[Eosinophilic gastroenteritis in a tropical area: report of a Congolese case].

Eosinophilic gastroenteritis is an uncommon disease with an unknown natural history, and its relation to digestive allergies has not been confirmed. This study reports the case of a 27 year old patient who developed eosinophilic gastroenteritis with gastric, intestinal, rectal and peritoneal localisations. In the Congo, massive blood hypereosinophilia suggests digestive parasitosis and gastroenteritis with malnutrition and cutaneous symptoms suggest AIDS/HIV, making the present agnosis uncommon.

[Digestive bleeding and anti-inflammatory drugs at the teaching hospital of Brazzaville].

Authors relate a retrospective survey of 140 cases of digestive haemorrhage after intake of anti-inflammatory drugs from January 1988 to December 2000. The digestive haemorrhage frequency after intake of anti-inflammatory drugs reaches 16%. This survey included 94 men and 46 women whose average age is 42.

[Cost of of hospital management of cirrhoses and its complications at the University Hospital of Brazzaville].

This retrospective pilot study was conducted in a series of 166 patients hospitalized for the first time for management of cirrhosis with or without complications over a two-year period at the University Hospital Center in Brazzaville, Congo. Complications included ascitics, hepatic encephalopathy, gastrointestinal bleeding, and hepatocellular carcinoma. Total care cost was determined by adding up expenditures for the initial examination, each day of hospitalization, adjuvant investigations, and administered medication.

[Acquired immunodeficiency syndrome in elderly persons in a tropical zone. Apropos of 175 cases in the Congo].

The objective of this study has been to estimate the frequency of AIDS occurring in older age groups on the basis of hospital statistics and note the prognostic particularities in these groups. One hundred and seventy five (175) cases of AIDS reported to the University Hospital Center of Brazzaville occurring in persons aged 55 years and over were followed up retrospectively from 1 January 1990 to 31 December 1996. The results of this study indicate that AIDS is not rare in older age groups: 4.

[Pneumatosis cystoides intestinalis: the first case in Congo].

We report the first congolese case of intestinal cystic pneumatosis diagnosis at a patient of 64 years who was hospitalized for a glairo-sanguinolent diarrhea, of diffuse abdominal pains and meteorism. Diagnosis was confirmed by the coloscopy which showed polypoïdes formings to fine, translucent walls, depressibles, and for intestinal opacification which showed parietales incomplete images of the left colonist. Evolution was favorable under metronidazol and ciprofloxacin.

[Esophageal tuberculosis: an unusual localization in an immunocompetent patient].

Oesophageal tuberculosis is a rare localisation for extrapulmonary tuberculosis. This report describes the case of a 30-year-old immunocompetent woman with dysphagia, fever and weight loss. Endoscopic examination revealed an ulcerated lesion in the third part of the oesophagus strongly suggesting oesophageal carcinoma.

[Prevalence of hepatitis B viral markers in a population of pregnant women in Brazzaville (Congo)].

The risk of perinatal transmission of hepatitis B virus is well-known; but, in Congo, where hepatitis B virus is endemic and the prevalence of hepatocellular carcinoma is high, there is no study on this mode of transmission. For three months, we screened systematically for HBsAg in 292 pregnant women who came as outpatients or to deliver in 3 health centres in Brazzaville. Positive sera for HBsAg were also tested for the other markers of HBV, except for specific DNA.

Prevalence of antibodies to hepatitis C virus among patients with leprosy in several African countries and the Yemen.

The prevalence of anti-HCV was determined in 1,309 leprosy patients and a control group of 1,469 subjects from 6 sub-Saharan African countries and the Yemen. Sera found positive by an initial second generation ELISA were subjected to 3 additional confirmatory tests. The anti-HCV prevalence in leprosy patients (7.

Seroepidemiology of human herpesvirus-6 in pregnant women from different parts of the world.

The prevalence of HHV-6 IgG was studied in 11 different countries across several continents: Morocco, Burkina-Faso, Congo, Ivory Coast, Mali, Niger, Senegal, Togo, Ecuador, Martinique, and France. The study group consisted of 550 pregnant women, representative of the general adult population in each country. Antibodies were detected by immunofluorescence assay on HSB-2 cells infected with HHV-6.

[Serological markers of hepatitis B virus in hospitalized patients (Gastroenterology and Internal Medicine Service of the University Hospital Center of Brazzaville - Congo )].

The prevalence of serum markers of the hepatitis B virus was studied in 139 patients, 88 men and 51 women, at the Gastroenterology and Internal Medicine Department at the University Hospital in Brazzaville (Congo). The findings show that 125 individuals (89%), 79 men and 46 women, show signs of infection. Only 14 patients, 9 men and 5 women, show no hepatitis B virus markers.

[Clinical aspects of AIDS in Africa].

The clinical manifestations of HIV infection in Africa are similar to those observed in Europe and North America. However, some features related to ecological and diagnostic factors give the disease a certain African peculiarity. In more than 80 p.

[Opportunistic parasitic diseases and mycoses in AIDS. Their frequencies in Brazzaville (Congo)].

To determine the frequency of opportunistic parasitic and mycotic diseases in adult AIDS patients in the Congo, a study was conducted at l'Hôpital Universitaire de Brazzaville in 1986 and 1987. Diagnosis of AIDS was made using the WHO clinical definition for Africa (Bangui, 1985) and HIV seropositivity Pasteur Elisa test. Oral pharyngeal candidiasis occurred in 36% of cases.

[Clinical and biological consequences of human immunodeficiency virus (LAV) infection in 15 Congolese subjects].

We report 15 cases of symptomatic HIV infection seen in Paris between June 1983 and June 1985 in Congolese patients. The first signs were diarrhea, weight loss, fever, pruritus. Disseminated lymphadenopathy was frequent.

[Escherichia coli diarrhea of children and adults at the Brazzaville General Hospital].

The high number of the strains of Escherichia coli (E. coli) isolated from faeces, demonstrated that this bacteria takes the first place in diarrhoea. These isolations had the same frequency all the year long.

[Histoplasma capsulatum histoplasmosis. Apropos of a disseminated form with skin lesions in a woman from Zaire].

A case of disseminated histoplasmosis with cutaneous lesions due to Histoplasma capsulatum is reported. The patient was a 22 years old congolese woman (Zaïre). The diagnosis was made on born narrow a few days only before she died.

[Needle-biopsy of liver in the Brazzaville General Hospital. Results of 42 cases (author's transl)].

42 needle-biopsies were realized in the two Medicine Departments of the General Hospital, Brazzaville. The authors strike the balance of those biopsies. They show the advantage off the needle-biopsy and histologic study of primary carcinoma of liver.