Cryptococcose neuroméningée et tuberculose osseuse chez un immunocompétent: un cas

Les auteurs rapportent un cas de cryptococcose neuroméningée (CNM) chez un patient de 39 ans, non infecté par le VIH suivi pour une tuberculose de hanche. Le tableau clinique était celui d'une méningite subaiguë. Le  diagnostic a été possible grâce à la mise en évidence de cryptocoques dans le LCR. L'évolution a été satisfaisante sous fluconazole

Pseudo-méningite inaugurale révélatrice d’une chondrocalcinose articulaire

Le syndrome de la dent couronnée (SDC) est une étiologie peu connue des cervicalgies aiguës. Il est lié le plus souvent à la chondrocalcinose articulaire (CCA), dont il constitue une des localisations atypiques. L'expression clinique du SDC, à type de cervicalgies fébriles, pose en pratique courante, la problématique d'étiologies diverses dont en particulier les infections  susceptibles d'égarer le diagnostic. Nous rapportons un cas de SDC révélé par un tableau de pseudo-méningite

Public Health Impact After the Introduction of PsA-TT: The First 4 Years.

BACKGROUND: During the first introduction of a group A meningococcal vaccine (PsA-TT) in 2010-2011 and its rollout from 2011 to 2013, >150 million eligible people, representing 12 hyperendemic meningitis countries, have been vaccinated. METHODS: The new vaccine effectiveness evaluation framework was established by the World Health Organization and partners. Meningitis case-based surveillance was strengthened in PsA-TT first-introducer countries, and several evaluation studies were conducted to estimate the vaccination coverage and to measure the impact of vaccine introduction on meningococcal carriage and disease incidence. RESULTS: PsA-TT implementation achieved high vaccination coverage, and results from studies conducted showed significant decrease of disease incidence as well as significant reduction of oropharyngeal carriage of group A meningococci in vaccinated and unvaccinated individuals, demonstrating the vaccine's ability to generate herd protection and prevent group A epidemics. CONCLUSIONS: Lessons learned from this experience provide useful insights in how to guide and better prepare for future new vaccine introductions in resource-limited settings

Epidemiological and Pathological Aspects of Cervical Cancer in Ivory Coast

Abstract: Cervical cancer is the most common and the leading cause of women death in developing countries. Purpose: To specify the epidemiological and pathological characteristics of cervical cancers in Ivory Coast. Material and methods: This was a retrospective and descriptive study on the cervical cancers histologically confirmed and identified from the registers for recording laboratory of pathological anatomy of Abidjan teaching hospital. The study period was 24 years (January 1984 to December 2007). The parameters analyzed were: frequency, age, sociodemographic status, macroscopic and histological aspects and the prognosis. Results: The cervical cancer represented 78.78% (2064 cases) of gynecological cancers, 42.71% of woman cancer and 17.41% of all cancers. The average age was 48.36 years ranging from 2 to 88 years and a peak incidence between 45-54 years (29%). Multiparity was observed 57.04% (n = 231) and the low socioeconomic level was predominant (70.41%). Concerning pathological examination, the tumor lesions were predominantly budding (51.52%). Squamous cell carcinomas (92.88%) were the most frequent of histological types with 95.1% (n = 1823) of invasive carcinomas. The average age of patients with squamous cell carcinoma was 49 years with 41.5 years for intraepithelial carcinomas and 46.8 years for invasive carcinomas. At the prognosis, squamous cell carcinomas were diagnosed most often in stage pT2 (57.41%) and with extra-cervical represented 66.4% (n = 519). Conclusion: Cervical cancer is the most common cancer in Ivory Coast taking into account male and female together. Its poor prognosis associated with late diagnosis should encourage the establishment of a cytology screening program

Compte rendu du séminaire du 19 mars 1992 : l'ajustement structurel : la logique libérale à l'épreuve des faits

L'objectif de ce séminaire était de donner un aperçu des logiques et des effets des programmes d'ajustement structurel mis en place en Côte d'Ivoire depuis le début des années 80. Ces politiques d'ajustement concernent l'ensemble des secteurs de l'activité économique mais seuls quatre sont présentés ici : l'ajustement structurel de l'industrie ivoirienne; les privatisations; l'ajustement du taux de change et la question de la dévaluation du FCFA; le processus d'ajustement en Afrique : caractéristiques et limite