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West African Journal of Medicine

E B Henshaw
Elephantiasis Nostras Verrucosa (ENV) is a rare cutaneous complication of chronic lymphatic obstruction. It represents the late stage of chronic non-filarial lymphoedema, resulting in the recurrent and progressive swelling of the affected part, and is marked by both physical and psychological impairment in health-related quality of life. Morphologically it appears as clusters of verrucous (wart-like) papules and nodules arranged in a cobblestone-like pattern, often presenting a mossy appearance. I hereby describe the case of a young man with progressively worsening peno-scrotal ENV; highlighting the delay in diagnosis occasioned by the low level awareness of this harrowing affliction among medical practitioners, and mentioning the negative impact on the patient's health-related quality of life (HRQoL)...
May 2018: West African Journal of Medicine
F S Ejagwulu, Y Z Lawal, M I Maitama, K E Amefule, I L Dahiru, Y A Gafar
BACKGROUND: Childhood injuries are often associated with fractures, and it is said to account for about 25% of all paediatrics trauma. There is a male preponderance and the peak incidence occurs among primary and secondary school age groups. The occurrence and management of these fractures are influenced by season, geographical location, educational and socio-economic status of the populace as well as time of presentation and availability of suitable facilities for treatment. OBJECTIVES: To analyse the demographic characteristics of the subjects, aetiological factors, fracture distribution, educational and occupational status of their parents, mode of treatment and their outcomes...
May 2018: West African Journal of Medicine
B F Adeyemi, A O Akinyamoju, B Kolude
BACKGROUND: Squamous cell carcinoma of the oral tongue (SCCOT) has been linked to modifiable risk factors; such as tobacco use and excessive alcohol consumption. OBJECTIVE: To describe the clinical presentation of SCCOT as well as its association with history of tobacco and alcohol use. METHODS: A retrospective review of SCCOT at Oral Pathology Department from 1990 to 2012. Information retrieved from patients' medical records includes: age, gender, occupation, history of alcohol and tobacco use...
May 2018: West African Journal of Medicine
O O Oyebisi, O O Okunola, A E Jaiyesimi, F A Arogundade, M A Adelaja, C E Erohibe, A A Sanusi, A Akinsola
BACKGROUND: Chronic kidney disease (CKD) has now become a disease of public health importance. The increased prevalence in the population of patients with end stage renal disease (ESRD) is partly related to the failure of early detection of the pre-clinical stages of the disease and its associated risk factors. This study aimed to determine the prevalence of chronic kidney disease and its associated risk factors in Aiyepe community in Ogun state, south western Nigeria as well as determining the awareness level of the population about CKD...
May 2018: West African Journal of Medicine
C L Nzomiwu, E O Sote, F A Oredugba
OBJECTIVES: The Early Childhood Oral Health Impact Scale (ECOHIS) has been used in different countries and in different versions to assess the impact of oral health conditions on preschoolers. This study aimed to develop the Nigeria Pidgin English version of ECOHIS and investigate its psychometric properties. METHODS: The Nigerian Pidgin English version (NAIJA ECOHIS) was developed from the English version using the forward-backward translation technique. One hundred and four children aged 2-5 years attending a clinic were recruited for the study and the new version was administered to their parents/caregivers...
May 2018: West African Journal of Medicine
E Innocent, A N Manasseh, E V Badoe, Y Daniel, K B Vandi, A Olanrewaju, E U Graham
BACKGROUND: The designation Rabdomyosarcoma (RMS) is used to describe the malignant mesenchymal neoplasm that exhibits varying degree of skeletal muscle differentiation. RMS is the commonest malignancy of soft tissues afflicting children and adolescent up until age 20. It constitutes 5-10% of pediatric malignancies, and 7-9.5% of pediatric soft tissue sarcomas. The site of origin of RMS can be one of three possibilities: myogenous; extramyogenous; and ectopic (heterotopia). This was a retrospective study of consecutive cases of RMS seen at the Histopathology Department of the Jos University Teaching Hospital, Jos, between January 2007 and December 2016...
