Muscular involvement with Echinococcusgranulosus is rare, even in endemic countries where the frequency is estimated to be less than 3%, particularly in the countries of the Mediterranean basin, North Africa and Latin America. We report the rare observation of a hydatid cyst of the internal thigh room in a 57-year-old patient of rural origin and who has no notable sickness antecedents and was hospitalized in our department for the exploration of a tumefaction of the internal surface of the left thigh appeared gradually and insidiously for 3 years. Magnetic resonance imaging (MRI) showed an oval mass evoking an intramuscular hydatid cyst and its relationship to neighboring structures. He underwent surgical excision under locoregional anesthesia. Solitary hydatid localization in muscle tissue is exceptional, but it is useful to know that its diagnosis is often delayed, its treatment is surgical, but recurrences are possible.
Introduction: Epidermomycoses are superficial yeast infections that affect the epidermis outside the intertrigo. The aim of our work is to draw up a clinico-epidemiological profile of epidermomycoses diagnosed in the mycology parasitology laboratory of the Avicenne military hospital in Marrakech. Materials and methods: This is a retrospective study carried out over a period of 6 years (January 2013 to December 2018) including all the cases of epidermomycosis diagnosed. After collecting clinical information, a direct examination of the samples is carried out before culture on Sabouraud media with incubation at 27 ° C. The identification of the identity was based on the speed of growth, macroscopic aspects and microscopic colonies. The identification of yeasts was based on the filamentation and assimilation of sugars test: Api 20C. Results: Epidermomycosis was confirmed in 108 cases or 57% compared to all of the samples examined. The sex ratio M / F is 0.74, the average age is 35.5 years. Outpatients are the majority (86%). the prevalence of superficial dermatophyte mycoses was 81.4% followed by yeasts (14.6%) and molds (4%). Isolated dermatophytes are dominated by a single species Trichophyton rubrum (92%), yeasts by Candida albicans (45%) Conclusion: Epidermycosis is still a frequent reason for consultation in dermatology. In the face of any clinical suspicion, the mycological diagnosis remains the diagnosis of certainty and for therapeutic orientation.
Male fertility is known in the last twenty years. Thus, the 1/3 of the infertility of the couple would be male. The spermogram is an essential tool in the strategy of exploration of infertility in humans. The present study will focus exclusively on the place of occupation spermogram in the appearance of the infertile couple. We wrote this retrospective study spread over 10 results of 929 spermograms performed at the Avicenne Military Hospital in Marrakesh, spermogram volume in ml, pH, sperm count / ml, spermatozoa vitality, total mobility, progressive mobility and morphology. Of the 929 sperm samples, 35% on the normal values and 65% on the normal to less than normal values on the basic parameters, from 65% to today. Found in 5.4% of cases, asthenospermia in 46% of cases, oligospermia in 24.5% and revelation teratospermia in 21.9% of cases. After our study, we are confronted like other countries, the problem of male infertility. The spermogram is the essential exam for the exploration of the male side in an infertile couple to make diagnoses, but also the doctor treating additional examinations.
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