Plasma Exchange for Lyme Neuroborreliosis delayed diagnosis: A case report.

Lyme neuroborreliosis (LNB) is a rare infectious disease, caused by Borrelia burgdorferi spirochetes and responsible for a variety of neurological manifestations. The most common manifestations of LNB in children are cranial nerve involvement, especially facial nerve palsy often accompanied by lymphocytic meningitis. In this article, we present a case of a 4-year-old boy presented to our emergency department with abdominal pain evolving for a week and symmetrical ascending progression of weakness responsible for severe respiratory failure.

Trace elements assessment in Cerastoderma glaucum from port areas in the Tunisian Mediterranean coast: The influence of parasites on bioaccumulation.

In the present study, the seasonal concentration of seven trace elements was investigated in sediment and the cockle Cerastoderma glaucum tissues from two port areas in the North-East and South of Tunisia comparing cockles non-parasitized (NP) and parasitized (P) with digenean parasites. Elements concentration in sediments analyzed in both sites revealed that Zinc (Zn), Chromium (Cr), and Lead (Pb) were the most abundant ones, while Cadmium (Cd) and Mercury (Hg) were less abundant. The bioaccumulation of trace metals and Arsenic (As) in the tissues of cockles seems to be modulated by both the infection state and the parasite species.

Does Anisakis spp. infestation affect the proximate composition, fatty acids, and minerals contents of its host Merluccius merlucccius?

Fish play an important role in human nutrition. They are not only a great source of protein and healthy fats, but also a unique source of essential nutrients such as omega-3 fatty acids. Moreover, most fish are parasitized, and some of these parasites are able to influence the reallocation of resources in their favor and thus reduce the nutritional quality of the fish.

Clinical, laboratory and evolutionary features of abdominal tuberculosis in comparison with other forms of extrapulmonary tuberculosis.

Background/objectives: Tuberculosis is a multisystem disease that might affect any organ. Abdominal tuberculosis (ABT) represents 5-17% from all extrapulmonary tuberculosis (EPT) sites. We aimed to study the clinical, laboratory and evolutionary features of ABT cases and to identify predictive factors associated with ABT.

Echinocephalus caniculus n. sp. (Nematoda: Gnathostomatidae Railliet, 1895) from the lesser spotted dogfish Scyliorhinus canicula (L.) (Elasmobranchii: Scyliorhinidae Gill, 1862) off Tunisia, with a key to species of the genus Echinocephalus.

Echinocephalus caniculus n. sp. (Nematoda, Gnathostomatidae Railliet, 1895) was isolated from the spiral valve of the lesser spotted dogfish Scyliorhinus canicula (L.

Kaposiform hemangioendothelioma with fatal income: Kasabach-Merritt phenomenon and hypercalcemia.

Kaposiform hemangioendothelioma is a rare, borderline tumor that typically occurs during early childhood. Kasabach-Merritt phenomenon is a complication characterized by a consumptive coagulopathy resulting from the localized intravascular coagulation. Hypercalcemia generation is a rare association that was related in our case to parathyroid hormone-related protein produced by this angioma.

Characterization of a novel ABCC2 mutation in infantile Dubin Johnson syndrome.

Background And Aims: The Dubin Johnson Syndrome (DJS) occurs mostly in young adults but an early-onset of the disease has been reported in less common forms (Neonatal DJS and Infantile DJS). In this case, the clinical findings are of limit for the DJS diagnosis. Hence, the genetic testing remains the method of choice to provide an accurate diagnosis.

Antinuclear antibodies in children: clinical signification and diagnosis utility.

Background: Antinuclear antibodies (ANA) test is used to screen adults as well as children for connective tissue diseases (CTD) and autoimmune hepatitis. However, interpretation of ANA positivity can be delicate.

Aim: to determine clinical significance and diagnosis utility of ANA positivity in children.

Genetic Approaches for Definitive Diagnosis of Agammaglobulinemia in Consanguineous Families.

Autosomal recessive agammaglobulinemia (ARA) is a primary immunodeficiency characterized by absent peripheral B cells, severe hypogammaglobulinemia, and absent BTK gene mutations. In ARA, mutations occur in genes encoding the pre-B cell receptor (pre-BCR) or downstream signaling proteins. In this work, we used candidate gene and whole-exome sequencing to investigate the molecular basis of ARA in 6 patients from 4 consanguineous North-African families.

