l’expectoration induite dans le cancer du poumon. Rev Mal Respir 2006. [DOI: 10.1016/s0761-8425(06)72255-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Belaid A, El Farhati S, Marniche K, Bousnina S, Hassine E, Rkhis O, Megdiche M, Chabbou A. Manifestations respiratoires dans la maladie de Behçet. Rev Mal Respir 2006. [DOI: 10.1016/s0761-8425(06)72391-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Farhati S, Bousnina S, Marniche K, Chabbou A. Chylothorax spontané idiopathique : revue de la littérature à propos de deux cas. Rev Mal Respir 2006. [DOI: 10.1016/s0761-8425(06)72317-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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El Farhati S, Bousnina S, Marniche K, Gaiesse E, Yaalaoui S, Chabbou A. Particularités de l’association tuberculose et diabète. Rev Mal Respir 2006. [DOI: 10.1016/s0761-8425(06)72141-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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El Farhati S, Marnich K, Belaid A, Hassine E, Bousnina S, Racil H, Chabbou A. Capsaïcine : action sur l’appareil bronchopulmonaire. Rev Mal Respir 2006. [DOI: 10.1016/s0761-8425(06)72197-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Bousnina S, Attia S, Marniche K, Fenniche S, Megdiche M, Chabbou A. Tuberculose broncho-pulmonaire pseudo-tumorale (TBPPT). Rev Mal Respir 2006. [DOI: 10.1016/s0761-8425(06)72169-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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El Farhati S, Marnich K, Bousnina S, Hassine E, Racil H, Chabbou A. Association silicotuberculose : à propos de 5 cas. Rev Mal Respir 2006. [DOI: 10.1016/s0761-8425(06)72200-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Belaid A, El Farhati S, Marniche K, Rekhis O, Bousnina S, Hassine E, Megdiche M, Chabbou A. Le pneumothorax sur séquelles de tuberculose. Rev Mal Respir 2006. [DOI: 10.1016/s0761-8425(06)72330-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Kourda M, Bouaziz A, Farid O, Hamdi M, Ben Becher S, Bousnina S, Mehrzi A. P315 - La maladie de Kawasaki. Ann Dermatol Venereol 2005. [DOI: 10.1016/s0151-9638(05)80044-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Bousnina S, Zendah I, Marniche K, Racil H, Hassine E, El Mezni F, Chabbou A. [Complete extraction of a hydatid membrane by bronchial fibroscopy]. Rev Pneumol Clin 2005; 61:270-4. [PMID: 16208193 DOI: 10.1016/s0761-8417(05)84825-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Pulmonary hydatid cyst is exceptional in our country. The diagnosis is generally established on the basis of imaging. Surgical treatment is indicated in most patients. We report a case of pulmonary hydatid cyst in a 74-year-old smoker (11 package-years) who presented cough with mucopurulent expectoration and occasional hemoptysis. The chest x-ray demonstrated a poorly delimited heterogeneous opacity in the upper third of the left lung which persisted after antibiotic therapy. Bronchial fibroscopy revealed a hydatid membrane in the left superior bronchus which was totally removed by aspiration. A control radiography after the fibroscopy demonstrated a clear regression of the opacity. A thoracic CT-scan was performed and revealed a residual cavity in the left upper lobe with bronchial dilatation. The indication for surgery was not retained. Treatment of pulmonary hydatid cyst by endoscopy is an exceptional event. Our exceptional case illustrates an atypical radiological presentation and the use of "therapeutic" fibroscopy.
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Affiliation(s)
- S Bousnina
- Service de Pneumologie, Hôpital de Pneumo-Phtisiologie Abderrhaman-Mami, 2080 L'Ariana/Tunis, Tunisie.
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Bousnina S, Smaoui M, Hassine E, Marniche K, El Fekih L, Megdiche ML, Chabbou A. [Mounier-Kuhn syndrome: a rare cause of bronchial dilatation]. Rev Pneumol Clin 2005; 61:122-4. [PMID: 16012368 DOI: 10.1016/s0761-8417(05)84800-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Affiliation(s)
- S Bousnina
- Service de Pneumologie, Pavillon II, Hôpital Abderrahman-Mami, 2080 L'Ariana/Tunis, Tunisie.
