Repeated discomfort leading to a diagnosis of a voluminous right atrial myxoma in an adolescent patient: a case report.

Myxoma of the right atrium is rare, especially at young age. We report a voluminous right atrial myxoma in an adolescent admitted to the general pediatric ward for recurrent discomfort with deterioration of general condition, dyspnea and systemic inflammation. Transthoracic echocardiography revealed an intra-cardiac tumor 7.

[Management of sexually transmitted diseases by the syndrome approach and voluntary HIV screening in a specialized dispensary in Antananarivo (Madagascar)].

In 1994, Médecins du Monde opened a free health centre specialized in STD/AIDS in an ill-favored district of Antananarivo, the Malagasy capital of Madagascar. Besides the medical treatment of Sexually Transmitted Diseases (STD) and AIDS, the centre is responsible for the Information, Education and Communication activities (IEC) within and without the centre towards the residents of the 67 hectares district and the high-risk populations (prostitutes, truck-drivers and transvestites). The project aimed at both preventing the spreading of the VIH infection and reducing the incidence of STD.

Chancroid, primary syphilis, genital herpes, and lymphogranuloma venereum in Antananarivo, Madagascar.

Ulcer material from consecutive patients attending clinics in Antananarivo, Madagascar, was tested using multiplex polymerase chain reaction (M-PCR) to detect Treponema pallidum, Haemophilus ducreyi, and herpes simplex virus. Sera were tested for syphilis and for IgG and IgM antibodies to Chlamydia trachomatis by microimmunofluorescence testing (MIF). By M-PCR, 33% of 196 patients had chancroid, 29% had syphilitic ulcers, and 10% had genital herpes; 32% of the ulcer specimens were M-PCR negative.