[African histoplamosis. A report of three pediatric cases].

Unlabelled: Histoplasmosis duboisii (Histoplasma capsulatum var duboisii) is uncommon disease especially in children. It is observed in Africa where the incidence is unknown. The authors report a series of three pediatric cases.

[Nephrotic syndrome complicated by chylous ascites in a girl of 2 years and 8 months old].

We report on a case of nephrotic syndrome with focal and segmental hyalinosis complicated by chylous ascites in a girl of 2 years and 8 months old. This pure nephrotic syndrome in its early stage was initially treated with intensive steroid treatment at 2mg/kg/day orally for 2 months, followed by a bolus of methylprednisolone. The persistence of proteinuria meant corticosteroid resistance.

[Discharge of children against medical advice at CHU of Brazzaville (Congo)].

In a prospective study conducted from January to December 2010 in the Teaching Hospital of Brazzaville (Congo), we compared the discharge of hospitalized children against medical advice at the parents' request (group 1 - cases) with those admitted during same period with routine discharge (group 2 - controls). Two hundred and seven (7.7%) hospitalized children, 117 boys and 90 girls, were discharged at the parents request.

[Orphans in Brazzaville orphanages].

Unlabelled: Children are orphaned everywhere, but their situation is particularly acute in developing countries.

Objectives: To assess the epidemiologic situation of orphans in Brazzaville and to identify the social and medical determinants of their placement in institutions.

Material And Methods: This exploratory cross-sectional study was conducted from March 3, 2003, through January 30, 2004 (11 months).

[Pulmonary tuberculosis in infants in Brazzaville, Congo. A review of 117 cases].

Little information is available on pulmonary tuberculosis in infants in sub-Saharan Africa. This retrospective study was conducted in infants ranging in age from 1 to 23 months admitted to the Paediatric Departments of the University Hospital Centre in Brazzaville, Congo for pulmonary tuberculosis between January 1, 1999 and July 1, 2004. Tuberculosis was diagnosed on the basis of epidemiological, clinical, radiological, and follow-up data.

[Early diagnosis of leukaemia in the trisomic child. Congolese experience based on two cases].

We are reporting here two cases of acute leukemia in Congolese children with Down syndrome. They were aged 27 and 30 months. The two cases were revealed by anemia, hyperthermia with enlargement of the liver and the spleen.

[Severe malaria associated with acute renal insufficiency: apropos of a case].

Renal insufficiency as a complication of severe malaria is a rare pathology. A case was observed in young girl aged 10.5 years following Plasmodium malaria fever.

[Kawasaki syndrome: apropos of 2 cases observed in Brazzaville].

The authors report for first time in Congo two cases of Kawasaki syndrome. One case from a five years boy carried out a typical form of an adeno-mucocutaneous syndrome; the other from a six month little girl was an incomplete form. In both cases, the immediate development has been excellent.

[Early isosexual precocious pseudopuberty revealing a juvenile granulosa cell tumor in a 3-year-old Congolese girl].

We describe a juvenile granulosa cell tumor expressed by an early pseudopuberty occurring in a 3-year-old black child. Clinically, an endocrine syndrome was associated with a pelvic mass and ascites. Hyperoestrogenia and serum alphafetoprotein level were biologically detected.