The objective of this work is the epidemiological, clinical and evolutionary aspects of the cases of domestic accidents recorded during the Covid-19 pandemic, and to evaluate the repercussions on their profile in terms of frequency, type and gravity. This is a descriptive and comparative study of cases of domestic accidents, admitted and managed in the pediatric emergency services of the Hassan II University Hospital of Fez, during the two periods before and during the Covid-19 pandemic, from July to December of the year 2020 and over the same period of the previous year 2019. There was an increase of 63.41% in domestic accident cases during the Covid-19 period. The average age of patients was high during the pandemic period (4.11 years vs 2.5 years) with a male predominance in the same periods. The analysis of the types of domestic accidents was marked by an increase in tracheobronchial foreign body inhalations in the Covid-19 era, from 7.31% to 16.41%, and intoxications, which rose from 2.40% to 25.37%. The symptomatology was dominated by digestive signs present in 42.53% followed by respiratory signs in 31.91% and neurological signs in 25.75% of cases. The evolution was, in general, favourable and remained similar in both periods, except for the death that occurred in one case in 2020 against none in 2019. The pandemic has changed the profile of domestic accidents in children and has had serious consequences for children's lifestyles.

The objective of this work is to describe the epidemiological, clinical, biological, etiological profile and the management of pleural effusions in the pediatric setting. In this retrospective study over a period of two years, we collected 30 cases of pleural effusion in the pediatric emergencies of CHU Hassan II Fez, with an incidence of 0.51% and a male predominance of 56% of cases with a sex ratio of 1.3. The average age was 7.3 years. The incidence of cases was dominated by the autumn period with a peak in October. The average consultation time was 16 days, and 40% of patients received prior antibiotic therapy. Fever was observed in 92% of cases, cough in 68%, dyspnoea in 23.3%, chest pain in 46.6%. A fluid effusion syndrome was found in 83.3% of cases. On chest X-ray, pleurisy was very large in 50% and unilateral in 84%. Pleural puncture for diagnostic and therapeutic purposes was performed in 83.3%. The etiologies were dominated by pleurisy of infectious origin (60%), followed by tuberculosis (27%) and tumour causes (6.6%). Complications were pachypleuritis in 10% and reactionary pneumothorax in 6.6%.

Glanzmann thrombasthenia is a rare hereditary thrombopathy, mainly responsible for spontaneous mucocutaneous hemorrhages. It is due to a qualitative or quantitative deficiency of the platelet receptor GPIIbIIIa, involved in platelet aggregation. This disease is mostly observed in populations with high consanguinity. The aim of our work is to study the epidemiological, clinical, biological, therapeutic and evolutionary particularities of Glanzmann thrombasthenia in children. A total of 11 patients were diagnosed and followed up in the pediatric hematology-oncology department of the Hassan II University Hospital of Fez, Morocco. The average age at diagnosis was 2 years and 6 months, 81% of the cases were from consanguineous parents, mucocutaneous hemorrhages were the most reported, and the diagnosis of Glanzmann thrombasthenia was confirmed in all cases by aggregometry. Treatment is based mainly on local symptomatic measures and platelet transfusion, activated factor VII is reserved in case of anti-platelet immunization. The evolution is good in all cases, only one death is reported.

Goldenhar syndrome is a rare congenital disease, affecting many organs including the craniofacial region. Its etiology still remains uncertain. We describe a case of Goldenhar syndrome in a 12-month-old infant with craniofacial involvement.This anatomical-clinical entity gives rise to a good clinical examination and a good analysis of the literature in order to make the diagnosis and to plan a treatment in the event of systemic involvement.

Piringer Kuchinka lymphadenitis or toxoplasmic lymphadenitis is diagnosed histologically and confirmed by serological tests. Toxoplasmosis is a parasitic infection caused by an opportunistic protozoan: Toxoplasma gondii, often asymptomatic in the immunocompetent subject, without recourse to specific treatment. We report a case of Piringer Kuchinka adenitis revealing active toxoplasmosis in an immunocompetent child.

Rosai-Dorfman disease (RDD), or sinus histiocytosis with massive lymphadenopathy (SHML), is a rare idiopathic disorder with unknown etiology. The présentation of RDD is painless bilateral cervical lymphadenopathy. Extranodale RDD without nodale involvement is very rare. Isolated form to the bone occurs in only 2% of patients. We report a rare case of RDD revealed by left radius involvement in an infant aged 21 months with lung involvement in the assessment of extension, treated with chemotherapy with good outcome. Bone involvement is rare, hence the interest in knowing the different etiological diagnoses in order to make the rapid diagnosis and start the appropriate treatment.

Introduction: Central retinal artery occlusion is a pathology of the elderly, rarely in childhood, requiring an exhaustive etiological assessment in order to indicate a treatment to preserve the functional prognosis of the eye. Observation: We report the case of a central retinal artery occlusion in a 4 year old boy, who had no pathological history, discovred at a sudden loss of vision in the right eye aggravated to the blindness. The ophthalmological examination revealed the central retinal artery occlusion. The etiological assessment showed a hypoplasia of the right internal carotid artery associated with agenesis of the ophthalmic artery and the posterior communicating artery. Conclusion: the etiology of the occlusion of the central retinal artery occlusion is very variable, the treatment and the prognosis depend on the etiology.