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Malaria is an endemic parasitosis caused by plasmodium. The objective was to evaluate the epidemiological, diagnostic, and therapeutic profile of malaria in outpatient medicine at the NTHC-HKM of Cotonou. This is a cross-sectional and descriptive study, having covered a period of 11 years and 3 months (1/01/2010 to 31/03/2021). Patients who consulted the outpatient clinic of the NTHC-HKM of Cotonou during the study period were included. The diagnosis of malaria was made on the basis of a positive parasite density thick drop. Over 41,960 patients consulted during the period, 95 had malaria, a hospital incidence of 0.2%. Forty-seven patients (49.5%) were male. The mean age was 36.8±14.3 years. The main symptoms were fever in 81 patients (85.2%), asthenia in 45 patients (47.3%) and arthromyalgia in 42 patients (44.2%). Clinically, the general condition was preserved in 61 patients (64.2%), pallor was noted in 4 patients (4.2%) and icterus in 2 patients (2.1%). Hepatomegaly was found in 2 patients (2.1%) and splenomegaly in 1 (1.0%). Biologically, anemia was found in 11 patients (11.6%). CRP was elevated in 10 patients (10.5%). Parasite density varied between 1,200-75,000 red blood cells per microliter. Therapeutically, 45 patients (47.3%) had taken self-medication before diagnosis. All diagnosed patients had been treated. Simple malaria is a pathology rarely encountered in adults in outpatient clinics.

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The right to information is a fundamental right for women, who are vulnerable during the perimaternity period. This study aimed to assess and appraise women's perceptions of their right to information and the practices of medical teams of maternity wards regarding this matter. This cross-sectional study was carried out for 3 months in the first University Clinic of Gynaecology and Obstetrics of Cotonou. The female patients included in the study attended this maternity hospital for antenatal care or childbirth. The data collected were analysed and processed with SPSS V.25 software. Three hundred female patients were recruited within the framework of the study. Their mean age was 28±5 years. Most of the respondents were educated (78.4%) and considered that access to information was a right vested to them (68.3%). There was a statistically significant association between that perception and patients' educational levels or status. A large proportion of patients (88%) were satisfied with how information was delivered to them. Information related to diagnoses, paraclinical examinations and drug treatments was spontaneously transmitted in 37.7%, 55.6% and 27.7% of cases, respectively. Only 23.7% of the women who gave birth were provided information about the vaccines administered to their child at birth. Our findings provide evidence that maternity hospital users are aware of their right to their information. However, the medical team does not incorporate all the components of this right.

La tuberculose vaginale est exceptionnelle et sous diagnostiquée sous nos cieux. Nous rapportons le cas d'une patiente de 53 ans, immunodéprimée par le VIH hospitalisée dans le service pour altération de l'état général dans un contexte de fièvre au long cours. L'interrogatoire, et l'examen physique avaient retrouvé les éléments suivants : tousseur chronique dans l'entourage, partenaire sexuel multiple, leucorrhées persistantes. Le Mycobactérium tuberculosis était retrouvé dans les leucorrhées à l'examen direct. La sérologie VIH était positive au VIH1, le taux des lymphocytes TCD4 était à 22 cells/μL. Le diagnostic de tuberculose vaginal sur terrain immunodéprimé sévère au VIH a été retenu. Un traitement antituberculeux fut institué. Le traitement Antirétroviral a démarré deux semaines plus tard. L'évolution a été rapidement favorable et après 6 mois de traitement la patiente était déclarée guérie de la tuberculose. Chez un patient immunodéprimé au VIH, tout écoulement purulent persistant même vaginal doit faire rechercher une tuberculose

Isosporosis is an opportunistic parasitosis caused by Cystoisospora belli. It was more or less frequently found during HIV immunodepression. Its prevalence has considerably decreased since the democratization of antiretroviral treatments and the implementation of a strategy of systematic global management of People Living with HIV (PLWH) and opportunistic infections. We report the case of a 49-year-old PLHIV patient discovered during the exploration of recurrent diarrhea. This diarrhea was found to be due to Cystoisospora belli. The patient was allergic to cotrimoxazole and was therefore initially treated with ciprofloxacin and tinidazole with poor evolution. The other treatments selected are limited by the lack of access to drugs, both geographically and financially. In view of the persistence of the clinical picture and the continuous presence of the parasite in the stools, several hypotheses have been put forward. That of an under-dosage of the molecule used, of a lack of therapeutic compliance, or of the resistance of the germ to the prescribed molecule. Although the coproculture and antibiogram revealed the sensitivity of the germ to the Ciprofloxacin already prescribed, and to the Cotrimoxazole to which the patient is very allergic, and which can therefore no longer be prescribed. After a second opinion and a review of the literature, the patient was put on Pyrimethamine tablets and Albendazole with folic acid. The evolution was favorable with a significant regression of stools, resumption of appetite, and weight gain after one month. A last coproculture of control did not find any more oocysts of cystoisospora belli. In the face of chronic diarrhea, the systematic search for opportunistic germs in PLWHIV is essential. Management is possible.