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35
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El Mezni F, Ben Salha I, Ismaïl O, Braham E, Zeddini A, Ayadi-Kaddour A, Bousnina S, Kilani T. [Mucoepidermoid carcinoma of the lung. A series of 10 cases]. Rev Pneumol Clin 2005; 61:78-82. [PMID: 16012361 DOI: 10.1016/s0761-8417(05)84793-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Mucoepidermoid carcinoma of the lung is rare. The microscopic findings distinguish low grade and high grade tumors. Conservative surgical resection is appropriate if possible for low grade tumors. For the high grade tumors, combined wide surgical resection and radiotherapy is recommended. We report 10 cases of mucoepidermoid carcinoma of the lung (5 low grade, 5 high grade) in 8 male and 2 female patients with a mean age of 43.9 years. Only 5 of 10 were smokers. All 10 patients underwent surgery. Operative procedures included 8 lobectomies and 2 pneumonectomies. Two patients received radiation therapy postoperatively. Three patients (2 high grade and 1 low grade) died. The other 7 patients were alive without evidence of recurrence.
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Affiliation(s)
- F El Mezni
- Service d'Anatomie Pathologique, Hôpital de Pneumo-Phtisiologie Abderrahman-Mami, 2080 L'Ariana/Tunis, Tunisia.
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36
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Attia S, Yalaoui S, Bousnina S, Fekih L, Hassen H, Fenniche S, Belhabib D, Mezni F, Megdiche M. [Antineutrophil cytoplasmic antibodies positivity in a case of idiopathic pulmonary haemosiderosis]. Ann Biol Clin (Paris) 2005; 63:209-12. [PMID: 15771979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2004] [Accepted: 12/03/2004] [Indexed: 05/02/2023]
Abstract
Idiopathic pulmonary haemosiderosis is a rare disease of unknown etiopathogeny which is characterized by hemoptysis due to alveolar haemorrhage. We report the case of a 16 years-old girl with idiopathic pulmonary haemosiderosis, diagnosed through clinical, radiological, cytological and histopathological data. The finding of myeloperoxydase-anti-neutrophil cytoplasmic antibodies (ANCA) positivity led us to suspect an associated vasculitis which was not further demonstrated.
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Affiliation(s)
- S Attia
- Service de pneumologie, Ibn Nafiss-Ariana, Tunisie
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37
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Bousnina S, Racil H, Maghraoui O, Marniche K, Ben Mrad S, Ghedira H, Megdiche ML, El Mezni F, Chabbou A. [Hydatid pulmonary embolisms. Seven cases]. Rev Pneumol Clin 2005; 61:31-36. [PMID: 15772577 DOI: 10.1016/s0761-8417(05)84779-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Hydatid pulmonary embolism is a rare condition. Diagnosis is difficult and there is no consensus on treatment. Prognosis is generally poor. We conducted a retrospective analysis of patients hospitalized between 1994 and 2002 who had a diagnosis of hydatid pulmonary embolism. Seven cases were identified. All patients had a cyst which spontaneously ruptured into the bloodstream. All patients were symptomatic. Chest x-ray revealed images of metastatic pulmonary echinococciasis in all patients. Thoracic CT and/or angioscan provided the diagnosis in five patients. In one, the diagnosis was established with pulmonary angiography. For one other, the diagnosis was established at the pathology examination of the surgical specimen. Searching for the primary localization of the hydatid disease revealed hepatic cysts in all patients, associated in one with a cyst in the right atrium. The cardiac cyst was not operated and all hepatic cysts were removed. Embolectomy was performed in one patient. Medical treatment with albendazole was given in five patients. The clinical course was marked by death in two patients, due to abundant hemoptysia. The five other patients are followed regularly and were doing well at six months to five years. The diagnosis of hydatid pulmonary embolisms is basically obtained with imaging. Treatment is surgical resection of the embologenic focus then embolectomy. The role of medical treatment is not clearly defined. The short- and mid-term prognosis is generally poor.
