Le fibromatosis colli ou pseudotumeur infantile du muscle sternocléidomastoïdien est une cause rare de masse cervicale bénigne du nouveau-né et du nourrisson. L´étude a concerné tous les patients admis pour une tuméfaction cervicale et chez qui le diagnostic de fibromatosis colli a été posé de mars 2016 à février 2020. Cinq patients ont été retenus. La tuméfaction cervicale est apparue au cours du premier mois de vie chez tous nos patients. Le diagnostic de fibromatosis colli a été posé à l´échographie. Tous les patients ont bénéficié d´un traitement conservateur. Le fibromatosis colli est une cause relativement rare de masse cervicale du nouveau-né et du nourrisson.
Apert syndrome or acrocephalosyndactyly is a rare genetic disease characterized by craniofacial dysmorphism and syndactyly of the hands and feet. We report an observation in a 4-month-old female infant, whose father was 65 years old. The infant was admitted to the neonatology of Sourô Sanou University Hospital (Burkina Faso) for respiratory distress in a congenital malformation disorders context with the notion of resuscitation for 10 minutes at birth. Her clinical examination revealed a craniofacial dysmorphism, syndactyly, choanal atresia, a cleft palate and a retardation of the psychomotor development. The paraclinical assessment consisted of a radiograph of the skeleton and a cerebral tomodensitometry confirming bicoronal synostosis and bone syndactyly; an abdominopelvic, cardiac ultrasound didn’t reveal any abnormalities; toxoplasmic serology was negative and rubella serology positive. The association of Apert syndrome with positive rubella serology seems fortuitous. Also, the association of choanal atresia and cleft palate has not commonly been reported in Apert syndrome. In the absence of surgical the infant has been followed until 9 months with therapeutic prospects.
Objective
Evaluate the performance of QuantiFERON ® -TB Gold In-Tube test (QFT-GIT), to improve the diagnosis of active tuberculosis (TB) in Human Immuno-Deficiency Virus (HIV)-infected children.
Method
Sensitivity, specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV) of QFT-GIT were assessed in 58/63 HIV-infected children who were suspected of having TB.
Results
Sensitivity of QFT-GIT was 20.69%, specificity 96.55%, PPV/NPV respectively 85.71% and 54.90%.
Conclusion
QFT-GIT appears to be of little contribution to the diagnosis of active TB in children living with HIV in a TB-endemic country.
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