Archives françaises de pédiatrie
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The case of a 5 year-old boy with urachal cyst infection due to Haemophilus influenzae is reported. The difficulties encountered in isolating this bacteria when the correct procedures are not used can explain the apparent rarity of such infections. Physiopathological mechanisms of this infection are discussed with respect to the characteristics of the strain.
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A case of pulmonary valve agenesis with ventricular septal defect and large patent ductus arteriosus is reported in a neonate. Heart failure occurred at 10 days of life; clinical examination showed continuous murmur. Echocardiography and angiocardiography visualized a major dilatation of the pulmonary artery. ⋯ Five years later the patient is still in good condition. Patent ductus arterious is rarely associated with pulmonary valvular agenesis and ventricular septal defect. Our case is not explained by the fetal circulation theory described in this heart malformation.
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The authors report 3 cases of infants presenting with cerebral lesions related to violent head shaking. They emphasize the diagnostic difficulties when the classical signs of the battered child (marks of blows, fractures) are lacking. ⋯ The value of skull CT-scan is major, showing intracranial lesions which could not be found before. Because of the observed lesions, evolution is often severe.