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Affiliation(s)
- S Bousnina
- Service de Pneumologie, Hôpital de Pneumo-Phtisiologie Abderrahman-Mami, 2080 L'Ariana, Tunisie.
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38
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Bousnina S, Racil H, Marniche K, Hassine E, El Fekih L, El Mezni F, Chabbou A. [Inflammatory pseudo-tumor of the lung. A pathology clinical study of one case]. Rev Pneumol Clin 2004; 60:55-57. [PMID: 15107670 DOI: 10.1016/s0761-8417(04)72085-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Inflammatory pseudo-tumors of the lung are generally unifocal lesions with a benign prognosis. The pathogenesis is unknown. We report the case of a 71-year-old man who underwent exploration for dyspnea and chest pain associated with weight loss and a heterogeneous opacity in the lingula. This radiological and clinical presentation suggested a malignant bronchopulmonary tumor. Surgery was performed and the histologocial examination of the surgical specimen corrected the diagnosis: inflammatory pseudo tumor. No recurrence has been observed at three years.
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Affiliation(s)
- S Bousnina
- Pavillon II, Hôpital de Pneumo-Phtisiologie Abderrahman-Mami, 2080 Ariana, Tunisie.
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39
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Abdallah H, Rezig D, Bahri O, Ben Yahia A, Kechrid A, Khaldi F, Barsaoui S, Bousnina S, Kanoun F, Bouzouia N, Triki H. [Role of enteroviruses in aseptic meningitis in Tunisia]. Tunis Med 2003; 81:919-25. [PMID: 14986526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
Despite the favourable clinical outcome in most cases, viral meningitis can cause a serious public health problem especially when several cases occur during outbreaks. The first part of this work is a retrospective study conducted in three hospitals in Tunisia and covering a period of three years. It showed an incidence of viral meningitis 2.4. The second part of the study is a prospective one, it included 94 cases of aseptic meningitis notified during a period of 12 months. Virus isolation in cell culture was performed on CSF and stool samples, using cell lines sensitive to enteroviruses. A PCR to detect enteroviruses was also used in parallel. This study represents a first approach to viral meningitis in Tunisia. It highlights the importance of a regular surveillance of the disease and the contribution of molecular methods to a more sensitive diagnostic. However, cell culture remained necessary for viral isolation and serotyping.
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Affiliation(s)
- H Abdallah
- Laboratoire de Virologie Clinique, Institut Pasteur de Tunis
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40
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Hassine E, Kraoua S, Marniche K, Bousnina S, Lefi A, Kachboura S, Chabbou A. [A dead and calcified right ventricular hydatic cyst. The limits of imaging]. Presse Med 2003; 32:1802-4. [PMID: 14663381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/27/2023] Open
Abstract
INTRODUCTION Cardiac echinococcosis is rare and only represents around 0.5% of all hydatic locations. Right ventricular location is exceptional. OBSERVATION We report the case of a 72 year-old man having a chronic obstructive pulmonary disease. During an acute respiratory failure, cardiac ultrasonography showed a right ventricular tumour. After respiratory stabilisation, surgical intervention found the tumour, the histopathological study of which concluded in a dead and calcified hydatic cyst. DISCUSSION This case report demonstrates the limits of modern imaging and the difficulties in diagnosing a calcified right intra-ventricular hydatidosis. It is important to emphasize the exceptional nature of this form and the scarcity of its localisation. Surgical treatment is crucial in the majority of cases and helps to confirm the diagnosis. CONCLUSION In endemic areas, the discovery of an intra-cardiac tumour must evoke and eliminate echinococcosis. Calcification of a cardiac location remains exceptional.
