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This paper aims to present our experience of 7 cases of spastic children, using sonoelastography in assessing the muscle spasticity: the relaxed muscle structures appear mostly soft (green-yellow-red), while contracted or degenerated muscle fibers appear hard (blue). Using sonoelastographic findings we established the proper place for injecting the botulinum toxin (20 U/kg Dysport) into the affected muscle. The result was a precise, guided injection, with positive, therapeutic results.

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[Hemolytic-uremic syndrome secondary to scorpion envenomation (apropos of 2 cases)].

Nephrologie

June 2004

Service de réanimation médicale CHU Habib Bourguiba, Sfax.

HUS was recently described following scorpion sting. We report 2 cases of HUS in the intensive care unit of a university hospital. Two children aged respectively 10 months and 1 year were admitted in the ICU after severe scorpion envenomation (with coma and pulmonary oedema) having required dobutamine and mechanical ventilation.

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[Contribution of heparin therapy in the medical treatment of Buruli ulcer apropos of 1 case].

Bull Soc Pathol Exot

March 2001

L'Université d'Abidian, centre de dermatologie du C.H.U. de Treichville, Programme national de lutte contre les ulcères à mycobactéries (P.N.U.M.), 18 B.P. 2890 Abidjan, Côte d'Ivoire.

Medical treatment of Buruli ulcer is mostly disappointing even if Mycobacterium ulcerans is susceptible to many antibacterial drugs. The inefficiency in vivo of the drugs may be due to the tissue vascularisation disorders caused by the toxin that Mycobacterium ulcerans produces. This toxin causes an endarteritis followed by a thrombosis of the dermal vessels responsible for an ischemia which prevents the antibacterial drugs from reaching the infected area.

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Skin lesions are the best known manifestations of Mycobacterium ulcerans infection. However osteomyelitis is not uncommon with incidences as high as 14 p. 100 having been reported.

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