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Introduction: Brain abscess is an intracranial suppuration producing a newly formed cavity. Otorhinolaryngological infections are one of the main causes. We report a case of cerebral abscess and empyema complicating pansinusitis in an 11-year-old adolescent treated at the Mali Hospital. Observation: He was an 11-year-old adolescent with a history of chronic headache who was admitted for left hemiplegia. The onset dates back to around 15 days marked by an unquantified fever, headache and then coma. A brain scan performed during hospitalization revealed a brain abscess and empyema, hence its reference to the Mali Hospital. At the entrance he had a fever of 38.5 ° C and a poor general condition. He was aware, well oriented and consistent. He had flaccid left hemiplegia with preservation of peripheral sensitivity. Cardiorespiratory examination and oto-rhinolaryngological were normal. Surgical drainage associated with medical treatment including ceftriaxone 100 mg/kg/d direct intravenous for 15 days, gentamycin; 3 mg/kg/d intramuscular for 3 days, metronidazole : 10 mg/kg /12 hours intravenously slowly for 15 days, paracetamol: 15 mg/kg /6 hours intravenously slowly, glucose serum 10%: 100 ml/kg /day infused and red blood cell concentrate group O+: 20 ml/Kg intravenously slowly have been introduced. The relay was done with ciprofloxacin 10mg/Kg/12 hours for 6 weeks by oral route. The postoperative follow-up was simple. He was discharged on the 15th day of hospitalization. Conclusion: Intracranial complications of sinusitis are serious and common in children in developing countries. The brain scanner is an indispensable tool for its diagnosis. Management is multidisciplinary. Prophylaxis is based on the correct treatment of otorhinolaryngological and oral infections.

Le cancer figure parmi les principales causes de morbidité et de mortalité en Afrique et au Mali.But : étudier le profil épidémiologique et clinique du cancer au centre de radiothérapiede Bamako.Matériels et méthodes : Il s’agissait d’une étude descriptive, rétrospective, de dossiers de patients vus en consultation, pour cancer au Centre de Radiothérapie de Bamako d’avril 2014 à décembre 2016. Les paramètres étudiés étaient : l’âge, le sexe, la provenance du malade, la localisation du cancer, le type histologique, le stade de classification du cancer.Résultats : Nous avons colligé 890 dossiers de patients d’âge moyen de 50±15ans. Le sex-ratio H/F était 0.2. Les cancers gynécologiques et mammaires représentaient 66% de toutes les localisations. Chez l’homme les cancers de la sphère oto-rhino-laryngée et digestif étaient les plus fréquents. Chez la femme, il s’agissait plus des cancers du col de l’utérus et du sein. Le carcinome était retrouvé dans 67% à l’histologie. Soixantequinze pour cent des cancers du col utérin étaient de stade III et 54% des cancers du sein étaient de stade II selon la classification TNM.Conclusion : Le cancer touche le plus les femmes au Mali. Il s’agit le plus souvent de cancers gynécologiques et mammaires. Le diagnostic est fait tardivement, ce qui impose le développement de nouvelles approches pour un diagnostic et une prise en charge précoces.Mots clés : cancer, épidémiologie, clinique, radiothérapie. Epidemiological and clinical features of cancers in the radiotherapy center of BamakoCancer is one of the leading causes of morbidity and mortality in Africa and Mali.Purpose: to study the epidemiological and clinical profile of cancer at the radiotherapy center of Bamako.Materials and methods: through a descriptive and retrospective study, we review patientdata collecting during consultation at the Radiotherapy Center of Hôpital du Mali. The data were collected from April 2014 to December 2016. Results: the mean age of our 890 patients was of 50 ± 15 years and the sex ratio M / F was 0.2. Gynecological and breast cancers accounted for 66% of all locations. The most frequent cancer for man was, the oto-rhino-laryngeal and digestive sphere. In women, it was more cancers of the cervix and breast. Carcinoma was found in 67% histology. Seventy-five percent of cervical cancers were stage III and 54% of breast cancers were stage II according to the TNM classification.Conclusion: Cancer affects mostly women in Mali. And gynecological and breast cancers are the major frequent. The statement is caracterised by a late of diagnosis. So it is important to develop an early diagnosis and management’s approach.Keywords: cancer, epidemiology, clinic, radiotherapy.