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Nous décrivons le cas d´un enfant de 9 ans qui a présenté une ischémie aiguë sévère de membre dans un contexte de syndrome de Nicolau du membre pelvien gauche faisant suite à une injection intramusculaire glutéale de benzathine-pénicilline. Outre la rareté de l´ischémie aiguë de membre chez l´enfant, la particularité de ce syndrome de Nicolau compliqué associant une thrombose artérielle aiguë et d´une rhabdomyolyse sévère ayant conduit à une désarticulation de sauvetage de la hanche font l´intérêt de ce cas.

Facial fractures may be associated with concomitant lesions of other parts of body with some of these injuries being life-threatening. This retrospective study reports the types of associated injury and the factors influencing their occurrence, in patients with facial fractures. In 18.2% of 604 patients, one associated injury at least was recorded. The most common associated injury was cranial trauma (9.9%), followed by limbs fractures (9.1%), chest trauma (2%), spine injury (0.5%) and eye ball rupture (0.5%). A poly trauma was recorded in 3.2% of the patients who had sustained a cerebral trauma, a spinal injury or a thoracic trauma. Death occurred in two patients (0.3%) who had respectively a spinal injury and a chest trauma. The occurrence of associated injuries correlated significantly with the fracture type with solitary mandibular fracture being a significant predictor of associated injuries. Although not statistically significant, multiple facial fractures and violence were more associated with concomitant injuries. The findings of this study recall the need for initial full examination of the trauma patients particularly victims of violence, patients presenting with multiple facial fractures or single facial bone fracture involving the mandible, the trauma patients? multidisciplinary management as well as trauma prevention.