M. El Haddoury

Military Hospital Mohammed V, Rabat, Rabat, Rabat-Salé-Zemmour-Zaër, Morocco

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Publications (26)14.21 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Ingestion of a foreign body is usually accidental in children. Respiratory symptoms, often favored by the persistence of the foreign body in the esophagus, can be revealing, but rarely respiratory distress as a method telling. We report a case of unrecognized esophageal foreign body revealed by respiratory distress.
    Revue de Pneumologie Clinique 09/2013; DOI:10.1016/j.pneumo.2013.05.009 · 0.19 Impact Factor
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    ABSTRACT: Ingestion of a foreign body is usually accidental in children. Respiratory symptoms, often favored by the persistence of the foreign body in the esophagus, can be revealing, but rarely respiratory distress as a method telling. We report a case of unrecognized esophageal foreign body revealed by respiratory distress.
    Revue de Pneumologie Clinique 01/2013; · 0.19 Impact Factor
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    ABSTRACT: Renal failure is a rare complication of tetanus in children. It occurs following poorly controlled muscle spasms and rigidity. We describe a severe case of tetanus complicated with rhabdomyolysis and acute renal failure in a child.
    Archives de Pédiatrie 07/2012; 19(7):726–728. DOI:10.1016/j.arcped.2012.04.022 · 0.41 Impact Factor
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    ABSTRACT: Renal failure is a rare complication of tetanus in children. It occurs following poorly controlled muscle spasms and rigidity. We describe a severe case of tetanus complicated with rhabdomyolysis and acute renal failure in a child.
    Archives de Pédiatrie 05/2012; 19(7):726-8. · 0.41 Impact Factor
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    ABSTRACT: Deficiency of coagulation factor XIII is a rare anomaly. The risk of intracranial haemorrhage is particularly high at any age, either spontaneously or during minor trauma. We report a case of spontaneous intracerebral haemorrhage in a child carrying a known deficiency of factor XIII.
    Annales francaises d'anesthesie et de reanimation 03/2012; 31(5):475-7. DOI:10.1016/j.annfar.2012.01.023 · 0.84 Impact Factor
  • Réanimation 01/2012; 21(1). DOI:10.1007/s13546-012-0444-7
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    ABSTRACT: The aim of this work is to present the clinical and therapeutic aspects of pin inhalation in the airways, as well as the benefit of rigid bronchoscopy for extraction in children. Five hundred and twenty-four cases of inhaled foreign body are identified in the multipurpose pediatric intensive care unit in the children's hospital in Rabat between January 2005 and December 2010. Thirty-six (6.8%) of them are due to pin inhalation. A retrospective study was conducted to define the epidemiological characteristics, clinical treatment and outcome of pin inhalation in the airways. Thirty-six cases of pin inhalation are identified, all females. The age varies from 10 to 15 years. The consultation period is 2 days. Symptoms are dominated by coughing and stinging sensation. In 61.11% (22 cases), the pin is lodged in the right airways, in 22.22% (eight cases) in the left airways and in 5.5% (two cases) at the trachea. In 63.8% (23 cases), the pin is removed at the first attempt. We did not record any severe complications. No deaths recorded. Pin inhalation is a common occurrence in young girls. The extraction can be done safely by rigid bronchoscopy under general anesthesia. Particular attention should be paid to prevention and educational programs to reduce the incidence of pin inhalation.
    Revue de Pneumologie Clinique 10/2011; 67(5):309-13. · 0.19 Impact Factor
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    ABSTRACT: Purpose The aim of this work is to present the clinical and therapeutic aspects of pin inhalation in the airways, as well as the benefit of rigid bronchoscopy for extraction in children. Materials and methods Five hundred and twenty-four cases of inhaled foreign body are identified in the multipurpose pediatric intensive care unit in the children's hospital in Rabat between January 2005 and December 2010. Thirty-six (6.8%) of them are due to pin inhalation. A retrospective study was conducted to define the epidemiological characteristics, clinical treatment and outcome of pin inhalation in the airways. Results Thirty-six cases of pin inhalation are identified, all females. The age varies from 10 to 15 years. The consultation period is 2 days. Symptoms are dominated by coughing and stinging sensation. In 61.11% (22 cases), the pin is lodged in the right airways, in 22.22% (eight cases) in the left airways and in 5.5% (two cases) at the trachea. In 63.8% (23 cases), the pin is removed at the first attempt. We did not record any severe complications. No deaths recorded. Conclusion Pin inhalation is a common occurrence in young girls. The extraction can be done safely by rigid bronchoscopy under general anesthesia. Particular attention should be paid to prevention and educational programs to reduce the incidence of pin inhalation.
