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%.