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Affiliation(s)
- E Hassine
- Hôpital Abderrahmen Mami, 2080 Ariana, Tunisie
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41
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Hassine E, Racil H, Marniche K, Bousnina S, Kraoua S, Langliz H, Ben Mustapha MA, El Kamel A, Chabbou A. [Primitive tracheal malignant melanoma: unusual evolution]. Rev Mal Respir 2003; 20:786-7. [PMID: 14631262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
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Hassine E, Racil H, Marniche K, Bousnina S, Ben Mustapha MA, Maalej M, Chabbou A. [Intrathoracic strangulated diaphragmatic hernia. A diagnostic trap to avoid]. Rev Mal Respir 2003; 20:767-71. [PMID: 14631258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
INTRODUCTION Misdiagnosed and complicated diaphragmatic hernia can lead to diagnostical and therapeutical difficulties. CASE REPORT A strangulated post-traumatic diaphragmatic hernia in a 53 years old woman was at the origin of whole hemithoracic hydroaeric opacity. The hernia diagnosis based on digestive opacification and thoraco-phreno-abdominal ultrasonography. Emergent intervention is critical and allowed aetiologic and lesional assessment. CONCLUSIONS After thoracic traumatism, it's necessary to carry on observation and realize, in front of any suspicion, radiological investigations especially modern imaging.
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Affiliation(s)
- E Hassine
- Hôpital Aberrahmen Mami de l'Ariana, Ariana, Tunisie.
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Hassine E, Marniche K, Bousnina S, Rekhis O, Rabah B, Mustapha MAB, Chabbou A, el Gharbi B. [Tuberculous pyothorax. 28 cases]. Presse Med 2002; 31:921-7. [PMID: 12148137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/26/2023] Open
Abstract
OBJECTIVES Despite the efforts in the fight against tuberculosis (Tb) and the decrease in its incidence, severe forms persist. Tubercular pyothorax (TP), which was a frequent complication, is still difficult to treat. We studied the epidemiological, diagnostic, therapeutic and progressive aspects of this particular localization. METHODS Retrospective study collecting all the TP reported between 1990 and 1999 in the department of pneumology in Ariana. The inclusion criterion was any patient presenting with pleural-parietal empyema of tubercular origin. We excluded patients presenting with negative bacilliferous pyothorax cultures. RESULTS Twenty-eight cases of TP were retained among 875 cases of tuberculosis, i.e., 3.2%. The mean age of patients was of 44 years (range: 15-75) and they were moderate smokers: 27 PA. Infectious fever concomitant to a pleural syndrome was the typical clinical manifestation. In some patients empyema (3 cases) or cutaneous fistula (2 cases) were the circumstances in which the disease was discovered. Thoracic imaging is a very useful tool: standard radiography, tomodensitometry and magnetic resonance imaging permit analysis of the pleural wall and cavity. In 9 cases, pneumothorax was concomitant. A co-infection with pyogenic germs was present in 4 patients. Treatment of TP is triple; it associates specific poly-chemotherapy, thoracic draining and respiratory physiotherapy. The progression was satisfactory in the recent forms concomitant to a bacilliferous pulmonary Tb. Complications such as pleural-pulmonary after effects are inherent to the severe forms. Surgery was necessary for 9 patients (5 drainages, 2 rib resections and 2 decortications). CONCLUSION TP is a menace for functional prognosis. Treatment is double: early, curative and effective, and preventive of Tb and its risk factors.
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Affiliation(s)
- E Hassine
- Hôpital A. Mami de Pneumologie de l'Ariana, Tunis
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Abstract
Mediastinal mature teratomas are rare in children. Diagnosis is often made in the presence of a complication. We report a case of a mature mediastinal teratoma, complicated by its opening in the lung. The patient was a four-year-eight-month-old girl. She was admitted for fever, cough and dyspnea. The chest radiography showed a large mediastinal mass with calcifications. The CT scans and MRI aided in establishing the diagnosis. Biological tests (alpha-foetoproteins and beta-HCG) confirmed the benignity of the tumor. The child was operated on with full success.
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Affiliation(s)
- K Boussetta
- Service de médecine, infantile B, hôpital d'enfants de Tunis, 1007 Jebbari, Tunis, Tunisie.