May 2018: West African Journal of Medicine
A J Fasunla
BACKGROUND: The long-term effect of maternal HIV and antiretroviral medication on the hearing of HIV-exposed infants has not been well studied. We determined and compared the hearing thresholds of HIV-exposed infants with that of HIV-unexposed infants within the first month of life and at three, six and nine months of life. MATERIALS AND METHODS: This was a Case control study of 126 HIV-exposed newborns and 121 HIV-unexposed newborns. Data collected included Socio-demographic, clinical characteristics and risk factors for hearing loss...
May 2018: West African Journal of Medicine
B I Abhulimhen-Iyoha, Y T Israel-Aina
BACKGROUND: Accidental childhood poisoning contributes significantly to childhood morbidity and mortality worldwide. A review of the agents which cause poisoning in our locality from time to time is important in planning prevention strategies and treatment modalities. OBJECTIVE: To document the pattern of accidental childhood poisoning at the Children Emergency Room (CHER) of the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. METHODS: A retrospective study in which records of admissions as well as case notes of patients admitted because of ingestion of poisons from October 2011 to June 2014 were obtained...
May 2018: West African Journal of Medicine
U Okonkwo, A Otu, S Ameh, H Okpara
BACKGROUND: Hepatitis B Virus (HBV) infection is a public health problem that is endemic in Nigeria. Cross River State, a tourist state, located in the coastal area of Nigeria has a relatively high prevalence rate. Insufficient knowledge and negative attitudes are barriers to effective control of infectious diseases. OBJECTIVES: To determine the Knowledge, Attitude and Practice (KAP) of HBV amongst residents of Cross River State, Nigeria. METHODS: This was a cross sectional descriptive study...
May 2018: West African Journal of Medicine
K U Tobi, E O Ndokwu, N P Edomwonyi
BACKGROUND: The management and outcome of elderly patients aged 65 years and above admitted to the intensive care unit (ICU) are often complicated by the presence of co-morbidities and reduced physiological reserve. METHODOLOGY: This was a retrospective, case-control study. Patients aged 65 years and above admitted to the unit from January 2012 to June 2013 were included in the study. Admission and discharge register in the ICU was examined. A patient before and after each elderly patient were recruited to serve as controls in the study...
May 2018: West African Journal of Medicine
D D Mue, M N Salihu, W T Yongu, M Ochoga, J N Kortor, I C Elachi
BACKGROUND: Septic arthritis is a relatively common condition in the paediatric population. It is both a medical and a surgical emergency with potential high morbidity. This disabling disease requires early diagnosis and prompt management for optimal outcome. OBJECTIVE: This study determined the epidemiological pattern of septic arthritis and analysed factors affecting morbidity and mortality in the paediatric population. MATERIALS AND METHODS: Retrospective data was obtained over a 5-year period in NKST rehabilitation hospital, Mkar, Nigeria...
May 2018: West African Journal of Medicine
E E Eseigbe, F T Nuhu, T L Sheikh, S J Adama, P Eseigbe, A A Aderinoye, O Adebayo, K Y Gazali
BACKGROUND: Epilepsy is associated with impaired physical, psychological and social functioning. Assessing its impact on these parameters is important to improving the wellbeing of those with the disorder. OBJECTIVE: To assess the impact of epilepsy on the physical, psychological and social status of adolescents in a rural community. METHODS: Adolescents with epilepsy (Subjects) were identified in a community house to house survey. Controls (adolescents without epilepsy) matched for age and sex were randomly selected from the community...
May 2018: West African Journal of Medicine
O I Alatise, M A Komolafe, E A Agbakwuru, A O Adisa, Y B Amusa
BACKGROUND: Protein-energy malnutrition is a common problem in critically ill patient and it is a major cause of accelerated morbidity and mortality in this group of patients. Recent dramatic advances in both enteral and parenteral nutritional support have ensured that most of these critically ill patients are adequately nutritionally supported. Unfortunately, most of these advancements in nutritional supports are far from the reach of most patients in developing countries. In this report, we highlighted the indications, success, challenges of the use of percutaneous endoscopic gastrostomy (PEG) in Nigeria patients...
