Author contributions :
The authors fulfill the ICMJE Criteria for Authorship and contributed equally.
Dr Manaa Linda, is the guarantor of the content of the manusript, included the data and analysis. Dr Youssef Monia contributed to interpretation of data and revision of the manuscript. Dr Chouchene Chokri contributed to data collection. Dr Ben abdejlil Nouha and Belhadjali hichem contributed to analysis and interpretation of data, revised it critically. Dr zili jamaleddine and Dr Chouchene Sleh contributed to final approval of the version of the manuscript to be submitted.

Consent :

The patient’ parents in this manuscript have given written informed consent to the publication of the case details of their child.