Introduction: Although bacillary angiomatosis is generally known to be an opportunistic condition in immunosuppressed individuals there are extremely rare and exceptional occasions where it occurs in immunocompetent individuals. the incidence of bacillary angiomatosis in immunocompetent persons is not documented in the literature mainly due to the rarity of this condition in immunocompetent individuals. routine histopathological evaluation helps in confirming the diagnosis of its varied presentations like infected lymphadenopathy, bone lesions, bacillary peliosis of the liver or the spleen as well as cutaneous bacillary angiomatosis. Giving four doses of 250-500 mg dose of erythromycin per day has proved to be the most successful treatment option and other antibiotics like Doxycycline 100 mg twice a day and ciprofloxacin are also showing good results. case report: We report a retro viral disease negative in a seven-year-old girl who presented to us with a six-month history of bilateral neck fast growing masses. birth history showed that the patient was delivered through a normal vaginal delivery with an uneventful birth history. the
Introduction: As much as the nephroblastoma is almost exclusively known to be a renal tumor, some of the extrarenal locations, although rare, have been described in the literature. The sites of this rare entity (extrarenal nephroblastoma) reported entail the inguinal canals, retro-peritoneum, mediastinum, chest wall, ovaries, cervix, uterus and the prostate gland. Case Report: We report a case of a 13-month-old boy who was referred from the peripheral hospital presenting with severe abdominal distention of three months duration. The patient was critical ill on arrival and had to be actively resuscitated. The patient was emaciated. No known past medical history reported and the patient had normal developmental milestones. On physical examination a large abdominopelvic mass was palpated. The patient also had sepsis confirmed with blood culture and hypoglycemia with a blood glucose measurement of 1.4 mmol/l saturation was 96% in room air and had episodes of gasping respiration, the heart beat was ranging between 110–140 bpm. The patient had pallor with hemoglobin 8.4 g/dL and had cold peripheries. Computed tomography scan and biopsy were performed and the diagnosis of an extrarenal large abdominopelvic nephroblastoma was made. The patient was later, after stabilization, treated with chemotherapy. The patient now remains in a critical general condition while on chemotherapy. Conclusion: A nephroblastoma may present in some extrarenal sites which is quite an uncommon encounter, the most common of these rare sites being the retro-peritoneum. The final diagnosis is mainly histopathological. There are no specific management protocols and as a result the extrarenal tumors are managed in the same manner in which the intra-renal tumors are managed with a general good prognosis.
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