First description of the male and subgravid female of Philometra serranellicabrillae Janiszewska, 1949 (Nematoda: Philometridae), a gonad-infecting parasite of the comber Serranus cabrilla (Linnaeus) (Serranidae) off Tunisia.

The male and subgravid female of Philometra serranellicabrillae Janiszewska, 1949 (Philometridae) collected from the gonads of Serranus cabrilla (Linnaeus) (Serranidae) off Tunisia are described for the first time based on light and scanning electron microscopical studies. The male of this nematode can be separated from other congeneric gonad-infecting nominal species in the structure and shape of the gubernaculum (e.g.

Epidemiology and disease burden of tuberculosis in south of Tunisia over a 22-year period: Current trends and future projections.

Background: Tuberculosis (TB) is a public health problem worldwide. Characterizing its trends over time is a useful tool for decision-makers to assess the efficiency of TB control programs. We aimed to give an update on the current chronological trends of TB in Southern Tunisia from 1995 to 2016 and to estimate future trajectories of TB epidemic by 2030.

Philometra barbata n. sp. (Nematoda: Philometridae) from the red mullet Mullus barbatus (Perciformes, Mullidae) off Tunisia.

Helminthological examinations of the red mullet Mullus barbatus (Linnaeus) (Mullidae) from the Gulf of Hammamet, off Tunisia, revealed the presence of one undescribed gonad-infecting nematode species, Philometra barbata n. sp. (Philometridae).

Morphological variability in Acanthocephaloides irregularis Amin, Oğuz, Heckmann, Tepe & Kvach, 2011 (Acanthocephala: Arhythmacanthidae) from the European sea bass, Dicentrarchus labrax (L.) (Moronidae) in Bizerte Lagoon, Tunisia.

Specimens of an arhythmacanthid acanthocephalan were recovered from the European sea bass Dicentrarchus labrax (L.) (Perciformes: Moronidae) in Bizerte Lagoon, northern Tunisia. The specimens collected showed high morphological similarities to Acanthocephaloides irregularis Amin, Oğuz, Heckmann, Tepe & Kvach, 2011, recovered from four species of marine fishes in the Gulf of Odessa and Sukhyi Lyman off the Ukrainian Black Sea coast.

[Post-streptococcal glomerulonephritis in the south of Tunisia: A 12-year retrospective review].

Aim: Post-streptococcal glomerulonephritis (PSGN) is a frequent cause of acute nephritis in children. This study aimed to describe the epidemiology, clinical characteristics and outcomes of PSGN and look for predictor's factors of severity.

Methods: A 12-year retrospective review of case notes and laboratory data was conducted at a department of pediatrics, pediatric emergency and intensive care, Hedi Chaker Hospital.

[Positivity of antineutrophil cytoplasmic antibodies in children: prevalence and etiologies].

In adults, anti-neutrophil cytoplasmic antibodies (ANCA) are considered as serological markers of several diseases, especially vasculitis and glomerulonephritis. Since ANCA are rarely positive in children, few data about the clinical relevance of these auto-antibodies in pediatric population have been reported. Therefore, our study aims to describe the spectrum of disorders associated with positive ANCA in Tunisian children.

Two new gonad-infecting species of Philometra Costa, 1845 (Nematoda: Philometridae) from Trachinus spp. (Osteichthyes: Trachinidae) in the Gulf of Hammamet, Tunisia.

Based on light and scanning electron microscopical studies, two new gonad-infecting species of Philometra Costa, 1845, P. draco n. sp.

Redescription of Philometra filiformis (Stossich, 1896) (Nematoda: Philometridae), a gonad-infecting parasite of the common pandora Pagellus erythrinus (Linnaeus) (Sparidae) in the Mediterranean Sea, including new taxonomic features revealed by SEM.

The insufficiently known nematode species Philometra filiformis (Stossich, 1896) (Philometridae) is redescribed based on light and scanning electron microscopical (SEM) examinations of specimens collected from the ovaries of the type-host, the common pandora Pagellus erythrinus (Linnaeus) (Perciformes, Sparidae), from off the Mediterranean coast of Tunisia. The male of this species was studied with SEM for the first time, which revealed some new, taxonomically important morphological features. The male posterior end has a caudal mound consisting of two lateral parts widely separated dorsally from each other, four pairs of small adanal papillae, a pair of large but moderately developed papillae located posterior to the cloacal aperture and a pair of small phasmids.