Synostose scaphotrapézienne associée à un syndrome du canal carpien chez une enfant de neuf ans : à propos d’un cas

This report describes a case of congenital synostosis between two bones of the wrist scaphoïd and trapezium in a nine-year-old girl who presented a severe tunnel carpal syndrome treated two years ago by open surgery. This association has not previously described.     

Maladie de Muller-Weiss idiopathique : à propos d’un cas traité chirurgicalement

The authors report a case of idiopathic Muller-Weiss disease in a 34-year-old male. Treatment was surgical and consisted in a fusion of talonavicular and naviculocuneiform joints, with excellent clinical results. X-rays showed that osteonecrosis of navicular bone was stopped.     

Myiase scrotale chez l’enfant : à propos d’un cas

We present observations of a 4-year-old child, who was received for an inflammatory and pruritic scrotal swelling that had been evolving for 7 days. The physical examination found a scrotal mass centered by a whitish opening evoking a fistulized abscess or a furunculoide lesion. The bidigittal compression of the tumefaction had allowed the extraction of a maggot with the help of forceps leaving an 8 mm wound in place. The review parasitologist had concluded to a larva of anthropophaga cordylobia. The patient had received anti-inflammatory and antibiotic treatments associated with local care. This trend was favorable after a two-week decline. We will study the epidemiological, diagnostic and therapeutic aspects of this condition so rare in children simulating a furunculoide lesion or parietal abscess.     

Arthrite septique à Actinomyces naeslundii : à propos d’un cas

In a man with osteoarthritis of the knee, Actinomyces naeslundii septic arthritis developed after intra-articular injection of hyaluronate. Actinomyces is an anaerobic Gram-positive rod. The outcome was favorable after treatment with two antibiotics and arthroscopy. The nature of the organism and its location to a joint are unusual features of this case, which illustrates the need to search for a septic complication before accepting a diagnosis of inflammation related to hyaluronate injection.     

Le syndrome de la poche à urines violette : à propos d’un cas

Purple urine-bag syndrome is a rare condition that occurs in patients with indwelling urinary catheters carried over a long period and frequently associated with a urinary tract infection. It is characterized by the appearance of a violet coloration of the probe and/or the urine collection bag. We report the first case in West Africa that occurred in a 47-year-old woman in uremic encephalopathy and carrier of a urinary catheter, which presented a violet color of the tubing and urine-bag associated with a urinary tract infection. The outcome was favorable under antibiotic therapy. Many patients benefit from the installation of urinary catheters for various reasons and the occurrence of this syndrome should lead the medical team to systematically seek an underlying urinary tract infection to avoid if possible paraclinical assessments generally costly to our patients without medical coverage in our developing countries.     

Myxome juxta articulaire du poignet : à propos d’un cas

Juxta articular myxomas are rare tumors. The treatment is surgical with a high recurrence rate. A location proximal to the wrist joint is exceptional. We report a case of juxta articular myxoma of the wrist in a 30-year-old patient, with no recurrence four months after surgical excision.     

Kyste synovial intraosseux du capitatum : à propos d’un cas

Intraosseous cyst of the carpal bones is a rare cause of wrist pain. Few cases have been reported. We report a rare case of intraosseous ganglion cyst of the capitate, in a girl aged 16 who plain of chronic pain of the right wrist. The radiological assessment showed an osteolytic lesion with marginal sclerosis. The diagnosis was confirmed by histopathology and treatment consisted of curettage with autologous cancellous bone graft. At 8 months follow-up, the capitate is fully consolidated and the functional result is satisfactory.     

Mastocytose systémique agressive : à propos d’un cas

Systemic mastocytosis is a rare and occasionally aggressive condition that raises major diagnostic challenges. We report a case in a 72-year-old patient in whom the diagnosis of malignant mastocytosis required two bone marrow smears and three bone marrow biopsies examined using specific staining techniques. Despite interferon therapy, a mast-cell sarcoma of the sternum developed 1 year after symptom onset, followed 1 year later by acute myeloblastic leukemia, which was rapidly fatal.     

Localisation à l’orteil d’un tophus goutteux : à propos de deux cas d’expression inhabituelle

We report the case of two patients with an unusual presentation of tophaceous gout. For one, tophaceous gout mimicked septic arthritis. After surgery, histological examination confirmed the presence of sodium urate crystals. The patient has not returned. For the second patient, the gout mimicked expansive tumor process. Hyperuricemia and lesional characteristics imaging have tipped in favor of the drop. The treatment was medical and there was no recurrence.     

Epispadias pénien: à propos d’un cas

Penile epispadias is a rare congenital urologic malformation. Upon reviewing the literature, few cases were reported. We report a similar case in a 30-year-old male. Our treatment was in the form of urethroplasty using Cantwell-young technique with satisfactory functional results.