ABSTRACT
Introduction: Nosocomial infection or infection associated with care is a serious concern in intensive care units. It is a serious infection because of its frequency, incidence and additional cost. The objective of the study was to determine the epidemiological, clinical, therapeutic and evolutionary aspects of nosocomial infections in the intensive care unit of the regional hospital of Saint Louis. Materials and Methods: A one year retrospective, descriptive and analytical study of all cases of nosocomial infections found during the study period. We analyzed anamnestic, clinical, therapeutic, evolutionary and prognostic data. Results: 28 cases of nosocomial infections out of 243 hospitalized patients, an incidence of nosocomial infection of 11.5%. The mean age of the patients was 37.57 years with a standard deviation of 20.5 years. The reasons for admission were altered consciousness (28.5%), postoperative follow-up (21.4%), and acute respiratory failure (14.2%). Invasive procedures were represented by bladder catheterization (100%), central venous catheterization (64%), oro-tracheal intubation (39.2%), hemodynamic support (28.5%), extra-renal purification and parenteral nutritional support in respectively 10.7% and 7%. Pneumonia acquired under mechanical ventilation represented 28.5% of the infections identified, bacteremia 21%, urinary and neuro-meningeal infections 18% each and surgical site infections 14%. The germs identified were gram-negative bacilli (75%) (8 pseudomonas and 13 enterobacteria), gram-positive cocci in 25% of cases (5 staphylococci aureus Meti S and 2 staphylococci Meti R). The rate of microbial resistance was 35.7%. The average length of hospitalization was 16 days (Extreme = 60 -3 days). The mortality rate was 35%. Discussion/Conclusion: Nosocomial infections in the ICU are frequent and are associated with high morbidity and mortality. Effective preventive measures are the key to improve the prognosis.

ABSTRACT
Detection of urinary parasites is a relatively rare and incidental finding. Chronic parasitic infections lead to a state of chronic inflammation and cytokine release which is also a risk for tumor cell development. It also causes anemia which makes a patient susceptible to infections and further morbidity. In this case, a woman presented with AUB-L with recurrent urticarial lesions leading to lichen simplex complex and severe anemia and patient on cystoscopic examination showed parasitic infestation of bladder.

ABSTRACT
The placenta can invade the myometrium up to varied levels leading to morbid adhesions of the placenta. This can present as acute abdomen and rarely with hemoperitoneum which is highlighted in this case.

ABSTRACT
Background: Obesity is defined as an abnormal or excessive accumulation of body fat that may impair health. Body mass index expressed (BMI) in kg/m2 is a simple measure of weight for height used to estimate obesity in adults. For adults, the World Health Organization defines obesity when the body mass index is greater than or equal to 30. Africa is faced with the growing problem of obesity and overweight, due to new habits food and new lifestyles. Obesity surgery has come to impose itself in our environment as a mechanical and metabolic aid to fight against this scourge which has become a public health problem. It is in this perspective that we proposed to study the intraoperative complications Related to Anesthesia for laparoscopic sleeve gastrectomy at Essos Hospital Center. Patients and Methods: This was a descriptive, retrospective and analytical study that took place over a period of 3 years, from January 2017 to December 2019, in the anesthesiology department of the Essos hospital center. All the files of the obese patients who underwent laparoscopic sleeve gastrectomy during the above-mentioned period were included in the study. The variables studied were: socio-demographic data, intraoperative anesthetic complications. The results obtained were subjected to univariate and bivariate analysis using the CSPRO and SPSS software. Results: A non-probability convenience sampling allowed us to obtain 16 patients. The age group that was mostly represented was those 36 to 55 years (81%). The sex ratio was 0.1. A body mass index > 40 kg/m2 of body surface area was found in 38% of cases (morbid obesity). Arterial hypertension was the comorbidity frequently associated with obesity (37.5%). The surgery was long, > 6 hours in all cases. The main anesthetic intraoperative complications were difficult intubation (62.5%), arterial hypotension (43.7%) and hypothermia (75%). Conclusion: Obesity is a public health problem in sub-Saharan Africa, which remains neglected. ........