    Revue de Pneumologie Clinique 10/2011; 67(5):309-313. DOI:10.1016/j.pneumo.2010.11.003 · 0.19 Impact Factor
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    ABSTRACT: IntroductionLe syndrome des loges est une complication possible après morsure de vipère, plus fréquente chez l’enfant. L’objectif de cette étude rétrospective est de décrire les caractéristiques cliniques du syndrome des loges, au décours d’une envenimation vipérine, chez des enfants admis en réanimation pédiatrique à l’hôpital des enfants de Rabat. MéthodesLa gravité de l’envenimation a été évaluée selon la classification internationale : grade 0 (traces de crochets au niveau de la morsure, absence d’œdème ou de réaction locale); grade 1 (œdème local, absence de signes généraux); grade 2 (œdème régional du membre et/ou symptômes généraux modérés); grade 3 (œdème extensif atteignant le tronc et/ou symptômes généraux sévères). RésultatsSept des 18 patients admis pour morsure vipérine entre janvier 2004 et décembre 2010 ont été inclus. Avec un délai médian de prise en charge de 23 heures, le tableau clinique était dominé par la douleur et l’œdème local : cinq cas à la suite d’une envenimation de grade 2 et deux de grade 3. La prédominance féminine (4/7), des morsures durant les après-midi (7/7), au cours de l’été (4/7) et siégeant aux membres inférieurs (5/7) étaient caractéristiques des envenimations accompagnées d’un syndrome des loges. La durée médiane d’hospitalisation était de sept jours. Tous les patients ont bénéficié d’une aponévrotomie de décharge. Le traitement antivenimeux n’avait pas été utilisé. Un seul enfant est décédé. ConclusionLe syndrome des loges est une complication grave des envenimations vipérines de grades 2 et 3. Notre analyse souligne la nécessité de mise à disposition d’une immunothérapie spécifique dans les institutions sanitaires de régions à risque élevé de morsures vipérines, comme la nôtre. BackgroundCompartment syndrome is a major complication of viper bites and it is more common in children. The aim of our retrospective study was to describe the clinical characteristics of viper envenomation-related compartment syndrome in children admitted to the paediatric intensive care unit at Rabat Children’s Hospital. MethodsThe severity of envenomation was evaluated according to the international classification: grade 0 (fang marks, no local signs), grade 1 (local swelling, no general symptoms), grade 2 (extensive swelling of the limb and/or moderate general symptoms) and grade 3 (wide spread swelling reaching the trunk and/or severe general symptoms). ResultsSeven of the eighteen patients admitted for viper bites between January 2004 and December 2010 were included in this study. Following a median delay of 23 hours, pain and local swelling were the main symptoms observed. Compartment syndrome resulted from grade-2 (five cases) and grade-3 envenomation (two cases). Female gender (4/7), bites during the afternoon (7/7) and summer (4/7) as well as bites involving the lower limbs (5/7) characterized envenomation that resulted in compartment syndrome. The median duration of hospitalization was 7 days. Fasciotomy was performed in all cases. Antivenom treatment had not been given. One child died. ConclusionCompartment syndrome is a serious complication of grade-2 and grade-3 viper envenomation. Our analysis emphasizes the need for specific immunotherapy to be available in medical institutions located in areas with a high incidence of viper bites, like ours. Mots clésSyndrome des loges–Pédiatrie–Aponévrotomie–Vipère KeywordsCompartment syndrome–Paediatrics–Fasciotomy–Viper
    Réanimation 09/2011; 20(5):463-466. DOI:10.1007/s13546-011-0302-7
  • Cardiovascular toxicology 07/2011; 11(4):382-4. DOI:10.1007/s12012-011-9130-2 · 2.06 Impact Factor
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    ABSTRACT: ObjectifsL’ingestion de corps étrangers est une urgence pédiatrique. Les pièces de monnaie représentent une proportion importante des corps étrangers ingérés. Notre objectif était de décrire une méthode simple, efficace et sans danger pour extraire une pièce de monnaie coincée dans le tractus oesophagien supérieur d’un enfant. Matériel et méthodesDans cette étude rétrospective, 145 enfants (âge médian: 20 mois) ayant bénéficié de l’extraction d’une pièce de monnaie par pince de Magill sous laryngoscopie directe ont été recensés sur une période de trois ans (janvier 2007 à décembre 2009). La procédure était réalisée sous sédation par un mélange d’oxygène et d’halothane au masque facial. RésultatsL’extraction a été effectuée chez tous les patients sans complications, au premier essai dans 52 % des cas, au deuxième essai dans 38 % des cas et au troisième essai dans 10 % des cas restants. Le temps médian d’extraction de la pièce était de 43 secondes, allant de 30 à 75 secondes. Lors de l’insertion du laryngoscope, 110 des pièces de monnaie avaient été clairement visualisées, alors que les 35 autres ne l’avaient pas été. Aucun cas de laryngospasme ou de vomissement n’a été noté. ConclusionL’extraction des pièces de monnaie coincées