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According to the WHO, anemia affects 64.6% of children under the age of 5 on the African continent, representing more than 90 million children. In Mali, 82% of children aged 6 to 59 months have anemia. Objective: This work aimed to study anemia in children aged 6 to 59 months hospitalized in the pediatrics department of the Nianankoro FOMBA hospital in Ségou. Materials and Method: This was a descriptive cross-sectional study in children aged 6 to 59 months from January 1 to December 31, 2019 at the pediatrics department of the Nianankoro Fomba Hospital in Ségou. Results: We collected a sample of 316 cases of anemia out of a total of 1,316 hospitalized children, an overall frequency of 24%. The most affected age group was 25-59 months with an average age of 32 months. The sex ratio was 1.2. Farming fathers and out-of-school mothers were the most common at 72.5% and 97.5%, respectively. Most cases of anemia occurred during the winter period with a peak in October of 35.12%. The most talked about reason for consultation was fever. Severe anemia was the most common at 74% with 81% hypochrome anemia. The use of transfusion was 90.8%. The mortality rate was 11.4% with a cure rate of 85.4%. Deaths were strongly related to severe anemia. Conclusion: Anemia has multifactorial cause. Strong parental involvement in integrated activities to combat malaria, malnutrition and parasitosis will help reverse the trend.

Introduction: Bacterial urinary tract infection is the microbial invasion of symptomatic urine and inflammation of the structures of the urinary tree. The aim of our work was to study the epidemiological and clinical aspects of bacterial urinary tract infections in children aged 2 to 15 years at the Nianankoro Fomba Hospital in Ségou. Material and Method: This was a descriptive and analytical cross-sectional study of bacterial urinary tract infections in 2 to 15 year olds at Nianankoro Fomba Hospital in Ségou from September 2018 to August 2019. Results: During our study period on 2111 children between 2 and 15 years old admitted to the ward, we collected 71 cases of bacterial urinary tract infections, a hospital frequency of 3.36%. There was a male predominance with a sex ratio of 2.33. The age group of 2 to 5 years predominated with 52.11%. Urine strips were used in all patients with a positivity rate of 98.4%. On cytobacteriological examination of urine there was leukocyturia in 86% and hematuria in 85.6% of cases, at culture there was a predominance of Escherichia coli in 54.7%. The most common diagnosis was pyelonephritis with 53.5%, the most frequently used antibiotics were amoxicillin plus clavulanic acid in 50.70%. The cure rate was 97.05% of cases; however two patients or 2.65% had acute complications to kidney abscess type. Conclusion: Bacterial urinary tract infection is a common pathology in pediatrics. Our study made it possible to approach this pathology in a global way, which mainly affects infants and young children in whom diagnosis remains difficult given the non-specificity of clinical signs. The cure is almost total however complications can occur requiring multidisciplinary management.

Introduction: Fibrothecal group tumours are part of the gonadal stromal and sex cord tumours (GSST) and represent 1-4.7% of all organic ovarian tumours and are usually benign. We felt it important to report a case in order to share our experience in the management of fibrothecal tumours of the ovary. Observation: This was a 51-year-old postmenopausal patient who was referred to the hospital for abdominal pain in the context of an abdominal mass. A clinical examination and abdominal ultrasound concluded that the left ovarian tumour was benign. A left annecxectomy was performed and the histological examination concluded that the tumour was benign. No tumour marker was measured and no CT scan was performed. The postoperative course was simple and the patient was followed for 3 months.