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45
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Boussetta K, Bouziri A, Harzallah H, Zouari B, Sammoud A, Bousnina S. Asthme du nourrisson. Devenir à moyen terme et facteurs prédictifs de la persistance des symptômes à l’âge préscolaire. Revue Française d'Allergologie et d'Immunologie Clinique 2001; 41:565-570. [DOI: 10.1016/s0335-7457(01)00071-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/14/2023]
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Fenniche S, Hasséne H, Attia S, Fkih L, Bousnina S, Cheikh K, Belhabib D, Megdiche ML. [A rare complication of antineoplastic BCG therapy: pulmonary tuberculosis]. Tunis Med 2001; 79:467-70. [PMID: 11774792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
Local treatment with intra vesical BCG for bladder carcinoma have few complications. Pulmonary side effects are rare, like interstitial pneumonitis. We report a case of a 77-year-old man, treated with BCG for bladder carcinoma who developed illness and tumoral chest-X-ray opacity. Mycobacterium tuberculosis bovis was isolated in culture and 2 years after in sputum. Physio pathologic mechanism of pulmonary features remains controversial, however this case suggest that lung lesions can be result of an infection process.
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Affiliation(s)
- S Fenniche
- Service Ibn Nafiss, Hôpital A. Mami Ariana, Tunisie
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47
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Hassine E, Rekhis O, Bousnina S, Marniche K, Chabbou A. [Solitary pleural fibroma: report of two cases and review of the literature]. Tunis Med 2001; 79:378-82. [PMID: 11771435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
The pleural fibroma is an uncommon tumor of pleura. Its Diagnosis is guided by chest imaging and confirmed by surgery and histological exam. We respectively report two observations of solitary pleural fibroma in 68 and 27 old years patients. The authors expose the circumstances of discovery and present clinical features, diagnosis explorations and therapeutical methods. Prognosis depends primary on histological findings and malignant recurrences are possible.
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Affiliation(s)
- E Hassine
- Hôpital A. Mami de Pneumophtisiologie de l'Ariana
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48
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Belhadj S, el Houda Toumi N, Kallel K, Dakhlia H, Pratlong F, Boussen N, Bousnina S, Babba H, Ben Becher S, Azaiez R, Khaldi F, Chaker E. [Visceral leishmaniasis in immunocompetent children: diagnostic and epidemiologic value of peripheral leishmania blood culture]. Tunis Med 2001; 79:231-3. [PMID: 11515482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Abstract
Utilisation of new diagnosis means and particularly non invasive oues in visceral leishmaniasis can be very valuable for the biologist, the clinician as well as the patient. In this, detection of leishmania in peripheral blood, well know for VIH patients, has been applied to 37 immunocompetent tunisan children suffering from kala azar that has been shown through direct examination of bone marrow. Observed results show that culture on NNN peripheral blood medium was positive in 25 cases (67.57%). On the other side, detection of leishmania through concomitant culture of blood and marrow bone for 24 children with visceral leishmaniasis match the results in 75% of the cases. Detection of leishmania by mean of blood culture for immunocompetent children is a diagnosis mean of visceral leishmaniasis and has also an epidemiologic utility by isoenzymatic characterization of isolated leishmania strains.
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Affiliation(s)
- S Belhadj
- Laboratoire de Parasitologie, hôpital la Rabta, Tunisie
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49
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Ben Romdhane N, Fenniche S, Bousnina S, Rabboudi C, Cherif F, Belhabib D, Kilani T, Maalej M, Megdiche ML. [Costal hydatid cyst (report of 2 cases)]. Tunis Med 2000; 78:677-81. [PMID: 11155393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
Hydatidosis is an endemic affection in our country. Hepatic and pulmonary localisation is the most frequent. The other localisation especially in the bone, are exceptional. We report 2 cases of costal hydatid diagnosed on 17 and 33 years old male patients admitted for parietal tumor respectively localized in cervix and thorax. The diagnosis, suspected on chest tomography is confirmed by histologic patterns of resected rib.
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Affiliation(s)
- N Ben Romdhane
- Service de Chirurgie Thoracique et Cardio-Vasculaire, Hôpital A. Mami, Ariana
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Bousnina S, Bouaziz A, Kechrid A, Kaabachi O, Hili K. La diphtérie: risque à ne pas méconnaître. Actualités en Tunisie. Med Mal Infect 1999. [DOI: 10.1016/s0399-077x(99)80089-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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