dans l’oesophage supérieur d’un enfant par pince de Magill sous sédation en ventilation spontanée est une technique facile, non coûteuse et sans complications. ObjectivesIngestion of foreign bodies is a common pediatric emergency. Coins represent a significant proportion of ingested foreign bodies. Our aim was to report a simple, efficient, and safe method to extract coins from the upper esophagus in children. Materials and methodsIn this retrospective study, 145 patients (median age: 20 months) who underwent coin extraction by Magill forceps under direct laryngoscopy on a 3-year period (January 2007 to December 2009) were included. The procedure was performed under sedation with a mixture of oxygen and halothane by facemask. ResultsExtraction was performed in all patients without complications. The coin was extracted in the first attempt in 52% of the cases, the second attempt in 38%, and the third attempt in 10% of the cases. The mean extraction time was 43 seconds, ranging from 30 to 75 seconds. Following laryngoscope insertion, 110 coins were clearly visualised, while 35 were not. No case of laryngospasm or vomiting was noted. ConclusionExtracting coins from a child’s upper esophagus with Magill forceps under sedation and spontaneous ventilation is an easy, inexpensive, and safe method. Mots clésPièce de monnaie–Extraction–Œsophage–Pince de Magill–Enfant KeywordsCoin–Extraction–Esophagus–Magill forceps–Child
    Réanimation 05/2011; 20(3):260-263. DOI:10.1007/s13546-011-0265-8
  • Annales Françaises d Anesthésie et de Réanimation 04/2011; 30(4):377-378. DOI:10.1016/j.annfar.2011.01.007 · 0.84 Impact Factor
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    ABSTRACT: The hydatid disease is common and remains endemic in Morocco. The treatment relies mainly on surgery. This may be accompanied by rare but serious complications that can certainly be life-threatening. Allergic reactions can manifest as anaphylactic shock which is characterized by its brutal onset and its severity. We stress through the pediatric case reported the exceptional occurrence of anaphylactic shock during surgery and the need for its early recognition in order to establish effective treatment. Prevention relies mainly on surgical precautions taken to avoid seeding of the abdominal cavity.
    Annales Françaises d Anesthésie et de Réanimation 04/2011; 30(4):369-371. DOI:10.1016/j.annfar.2011.01.012 · 0.84 Impact Factor
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    ABSTRACT: The hydatid disease is common and remains endemic in Morocco. The treatment relies mainly on surgery. This may be accompanied by rare but serious complications that can certainly be life-threatening. Allergic reactions can manifest as anaphylactic shock which is characterized by its brutal onset and its severity. We stress through the pediatric case reported the exceptional occurrence of anaphylactic shock during surgery and the need for its early recognition in order to establish effective treatment. Prevention relies mainly on surgical precautions taken to avoid seeding of the abdominal cavity.
    Annales francaises d'anesthesie et de reanimation 03/2011; 30(4):369-71. · 0.84 Impact Factor
  • Annales francaises d'anesthesie et de reanimation 02/2011; 30(4):377-8. · 0.84 Impact Factor
  • La Presse Médicale 02/2011; 40(6):660-1. DOI:10.1016/j.lpm.2011.01.008 · 1.17 Impact Factor
  • Archives de Pédiatrie 01/2011; 18(1):97-8. DOI:10.1016/j.arcped.2010.10.023 · 0.41 Impact Factor
  • Réanimation 01/2011; 20(1):79-80. DOI:10.1007/s13546-010-0213-z
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    ABSTRACT: The snakebite is the most severe form of envenomation. The aim of this retrospective study was to describe the epidemiological, diagnostic, therapeutic and evolutionary snakebites in Children in paediatric intensive care unit of the children's hospital of Rabat. The criteria of severity were studied in four grades : grade 0 (traces of hooks at the bite, no swelling or local reaction), grade 1 (local oedema, absence of constitutional symptoms), grade 2 (swelling of regional member and/or moderate symptoms), grade 3 (extensive swelling up the trunk and/or severe symptoms). The number of patients included was 17 between January 2004 and December 2009. The male predominance (59%), bites by snakes (76%), bites during the afternoons (76%) and summer (53%), bites to the lower limb (65%) were net, corroborating the data from the literature on the subject. The median period of treatment was 9.5hours, 53% of cases of severe grade 2 and 3 versus 47% in grades 0 and 1. The median duration of hospitalization was five days. One child died (6%). No child received antivenin treatment. Our analysis calls for the availability of specific immunotherapy in local health institutions in high-risk areas, such as ours.
    Annales Françaises d Anesthésie et de Réanimation 01/2011; 30(1):83-85. DOI:10.1016/j.annfar.2010.11.003 · 0.84 Impact Factor
  • Annales francaises d'anesthesie et de reanimation 01/2011; 30(1):92. DOI:10.1016/j.annfar.2010.10.004 · 0.84 Impact Factor