January 2018: West African Journal of Medicine
B N Okeahialam
BACKGROUND: Though valve disease resulting from rheumatic heart disease is common, triple valve involvement is uncommon; with a bleak survival outlook Objective: To report a 38-year-old patient with both stenosis and incompetence of 3 valves, who lived till adulthood and went into heart failure after child-birth. No such report has come from Nigeria Methods: Case report of a Nigerian woman who lived with multiple valve disease up to adulthood when after delivery she developed hypertension and went into heart failure...
January 2018: West African Journal of Medicine
O M Uhumwangho, V B Osaguona
The authors report a case of Terson syndrome in an adult with immune thrombocytopenia. Terson syndrome refers to an intraocular hemorrhage secondary to an intracranial hemorrhage or an acute rise in intracranial pressure. It is a rare but life-threatening complication and may be complicated with blindness in those who survive.
January 2018: West African Journal of Medicine
I K Nuamah, G Parkins, E V Badoe, P K Blankson, M Owusu-Boamah, V Etwire, S Osei-Nkeitia, E Brown
A case of a 2.7kg term baby with a large epignathus, a rare congenital teratoma arising from the palate is presented. Birth was by spontaneous vaginal delivery (SVD). The baby survived following a timely multidisciplinary approach to her management. This is the first reported case in Ghana.
January 2018: West African Journal of Medicine
J Ediale, C O Onyema, K U Tobi
Cerebrospinal fluid (CSF) rhinorrhoea is often seen among head injured patients from road traffic crashes or physical assault, and sometimes it is a complication of nasal surgical procedures. Intracranial tumours may also result in CSF leakage. Blood stained rhinorrhoea often occur at the time of initial insult or injury, while CSF rhinorrhea may be a delayed manifestation. However, idiopathic CSF rhinorrhoea is uncommon, and it is regarded as a diagnosis of exclusion. In this communication, we report a 54-year old woman who developed CSF rhinorrhoea with no prior history of head trauma, physical assault, neurosurgical or nasal surgery...
January 2018: West African Journal of Medicine
A O Ogunyemi, K A Odeyemi, O J Kanma-Okafor, T W Ladi-Akinyemi
BACKGROUND: The world population is rapidly ageing and people aged 60 years and above are growing faster than any other age group. In Africa, the most rapid growth of older persons is expected in Western and Northern Africa. STUDY DESIGN: This was a comparative cross-sectional study of a total of 360 respondents. A multi-stage sampling method was used in selecting 240 respondents in the non-institutional group while all the respondents (120) in the institutional group were included in the study...
January 2018: West African Journal of Medicine
B I Abhulimhen-Iyoha, Y T Israel-Aina
BACKGROUND: Blood transfusion is a life-saving procedure in paediatric practice. It is important in replacing blood volume in cases of haemorrhage or providing specific blood components as required. However, the procedure carries some risks and complications. The decision to transfuse, frequency of transfusion and the availability of safe blood and blood products are essential determinants of the success of the procedure. Hence, knowledge of the indications and rate of transfusion is important to ensure that blood for transfusion is safe and made available as at when due...
January 2018: West African Journal of Medicine
M E Ugbeye, S E Itakpe, O J Ayodabo
BACKGROUND: Total knee replacements are increasingly being carried out for the arthritic knee. This procedure is constantly being improved upon in order to improve outcome. There is currently no consensus of the best surgical approach for primary total knee arthroplasty. This study aims to test the hypothesis that the subvastus approach has significantly better early functional outcomes compared to the medial parapatellar approach. STUDY DESIGN: Patients with bilateral knee arthritis who met the inclusion criteria were randomised into either the subvastus or medial parapatellar approach over a twelve month period...
January 2018: West African Journal of Medicine
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