proteinuria and normalization of renal function and liver enzymes after 4 weeks. Conclusions: The presence of nephrotic syndrome with maculopapular rash occurring in a male patient with history of unprotected sexual relations with the same sex may be related to renal complication of syphilis. The most common pathology is MN. Treatment of the cause is associated with complete cure and excellent prognosis.
Introduction: Urinary tract infection (UI), is the most common cause of infectious complications in kidney transplant recipients.These infections remain suspect due to their impact on graft survival and therefore on the morbidity and mortality of this population .These can occur at any time but with the highest incidence in the first 3-6months after transplantationour aims were as follow: 1. Assess the prevalence of UI in kidney transplant recipients. 2. Identify the risk factors for UI in kidney post transplantation.3. Study the microbiological profile and therapeutic attitudes of these UIs Methods: This is a descriptive and analytical retrospective study, carried out between January 2017 and November 2019 at the renal transplant unit in the nephrology department of Fattouma Bourguiba Hospital in Monastir. we included all kidney transplant patients hospitalized during this period Results: During this period 360 patients were hospitalized, IU was diagnosed in 32 patients. The average age of our population was 35.5 AE 9.6 years with a sex ratio of 1. The prevalence of IU in kidney transplant recipients was estimated at 8.8%. The graft acute pyelonephritis was the most frequent presentation. The most incriminated germs were the bacillus gram negative (BGN) represented mainly by Klebsielle pneumonae (47.7%). The most prescribed antibiotics were carbapenemes in 34% of cases followed by third generation cephalosporin (C3G) mainly cefotaxime (21.
of this study was to determine the prevalence of DE and the correlation between sexual dysfunction and the clinical and biological profiles of chronic renal failure patients on hemodialysis at the University Hospital of Monastir. Methods: We conducted a descriptive and analytical study that included one hundred men aged 18 years or older, treated with chronic HD for six months.All patients answered a personal questionnaire on their sexuel activity. We studied clinical parameters such as age, comorbidities, hemodialysis duration, initial nephropathy and biological parameters such as hemoglobin, prolactin, vitamin D level and testosterone. Results: The mean age was 50+/-2.6 years. 48% were hypertensive and 39% had diabetes mellitus. Diabetic nephropathy (36%) and nephrosclerosis (48%) were the most frequent initial nephropathies. The mean duration of dialysis was 72 + /-6.8 months. The prevalence of ED was 70%. Subjects younger than 50 years had a prevalence of ED of 34%, while in subjects 50 years or older, it was 90%.Twenty one percent had severe ED. Ageing, diabetes, anemia, vitamin D deficiency and low serum testosterone level correlated significantly with the appearance of sexual dysfunctions.There was no significant correlation between years of hemodialysis and ED (p = 0,345). Conclusions: Some clinical factors and biological disorders may help to understand the pathogenesis of sexual dysfunction.The optimization of biological and hormonal surveillance and management of intervening factors may be resolve this problem.No conflict of interest
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